Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
The reason why one person is hypnotizable and another not I could no
more explain than others, and hence I could not start on a causal way
towards the removal of the difficulties. I also observed that in some
patients the obstacle was still more marked, as they even refused to
submit to hypnosis. The idea then occurred to me that both cases might
be identical, and that in both it might merely be an unwillingness.
Those who entertain a psychic inhibition against hypnotism are not
hypnotizable, it makes no difference whether they utter their
unwillingness or not. It is not fully clear to me whether I can firmly
adhere to this conception or not.
It was, therefore, important to avoid hypnotism and yet to obtain the
pathogenic reminiscences. This I attained in the following manner:
On asking my patients during our first interview whether they remembered
the first motive for the symptom in question, some said that they knew
nothing, while others thought of something which they designated as an
indistinct recollection, yet were unable to pursue it. I then followed
Bernheim’s example of awakening the apparently forgotten impressions
obtained during somnambulism (see the case of Miss Lucy). I urged them
by assuring them that they did know it, and that they will recall it,
etc., and thus some thought of something, while in others the
recollections went further. I became still more pressing, I ordered the
patient to lie down and voluntarily shut his eyes so as to “concentrate”
his mind, causing thereby at least a certain similarity to hypnosis, and
I then discovered that without any hypnosis there emerged new and
retrospective reminiscences which probably belonged to our theme.
Through such experiences I gained the impression that through urging
alone it would really be possible to bring to light the definitely
existing pathogenic series of ideas; and as this urging necessitated
much exertion on my part, and showed me that I had to overcome a
resistance, I, therefore, formulated this whole state of affairs into
the following theory: _Through my psychic work I had to overcome a
psychic force in the patient which opposed the pathogenic idea from
becoming conscious_ (remembered). It then became clear to me that this
must really be the same psychic force which assisted in the origin of
the hysterical symptom, and at that time prevented the pathogenic idea
from becoming conscious. What kind of effective force could here be
assumed, and what motive could have brought it into activity? I could
easily formulate an opinion, for I already had some complete analyses at
my disposal in which I found examples of pathogenic, forgotten, and
repressed ideas. From these I could judge the general character of such
ideas. They were altogether of a painful nature, adapted to provoke the
affects of shame, reproach, of psychic pain, and the feeling of injury;
they were altogether of that kind which one would not like to experience
and prefers to forget.
Public-domain text, read in full here on John Shaqi.
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