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Sigmund Freud and Hypnosis

Sigmund Freud 's lectures at Clark University occurred at almost exactly the mid­point of his long and prolific career. By then Sigmund Freud had already developed most of the truly foundational ideas of psychoanalysis in a series of major publications, which he attempted briefly to abstract in his five lectures. Still, some important details and elaborations of the basic theory remained to be worked out, and Sigmund Freud devoted much of the rest of his career to this project. This commentary will begin by describing Sigmund Freud 's background and then specifying the major works he had completed prior to the lectures in 1909; it will conclude with a brief summary of the major developments in his work and thought during the remainder of his career.

Early Life

Sigmund Freud was born on 6 May 1856 in the town of Freiburg in the Austro­Hungarian Empire (now called Prîbor and part of the Czech Republic). In 1860 his father, a Jewish wool merchant of modest means, moved the family to Vienna, where Sigmund Freud remained until the final year of his long life

The family constellation was unusual in that Sigmund Freud 's father was much older than his mother, and in a previous marriage had had two sons who were roughly the same age as Sigmund Freud 's mother. One of these half­brothers had a son - Sigmund Freud 's nephew - who was older than Sigmund Freud himself. Sigmund Freud was the first of his mother's eight children, and so grew up as the oldest - and most favored child within his immediate family household. Some have speculated that this unusual situation may have particularly sensitized Sigmund Freud to family dynamics such as those he later emphasized in formulating the Oedipus Complex.

 

Be that as it may, young Sigmund Freud became a brilliant and ambitious student, standing at or near the top of his class at school with particular interests in history and literature. A chance hearing of a lecture on nature during his final year of secondary school turned his attention toward science, and led to his almost impulsive enrollment in the University of Vienna's medical school in 1873. There, after a brief but intense involvement in the "act psychology" promoted by his philosophy professor Franz Brentano (1838-1917), his imagination was captured by the new, "mechanistic physiology" promoted by his physiology teacher, Ernst Brücke (1819-1892). According to this view, all physiological processes, no matter how complex, had to be accounted for "mechanistically" in terms of ordinary physical and chemical laws. Sigmund Freud worked enthusiastically and productively in Brücke's laboratory for six years, publishing several papers on neuroanatomy, and hoping eventually to pursue a career as a research physiologist rather than as a practicing physician. In the early 1880s, however, he reluctantly concluded that an academic research career would not be possible for an impecunious Jew in anti-Semitic Vienna. He would have to practice medicine after all, and so he went to the General Hospital for clinical training.

If in what follows I bring any contribution to the history of the psychoanalytic movement nobody must be surprised at the subjective nature of this paper, nor at the role which falls to me therein. For psychoanalysis is my creation; for ten years I was the only one occupied with it, and all the annoyance which this new subject caused among my contemporaries has been hurled upon my head in the form of criticism. Even today, when I am no longer the only psychoanalyst, I feel myself justified in assuming that none can know better than myself what psychoanalysis is, wherein it differs from other methods of investigating the psychic life, what its name should cover, or what might better be designated as something else.

 

In the year 1909, when I was first privileged to speak publicly on psychoanalysis in an American University, fired by this momentous occasion for my endeavors, I declared that it was not myself who brought psychoanalysis into existence. I said that it was Josef Breuer, who had merited this honor at a time when I was a student and busy working for my examinations (1880-1882).1 Since then, well-intentioned friends have frequently repeated that I then expressed my gratitude out of all due proportion

They considered that, as on previous occasions, I should have dignified Breuer's "cathartic procedure" as merely preliminary to psychoanalysis, and should have claimed that psychoanalysis itself only began with my rejection of the hypnotic technique and my introduction of free association. Now it is really a matter of indifference whether the history of psychoanalysis be considered to have started with the cathartic method or only with my modification of 2 the same. I only enter into this uninteresting question because some opponents of psychoanalysis are wont to recall, now and then, that the art of psychoanalysis did not originate with me at all, but with Breuer. Naturally, this only happens to be the case when their attitude permits them to find in psychoanalysis something that is noteworthy; ion the other hand when their repudiation of psychoanalysis is unlimited, then psychoanalysis is always indisputably my creation. I have never yet heard that Breuer's great part in psychoanalysis has brought him an equal measure of insult and reproach. As I have recognized long since that it is the inevitable fate of psychoanalysis to arouse opposition and to embitter people, I have come to the conclusion that I must surely be the originator of all that characterizes psychoanalysis. I add, with satisfaction, that none of the attempts to belittle my share in this much disdained psychoanalysis has ever come from Breuer himself, or could boast of his support.

 

The content of Breuer's discovery has been so often presented that a detailed discussion of it here may be omitted. Its fundamental fact is that the symptoms of hysterical patients depend upon impressive but forgotten scenes in their lives (traumata)

The therapy founded thereon was to cause the patients to recall and reproduce these experiences under hypnosis and hypnotherapy (catharsis), and the fragmentary theory, deduced from it was that these symptoms corresponded to an abnormal use of undischarged sums of excitement (conversion). In his theoretical contribution to the "Studies of Hysteria" Breuer, wherever obliged to mention conversion, has always added my name in parenthesis, as though this first attempt at a theoretical formulation was my mental property. I think this allotment refers only to the nomenclature, whilst the conception itself occurred to us both at the same time.

 

It is also well known that Breuer, after his first experience with it, allowed the cathartic treatment to rest for a number of years and only resumed it after I caused him to do so, on my return from Charcot. He was then an internist and taken up with a rather busy medical practice. I had become a physician quite reluctantly 3 but had, at that time, received a strong motive for desiring to help nervous patients or, at least, to learn to understand something of their conditions. I had placed reliance on physical therapy and found myself helpless in the face of disappointments that came to me with W. Erb's "Electrotherapy," so rich in advice and indications. If I did not, at that time, pilot myself independently to the opinion later announced by Moebius, that the successes of electrotherapy in nervous disorders are the results of suggestion, it was surely only the absence of these successes that was to blame

The treatment by suggestion in deep hypnosis and hypnotherapy seemed to offer me at that time sufficient compensation for the lost electrical therapy. I learned this treatment through the extremely impressive demonstrations of Liébault and Bernheim. But the investigation under hypnosis and hypnotherapy with which I became acquainted through Breuer, I found, owing to its automatic manner of working and the simultaneous gratification of one's eagerness for knowledge, much more attractive than the monotonous and violent suggestive command which was devoid of every possibility of inquiry.

 

As one of the latest achievements of psychoanalysis, we have lately been admonished to put the actual conflict and the cause of the illness into the foreground of analysis. This is exactly what Breuer and I did in the beginning of our work with the cathartic method. We guided the patient's attention directly to the traumatic scene during which the symptom had arisen, tried to find therein the psychic conflict and to free the repressed affect. We thus discovered the procedure characteristic of the psychic processes of the neuroses which I later named regression

The associations of the patients went back from the scene to be explained, to earlier experiences, and this forced the analysis which was to correct the present to occupy itself with the past. This regression led even further backwards: At first it went quite regularly to the time of puberty. Later, however, such failures as gaps in the understanding tempted the analytic work further back into the years of childhood which ;had, hitherto, been inaccessible to every sort of investigation. This regressive direction became an important characteristic of the 4 analysis. It was proved that psychoanalysis could not clear up anything actual, except by going back to something in the past. It even proved that every pathological experience presupposes an earlier one which, though not in itself pathological, lent a pathological quality to the later occurrence. But the temptation to stop short at the known actual cause was so great that even in later analyses I yielded to it. In the case of the patient called "Dora," carried out in 1899, the scene which caused the outbreak of the actual illness was known to me. I tried uncounted times to analyse this experience, but all that I could receive to my direct demands was the same scanty and broken description. Only after a long detour, which led through the earliest childhood of the patient, a dream appeared in the analysis of which the hitherto forgotten details of the scene were remembered, and this made possible the understanding and solution of the actual conflict. From this one example it may be seen how misleading is the above mentioned admonition and how much of a scientific regression it is to follow the advice of neglecting the regression in the analytic technique.

 

The first difference of opinion between Breuer and myself came to light on a question of the more intimate psychic mechanism of hysteria. He still favored a physiological theory, so to speak, and wished to explain the psychic splitting of consciousness of hysterical subjects by means of the non-communication of various psychic states (or states of consciousness, as we then called them). He thus created the theory of the "hypnoid states," the results of which were supposed to bring the unassimilated foreign body into the "waking consciousness." I had formulated this to myself less scientifically. I suspected everywhere tendencies and strivings analogous to those of everyday life and conceived the psychic splitting itself as a result of a repelling process, which I then called "defense" and later "regression." I made a short-lived attempt to reconcile both mechanisms, but as experience showed me always the same and only one thing, my defense theory, I soon became opposed to Breuer's theory of hypnoid states. 5

 

I am, however, quite certain that this difference of opinion had nothing to do with the parting of the ways which occurred soon afterward between us

The latter had a deeper reason, but it happened in such a manner that at first I did not understand it, and only later did I learn to interpret it, following many good indexes. It will be recalled that Breuer had stated, concerning his first famous patient, that the sexual element had been astonishingly undeveloped in her and had never contributed anything to her very marked morbid picture.[2 I have always wondered why the critics of my theory of the sexual etiology of the neuroses have not often opposed it with this assertion of Breuer, and up to this day I do not know whether in this reticence I am to see a proof of their discretion, or of their lack of observation. Whoever will reread the history of Breuer's patient in the light of the experience gained in the last twenty years, will have no difficulty in understanding the symbolism of the snakes and of the arm. By taking into account also the situation at the sick-bed of the father, he will easily guess the actual meaning of that symptom-formation, His opinion as to the part sexuality played in the psychic life of that girl will then differ greatly from that of her physician. To cure the patient Breuer utilized the most intensive suggestive rapport which may serve us as prototype of that which we call "transference." Now I have strong grounds to suppose that Breuer, after the disposal of the symptoms, must have discovered the sexual motivity of this transference by new signs, but that the general nature of this unexpected phenomenon escaped him, so that here, as though hit by "an untoward event," he broke off the investigation. I did not obtain from him any direct information of this, but at different times he has given me sufficient connecting links to justify me in making this combination. And then, as I stood more and more decidedly for the significance of sexuality in the causation of the neuroses, Breuer was the first to show me those reactions of unwilling rejection, with which it was my lot to become so familiar later on, but which I had then not yet recognized as my unavoidable destiny. 6

 

The fact that a grossly sexual, tender or inimical, transference occurs in every treatment of a neurosis, although this was neither desired nor induced by either party, has, for me, always seemed to be the most unshakable proof that the forces of the neuroses originate in the sexual life. This argument has surely not been seriously enough considered, for if it were, there would be no question as to where the investigation would tend. For my own conviction, it has remained decisive over and above the special results of the work of the analysis.

 

Some comfort for the bad reception which my theory of the sexual etiology of the neuroses met with, even in the closer circle of my friends--a negative space was soon formed about my person -- I found in the thought that I had taken up the fight for a new and original idea. One day, however, my memories grouped themselves in such a way that this satisfaction was disturbed, but in return I obtained an excellent insight into the origin of our activities and into the nature of our knowledge

The idea for which I was held responsible had not at all originated with me. It had come to me from three persons, whose opinions could count upon my deepest respect; from Breuer himself, from Charcot, and from Chrobak, the gynecologist of our university, probably the most prominent of our Vienna physicians. All three men had imparted to me an insight which, strictly speaking, they had not themselves possessed. Two of them denied their communication to me when later I re mind and the subconcious mind ed them of this: the third (Master Charcot) might also have done so, had it been granted me to see him again. But these identical communications, received without my grasping them, had lain dormant within me, until one day they awoke as an apparently original discovery.

 

There, Sigmund Freud 's prior neurophysiological interests naturally led him to the psychiatry clinic directed by the famous brain anatomist Theodore Meynert (1833-1893). Under Meynert's direction, Sigmund Freud became unusually adept at diagnosing organic brain disorders, particularly the effects of localized injuries. He now developed ambitions of specializing in this field, and as Meynert's best student he won a fellowship enabling him to travel to Paris and study with the great French neurologist Jean Charcot (1825-1893) for six months beginning in November of 1885. Charcot had made his reputation by studying "orthodox" neurological conditions such as polio and multiple sclerosis, but when Sigmund Freud encountered him he happened to be deep into the study of hysteria. As Sigmund Freud relates in the first of his Clark lectures, hysterical symptoms often resemble in some ways the effects of localized brain injuries, but occur in the absence of such injuries. Most physicians of the time dismissed hysteria as malingering and did not take it seriously, but Charcot believed it was a real condition caused by generalized (as opposed to localized) weakness of the nervous system, and closely related to the susceptibility to hypnosis and hypnotherapy. As Sigmund Freud suggests at the beginning of his second lecture, Charcot's specific theory proved to be incorrect. But with his great prestige he helped elevate the previously "disreputable" subjects of hysteria and hypnosis and hypnotherapy to scientific respectability, and introduced Sigmund Freud to their serious and systematic study. This proved crucial to Sigmund Freud after he returned to Vienna and tried to establish himself in private practice.

 

Studies on Hysteria

 

Given a choice, Sigmund Freud would have specialized exclusively in "ordinary" neurological diseases and brain injuries, and in fact he wrote some very well received works on aphasia and infantile cerebral palsy. He found he could not attract enough patients of this type to make a living, however, and somewhat reluctantly, began accepting patients with hysterical symtoms. At first, his therapeutic armamentarium for such cases was sparse, consisting mainly of "hydrotherapy" (the prescription of warm or cold baths) and "electrotherapy" (mild electrical stimulations of the afflicted body parts). These worked very imperfectly, and much more because of the power of suggestion than any inherent physical effects. Then Sigmund Freud tried direct hypnosis and hypnotherapy, where patients were simply hypnotized and told that their symptoms would disappear. This was an improvement, but still far from perfect. Finally Sigmund Freud remembered a case that had been described to him many years earlier, before his fellowship with Charcot, by his older friend Josef Breuer (1842-1925).

 

Breuer was a highly respected Viennese physician who had supported Sigmund Freud financially as well as morally when he was a struggling medical student. Breuer sometimes had confided about his own practice, including the case of Bertha Pappenheim (1859­1936), a remarkable young woman with severe hysterical symptoms. Breuer did not normally accept hysterical patients, but the Pappenheims were family friends and he agreed to do what he could for Bertha. Over a period of several months, he and Bertha together developed the basic, cathartic method of treatment that Sigmund Freud sketched out in the first of his Clark lectures. Under hypnosis and hypnotherapy, Bertha would recall previously forgotten but emotionally charged experiences related to the onset of her symptoms. Upon remembering them and expressing the previously pent­up emotions associated with them - a process Breuer and Sigmund Freud later called abreaction - the symptoms disappeared

The treatment seemed effective, and Pappenheim went on to have a distinguished career as a social worker and activist for feminist causes. Towards the end of the treatment, however, she had begun to express a strong and irrational emotional attachment to Breuer - a manifestation of what Sigmund Freud would later call "transference." Breuer (and his wife) found this very upsetting, and never again could he be persuaded to treat a hysterical patient

The cathartic method was forgotten and not used again until Sigmund Freud , launched upon his own practice several years later, remembered being told about it and decided to try it out for himself.

 

When he did so, he found it better than anything else available, and treated a number of patients with some success. In 1893 he persuaded the reluctant Breuer to collaborate in writing a short, "preliminary communication" describing the technique and containing the famous summarizing statement that Sigmund Freud repeated in the first Clark lecture: namely, that "hysterics suffer mainly from reminiscences." Two years later the authors elaborated substantially on the treatment method and its theory in a book entitled Studies on Hysteria (Studien über Hysterie). This contained five detailed case studies including that of Bertha Pappenheim (disguised under the name, "Anna O."), and four of Sigmund Freud 's early patients.

 

At the time Studies on Hysteria was published, Sigmund Freud still confronted two important problems - one practical and the other theoretical

The practical issue arose because not all hysterical patients could be hypnotized, so a more widely applicable technique was necessary for accessing their unconscious pathogenic ideas

The theoretical question was why those ideas had become unconscious in the first place. Sigmund Freud 's second lecture summarized his interlinked efforts to solve those two problems - efforts that he made without the collaboration of Breuer and that are seen by many scholars as marking the real beginning of Sigmund Freud ian "psychoanalysis." These efforts culminated in the invention of free association: Patients in the normal waking state (but still reclining with eyes closed on the hypnotic subject's couch) were instructed to let their mind and the subconscious mind s wander freely to any and all thoughts aroused by their symptoms, no matter how ridiculous seeming or anxiety arousing. Although simple in principle, this procedure was difficult in practice because the patients inevitably experienced what Sigmund Freud called resistance - a blocking, editing or censoring of their accounts that could be overcome only with great persistence and encouragement from the therapist. Sigmund Freud now became convinced that pathogenic ideas became unconscious because there was something fundamentally anxiety arousing about them, so much so that they were actively repressed from consciousness and the symptoms appeared in their stead. Unconsciously, the patients seemed to have made a decision that it was better to suffer the pain of the symptom than that of thinking the thought

The symptom therefore represented a defense against the conscious acknowledgement of the thought.

 

At the same time he was advancing his understanding of hysteria in these ways, Sigmund Freud was also working energetically on an even more ambitious theoretical project. He hoped to integrate his new insights about hysteria with his earlier knowledge of neurology, in constructing a comprehensive theoretical model of the mind and the subconscious mind

The main result was 100 pages of draft manuscript composed in late 1895, that Sigmund Freud himself never published but that he sent to his best friend and confidant Wilhelm Flies (1858-1928), a physician in Berlin

The work, along with a treasure trove of other draft manuscripts and letters sent to Flies, came to light only after Sigmund Freud 's death. Although the manuscript was untitled and privately referred to by Sigmund Freud as his "Psychology for Neurologists," his English translators called it the Project for a Scientific Psychology. Employing the mechanistic neurological terminology Sigmund Freud had learned from Bruce and Meynert, this extraordinary work presented his first systematic theory of how unconscious and instinctually-driven processes presumably underlie most psychological activity in general. Here Sigmund Freud for the first time seriously considered the subject of dreams. His neurologically oriented theory predicted that dreams should show some structural properties similar to hysterical symptoms, and also - momentously - that they should often represent the symbolic gratification of conflict laden wishes. Here was a hypothesis that Sigmund Freud could put to a psychological test by subjecting the content of dreams to free association. When he did so dream analysis turned out to be - as he put it in his third lecture - the via regain ("royal road") to the unconscious.

 

Dream Interpretation and Self-analysis

 

The first dream Sigmund Freud analyzed by this new method was one of his own, subsequently known as "The Dream of Irma's Injection." In the dream, Sigmund Freud was at a gathering at which "Irma," one of his own patients in real life, fell ill after being given an injection of propel (a ridiculous medical procedure) by one of his colleagues; then Sigmund Freud vividly saw before him the formula for the chemically related substance trimethylamin, printed in heavy type. Like the content of so many dreams, this experience was disjointed, somewhat bizarre, and made no obvious sense. When Sigmund Freud free associated to this directly experienced but nonsensical content of the dream, however, a series of unsuspected ideas emerged that did make sense. These included the recollection that his best friend Fliess (not the doctor from the dream) had been dangerously negligent in a real operation Sigmund Freud had asked him to perform on Irma in real life. Sigmund Freud also recalled a recent conversation with Fleiss in which they had speculated about the role of trimethylamin in the chemistry of the body's sexual processes. These recollections in turn led to a whole welter of conflict-laden thoughts and wishes regarding both Fliess and Irma - feelings of resentment and anger towards his best friend, and of a certain sexual attraction between himself and his patient, for example. Many of these thoughts were anxiety arousing and difficult to accept, but Sigmund Freud felt forced to acknowledge that they were true, that they made sense, and that they therefore constituted the "real" motivation and meaning of his dream.

 

Sigmund Freud soon became convinced that virtually any dream could be interpreted in much the same way, and moreover could be shown to have some remarkable similarities to hysterical symptoms. When the remembered dream experience, referred to by Sigmund Freud as its manifest content, was subjected to free association in the same way that hysterical patients' symptoms were, a previously unconscious latent content was revealed. This latent content seemed to stand in many of the same relationships to the manifest content that unconscious pathogenic ideas stood to hysterical symptoms. In both instances the conscious products were psychologically "safer" - i.e., less anxiety arousing - than the original unconscious ideas that had to be recovered through free association. Further, individual symptoms and manifest dream images both seemed to represent several different unconscious ideas at once; e.g., a whole group of different pathogenic ideas often underlay a single hysterical symptom, just as a large number of complexly interrelated ideas had been associated with Sigmund Freud 's brief dream sequence of Irma's injection. Sigmund Freud called this phenomenon over determination in the case of symptoms and condensation in the dreams.

 

A fluent recalled of his own dreams, Sigmund Freud now he became his own best subject in psychoanalytical research. And after his father died in 1896, he also literally became his own patient. Even though the death had been expected for some time it precipitated a severe personal crisis in which Sigmund Freud felt as if he had been "torn up by the roots." Attempting to cure himself by the method he had previously developed for his patients, he began systematically subjecting the manifest content of his dreams to free association. This was the famous self-analysis, regarded by many of Sigmund Freud 's followers as his greatest and most heroic accomplishment.

 

Following as best as he could his rule of allowing his associations to go where they would without censorship, Sigmund Freud discerned within himself a number of consciously very uncomfortable ideas and memories. In particular, he detected a constellation of attitudes and impulses dating from childhood, when - he was forced to believe - he had wished for the exclusive possession of his mother as a source of sensual, "sexual" gratification, and for he removal or "death" of his father, whom he perceived as the main rival for that gratification

The words "sexual" and "death" have been enclosed in quotation marks here because they represent those concepts as understood by Sigmund Freud as a young child, differing from his mature understanding of the terms. But Sigmund Freud had no doubt that these childhood attitudes were the genuine precursors and originating points for the adult concepts. So here, within himself, was the original evidence for the Oedipus complex which he soon came to view as a nearly inevitable consequence of any child's development, and which he elaborated upon in his fourth lecture at Clark.

 

This self-knowledge helped Sigmund Freud to solve a problem that had arisen in his understanding and treatment of hysteria. Previously, he had been increasingly impressed by the regularity with which his patients' associations had led to "memories" of a sexual nature, dating from childhood. Surprisingly often, these remembered scenes entailed sexual abuse, usually at the hands of a parent. Indeed, Sigmund Freud in 1896 had published papers proclaiming a seduction theory of hysteria: namely, that childhood sexual abuse was a necessary precondition for the illness. Presumably the experiences had not been perceived as "sexual" by the immature children at the time of their occurrence, but after the onset of puberty their memories became disturbingly charged with new meaning and "sexualized after the fact," causing them to be repressed from normal consciousness. Thus they became pathogenic ideas.

 

This theory was not well received, as one eminent Viennese physician called it "a scientific fairy tale." And soon, Sigmund Freud himself began to have doubts about it. He confessed to Fliess in late 1897 that in too many cases the uncovering of these "memories" failed to produce the expected symptom relief, and that in too many cases contrary evidence suggested they could not be literally true. Even in Sigmund Freud 's own family a sibling had developed hysterical symptoms, and if his theory were correct it would point to his own father as a child abuser. This just did not ring true.

 

Sigmund Freud 's self-analysis and postulation of the Oedipus complex pointed to a possible resolution. His discovery of traces of childhood sexuality in himself suggested that these might be universal, and that the traditional definition of "sexuality" should be revised. Instead of being a highly specific, genitally and heterosexually oriented instinct to copulate and reproduce, "sexuality" should be thought of as a highly general drive for sensual gratification of many different kinds, present in all individuals from infancy onwards. Under this new conception, an infant is born in a state of "polymorphous perversity," capable of "sexual" gratification via various autoerotic and non-reproductive activities such as those highlighted by Sigmund Freud in his fourth lecture. By the time the child reaches the age of five or six, many of these pleasures arouse condemnation from parents and society, and thus cause such severe anxiety that the urges for them must be repressed into unconsciousness. They do not disappear, however, but remain in the unconscious waiting for opportunities to be expressed indirectly - not only in dreams but also, in some cases, as hysterical symptoms. Hysterical pathogenic ideas, like the disturbing latent content of many dreams, could be interpreted as disguised representations of childhood wishes rather than actual experiences.

 

With his increasing sense of the pervasiveness of unconscious motivation, and with free association available as a technique for revealing it, Sigmund Freud turned his attention to diverse phenomena such as jokes and mistakes (or "slips"). As he argues in the third lecture, these psychic creations apparently are not random, but like symptoms or dreams they express by allusion wishful ideas that are too dangerous or embarrassing to be directly stated.

 

While treating his patients, Sigmund Freud gradually came to place as much emphasis on the analysis of their dreams as on their symptoms. Dreams often provided more detailed and useful insight than symptoms did into the patients' underlying personality dynamics. And to his surprise, Sigmund Freud discovered that frequently the latent content of his patients' dreams entailed unconscious fantasies about himself, and that those fantasies re­created many of the crucial Oedipal and other conflict laden relationships the patients had had with important figures in their lives. Here was the phenomenon of transference, which Sigmund Freud discussed in his fifth lecture (where the term was translated as "transfer") as one of the most important aspects of the relationship between patient and psychoanalyst.

 

Sigmund Freud 's Major Works

 

In essence, Sigmund Freud 's five lectures abstracted the contents of six important longer works he had published prior to 1909. Studies on Hysteria, published with Breuer in 1895, gave a complete account of the two men's pioneering work on hysteria. A detailed presentation of Sigmund Freud 's dream theory appeared in The Interpretation of Dreams, a long book published in late 1899 but dated 1900 by the publisher. This contains many interpretations of Sigmund Freud 's own dreams, and sheds incidental light on his self-analysis. It closes with a theoretical chapter drawing the implications of the dream theory for a general model of the mind and the subconscious mind which, although couched in completely psychological as opposed to neurological terms, is clearly the successor of the Project. Sigmund Freud himself always regarded this as his single most important book. 1901 saw the first publication of The Psychopathology of Everyday Life, in which Sigmund Freud detailed the evidence in favor of unconsciously motivated mistakes or " Sigmund Freud ian slips." One of his most popular works, this originally appeared as a long article in a medical journal but was reprinted as a separate book in 1904, and subsequently expanded and revised in nine further editions over the next twenty years

The three other major publications all appeared in 1905: Sigmund Freud 's analysis of humor and wit in Jokes and their Relationship to the Unconscious; his broadened and revolutionary theory of the sexual drive in Three Essays on the Theory of Sexuality; and his account of the case that first showed him the importance of transference in a long paper entitled "Fragment of an Analysis of a Case of Hysteria."

 

All six of the above works, while necessarily more technical and detailed than the lectures that summarized them, were nonetheless addressed to a relatively broad audience of general physicians and intelligent laypeople, and so were very readable. Many of Sigmund Freud 's works that came after 1909 showed a rather different quality, occasioned by the emerging status of psychoanalysis as a movement. As was noted in the Introduction, the Clark lectures represented a watershed in Sigmund Freud 's career, marking the end of his years of "splendid isolation" and the beginnings of his leadership of an international organization. And even though some of his early followers like Jung and Adler soon broke with him to form rival psychodynamic schools of their own, a much greater number became positively attracted, joined the International Psycho-Analytical Association and became self identified " Sigmund Freud ians." Inevitably, this group of followers became the intended audience for much of Sigmund Freud 's later work. Now that he could take for granted his readers' prior familiarity and basic sympathy with his views, his writing inevitably became more specialized and technical - and, it must be said, not nearly as enjoyable for the ordinary reader. (Two notable exceptions to this, intended as summaries of his theory for a general audience, were Introductory Lectures on Psychoanalysis and An Outline of Psychoanalysis, published respectively in 1916-17 and 1940.)

 

Among the more important of Sigmund Freud 's technical writings were a series of "Papers on Met psychology" from the mid-1910s, exploring the fine points of repression and the unconscious. Other works concerned the precise nature of the instinctual drives. In the 1914 paper, "On Narcissism: An Introduction," for example, Sigmund Freud postulated that the sexual energy or libido could be directed not only "outwards" towards external figures but also inwards towards the self. In Beyond the Pleasure Principle (1920), a controversial work that was not accepted by some of his otherwise staunchest supporters, Sigmund Freud posited an ultimately destructive "death instinct" ("Thanatos") in perpetual conflict with a sexually oriented life instinct ("Eros").

 

In 1923, concern over some technicalities in psychoanalytic terminology stimulated Sigmund Freud to write The Ego and the Id. Previously he had used the terms "unconscious" and "preconscious" both as adjectives (e.g., to describe an "unconscious wish" or a "preconscious memory") and as nouns (postulating "the Unconscious" or "the Preconscious" as separate systems in the psyche). But Sigmund Freud was troubled by the fact that several of the important processes he had attributed to the Preconscious system actually occurred unconsciously, and that certain repressed components of the Unconscious system were structured like preconscious material. Thus he now renamed "the Unconscious" as the id, and "the Preconscious" as the ego. Further, he had become increasingly aware of situations when conflicts between the instinctual drives and external reality are further complicated by moral demands. For example, sometimes one abstains from seeking a desired object, or feels guilty at the very thought of doing so, simply out of a feeling that it would be wrong. Sigmund Freud reasoned that the source of this moral force in the psyche was acquired rather than innate, since very young children and some psychopathic adults lack it. It also seemed to be based on some kind of unconscious identification with authority figures from the developing child's society, and to have a certain amount of independent energy at its disposal to create feelings of guilt. Accordingly, Sigmund Freud postulated the superego as a separate entity in his new conception of the psyche, the result of a childhood identification with the same-sexed parent in the Oedipal relationship. Psychology textbooks often begin their treatment of Sigmund Freud and psychoanalysis by describing this famous id­ego­superego tracheotomy; seldom do they acknowledge that this was actually a rather late development in Sigmund Freud 's theory, and more a response to technical details than to fundamental issues.

 

One of Sigmund Freud 's most controversial papers, "Some Psychical Consequences of the Anatomical Distinction between the Sexes" (1925), hypothesized differences in the typical male and female superego. Sigmund Freud argued that the discovery of anatomical sex differences during childhood typically leads to "penis envy" in the little girl, and "castration anxiety" in the boy. Anxiety presumably constitutes a stronger motive than envy does to repress Oedipal wishes by identifying with the proscriptive aspects of the same sexed parent; thus the boy develops a stronger superego, and consequent moral sense, than the girl. Sigmund Freud presented this view only tentatively, and it dealt with a relatively technical detail of his theory. Like the death instinct it was rejected by some of Sigmund Freud 's closest followers, and he accepted their dissent with equanimity. Personally, Sigmund Freud welcomed women as professionals in the psychoanalytic movement, and was relatively free of many of the typical male biases of his time. Yet perhaps understandably, he acquired a public reputation of being unfriendly to women following publication of this paper.

 

Just prior to writing that paper, Sigmund Freud had been diagnosed with mouth cancer - a consequence of many years of heavy cigar smoking. During the fourteen remaining years of his life he underwent a long series of painful and disfiguring operations. Although he confronted his situation stoically, the tone of his writing became increasingly philosophical and pessimistic

The Future of an Illusion (1927) interpreted all religious beliefs as illusions or wishful thinking based on childhood dependency, and Civilization and its Discontents (1930) speculated that the destructive aspects of Thanatos are likely to prevail in the long run over the positive and creative urges of Eros. And in a 1937 paper entitled "Analysis Terminable and Interminable," Sigmund Freud concluded that no individual can ever undergo a complete psychoanalysis - that no matter how successfully "cured" one has been in the past there is no guarantee that some new conflict may arise and overwhelm the psyche's capacity for adaptive compromise solutions.

 

In 1938, the Nazi occupation of Vienna led Sigmund Freud and his immediate family to flee to London for sanctuary. A year later at the age of 83, and just before the horrors of World War II seemed to justify his philosophical pessimism, he succumbed to his long illness. Despite the controversy surrounding much of his work, Sigmund Freud 's basic image of human beings as creatures in conflict - with aspects of themselves as well as with external circumstances - struck a responsive chord. His fundamental concepts of repression and the unconscious nature of much psychological activity have become commonplace. In the words of the poet W. H. Auden, by the end of his life Sigmund Freud had become not just an important historical character, "but a whole climate of opinion/ Under whom we conduct our differing lives."

 

 

I

 

 

One day, while I was a young hospital doctor, I was accompanying Breuer on a walk through the town when a man came up to him urgently desiring to speak with him. I fell back and, when Breuer was free again, he told me, in his kindly, teacher-like manner, that this was the husband of a patient, who had brought him some news about her

The wife, he added, behaved in so conspicuous a manner 7 when in company, that she had been turned over to him for treatment as a nervous case. He ended with the remark -- "those are always secrets of the alcove." Astonished, I asked his meaning and he explained the expression to me ("secrets of the conjugal bed"), without realizing how preposterous the matter appeared to me.

 

A few years later, at one of Charcot's evening receptions, I found myself near the venerated teacher who was just relating to Brouardel a very interesting history from the day's practice. I did not hear the beginning clearly but gradually the story obtained my attention. It was the case of a young married couple from the far East

The wife was a great sufferer and the husband was impotent, or exceedingly awkward. I heard Charcot repeat: "Tâchez donc, je vous assure vous y arriverez." Brouardel, who spoke less distinctly, must have expressed his astonishment that symptoms as those of the young wife should have appeared as a result of such circumstances, for Charcot said suddenly and with great vivacity And while saying that he crossed his hands in his lap and jumped up and down several times, with the vivacity peculiar to him. I know that for a moment I was almost paralyzed with astonishment, and I said to myself: "Yes, but if he knows this why does he never say so" But the impression was soon forgotten; brain-anatomy and the experimental production of hysterical paralysis absorbed all my interests.

 

A year later when I had begun my medical activities in Vienna as a private dozen in nervous diseases I was as innocent and ignorant in all that concerned the etiology of the neuroses as any promising academician could be expected to be. One day I received a friendly call from Chrobak, who asked me to take a patient to whom he could not give sufficient time in his new capacity as lecturer at the university. I reached the patient before he did and learned that she suffered from senseless attacks of anxiety, which could only be alleviated by the most exact information as to the whereabouts of her physician at any time in the day. When Chrobak 8 appeared, he took me aside and disclosed to me that the patient's anxiety was due to the fact that though she had been married eighteen years, she was still a virgo intacta, that her husband was utterly impotent. In such cases the physician can only cover the domestic mishap with his reputation and must bear it if people shrug their shoulders and say of him: "He is not a good doctor if in all these years, he has not been able to cure her." He added: "The only prescription for such troubles is the one well-known to us, but which we cannot prescribe. It is:

 

Penis normalize

 

deism

 

Repeater !

 

I had never heard of such a prescription and would like to have shaken my head at my informant's cynicism.

 

I certainly have not uncovered the illustrious origins of this vicious idea because I would like to shove the responsibility for it on others. I know well that it is one thing to express an idea once or several times in the form of a rapid apercu, and quite another to take it seriously and literally to lead it through all opposing details and conquer for it a place among accepted truths. It is the difference between a light flirtation and a righteous marriage with all its duties and difficulties. Epouser les idées de -- (to marry so and so's ideas,) is, at least in French, a quite usual form of speech.

 

Other doctrines which were contributed to the cathartic method through my efforts thus transforming it into psychoanalysis, are the following: The theories of repression and resistance, the addition of the infantile sexuality, and the usage and interpretation of dreams for the understanding of the unconscious.

 

Concerning the theory of repression, I was certain that I worked independently. I knew of no influence that directed me in any way to it, and I long considered this idea to be original, till O. Rank showed us the place in Schopenhauer's "The World as Will and Idea," where the philosopher is struggling for an explanation for insanity.[3 9 What is there said concerning the striving against the acceptance of a painful piece of reality agrees so completely with the content of my theory of repression that, once again, I must be indebted to my not being well-read for the possibility of making a discovery. To be sure, others have read this passage and overlooked it, without making this discovery and perhaps the same would have happened to me, if, in former years, I had taken more pleasure in reading philosophical authors. In later years I denied myself the great pleasure of Nietzsche's works, with the conscious motive of not wishing to be hindered in the working out of my psychoanalytic impressions by any preconceived ideas. Therefore, I had to he prepared -- and am so gladly -- to renounce all claim to priority in those many cases in which the laborious psychoanalytic investigation can only confirm the insights intuitively won by the philosophers.

 

The theory of repression is the main pillar upon which rests the edifice of psychoanalysis. It is really the most essential part of it, and is itself nothing other than the theoretical expression of an experience which can be repeated at pleasure whenever one analyzes a neurotic patient without the aid of hypnosis and hypnotherapy. One is then confronted with a resistance which opposes the analytic work by causing a failure of memory in order to block it. This resistance had to be covered by the use of hypnosis and hypnotherapy; hence the history of psychoanalysis proper only starts technically with the rejection of hypnosis and hypnotherapy

The theoretical value of the fact that this resistance is connected with an amnesia leads unavoidably to that conception of the unconscious psychic activities which is peculiar to psychoanalysis, and distinguishes it markedly from the philosophical speculations about the unconscious. It may, therefore, be said that the psychoanalytic theory endeavors to explain two experiences, which result in a striking and unexpected manner during the attempt to trace back the morbid symptoms of a neurotic to their source in his life-history; viz., the facts of transference and of resistance. Every investigation which recognizes these two facts and makes them the starting points of its work may call itself psychoanalysis, even if it lead to 10 other results than my own. But whoever takes up other sides of the problem and deviates from these two assumptions will hardly escape the charge of interfering with the rights of ownership through attempted imitation, if he insist upon calling himself a psychoanalyst.

 

I would very energetically oppose any attempt to count the principles of repression and resistance as mere assumptions instead of results of psychoanalysis. Such assumptions of a general psychological and biological nature exist, and it would be quite to the point to deal with them in another place

The principle of repression, however, is an acquisition of the psychoanalytic work, won by legitimate means, as a theoretical extract from very numerous experiences. Just such an acquisition, but of much later days, is the theory of the infantile sexuality, of which no count was taken during the first years of tentative analytic investigation. At first it was only noticed that the effect of actual impressions had to be traced back to the past. However, " the seeker often found more than he bargained for." He was tempted always further back into this past and finally hoped to be permitted to tarry in the period of puberty, the epoch of the traditional awakening of the sexual impulses. His hopes were in vain

The tracks led still further back into childhood and into its earliest years. In the process of this work it became almost fatal for this young science. Under the influence of the traumatic theory of hysteria, following Charcot, one was easily inclined to regard as real and as of etiological importance the accounts of patients who traced back their symptoms to passive sexual occurrences in the first years of childhood, that is to say, speaking plainly, to seductions. When this etiology broke down through its own unlikelihood, and through the contradiction of well-established circumstances, there followed a period of absolute helplessness

The analysis had led by the correct path to such infantile sexual traumas, and yet these were not true. Thus the basis of reality had been lost. At that time I would gladly have let the whole thing slide, as did my respected forerunner Breuer, when he made his unwished-for discovery. Perhaps I persevered only because I had no longer any choice of beginning something else. Finally I reflected that, after 11 all, no one has a right to despair if he has been disappointed only in his expectations. He merely needs to review them. If hysterics refer their symptoms to imaginary traumas, then this new fact signifies that they create such scenes in their phantasies, and hence psychic reality deserves to be given a place next to actual reality. This was soon followed by the conviction that these phantasies serve to hide the autoerotic activities of the early years of childhood, to idealize them and place them on a higher level, and now the whole sexual life of the child made its appearance behind these phantasies.

 

In this sexual activity of the first years of childhood, the concomitant constitution could finally attain its rights. Disposition and experience here became associated into an inseparable etiological unity, in that the disposition raised certain impressions to inciting and fixed traumas, which otherwise would have remained altogether banal and ineffectual, whilst the experiences evoked factors from the disposition which, without them, would have continued to remain dormant, and, perhaps, undeveloped

The last word in the question of traumatic etiology was later on said by Abraham, when he drew attention to the fact that just the peculiar nature of the child's sexual constitution enables it to provoke sexual experiences of a peculiar kind, that is to say, traumas.

 

My formulations concerning the sexuality of the child were founded at first almost exclusively on the results of the analyses of adults, which led back into the past. I was lacking in opportunity for direct observation of the child. It was, therefore, an extraordinary triumph when, years later, my discoveries were successfully confirmed for the greater part by direct observation and analyses of children of very early years, a triumph that appeared less and less on reflecting that the discovery was of such a nature that one really ought to be ashamed of having made it

The deeper one penetrated into the observation of the child, the more self-evident this fact seemed, and the more strange, too, became the circumstances that such pains had been taken to overlook it.

 

To be sure, so certain a conviction of the existence and significance 12 of the infantile sexuality can be obtained only, if one follows the path of analysis, if one goes back from the symptoms and peculiarities of neurotics to their uttermost sources, the discovery of which explains what is explainable in them, and permits of modifying what can be changed. I understand that one can arrive at different conclusions if, as was recently done by C. G. Jung, one first forms for one's self a theoretical conception of the nature of the sexual impulse and thereby tries to understand the life of the child. Such a conception can only be chosen arbitrarily or with regard to secondary considerations, and is in danger of becoming inadequate to the sphere in which it was to be utilized. Doubtless, the analytic way also leads to certain final difficulties and obscurities in regard to sexuality and its relation to the whole life of the individual; but these cannot be set aside by speculations, and must wait till solutions will be found by means of other observations or of observations in other spheres.

 

I shall briefly discuss the history of dream-interpretation. This came to me as the first-fruits of the technical innovation, after, following a dim presentiment, I had decided to replace hypnosis and hypnotherapy with free associations. It was not the understanding of dreams towards which my curiosity was originally directed. I do not know of any influences which had guided my interest to this or inspired me with any helpful expectations. Before the cessation of my intercourse with Breuer I hardly had time to tell him, in so many words, that I now knew how to translate dreams. During the development of these discoveries the symbolism of the language of dreams was about the last thing which became known to me, since, for the understanding of symbols, the associations of the dreamer offer but little help. As I have held fast to the habit of first studying things themselves, before looking them up in books, I was able to ascertain for myself the symbolism of dreams before I was directed to it by the work of Sherner. Only later I came to value fully this means of expression of dreams. This was partly due to the influence of the works of Steckel, who was at first very meritorious but who later became most perfunctory

The close connection between the psychoanalytic 13 interpretation of dreams and the once so highly esteemed art of dream interpretation of the ancients only became clear to me many years afterwards

The most characteristic and significant portion of my dream theory, namely, the reduction of the dream distortion to an inner conflict, to a sort of inner dishonesty, I found later in an author to whom medicine but not philosophy is unknown. I refer to the engineer J. Popper, who had published "Phantasies of a Realist" under the name of Lynkeus.

 

The interpretation of dreams became for me a solace and support in those difficult first years of analysis, when I had to master at the same time the technique, the clinic and the therapy of the neuroses, when I stood entirely alone, and in the confusion of problems and the accumulation of difficulties I often feared to lose my orientation and my confidence. It often took a long time before the proof of my assumption, that a neurosis must become comprehensible through analysis, was seen by the perplexed patient, but the dreams, which might be regarded as analogous to the symptoms, almost regularly confirmed this assumption.

 

Only because of these successes was I in condition to persevere. I have, therefore, acquired the habit of measuring the grasp of a psychological worker by his attitude to the problem of dream interpretation, and I have noticed, with satisfaction, that most of the opponents of psychoanalysis avoided this field altogether, or if they ventured into it, they behaved most awkwardly

The analysis of myself, the need of which soon became apparent to me, I carried out by the aid of a series of my own dreams which led me through all the happenings of my childhood years. Even today I am of the opinion that in the case of a prolific dreamer and a person not too abnormal, this sort of analysis may be sufficient.

 

By unfurling this developmental history, I believe I have shown what psychoanalysis is, better than I could have done by a systematic presentation of the subject

The special nature of my findings I did not then recognize. I sacrificed, unhesitatingly, my budding popularity as a physician and an extensive practice among nervous patients, because I searched directly for the sexual origin of their 14 neuroses. In this way I gained a number of experiences which definitely confirmed my conviction of the practical significance of the sexual factor. Without any apprehension, I appeared as speaker at the Vienna Neurological Society, then under the presidency of Krafft-Ebing, expecting to be compensated, by the interest and recognition of my colleagues, for my own voluntary sacrifices. I treated my discoveries as indifferent contributions to science and hoped that others would treat them in the same way. Only the silence that followed my lectures, the space that formed about my person, and the insinuations directed towards me caused me to realize, gradually, that statements about the part played by sexuality in the etiology of the neuroses cannot hope to be treated like other communications. I realized that from then on I would belong to those who, according to Hebbel's expression, "have disturbed the world's sleep," and that I could not count upon being treated objectively and with toleration. But as my conviction of the average correctness of my observations and the conclusions grew greater and greater, and as my faith in my own judgment was not small, any more than was my moral courage, there could be no doubt as to the issue of this situation. I decided to believe that it fell to my lot to discover particularly significant associations, and felt prepared to bear the fate which sometimes accompanies such discoveries.

 

This fate I pictured to myself in the following manner. I would probably succeed in sustaining myself through the therapeutic successes of the new treatment, but science would take no notice of me in my lifetime. Some decades later, another would surely stumble upon the same, now untimely things, compel their recognition and thus bring me to honor as a necessarily unfortunate forerunner. Meantime I arrayed myself as comfortably as possible a la Robinson Crusoe upon my lonely island. When I look back to those lonely years, from the perplexities and vexatious ness of the present, it seems to me it was a beautiful and heroic time

The "splendid isolation" did not lack its privileges and charms. I did not need to read any literature nor to listen to badly informed opponents. I was subject to no influences, and no pressure was brought to bear 15 on me. I learned to restrain speculative tendencies and, following the unforgotten advice of my master, Charcot, I looked at the same things again and often until they began of themselves to tell me something. My publications, for which I found shelter despite some difficulty, could safely remain far behind my state of knowledge. They could be delayed as long as I pleased, as there was no doubtful "priority" to be defended. "The Interpretation of Dreams," for example, was completed in all essentials in the beginning of 1896, but was written down only in 1899

The treatment of "Dora" was finished at the end of 1899

The history of her illness was completed in the next two weeks, but was only published in 1905. Meantime my writings were not in the reviewed professional literature of the day. If an exception was made they were always treated with scornful or pitying condescension. Sometimes a colleague would refer to me in one of his publications in very short and unflattering terms, such as "unbalanced," "extreme," or "very odd." It happened once that an assistant at the clinic in Vienna asked me for permission to attend one of my lecture courses. He listened devoutly and said nothing, but after the last lecture he offered to accompany me. During this walk he disclosed to me that, with the knowledge of his chief, he had written a book against my teachings, but he expressed much regret that he had only come to know these teachings better through my lectures. Had he known these before, he would have written very differently. Indeed, he had inquired at the clinic if he had not better first read "The Interpretation of Dreams," but had been advised against doing so, as it was not worth the trouble. As he now understood it, he compared my system of instruction with the Catholic Church. In the interests of his soul's salvation I will assume that this remark contained a bit of sincere recognition. But he ended by saying that it was too late to alter anything in his book as it was already printed. This particular colleague did not consider it necessary later on to tell the world something of the change in his opinions concerning my psychoanalysis. On the contrary, as permanent reviewer of a medical journal, he showed a preference to follow its development with his hardly serious comments. 16

 

Whatever I possessed of personal sensitiveness was blunted those years, to my advantage. But I was saved from becoming embittered by a circumstance that does not come to the assistance of all lonely discoverers. Such a one usually frets himself to find out the cause of the lack of sympathy or of the rejection he receives from his contemporaries, and perceives them as a painful contradiction against the certainty of his own conviction. That did not trouble me, for the psychoanalytic fundamental principles enabled me to understand this attitude of my environment as a necessary sequence. If it was true that the associations discovered by me were kept from the knowledge of the patient by inner affective resistances, then this resistance must manifest itself also in normal persons as soon as the repressed material is conveyed to them from the outside. It was not strange that these latter knew how to give intellectual reasons for their affective rejections of my ideas. This happened just as often with the patients, and the arguments advanced -- arguments are as common as blackberries, to borrow from Falstaff's speech -- were the same and not exactly brilliant

The only difference was that in the case of patients one had the means of bringing pressure to bear, in order to help them recognize and overcome their resistances, but in the case of those seemingly normal, such help had to be omitted. To force these normal people to a cool and scientifically objective examination of the subject was an unsolved problem, the solution of which was best left to time. In the history of science it has often been possible to verify that the very assertion which, at first, called forth only opposition, received recognition a little later without necessity of bringing forward any new proofs.

 

That I have not developed any particular respect for the opinion of the world or any desire for intellectual deference during those years, when I alone represented psychoanalysis, will surprise no one.

 

Beginning with the year 1902 a number of young doctors crowded about me with the expressed intention to learn psychoanalysis, to practice it and to spread it

The impetus for this came from a colleague who had himself experienced the beneficial effects of the analytic therapy. We met on certain evenings at my residence, and discussed subjects according to certain rules

The visitors endeavored to orient themselves in this strange and new realm of investigation, and to interest others in the matter. One day a young graduate I of the technical school found admission to our circle by means of a manuscript which showed extraordinary sense. We induced him to go through college and enter the university, and then devote himself to the non-medical application of psychoanalysis. Thus the little society gained a zealous and reliable secretary, and I acquired in Otto Rank a most faithful helper and collaborator.

 

Soon the little circle expanded, and in the course of the next few years changed a good deal in its composition. On the whole, I could flatter myself that in the wealth and variety of talent our circle was hardly inferior to the staff of any clinical teacher. From the very beginning it included those men who later were to play a considerable, if not always a delectable, part in the history of the psychoanalytic movement. But these developments could not have been guessed at that time. I was satisfied, and I believe I did all I could, to convey to the others what I knew and had experienced. There were only two inauspicious circumstances which at least mentally estranged me from this circle. I could not succeed in establishing among the members that friendly relation which should obtain among men doing the same difficult work, nor could I crush out the quarrels about the priority of discoveries, for which there were ample opportunities in those conditions of working together

The difficulties of teaching the practice of psychoanalysis, which are particularly great, and are often to blame for the present rejection of psychoanalysis, 18 already made themselves felt in this Viennese private psychoanalytic society. I myself did not dare to present an as yet incomplete technique, and a theory still in the making, with that authority which might have spared the others many a blind alley and many a final tripping up

The self-dependence of mental workers, their early independence of the teacher, is always gratifying psychologically, but it can only result in a scientific gain when during these labors certain, not too frequently occurring, personal relations are also fulfilled. Psychoanalysis particularly should have required a long and severe discipline and training of self-control. On account of the courage displayed in devotion to so ridiculed and fruitless a subject, I was inclined to tolerate among the members much to which otherwise I would have objected. Besides, the circle included not only physicians, but other cultured men who had recognized something significant in psychoanalysis. There were authors, artists, and so forth

The "Interpretation Of Dreams," the book on " Wit," and other writings, had already shown that the principles of psychoanalysis cannot remain limited to the medical field, but are capable of application to various other mental sciences.