As the analysis progressed his attacks diminished and shortly disappeared.
Gradually the image of his wife took full possession of his mind and the
image of Anna disappeared. Towards the end of the analysis as he was lying
on the couch with his eyes shut, he saw Anna in the flames and felt the
yearning but not so strongly as to lead to any impulsive movements. What do
you think all this might mean, I asked. "I don't know," he answered, "it
might mean I still cared for Anna and that if I let myself go it would break
up my home." With his full realization of the meaning of this symbolization,
it was assumed that he was cured.
Seven months later, in company with a colleague, I visited my former patient
and he told me that he had not had a moment's illness since I last saw him.
He told me that while occasionally the thought of Anna would come to his
mind, it never disturbed him, and never distracted his attention from other
things. He has prospered in his business, and I saw every evidence of a
happy home.
This case merits consideration for a number of reasons. In the first place
the attacks were cured by psychoanalysis. No one who saw the association of
the symbolical imagery and the convulsive movements could fail to see that
there was a causal connection between them. The subsidence in violence and
frequency of the convulsive movements as the conscious grasp of the meaning
of the mental symbolical imagery increased was also completely convincing of
the therapeutic value of the analysis. The question of the permanence of the
recovery is of course open, because seven months is far too short a time to
carry complete conviction.
The comparison of this case with the one immediately preceding raises a very
interesting question. Why is this patient apparently completely cured and
the other one not? Several reasons may be noted. The patient is much
younger. He had never been through anything like the same mental strains.
His trouble was of short duration. But above all as he was successful in
his business he was successful in his sublimation. Here is a sine qua non of
a successful psychoanalysis: the capacity and the opportunity for successful
sublimation. If these are present the prognosis is good.
It is interesting also to compare this case in its results with the
contentions of Clark and of Stekel. It is hard to see any signs of a
definite criminal tendency. Inasmuch as the temptation to go back to his
early love is a sign of a tendency towards regression and erotism generally
the patient shows what Clark has spoken of as a desire to return to the
mother-body. This case is not very important, however, to the views of
either Clark or Stekel as the analysis is relatively superficial, and there
is no knowing what a more thorough analysis might reveal. From the point of
view of superficiality, however, the case is important as it emphasizes
Taylor's view of the value of a modified analysis. The patient was seen only
five times.
Public-domain text, read in full here on John Shaqi.
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