The history of the psychoanalytic movement — John Shaqi
The history of the psychoanalytic movementFreud, Sigmund
History
The history of the psychoanalytic movement
Freud, Sigmund
Psychoanalysis -- History
I am, however, quite certain that this difference of opinion had nothing
to do with the parting of the ways which occurred soon afterward between
us. The latter had a deeper reason, but it happened in such a manner
that at first I did not understand it, and only later did I learn to
interpret it, following many good indexes. It will be recalled that
Breuer had stated, concerning his first famous patient, that the sexual
element had been astonishingly undeveloped in her and had never
contributed anything to her very marked morbid picture.[2] I have always
wondered why the critics of my theory of the sexual etiology of the
neuroses have not often opposed it with this assertion of Breuer, and up
to this day I do not know whether in this reticence I am to see a proof
of their discretion, or of their lack of observation. Whoever will
reread the history of Breuer’s patient in the light of the experience
gained in the last twenty years, will have no difficulty in
understanding the symbolism of the snakes and of the arm. By taking into
account also the situation at the sick-bed of the father, he will easily
guess the actual meaning of that symptom-formation. His opinion as to
the part sexuality played in the psychic life of that girl will then
differ greatly from that of her physician. To cure the patient Breuer
utilized the most intensive suggestive _rapport_ which may serve us as
prototype of that which we call “transference.” Now I have strong
grounds to suppose that Breuer, after the disposal of the symptoms, must
have discovered the sexual motivity of this transference by new signs,
but that the general nature of this unexpected phenomenon escaped him,
so that here, as though hit by “an untoward event,” he broke off the
investigation. I did not obtain from him any direct information of this,
but at different times he has given me sufficient connecting links to
justify me in making this combination. And then, as I stood more and
more decidedly for the significance of sexuality in the causation of the
neuroses, Breuer was the first to show me those reactions of unwilling
rejection, with which it was my lot to become so familiar later on, but
which I had then not yet recognized as my unavoidable destiny.
The fact that a grossly sexual, tender or inimical, transference occurs
in every treatment of a neurosis, although this was neither desired nor
induced by either party, has, for me, always seemed to be the most
unshakable proof that the forces of the neuroses originate in the sexual
life. This argument has surely not been seriously enough considered, for
if it were, there would be no question as to where the investigation
would tend. For my own conviction, it has remained decisive over and
above the special results of the work of the analysis.
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