The first publication of studies of this general nature was made by Dr.
James J. Putnam and Dr. George A. Waterman in the Boston Medical and
Surgical Journal for May, 1905, under the title "Certain Aspects of the
differential Diagnosis between Epilepsy and Hysteria." In this paper the
authors say, "No one, so far as we are aware, has as yet studied with
sufficient thoroughness the subconscious memories of epileptics, and for all
we now can say, closer resemblances may be found between these and the
subconscious states of the hysterics than we now imagine." p. 513.
In this paper, however, therapy is only hinted at.
A contribution to our insight as to the epileptic state of mind is made by
Jung, under the title, "Analyse der Assoziationen eines Epileptikers," in
his, "Diagnostische Assoziationsstudien. Beitrage zur experimentellen
Psychopathologie." p. 175 (1906).
He found an extraordinary number of emotionally toned, egocentric relations.
There were some signs to suggest that the emotional tone in the epileptic
was unusually lasting.
The first thing published on epilepsy avowedly from the psychoanalytic
view-point was by Maeder: "Sexualitat und Epilepsy." Jahrbuch BI HI, 1909.
Maeder goes into the subject rather exhaustively, after characteristic
German fashion, but his conclusions are comparatively simple. He says, "The
sexuality of the epileptic is characterized by the prominence of auto- and
allo-erotism. It retains much of the infantile form, but has undergone,
nevertheless, a certain development, which I designate as 'sexual
polyvalence.' For some unknown reason the libido seems to have an abnormal
intensity." p. 154.
This is an important contribution to our knowledge of the psychic state of
epileptics but it is notable that not a word is said as to therapy.
Sadger published the same year, "Ein Fall von Pseudoepilepsia hysterica
psychoanalytisch erklart." (Wiener klein. Rundschau, p. 212, 1909.) But
neither does he have anything to say about therapy.
Dr. Wilhelm Stekel, however, treats the problem from the therapeutic point
of view in, "Die psychische Behandlung der Epilepsie." (Zentralblatt fur
psychoanalyse p. 220 No. 5-6, Vol. 1).
The essential kernel of Stekel's view is that the epileptic is a repressed
criminal. The convulsion is a substitute for the criminal act. He
announces categorically that pseudoepilepsy is curable by psychoanalytic
procedures. Of three cases which he completely analysed, two were cured. His
final conclusion is fourfold: (1) Epilepsy, more often than we have
hitherto thought, is of psychogenic origin. (2) In all cases there is a
strong tendency to criminality which is unbearable to consciousness. (3)
The attack is a substitute for an offense, hence, eventually a sexual
offense. (4) Pseudo-epilepsy is curable by psychoanalysis.
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