Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
We have but few, yet we have almost all those by which one person exerts
a psychic influence on the other. In the first place we must remember
that psychic resistance, especially of long continuance, can only be
broken slowly, gradually, and with much patience. We can also count on
the intellectual interest which manifests itself in the patient after a
brief period of the analysis. On explaining and imparting to him the
knowledge of the marvelous world of psychic processes, which we have
gained only through such analysis, we obtain his collaboration, causing
him to view himself with the objective interest of the investigator, and
we thus drive back the resistance which rests on an affective basis. But
finally—and this remains the strongest motive force—after the motives
for the defense have been discovered, we must make the attempt to reduce
or even substitute them by stronger ones. Here the possibility of
expressing the therapeutic activity in formulæ ceases. One does as well
as he can as an explainer where ignorance has produced timorousness, as
a teacher, as a representative of a freer and more superior
world-conception, and as confessor, who through the continuance of his
sympathy and his respect, imparts, so to say, absolution after the
confession. One endeavors to do something humane for the patient in so
far as the range of one’s own personality and the measure of sympathy
which one can set apart for the case allows. It is an indispensable
prerequisite for such psychic activities to have approximately
discovered the nature of the case and the motives of the defense here
effective. Fortunately the technique of the urging and the pressure
procedure take us just so far. The more we have solved such enigmas the
easier will we discover new ones, and the earlier will we be able to
manage the actual curative psychic work. For it is well to bear in mind
that although the patient can rid himself of an hysterical symptom only
after reproducing and uttering under emotion its causal pathogenic
impressions, yet the therapeutic task merely consists in inducing him to
do it, and once the task has been accomplished there remains nothing for
the doctor to correct or abolish. All the contrary suggestions necessary
have already been employed during the struggle carried on against the
resistance. The case may be compared to the unlocking of a closed door,
where, as soon as the door knob has been pressed downward, no other
difficulties are encountered in opening the door.
Among the intellectual motives employed for the overcoming of the
resistance one can hardly dispense with one affective moment, that is,
the personal equation of the doctor, and in a number of cases, this
alone will be able to break the resistance. The conditions here do not
differ from those found in any other branch of medicine, and one should
not expect any therapeutic method to fully disclaim the assistance of
this personal moment.
III.
Public-domain text, read in full here on John Shaqi.
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