a definite amount of libidinous energy. Finally, I am able to remind you that here there exists a complementary relationship between the intensity and the pathogenic significance of the infantile experiences to the later ones which is similar to that studied in previous series. There are cases in which the entire causal emphasis falls upon the sexual experiences of childhood, in which these impressions take on an effect which is unmistakably traumatic and in which no other basis exists for them beyond what the average sexual constitution and its immaturity can offer. Side by side with these there are others in which the whole stress is brought to bear by the later conflicts, and the emphasis the analysis places on childhood impressions appears entirely as the work of regression. There are also extremes of "retarded development" and "regression," and between them every combination in the interaction of the two factors.
These relations have a certain interest for that pedagogy which assumes as its object the prevention of neuroses by an early interference in the sexual development of the child. So long as we keep our attention fixed essentially on the infantile sexual experiences, we readily come to believe we have done everything for the prophylaxis of nervous afflictions when we have seen to it that this development is retarded, and that the child is spared this type of experience. Yet we already know that the conditions for the causation of neuroses are more complicated and cannot in general be influenced through one single factor. The strict protection in childhood loses its value because it is powerless against the constitutional factor; furthermore, it is more difficult to carry out than the educators imagine, and it brings with it two new dangers that cannot be lightly dismissed. It accomplishes too much, for it favors a degree of sexual suppression which is harmful for later years, and it Bends the child into life without the power to resist the violent onset of sexual demands that must be expected during puberty. The profit, therefore, which childhood prophylaxis can yield is most dubious; it seems, indeed, that better success in the prevention of neuroses can be gained by attacking the problem through a changed attitude toward facts.
Let us return to the consideration of the symptoms. They serve as substitutes for the gratification which has been forborne, by a regression of the libido to earlier days, with a return to
former development phases in their choice of object and in their organization. "We learned some time ago that the neurotic is held fast somewhere in his past; we now know that it is a period of his past in which his libido did not miss the satisfaction which made him happy. He looks for such a time in his life until he has found it, even though he must hark back to his suckling days as he retains them in his memory or as he reconstructs them in the light of later influences. The symptom in some way again yields the old infantile form of satisfaction, distorted by the censoring work of the conflict. As a rule it is converted into a sensation of suffering and fused with other causal elements of the disease. The form of gratification which the symptom yields has much about it that alienates one's sympathy. In this we omit to take into account, however, the fact that the patients do not recognize the gratification as such and experience the apparent satisfaction rather as suffering, and complain of it. This transformation is part of the psychic conflict under the pressure of which the symptom must be developed. What was at one time a satisfaction for the individual must now awaken his antipathy or disgust. We know a simple but instructive example for such a change of feeling. The same child that sucked the milk with such voracity from its mother's breast is apt to show a strong antipathy for milk a few years later, which is often difficult to overcome. This antipathy increases to the point of disgust when the milk, or any substituted drink, has a little skin over it. It is rather hard to throw out the suggestion that this skin calls up the memory of the mother's breast, which was once so intensely coveted. In the meantime, to be sure, the traumatic experience of weaning has intervened.
There is something else that makes the symptoms appear remarkable and inexplicable as a means of libidinous satisfaction. They in no way recall anything from which we normally are in the habit of expecting satisfaction. They usually require no object, and thereby give up all connection with external reality. We understand this to be a result of turning away from fact and of returning to the predominance of pleasurable gratification. But it is also a return to a sort of amplified auto-eroticism, such as was yielded the sex impulse in its earliest satisfactions. In the place of a modification in the outside world, we have a physical change, in other words, an internal
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reaction in place of an external one, an adjustment instead of an activity. Viewed from a phylogenetic standpoint, this expresses a very significant regression. We will grasp this better when we consider it in connection with a new factor which we are still to discover from the analytic investigation of symptom development. Further, we recall that in symptom formation the same processes of the unconscious have been at work as in dream formation—elaboration and displacement. Similarly to the dream, the symptom represents a fulfillment, a satisfaction after the manner of the infantile; by the utmost elaboration this satisfaction can be compressed into a single sensation or inner-vation, or by extreme displacement it may be restricted to a tiny element of the entire libidinous complex. It is no wonder that we often have difficulties in recognizing in the symptom the libidinous satisfaction which we anticipate and always find verified.
I have indicated that we must still become familiar with a new factor. It is something really surprising and confusing. You know that by analysis of the symptoms we arrive at a knowledge of the infantile experiences upon which the libido is fixated and out of which the symptoms are formed. "Well, the surprising thing is this, that these infantile scenes are not always true. Indeed, in the majority of cases they are untrue, and in some instances they are directly contrary to historical truth. You see that this discovery, as no other, serves either to discredit the analysis which has led to such a result, or to discredit the patients upon whose testimony the analysis, as well as the whole understanding of neuroses, is built up. In addition there is something else utterly confusing about it. If the infantile experiences, revealed by analysis, were in every case real, we should have the feeling of walking on sure ground; if they were regularly falsified, disclosed themselves as inventions or phantasies of the patients, we should have to leave this uncertain ground and find a surer footing elsewhere. But it is neither the one nor the other, for when we look into the matter we find that the childhood experiences which are recalled or reconstructed in the course of the analysis may in some instances be false, in others undeniably true, and in the majority of cases a mixture of truth and fiction. The symptoms then are either the representation of actual experiences to which we may ascribe
an influence in the fixation of the libido, or the representation of phantasies of the patient which, of course, can be of no etiologi-cal significance. It is hard to find one's way here. The first foothold is given perhaps by an analogous discovery, namely, that the same scattered childhood memories that individuals always have had and have been conscious of prior to an analysis may be falsified as well, or at least may contain a generous mixture of true and false. Evidence of error very seldom offers difficulties, and we at least gain the satisfaction of knowing that the blame for this unexpected disappointment is not to be laid at the door of analysis, but in some way upon the patients.
After reflecting a bit we can easily understand what is so confusing in this matter. It is the slight regard for reality, the neglect to keep fact distinct from phantasy. We are apt to feel insulted that the patient has wasted our time with invented tales. There is an enormous gap in our thinking between reality and invention and we accord an entirely different valuation to reality. The patient, too, takes this same viewpoint in his normal thinking. When he offers the material which, by way of the symptom, leads back to the wish situations which are modeled upon the childhood experiences, we are at first, to be sure, in doubt whether we are dealing with reality or with phantasy. Later certain traits determine this decision; we are confronted with the task of acquainting the patient with them. This can never be accomplished without difficulty. If at the outset we tell him that he is going to reveal phantasies with which he has veiled his childhood history, just as every people weaves myths around its antiquity, we notice (to our comfort) that his interest in the further pursuit of the subject suddenly diminishes. He, too, wants to discover realities, and despises all "notions." But if until this is accomplished we allow him to believe that we are investigationg the actual occurrences of his childhood, we run the risk of later being charged with error and with our apparent gullibility. For a long time he is unable to reconcile himself to the idea of considering phantasy and reality on equal terms and he tends, with reference to the childish experiences to be explained, to neglect for the time being the difference between the real and the imaginary. And yet this is obviously the only correct attitude toward these psychological products because they are, in a sense, real. It is
a fact that the patient is able to create such phantasies for himself, and this is of scarcely less importance for his neurosis than if he had really undergone the experience which he imagines. These phantasies possess psychological reality in contrast to physical reality, and so we gradually come to understand that in the realm of neuroses the psychological reality is the determining factor.
Among the experiences which recur continually in the early history of neurotics and, in fact, are never lacking, some are of particular significance and accordingly I consider them worthy of special treatment. I shall enumerate a few examples of this species: observation of the parental intercourse, seduction by an adult, and the threat of castration. It would be a grievous error to assume that physical reality can never be accorded them; this may often be proved beyond doubt by the testimony of adult relatives. So, for example, it is not at all unusual if the little boy who begins to play with his penis, and does not yet know that one must conceal this, is threatened by his parents or nurse with the cutting off of the organ or the guilty hand. Parents often admit upon questioning that they thought they had done the right thing by this intimidation; many individuals retain a correct, conscious memory of these threats, especially if it has occurred in later childhood. When the mother or some other woman makes the threat she usually delegates the responsibility of executing it to the father or to the doctor. In the famous Struwwelpeter by the podiatrist Hoffman, of Frankfort, rhymes which owe their popularity to his very fine understanding of the sexual and other complexes of childhood, you find a milder substitute for castration in the cutting off of the thumbs as a punishment for insistent sucking. But it is highly improbable that the threat of castration is actually made as often as it occurs in the analyses of neurotics. We are content to understand that the child imaginatively constructs this threat for himself from suggestions, from the knowledge that auto-erotic satisfaction is forbidden, and from the impression of castration he has received in discovering the female genital. It is, moreover, in no way impossible that the little child, so long as he is not credited with any understanding or memory, will, even in families outside the proletariat, become a witness to the sexual act between his parents or some other
group-lips, and it cannot be disproved that the child subsequently understands this impression, and may react upon it. But when this intercourse is described with minute details which could hardly have been observed, or if it turns out to be, as it so frequently does, an intercourse which was not face to face, more ferarum, there is no longer any doubt that this phantasy is derived from the observation of the intercourse of animals (dogs) and the unsatisfied curiosity of the child in his period of puberty. The greatest feat of the imagination is the phantasy of having witnessed the coitus of the parents while still unborn in the mother's womb. Of especial interest is the phantasy of having been seduced, because so often it is not a phantasy at all, but a real memory. But luckily it is not real so often as first appears from the results of analysis. Seduction by older children, or children of the same age, is much more frequent than seduction by adults, and if, in the case of little girls, the father quite regularly appears as the seducer in the occurrences which they relate, neither the fantastic nature of this accusation nor its motive can be doubted. The child as a rule covers the auto-erotic period of his sexual activity, where there has been no actual seduction, with the seduction-phantasy. He spares himself the shame of onanism by imagining the presence of an object for his desires in that early period. As a matter of fact, you must not be misled in attributing sexual misuse of the child by its nearest male relatives solely and always to phantasy. Most analysts have probably treated cases in which such relations were real and could be proved beyond doubt, with the qualification that in such cases they belong to the later years of childhood and were transposed to an earlier time.
"We cannot avoid the impression that such experiences of childhood are in some way necessary to the neurosis, that they are claimed by its iron rule. If they exist in reality, then well and good, but if reality has withheld them they are constructed from suggestions and supplemented by the imagination. The result is the same, and to this day we have been unable to trace any difference in the results, whether fancy or fact played the larger part in these childish occurrences. Here again we encounter one of the complementary relationships so frequently met with; it is, to be sure, the most estranging of all those we have become acquainted with. "Whence comes the need for these
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phantasies, and the material for them? There can be no doubt as to the sources of the impulse, but we must explain why the same phantasies are always created with the same content. I have an answer in readiness which I know you will think very far-fetched. I am of the opinion that these primal phantasies — so I should like to term these, and certainly some others also— are a phylogenetic possession. In them the individual reaches out beyond his own life, into the experiences of antiquity, where his own experience has become all too rudimentary. It seems very possible to me that everything which is obtained during an analysis in the guise of phantasy, the seduction of children, the release of sexual excitement by watching parental intercourse, the threat of castration—or rather castration itself— were once realities in the primeval existence of mankind and that the imaginative child is merely filling in the gaps of individual truth with prehistoric truth. We have again and again suspected that the psychology of neuroses stores up more of the antiquities of human development than all other sources.
What we have just discussed makes it necessary for us to enter further into the origin and significance of that mental activity that is called imagination. As you well know, it enjoys universal esteem, although we have never clearly understood its place in the psychic life. I have this much to say about it. As you know, the ego of man is slowly educated by the influence of external necessity to an appreciation of reality and a pursuit of the principle of reality, and must therefore renounce temporarily or permanently various objects and goals of its strivings for satisfaction, sexual and otherwise. But renunciation of gratification has always been difficult for man. He cannot accomplish it without something in the nature of compensation. Accordingly he has reserved for himself a psychological activity wherein all these abandoned sources of pleasures and means of pleasurable gratification are granted a further existence, a form of existence in which they are freed from the requirements of reality and what we like to call the test of reality. Every impulse is soon transformed into the form of its own fulfillment. There is no doubt that dwelling on the imagined fulfillment of a given wish affords some satisfaction, although the realization that it is unreal is unobscured. In the activity of the imagination, man enjoys that freedom from external compulsion that he has
long since renounced. He has made it possible to be alternately a pleasure-seeking animal and a reasoning human being. He finds that the scant satisfaction that he can force out of reality is not enough. "There is no getting along without auxiliary-constructions," Th. Fontaine once said. The creation of the psychic realm of fancy has its complete counterpart in the establishment of "preserves" and "conservation projects" in those places where the demands of husbandry, traffic and industry threaten quickly to change the original face of the earth into something unrecognizable. The national reserves maintain this old condition of things, which otherwise has everywhere been regretfully sacrificed to necessity. Everything may grow and spread there as it will, even that which is useless and harmful. The psychic realm of phantasy is such a reservation withdrawn from the principles of reality.
The best known productions of phantasy are the so-called "day dreams/' which we already know, pictured satisfactions of ambitious, of covetous and erotic wishes, which flourish the more grandly the more reality admonishes them to modesty and patience. There is unmistakably shown in them the nature of imaginative happiness, the restoration of the independence of pleasurable gratification from the acquiescence of reality. We know such day dreams are nuclei and models for the dreams of night. The night dream is essentially nothing but a day dream, distorted by the nocturnal forms of psychological activity, and made available by the freedom which the night gives to instinctive impulses. "We have already become acquainted with the idea that a day dream is not necessarily conscious, that there are also unconscious day dreams. Such unconscious day dreams are as much the source of night dreams as of neurotic symptoms.
The significance of phantasy for the development of symptoms will become clear to you by the following: We have said that in a case of renunciation, the libido occupies regressively the positions once abandoned by it, to which, nevertheless, it has clung in certain ways. We shall neither retract this statement nor correct it, but we shall insert a missing link. How does the libido find its way to these points of fixation? Well, every object and tendency of the libido that has been abandoned, is not abandoned in every sense of the word. They, or their derivatives, are still held in presentations of the phantasy, with a
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certain degree of intensity. The libido need only retire to the imagination in order to find from them the open road to all suppressed fixations. These phantasies were happy under a sort of tolerance, there was no conflict between them and the ego, no matter how acute the contrast, so long as a certain condition was observed—a condition quantitative in nature that is now disturbed by the flowing back of the libido to the phantasies. By this addition the accumulation of energy in the phantasies is heightened to such a degree that they become assertive and develop a pressure in the direction of realization. But that makes a conflict between them and the ego inevitable. Whether formerly conscious or unconscious, they now are subject to suppression by the ego and are victims to the attraction of the unconscious. The libido wanders from phantasies now unconscious to their sources in unconsciousness, and back to its own points of fixation.
The return of the libido to phantasy is an intermediate step on the road to symptom development and well deserves a special designation. C. G. Jung coined for it the very appropriate name of introversion, but inappropriately he also lets it stand for other things. Let us therefore retain the idea that introversion signifies the turning aside of the libido from the possibilities of actual satisfaction and the excessive accumulation of the phantasies hitherto tolerated as harmless. An introvert is not yet a neurotic, but he finds himself in a labile situation; he must develop symptoms at the next dislocation of forces, if he does not find other outlets for his pent-up libido. The intangible nature of neurotic satisfaction and the neglect of the difference between imagination and reality are already determined by arrest in the phase of introversion.
You have certainly noticed that in the last discussions I have introduced a new factor into the structure of the etiological chain, namely, the quantity, the amount of energy that comes under consideration. We must always take this factor into account. Purely qualitative analysis of the etiological conditions is not suifieient. Or, to put it in another way, a dynamic conception alone of these psychic processes is not enough; there is need of an economic viewpoint. We must say to ourselves that the conflict between two impulses is not released before certain occupation-intensities have been reached, even though the quali«
tative conditions have long been potent. Similarly, the patho. genie significance of the constitutional factors is guided by how much more of a given component impulse is present in the predisposition over and above that of another; one can even conceive the predispositions of all men to be qualitatively the same and to be differentiated only by these quantitative conditions. The quantitative factor is no less important for the power of resistance against neurotic ailments. It depends upon what amount of unused libido a person can. hold freely suspended, and upon how large a fraction of the libido he is able to direct from the sexual path to the goal of sublimation. The final goal of psychological activity, which may be described qualitatively as striving towards pleasure-acquisition and avoidance of unpleasantness, presents itself in the light of economic considerations as the task of overcoming the gigantic stimuli at work in the psychological apparatus, and to prevent those obstructions which cause unpleasantness.
So much I wanted to tell you about symptom development in the neuroses. Yes, but do not let me neglect to emphasize this especially: everything I have said here relates to the symptom development in hysteria. Even in compulsion neuroses, which retain the same fundamentals, much is found that is different. The counter-siege directed against the claims of the instincts, of which we have spoken in connection with hysteria, press to the fore in compulsion neuroses, and control the clinical picture by means of so-called "reaction-formations." The same kind and more far-reaching variations are discoverable among the other neuroses, where the investigations as to the mechanism of symptom development have in no way been completed.
Before I leave you today I should like to have your attention for a while for an aspect of imaginative life which is worthy of the most general interest. For there is a way back from imagination to reality and that is—art. The artist is an incipient introvert who is not far from being a neurotic. He is impelled by too powerful instinctive needs. He wants to achieve honor, power, riches, fame and the love of women. But he lacks the means of achieving these satisfactions. So like any other unsatisfied person, he turns away from reality, and transfers all his interests, his libido, too, to the elaboration of his imaginary wishes, all of which might easily point the way to neurosis. A
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great many factors must combine to present this termination of his development; it is well known how often artists especially suffer from a partial inhibition of their capacities through neurosis. Apparently their constitutions are strongly endowed with an ability to sublimize and to shift the suppression determining their conflicts. The artist finds the way back to reality in this way. He is not the only one who has a life of imagination. The twilight-realm of phantasy is upheld by the sanction of humanity and every hungry soul looks here for help and sympathy. But for those who are not artists, the ability to obtain satisfaction from imaginative sources is very restricted. Their relentless suppressions force them to be satisfied with the sparse day dreams which may become conscious. If one is a real artist he has more at his disposal. In the first place, he understands how to elaborate his day dreams so that they lose their essentially personal element, which would repel strangers, and yield satisfaction to others as well. He also knows how to disguise them so that they do not easily disclose their origin in their despised sources. He further possesses the puzzling ability of molding a specific material into a faithful image of the creatures of his imagination, and then he is able to attach to this representation of his unconscious phantasies so much pleasurable gratification that, for a time at least, it is able to outweigh and release the suppressions. If he is able to accomplish all this, he makes it possible for others, in their return, to obtain solace and consolation from their own unconscious sources of gratification which had become inaccessible. He wins gratitude and admiration for himself and so, by means of his imagination, achieves the very things which had at first only an imaginary existence for him? honor, power, and the love of women.
TWENTY-FOURTH LECTURE
GENERAL THEORY OP THE NEUROSES
Ordinary Nervousness
IN our last discussion we accomplish a difficult task, Now I shall temporarily leave our subject and address myself to you.
For I know quite well that you are dissatisfied. You thought that an introduction to psychoanalysis would be quite a different matter. You expected to hear vivid illustrations instead of theories. You will tell me that when I gave you the illustration of "on the ground floor in the first story," you had grasped something of the causation of neurosis, only of course this should have been a real observation and not an imaginary story. Or, when in the beginning I described two symptoms (not imaginary also, let us hope) whose analysis revealed a close connection with the life of the patient, you first came to grasp the meaning of the symptoms and you hoped that I would proceed in the same way. Instead I have given you theories—lengthy, difficult to see in perspective and incomplete, to which something new was constantly being added. I worked with conceptions that I had not previously presented to you, abandoned descriptive for dynamic conceptions, and these in turn for economic ones. I made it hard for you to understand how many of the artificial terms I made use of still carry the same meaning and are used interchangeably only for the sake of euphony. Finally, I allowed broad conceptions to pass in review before you: the principles of pleasure and of fact and their phylogenetically inherited possession; and then, instead of introducing you to definite facts, I allowed them to become increasingly vague till they seemed to fade into dim distances.
Why did I not begin my introduction to the theory of neurosis with the facts that you yourselves know about nervousness, with something that has always aroused your interest, with the
peculiar temperament of nervous people, their incomprehensible reactions to external influences, to human intercourse, their irritability, their uselessness ? Why did I not lead you step by step from the understanding of simple, everyday forms to the problems of mysterious and extreme manifestations of nervousness?
I cannot even say that you are wrong. I am not so infatuated with my art of representation as to see some special attraction in every blemish. I myself believe that I could have proceeded differently, to your better advantage, and this indeed had been my intention. But one cannot always carry out one's sensible intentions. The nature of the subject matter issues its own commands, and easily modifies our plans. Even so usual a performance as the organization of well-known material is not entirely subject to the particular purposes of the author. It forms itself as it will and later one wonders why it turned out so and not otherwise.
Probably one of the reasons is that the title, A General Introduction to Psychoanalysis, no longer applies to this part, which deals with the neuroses. The introduction to psychoanalysis is found in the study of errors and the dream; the theory of neurosis is psychoanalysis itself. I do not think that in so short a time I could have given you a knowledge of the theory of neurosis other than in concentrated form. It was necessary to present to you connectedly the meaning and interpretation of the symptoms, their external and internal conditions and their bearing on the mechanism of symptom formation. This I have attempted to do; it is practically the nucleus of the material that modern psychoanalysis is able to offer. We had to say quite a good deal concerning the libido and its development, and something as well concerning the development of the ego. The introduction had already prepared you for the presuppositions of our technique, for the large aspects of the unconscious and of suppression (resistance). In a subsequent lecture you will learn from what points psychoanalysis proceeds organically. For the present I have not sought to hide from you the fact that all our results are based on the study of a single group of nervous affections, the so-called transference neuroses. Though you have gained no positive knowledge and have not retained every detail, still I hope that you have a fair picture of the methods, the problems and the results of psychoanalysis.
I have assumed that it was your wish for me to begin my presentation of neuroses with a description of nervous behavior, the nature of neurotic suffering, and the way in which the nervous meet the conditions of their illness and adapt themselves to these. Such subject matter is certainly interesting and well worth knowing. It is moreover not very hard to handle, yet it is not wis