Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
Thus the painful sphere grew by apposition first because every new
pathogenically affecting theme occupied a new region of the legs,
second, every one of the impressionable scenes left a trace because it
produced a lasting, always more cumulative, “occupation” of the
different functions of the legs, thus connecting these functions with
the sensations of pain. There was unmistakably, however, still a third
mechanism which furthered the production of astasia-abasia. When the
patient finished the recitation of a whole series of events with the
plaint that she then perceived pain in “standing alone,” and when in
another series referring to the unfortunate attempt of bringing about
new conditions in the family she was not tired of repeating that the
painful in that was the feeling of her helplessness, the sensation that
she “could make no headway,” I had to admit that her reflections
influenced the formation of the abasia, and had to assume that she
directly sought a symbolic expression for her painfully accentuated
thoughts and had found it in the aggravation of her pains. That somatic
symptoms of hysteria could originate through such symbolization we have
already asserted in our Preliminary Communication, and in the epicrisis
to this history. I will give some examples of conclusive evidence. In
Miss Elisabeth v. R. the psychic mechanism of the symbolization was not
in the foreground, it had not produced the abasia, but everything
pointed to the fact that the already existing abasia had in this way
undergone a considerable reinforcement. Accordingly this abasia as I met
it in the stage of development was not only to be compared to a
psychically associative paralysis of function but also to a symbolic
paralysis of function.
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