However, we still owe our inquisitive friend a reply to a point raised
by him.
What you, Mr. Referee, mentioned before about the personal influence
exerted by the psychoanalyst on his patient, should not go without
comment. Such an influence actually prevails in the analysis, playing an
important rôle. However, this influence is utterly unlike the influence
induced by hypnosis.
I shall have to prove to you that the situations in these two cases
decidedly differ from each other. However, for the time being, the
statement may suffice that this personal influence—this “suggestive
element” if you wish—is not drawn upon for the purpose of suppressing
symptoms of nervous afflictions analogous to treatment by hypnotic
suggestions. Besides, it is absolutely wrong to assume that this
“suggestive element” is the agent and promoter of analytical treatment.
It may be that such is the case right at the beginning of the treatment.
Later, however, this very same “suggestive element” proves itself an
opposing factor, forcing us to resort to extensive counter-measures.
Just let me explain to you how thoroughly opposed the technique of
analysis is to anything and everything resembling the hypnotic technique
of diverting or dissipating a patient’s apprehensions.
Assumed that our patient is obsessed with an intense feeling of being
guilty of, say, some horrible crime, we do not advise him to stifle the
qualms of his conscience simply on the strength of the fact that there
is no doubt as to his innocence. He himself has already proceeded along
this trend of reasoning, but to no avail. On the contrary, we try to
impress him with the possibility that there may be something tangible at
the bottom of so profound a feeling of guilt, and that it may be
possible to detect this disturbing something.
“I should be greatly astonished,” Mr. Referee interrupts, “if you could
really assuage your patient’s feeling of guilt by agreeing that there
may be some tangible reason for his apprehension. But what is the mode
of procedure which is applied in your analysis, and to what treatment do
you subject your patient?”
III
To make myself perfectly plain to you, it will be necessary for me to
acquaint you with certain psychological teachings which are not known
beyond the circle of analysts and accordingly, not appreciated beyond
this group. On the basis of this theory, it will be easy for you to
deduce what we expect of the patient and how we go about obtaining it.
Public-domain text, read in full here on John Shaqi.
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