Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
In view of the discussions in the preceding section concerning the
difficulty of my technique, which I have unreservedly exposed,—I have
really collected them from my most difficult cases, though it will often
be easier work—in view then of this state of affairs everybody will wish
to ask whether it would not be more suitable, instead of all these
tortures, to apply oneself more energetically to hypnosis, or to limit
the application of the cathartic method to only such cases as can be
placed in deep hypnosis. To the latter proposition I should have to
answer that the number of patients available for my skill would shrink
considerably; but to the former advice I will advance the supposition
that even where hypnosis could be produced the resistance would not be
very much lessened. My experiences in this respect are not particularly
extensive, so that I am unable to go beyond this supposition, but
wherever I achieved a cathartic cure in the hypnotic state I found that
the work devolved upon me was not less than in the state of
concentration. I have only recently finished such a treatment during
which course I caused the disappearance of a hysterical paralysis of the
legs. The patient merged into a state, psychically very different from
the conscious, and somatically distinguished by the fact that she was
unable to open her eyes or rise without my ordering her to do so; and
still I never had a case showing greater resistance than this one. I
placed no value on these physical signs, and toward the end of the ten
months’ treatment they really became imperceptible. The condition of the
patient during our work has therefore lost nothing of its psychic
peculiarities, such as the ability to recall the unconscious and its
very peculiar relation to the person of the physician. To be sure, in
the history of Mrs. Emmy v. N. I have described an example of a
cathartic cure accomplished in a profound somnambulism in which the
resistance played almost no part. But nothing that I obtained from this
woman would have required any special effort; I obtained nothing that
she could not have told me in her waking state after a longer
acquaintanceship and some esteem. The real causes of her disease, which
were surely identical with the causes of her relapses after my
treatment, I have never found—it was my first attempt in this
therapy—and when I once asked her accidentally for a reminiscence which
contained a fragment of the erotic, I found her just as resistant and
unreliable in her statements as any one of my later non-somnambulic
patients. This patient’s resistance, even in the somnambulic state,
against other requirements and exactions I have already discussed in her
history. Since I have witnessed cases who, even in deep somnambulism
were absolutely refractory therapeutically despite their obedience in
everything else, I really became skeptical as to the value of hypnosis
for the facilitation of the cathartic treatment. A case of this kind I
Public-domain text, read in full here on John Shaqi.
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