For this a certain psychic preparation of the patient is necessary. The
double effort is made with him, to stimulate his attention for his
psychic perceptions and to eliminate the critique with which he is
ordinarily in the habit of viewing the thoughts which come to the
surface in him. For the purpose of self-observation with concentrated
attention, it is advantageous that the patient occupy a restful position
and close his eyes; he must be explicitly commanded to resign the
critique of the thought-formations which he perceives. He must be told
further that the success of the psychoanalysis depends upon his noticing
and telling everything that passes through his mind, and that he must
not allow himself to suppress one idea because it seems to him
unimportant or irrelevant to the subject, or another because it seems
nonsensical. He must maintain impartiality towards his ideas; for it
would be owing to just this critique if he were unsuccessful in finding
the desired solution of the dream, the obsession, or the like.
I have noticed in the course of my psychoanalytic work that the state of
mind of a man in contemplation is entirely different from that of a man
who is observing his psychic processes. In contemplation there is a
greater play of psychic action than in the most attentive
self-observation; this is also shown by the tense attitude and wrinkled
brow of contemplation, in contrast with the restful features of
self-observation. In both cases, there must be concentration of
attention, but, besides this, in contemplation one exercises a critique,
in consequence of which he rejects some of the ideas which he has
perceived, and cuts short others, so that he does not follow the trains
of thought which they would open; toward still other thoughts he may act
in such a manner that they do not become conscious at all—that is to
say, they are suppressed before they are perceived. In self-observation,
on the other hand, one has only the task of suppressing the critique; if
he succeeds in this, an unlimited number of ideas, which otherwise would
have been impossible for him to grasp, come to his consciousness. With
the aid of this material, newly secured for the purpose of
self-observation, the interpretation of pathological ideas, as well as
of dream images, can be accomplished. As may be seen, the point is to
bring about a psychic state to some extent analogous as regards the
apportionment of psychic energy (transferable attention) to the state
prior to falling asleep (and indeed also to the hypnotic state). In
falling asleep, the “undesired ideas” come into prominence on account of
the slackening of a certain arbitrary (and certainly also critical)
action, which we allow to exert an influence upon the trend of our
ideas; we are accustomed to assign “fatigue” as the reason for this
slackening; the emerging undesired ideas as the reason are changed into
visual and acoustic images. (_Cf._ the remarks of Schleiermacher[61] and
others, p.
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