Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
have reported in brief,[32] and could still add others.
In our discussion thus far, the idea of resistance has thrust itself to
the foreground. I have shown how, in the therapeutic work, one is led to
the conception that hysteria originates through the repression of an
unbearable idea from a motive of defense, that the repressed idea
remains as a weak (mildly intensive) reminiscence, and that the affect
snatched from it is used for a somatic innervation, that is, conversion
of the excitement. By virtue of its repression the idea becomes the
cause of morbid symptoms, that is pathogenic. A hysteria showing this
psychic mechanism may be designated by the name of “defense hysteria,”
but both Breuer and myself have repeatedly spoken of two other kinds of
hysterias which we have named hypnoid and retention hysteria. The first
to reveal itself to us was really the hypnoid-hysteria, for which I can
mention no better example than Breuer’s case of Miss Anna O.[33] For
this form of hysteria Breuer gives an essentially different psychic
mechanism than for the form which is characterized by conversion. Here
the idea becomes pathogenic through the fact that it is conceived in a
peculiar psychic state, having remained from the very beginning external
to the ego. It therefore needs no psychic force to keep it away from the
ego, and it need not awaken any resistance when, with the help of the
somnambulic psychic authority, it is initiated into the ego. The history
of Anna O. really shows no such resistance.
I held this distinction as so essential that it has readily induced me
to adhere to the formation of the hypnoid-hysteria. It is however
remarkable that in my own experience I encountered no genuine
hypnoid-hysteria, whatever I treated changed itself into a defense
hysteria. Not that I have never dealt with symptoms which manifestly
originated in separated conscious states, and therefore were excluded
from being accepted into the ego. I found this also in my own cases, but
I could show that the so called hypnoid state owed its separation to the
fact that a split off psychic group originated before, through defense.
In brief, I cannot suppress the suspicion that hypnoid and defense
hysteria meet somewhere at their roots, and that the defense is the
primary thing; but I know nothing about it.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account