Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
Among other things Mrs. Cäcilie also suffered from a most violent facial
neuralgia which appeared suddenly two or three times during the year and
persisted for from five to ten days, resisting every remedy, and ceased
as if cut off. It limited itself to the second and third branches of the
trigeminus, and as there was undoubtedly an excess of urates in the
urine, and as a not very “clear acute rheumatism” played a certain part
in the patient’s history it was reasonable to assume that we dealt with
a gouty neuralgia. This opinion was also shared by the consulting
physicians who saw every attack. The neuralgia was treated with the
methods in vogue, such as electric pencilling, alkaline waters and
purgatives, but it always remained uninfluenced until it was convenient
to make room for another symptom. In former years—the neuralgia was
fifteen years old—the teeth were accused of preserving it and were
condemned to extraction, and one fine morning under narcosis the
execution of seven of the culprits took place. That did not run so
smoothly as the teeth were so firm that most of the roots were left
behind. This cruel operation was followed by neither temporary nor
permanent relief. At that time the neuralgia raged for months. Even
while under my care whenever she had neuralgia the dentist was called
and he always declared he found diseased roots. He commenced to get
ready for such work but usually he was soon interrupted, for the
neuralgia suddenly ceased and with it the desire for the dentist. During
the intervals the teeth did not ache at all. One day just while another
attack was raging I put the patient into a hypnotic condition and placed
an energetic interdiction on the pains, and from that moment they
ceased. I then began to doubt the genuineness of this neuralgia.
Public-domain text, read in full here on John Shaqi.
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