“I understand you very well,” Mr. Referee says. “You simply assume that
everybody suffering from a nervous disturbance is harboring something
that depresses him, some dark secret, perhaps, and by inducing him to
impart this secret to you, you relieve him of that depression, thus
alleviating his suffering. That, after all, is the very principle of the
Confessional which the Catholic church has employed for centuries to
wield her influence over her communicants.”
Yes and no, is our answer to this. The Confessional, to a certain
extent, may be considered as belonging into the realm of psychoanalysis;
leading up to it, as it were. However, the Confessional as such is far
removed from coinciding with the very being of psychoanalysis, and it is
unable to explain the results of psychoanalytical treatment. In the
Confessional, the sinner tells what he knows, but in the Analysis, the
neurotic is expected to reveal much more. Besides, there are no known
cases where the Confessional proved effective enough to remedy direct
symptoms of ailments.
“Then I don’t understand you after all,” Mr. Referee interjects. “What
do you mean by stating that the neurotic is ‘expected to reveal more’ in
the course of psychoanalytical treatment? Of course, I can very well
imagine that you, as a psychoanalyst, may wield a greater influence over
your patient than the Father Confessor over a penitent, for the simple
reason that you become better acquainted with him, employing your
growing influence to talk unhealthy thoughts out of your patient, as it
were, disseminating his apprehensions, and so forth. Frankly, it appears
most remarkable to me that by such a procedure, it should be possible to
alleviate purely physical manifestations, such as nausea, diarrhœa, and
cramps. I know that such results are possible by taking recourse to
hypnosis. Most probably, through prolonged association with your
patient, you gradually succeed in establishing hypnotic relations
between you and him. By this I mean that you inadvertently come to exert
upon him a suggestive influence. Thus, the miracle wrought by your
therapy is nothing other than the result of hypnotic suggestion.
However, as far as I know, results by hypnotic therapy are procured much
quicker than by psychoanalysis which you yourself admit takes months,
and sometimes even years.”
After all, Mr. Referee does not seem to be so utterly uninformed and
helplessly at sea as we had considered him in the beginning. Doubtless,
he is eagerly bent upon grasping the essence of psychoanalysis, on the
basis of certain knowledge which he has acquired. He endeavors to
connect psychoanalysis with something he already knows.
Thus, he forces upon us the difficult task of explaining to him that he
will never succeed in comprehending psychoanalysis in this way, because
psychoanalysis is a process _sui generis_, something new and peculiar,
understandable only with the assistance of new conceptions, or
presumptions.
Public-domain text, read in full here on John Shaqi.
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