The unconscious : $b The fundamentals of human personality, normal and abnormalPrince, Morton
Science
The unconscious : $b The fundamentals of human personality, normal and abnormal
Prince, Morton
Psychology, Pathological; Subconsciousness
4. _Hysterical attacks._ It is of practical importance to note another
part which emotional complexes may play in psychopathology. In certain
pathological conditions in which there is limitation of the field of
consciousness (involving a disappearance of a large part of the normal
mental life) often all that persists of consciousness and represents the
personal self is the obsessing complex which previously tormented the
patient. In hysterical crises, psycholeptic attacks, trance, and certain
types of epilepsy this is peculiarly the case. In these states the
content of consciousness consists almost wholly, or at least largely, of
a recurrent memory of an experience which originated in the normal life
and which has been conserved in the unconscious. Here the obsessing
ideas, which at one time were voluntarily entertained by the subject,
or, as frequently happens, originated in some emotional experience,
automatically recur, while the remainder of the conscious life becomes
dissociated and suppressed; in other words the obsessing ideas emerge
out of the unconscious (neurograms) and became substantially the whole
conscious field. In hysterical attacks, particularly, the complex is
accompanied by the same strong emotional tone—such as fear, anxiety,
jealousy, or anger—which belonged to the original experience. In such
pathological subjects, whenever the complex is awakened, the remainder
of the conscious field tends to become dissociated and the psychological
state to be reproduced. Hence, in such states, the ideas repeat
themselves over and over again with the recurrence of the attacks. The
subject lives over again as in a dream the original attack, which is a
stereotyped revivification of the original experience. This peculiarity
of the mental condition in attacks has been described by various
writers. The dream of the hystero-epileptic is substantially always the
same. Janet has accurately described the origin and rôle of the fixed
ideas in the hysterical attack. “These ideas,” he says, “are not
conceived, invented at the moment; they formulate themselves; they are
only _repetitions_. Thus, the most important of the hallucinations which
harassed Marcelle during her cloud-attack was but the exact reproduction
of a scene which had taken place the previous year. The fixed ideas of
dying, of not eating, are the reproduction of certain desperate
resolutions taken some years ago. Formerly these ideas had some sense,
were more or less well connected with a motive. A desperate love affair
had been the cause of her attempts at suicide; she refused to eat in
order to let herself die of hunger, etc. To-day these ideas are again
reproduced, but without connection and without reason. She has, we
convinced ourselves, completely forgotten her old despair, and has not
the least wish to die. The idea of suicide comes to her to-day without
any relation to her present situation, and she is in despair at the idea
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