In view of this plain state of affairs, one scarcely dares to approach
the question of permitting the laity to practise psychoanalysis in
Austria. However, in spite of the obviousness of the situation as a
whole, there are some additional aspects to the question which, albeit
the law does not take cognisance of them, should nevertheless be
considered.
It may develop that in connection with psychoanalysis, people in need of
treatment are not sick people, in the broad meaning of this term; laymen
not always to be considered laymen, nor physicians what physicians are
generally supposed to be—the very premise upon which these physicians
base their claims. If such a state of affairs becomes apparent, it would
be justifiable to insist upon a modification of the law, prohibiting the
unlicensed practise of medicine, as far as the application of
psychoanalytic treatment is concerned.
II
Whether this modification shall be enacted as a law will depend mostly
on people who may not be expected to know the peculiarities of
analytical treatment. It will be our task, therefore, to instruct these
impartial referees, these typical laymen whom we will assume, for the
time being, are completely uninformed. It is regrettable that we cannot
arrange for them to attend an analytical treatment in the rôle of an
observer. It is one of the peculiarities of the “analytical situation”
that it will not suffer the presence of a third party.
Moreover, individual sessions are liable to be very unequal, as regards
the information they may yield. Mr. Referee happening in at an
analytical session, would probably not profit to any great extent. As a
matter of fact, he might altogether misinterpret that which is discussed
between the analyst and the patient. He may even become downright bored
with the proceedings. Therefore Mr. Referee must needs be satisfied with
the information we shall presently impart to him, endeavoring to set it
forth as lucidly as possible.
Let us assume that the patient is suffering from attacks of moodiness,
which he is unable to control, or else is the victim of a despondency so
depressing as to paralyse his energy, causing him to lose all confidence
in himself, manifesting extreme self-consciousness when among strangers.
Without grasping the underlying elements of his case, the patient may
observe that not only the discharge of his daily duties becomes more and
more arduous for him, but also that he experiences difficulties when
called upon to make a decision or embark upon some enterprise.
One day—utterly ignorant of the exact cause—he succumbs to an attack of
fear. From then on, he is unable to cross a street alone, or board a
train, without fighting off a certain inarticulate fear. This condition,
as a matter of fact, may even become so pronounced as to render it
absolutely impossible for him to cross a street, or board a train,
unaccompanied.
Public-domain text, read in full here on John Shaqi.
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