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
The case of H. O. is the same in principle as I interpret it, but is
distinguished by the fact that the dissociation of processes was not so
extreme. The obsessing idea was in the ultramarginal zone of
consciousness and, to this extent, subconscious. Briefly stated, H. O.
for many years was the victim of an intense obsession, in consequence of
which she had practically foregone social life, and found herself unable
to travel for fear she would be afflicted with her psychosis in trains,
etc. The physical symptom was intense nausea suddenly arising as an
attack. When attacked with this there developed also depression and a
mental state which is perhaps best described as a mood. She could give
no explanation of the attacks. On examination it developed that always
in the “background of her mind,” just preceding the attack, there came
the idea of disgust of self. At once the nausea as the physical
expression of disgust was experienced. The disgust-idea was always
excited by some associated stimulus. The meaning of this “sentiment” was
set in a large complex of past experiences. Into all this I will not go.
The point is that the only conscious elements of her obsession were in
the extreme fringe of consciousness, sufficiently dissociated to be
practically coconscious,[175] but the _physical symptoms_ were
distressingly prominent. _Relief was easily effected simply by
organizing a new complex giving a new point of view of self._
Complexes consisting entirely of the physiological manifestations of
emotion without conscious emotion undoubtedly occur. A long time ago I
described such a neurosis under the name of Fear Neurosis[176] in
distinction from psychosis. The symptom complex was interpreted as a
persisting automatism derived from antecedent fear states that had been
outgrown. From our present standpoint and fuller knowledge we must
believe that underlying this automatism is probably an unconscious
complex of these antecedent experiences including the fear which takes
part in the functioning mechanism. It may be called, then, a
subconscious psychosis.
True _hysterical laughter and crying_ are undoubtedly phenomena of this
type and due to the same mechanism. These phenomena are well known to be
purely automatic; that is to say, they are emotional manifestations
unaccompanied in consciousness by thoughts or even by emotions
corresponding to them. The subject laughs or cries without knowing why
and without even feeling merry or sad. I forbear to digress sufficiently
to present the evidence for the interpretation that the phenomena are
due to subconscious processes of the kind just described. Let me merely
say that in one instance, N. O., intensely studied, the automatic crying
was traced by experimental and clinical methods to a persisting and
often insistent subconscious childhood’s perception and meaning of
self—as a lonely, unhappy child. This perception, etc., could be
differentiated from the conscious perception belonging to adult age.
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