There are in the psychic life, as we have heard, _repressed_ wishes
which belong to the first system, and to whose fulfilment the second
system is opposed. There are wishes of this kind—and we do not mean this
in an historic sense, that there have been such wishes and that these
have then been destroyed—but the theory of repression, which is
essential to the study of psychoneurosis, asserts that such repressed
wishes still exist, contemporaneously with an inhibition weighing them
down. Language has hit upon the truth when it speaks of the
“suppression” of such impulses. The psychic contrivance for bringing
such wishes to realisation remains preserved and in a condition to be
used. But if it happens that such a suppressed wish is fulfilled, the
vanquished inhibition of the second system (which is capable of becoming
conscious) is then expressed as a painful feeling. To close this
discussion; if sensations of a disagreeable character which originate
from somatic sources are presented during sleep, this constellation is
taken advantage of by the dream activity to represent the
fulfilment—with more or less retention of the censor—of an otherwise
suppressed wish.
This condition of affairs makes possible a number of anxiety dreams,
while another series of the dream formations which are unfavourable to
the wish theory exhibits a different mechanism. For anxiety in dreams
may be of a psychoneurotic nature, or it may originate in psychosexual
excitements, in which case the anxiety corresponds to a repressed
_libido_. Then this anxiety as well as the whole anxiety dream has the
significance of a neurotic symptom, and we are at the dividing-line
where the wish-fulfilling tendency of dreams disappears. But in other
anxiety-dreams the feeling of anxiety comes from somatic sources (for
instance in the case of persons suffering from pulmonary or heart
trouble, where there is occasional difficulty in getting breath), and
then it is used to aid those energetically suppressed wishes in
attaining fulfilment in the form of a dream, the dreaming of which from
psychic motives would have resulted in the same release of fear. It is
not difficult to unite these two apparently discrepant cases. Of two
psychic formations, an emotional inclination and an ideal content, which
are intimately connected, the one, which is presented as actual,
supports the other in the dream; now anxiety of somatic origin supports
the suppressed presentation content, now the ideal content, which is
freed from suppression, and which proceeds with the impetus given by
sexual emotion, assists the discharge of anxiety. Of the one case it may
be said that an emotion of somatic origin is psychically interpreted; in
the other case everything is of psychic origin but the content which has
been suppressed is easily replaced by a somatic interpretation which is
suited to anxiety. The difficulties which lie in the way of
understanding all this have little to do with the dream; they are due to
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