I am very much afraid it will be just as difficult to force the laymen
to study medicine, as it is for me to induce physicians to study
psychoanalysis. Human nature is like that.
“If you are correct in your assumption that analytical treatment cannot
be administered without a special training, but that on the other hand
the medical curriculum could not bear the burden of psychoanalytical
training, and that medical knowledge, to the greatest extent, is
superfluous for the analyst, how will we ever achieve the ideal medical
personality, the physician who can cope with all the demands of his
profession?”
I am unable to foresee how to solve these difficulties, and I do not
feel called upon to make any suggestions. I only perceive two things
clearly: firstly, that the analysis seems to constitute a dilemma, but
certainly the neurotic is also a dilemma; secondly, that for the time
being, all interests would be served if physicians resolve to tolerate a
class of therapeutists who will relieve them of the arduous treatment of
those tremendously frequent psychical neuroses, in addition benefiting
the patients by remaining in constant contact with them.
“Is that your last word in reference to the problem of lay-analyses, or
is there something else?”
There is a third interest to be considered:—that of science. Although
what I have to say in that respect may not mean much to you, it
nevertheless means a good deal to me.
We do not consider it advisable that psychoanalysis be swallowed up by
medicine, finally to be shelved in a text-book of psychiatry, under the
chapter heading of Therapy, together with such other treatments as
Hypnotic Suggestion, Auto Suggestion, Persuasion which, due to lack of
knowledge, were indebted for their short lives to the indolence and
ignorance of the broad masses. Psychoanalysis deserves a better fate,
which, let us hope, it will really attain.
As the Psychology of the Depths, the teaching of the Unconscious,
psychoanalysis may prove indispensable to all sciences which deal with
the development of human culture, and such of its great achievements as
art, religion, and civilized society. Psychoanalysis has already
appreciably assisted these sciences in the solution of their problems.
But all this is insignificant, compared to what may be achieved through
psychoanalysis in the future, when students of History, Psychology of
Religion, and Etymology, will avail themselves to the fullest extent of
the assistance psychoanalysis will be able to render them.
The employment of psychoanalysis for the treatment of neuroses is only
one of its possibilities, and time may yet prove that this is not even
the most important of them. At any rate, it would be unfair to sacrifice
all other advantages of psychoanalysis, simply because there is just one
phase where the application of psychoanalysis encroaches upon the
preserves of medicine.
Public-domain text, read in full here on John Shaqi.
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