Moreover, whatever the medical analyst employed in the treatment of such
a case, is so inconspicuous, as to offer no cause for reproach. After
all, he did not resort to instruments, nor did he write prescriptions.
He just talked and talked, trying either to talk something into the
patient, or out of the patient.
How could such treatment do any damage, especially as extreme care had
been taken not to touch upon painful or exciting matters? The medical
analyst, once he has thrown the strict instructions overboard that were
given to him, will surely have tried to improve upon psychoanalysis by
extracting from it certain features—poisonous fangs, as it were—to make
analysis more acceptable to the patient. How splendid, if he really went
only as far as that and not so far as to awaken resistances which he
would be unable to cope with. He would be apt to make himself disliked
in such a case!
Justice demands that it be admitted that an untrained analyst cannot do
as much harm to a patient, as an untrained surgeon. The possible injury
may amount to unnecessary expenditure of money and time, and chances for
a cure may have either been destroyed, or else spoilt to a certain
degree. In addition to this, the reputation of psychoanalytical therapy
as a whole would suffer. All this is quite undesirable, but surely not
as serious as the damage that may arise from the knife of a surgical
“quack.” According to my observations, permanent aggravation of an
ailment is not to be expected from the incorrect application of
psychoanalysis. Reactions of an undesirable nature disappear quickly. In
comparison to the traumata inflicted by life itself, which resulted in
the disturbances, a little incorrect treatment does not amount to
anything. The unsuitable therapeutical attempt has simply not benefited
the patient.
“I have listened to your description of the ‘quack’ without interrupting
you, and have gained the impression that your position in regard to
physicians is barbed with hostility. The reason for this enmity is
obvious, from the many hints you have dropped. At any rate, I am of the
opinion that as long as psychoanalysis is to be employed, it should be
only by such persons as are thoroughly trained for it. But it seems that
you believe that even those physicians who may take up psychoanalysis,
in the course of time, will not go in for the necessary thorough
training?”
Exactly! As long as the relation between the medical schools and the
psychological institutes prevail as they do today, I do not think that
young physicians will resist the temptation of making things easy for
themselves.
Public-domain text, read in full here on John Shaqi.
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