During the years that followed the publication of the _Studien_, having
reached these conclusions upon the part played by sexuality in the
ætiology of the neuroses, I read some papers on the subject before
various medical societies, but was only met with incredulity and
contradiction. Breuer did what he could for some time longer to throw
the great weight of his personal influence into the scales in my favor,
but he effected nothing and it was easy to see that he too shrank from
recognizing the sexual ætiology of the neuroses. He might have crushed
me or at least disconcerted me by pointing to his own first patient, in
whose case sexual factors had ostensibly played no part whatever. But he
never did so, and I could not understand why this was until I came to
interpret the case correctly and to reconstruct, from some remarks which
he had made, the conclusion of his treatment of it. After the work of
catharsis had seemed to be completed, the girl had suddenly developed a
condition of “transference love”; he had not connected this with her
illness, and had therefore retired in dismay. It was obviously painful
to him to be reminded of this apparent _contretemps_. His attitude
towards me oscillated for some time between appreciation and bitter
criticism; then accidental difficulties arose, as they never fail to do
in a strained situation, and we parted.
Another result of my taking up the study of nervous disorders in general
was that I altered the technique of catharsis. I abandoned hypnosis and
sought to replace it by some other method, because I was anxious not to
be restricted to treating hysteriform conditions. Increasing experience
had also given rise to two grave doubts in my mind as to the use of
hypnosis even as a means to catharsis. The first was that even the most
brilliant results were liable to be suddenly wiped away if my personal
relation with the patient became disturbed. It was true that they became
reestablished if a reconciliation could be effected; but such an
occurrence showed that the personal emotional relation between doctor
and patient was after all stronger than the whole cathartic process, and
it was precisely that factor which escaped every effort at control. And
one day I had an experience which showed me in the crudest light what I
had long suspected. One of my most acquiescent patients, with whom
hypnosis had enabled me to bring about the most marvellous results, and
whom I was engaged in relieving of her suffering by tracing back her
attacks of pain to their origins, as she woke up on one occasion, threw
her arms round my neck. The unexpected entrance of a servant relieved us
from a painful discussion, but from that time onwards there was a tacit
understanding between us that hypnotic treatment should be discontinued.
I was modest enough not to attribute the event to my own irresistible
personal attraction, and I felt that I had now grasped the nature of the
element of mystery that was at work behind hypnosis.
Public-domain text, read in full here on John Shaqi.
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