If medical training would only deny information to the student in the
field of neurosis, this would be tolerable. But medical training is
doing more. It implants into the young student an incorrect and harmful
point of view. Physicians, whose interest for psychological facts has
not been awakened, have naturally a tendency of making little of such
facts, going even so far as to decry them as unscientific. Conditions of
neurotic character are hardly ever taken seriously by them, while their
lack of knowledge serves to breed disrespect for psychological research.
Thus, neurosis is not accorded sufficient attention.
Of course, these neurotics must be treated when they consult physicians,
and new discoveries must be tried out right along. But why go in for a
protracted period of preparation? It can be done without that! After
all, who knows whether there is really any value to that which is taught
in psychoanalytical institutes?
Thus, as usual, lack of information results in a most daring spirit of
enterprise. Only true initiates are modest, because they realize how
insufficient their knowledge is!
From all this, it follows that it is impossible to draw upon a
comparison of psychoanalysis with other branches of medicine, as you
attempted to do.
As far as surgery, and ophthalmology, are concerned, medical schools and
post graduate courses offer sufficient opportunities for training. The
psychoanalytical institutes are limited in number, young in years, and
lack the aureola of authority. Medical science has not recognized them,
nor does it give a hoot about them. On the other hand, the young
physician who has been forced to believe his teachers, to such a degree,
that he hardly ever had a chance to form his own judgment, will only be
too glad to try his hand at playing the critic, in a field where there
is no established authority as yet.
There are still other circumstances which favor the mushroom-like
increase of young physicians as psychoanalytical “quacks.”
If a physician would undertake cataract operations, without sufficient
training as an eye specialist, he would soon enough lose his patients.
Compared to this, the application of psychoanalysis hardly involves any
danger. The public, generally observing effective cataract operations,
expects results from a physician pretending to be an eye specialist.
However, if a nerve specialist does not achieve results, apparently
nobody is surprised. We surely have not been spoiled by the efficacy of
therapeutical treatment of nerve cases, and it seems to suffice that the
physician “tried everything.” Nature must simply assert herself and time
exert its healing propensities.
If the patient happens to be a young girl, it is first the menstruation
which is expected to work wonders, then marriage, and in later years,
change of life. In the end, death itself may finally prove the great
healer.
Public-domain text, read in full here on John Shaqi.
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