If they be women, such patients, on account of fear or disgust, or from
some other restraint of unknown origin, become unable to perform those
functions which their sex imposes upon them. In cases where they have
yielded to the prompting of passion, they discover that that
gratification is withheld from them which nature normally offers as a
reward for such complacency.
Sooner or later, all such persons come to consider themselves as sick
and appeal to physicians, expecting to be cured of their nervous
ailments. Physicians have classified these manifestations, diagnosing
them differently, according to their own personal point of view. These
ailments are listed under such terms as neurasthenia, psychasthenia,
phobias and neuroses of different kinds, and with that sweeping term
hysterics. The parts of the body inducing such disturbances are
examined: the heart, the stomach, the intestines, the sex organs, and
all are found to be in the best of condition. The physician then advises
the patient to change his mode of living, to take a vacation, to
exercise. Thus, with perhaps the aid of mild stimulants, the patient’s
condition may, or may not, be temporarily relieved.
Eventually, the patient is informed that there are certain practitioners
who specialize in the treatment of just such ailments, and thus they
come to be psychoanalysed.
Mr. Referee, whom we will assume is present, has impatiently listened,
while we have given an account of the nervous disturbances with which
one may be afflicted. Mr. Referee suddenly becomes attentive, expressing
his growing interest in these words: “Well, now at last we shall see
what the psychoanalyst will do with the patient, whom physicians could
not help.”
To all appearances, nothing takes place between patient and
psychoanalyst except that they talk with each other. The psychoanalyst
does not take recourse to any instruments, while examining the patient,
nor does he write out prescriptions. If it can be arranged, he will not
even take the patient out of his usual surroundings, or upset his daily
routine in any way, while treating him. Such a procedure is, of course,
not of indispensable necessity, quite frequently proving impossible to
arrange. Usually the analyst simply makes an appointment with his
patient, then lets him talk, listens to him, lets him talk again and
listens once more.
Mr. Referee now clearly manifests relief but, at the same time, his face
also assumes a disdainful expression. Apparently, he thinks: “Is that
all? ‘Words, words, words,’ as Prince Hamlet says. Is psychoanalysis
perhaps some sort of magic rite, employing mere words with which to
chase away a patient’s ailment?”
Quite right! It surely would be magic if it would only work faster. One
of the indispensable essentialities of magic is quickness, sudden
results. But psychoanalytical treatment demands months, sometimes even
years. Proceeding at such a snail’s pace, it loses the character of
anything resembling magic.
Public-domain text, read in full here on John Shaqi.
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