/ SEX IN PSYCHO-ANALYSIS RATIONAL SEX SERIES SANE SEX LIFE AND SANE SEX LIVING, by H. W. Long, M.D. BI-SEXUAL LOVE, by Dr. William Stekel SEX AND DREAMS, by Dr. William Stekel THE HOMO-SEXUAL NEUROSIS, by Dr. William Stekel SEX AND THE SENSES, by James S. Van Teslaar, M.D. THE LAWS OF SEX, by Edith H. Hooker MOTHERHOOD, by H. W. Long, M.D. CHILDREN BY CHANCE OR BY CHOICE, by William Hawley Smith SEX IN PSYCHO-ANALYSIS, by S. Fe- renczi, M.D. HISTORY AND PRACTICE OF PSYCHANALY- sis, by Paul Bjerre, M.D, TEMPERAMENT AND SEX, by Walter Heaton SEX AND SOCIETY, by W. I. Thomas RICHARD G. BADGER, PUBLISHER, BOSTON SEX IN PSYCHO ANALYSIS CONTRIBUTIONS TO PSYCHO-ANALYSIS S. FERENCZI [BUDAPEST] Medical Adviser to The Hungarian Law Courts Authorized Translation by ERNEST JONES M.D. BOSTON RICHARD G. BADGER THE GORHAM PRESS LONDON: STANLEY PHILLIPS COPYRIGHT, 1916. BT RICHARD G. BADGER All Rights Reserved Made in the United States of America The Gorham Press, Boston, U. S. A. TRANSLATOR'S PREFACE DR. FERENCZI is known as one of the leading exponents of psycho-analysis, and apart, of course, from Professor Freud, has perhaps made more original contributions than anyone else to that subject. Before taking up the study of psycho- analysis he had for many years been engaged on neurological, psychiatrical and medico-legal work, and had made a number of contributions particularly on neurological and psychotherapeutic subjects. His extensive personal experience with the methods of hypnotism and suggestion gave him a specially favourable opportunity to compare and contrast the results thus obtained with those he was able later to obtain by the use of the psycho-analytic method. The greater part of his work has been published only in Hungarian; from that which has appeared in German I have selected for translation, with Dr. Ferenczi's approval, some fifteen papers, which are here reproduced in the order of their original appear- ance. Of these only two, forming Chapters I and III, were written from the point of view of popular exposition ; the others are all of a more technical and advanced nature, being addressed to an audience 5 6 Translator's Preface already familiar with psycho-analytical principles. While this fact increases their value for serious stu- dents of the subject, there being little enough of such literature in English, it exposes many of the conclusions to ready misconception unless it be con- stantly borne in mind that a considerable knowledge of previous work is assumed throughout by the au- thor. To those readers approaching the subject for the first time the following books are recommended as a preliminary study: Hitschmann, "Freud's Theory of the Neuroses," Brill, "Psychanalysis," and the translator's "Papers on Psycho-Analysis. " In the translation I have tried to render the au- thor's thought and language as closely and accu- rately as possible, judging this to be the chief desid- eratum in dealing with a scientific work, even at the cost of retaining some foreignness of style. I am indebted to Miss Barbara Low for read- ing through both the manuscript and the proofs. Portland Court. London, W. CONTENTS CHAI'TER PAQL I. THE ANALYTIC INTERPRETATION AND TREATMENT OF PSYCHOSEXUAL IMPOTENCE 11 II. INTBOJECTION AND TRANSFERENCE 35 I. INTROJECTION IN THE NEUROSES .... 35 II. THE PART PLAYED BY TRANSFERENCE IN HYPNOTISM AND SUGGESTION .... 58 III. THE PSYCHOLOGICAL ANALYSIS OF DREAMS ... 94 IV. ON OBSCENE WORDS 132 V. ON THE PART PLAYED BY HOMOSEXUALITY IN THE PATHOGENESIS OF PARANOIA . 154 VI. ON ONANISM 187 VII. TRANSITORY SYMPTOM-CONSTRUCTIONS DURING THE ANALYSIS 193 VIII. STAGES IN THE DEVELOPMENT OF THE SENSE OF REALITY . . 213 IX. A LITTLE CHANTICLEER 240 X. SYMBOLISM 263 I. THE SYMBOLIC REPRESENTATION OF THE PLEASURE AND THE REALITY PRINCIPLES IN THE CEoiPUS MYTH 253 II. ON EYE SYMBOLISM 270 III. THE ONTOGENESIS OF SYMBOLS .... 276 XI. SOME CLINICAL OBSERVATIONS ON PARANOIA AND PARAPHRENIA 282 XII. THE NOSOLOGY OF MALE HOMOSEXUALITY (HOMO- EROTISM) 296 XIII. THE ONTOGENESIS OF THE INTEREST IN MONEY . . 319 INDEX 333 S E X I N PSYCHO-ANALYSIS CHAPTER I THE ANALYTIC INTERPRETATION AND TREATMENT OF PSYCHOSEXUAL IMPOTENCE 1 ONE of the few objective arguments brought against the method of treatment of the psycho- neuroses inaugurated by Freud is the criticism that it effects only a symptomatic cure. It is said to cause the pathological manifestations of hysteria to disappear, but not the hysterical disposition it- self. In regard to this Freud quite rightly directs our attention to the fact that the same critics shew much more indulgence towards other anti-hysterical procedures, which cannot even effect a final cure of one symptom. We may also bring forward against the argument just mentioned the fact that the an- alysis, penetrating into the depths of mental life (a process which Freud tellingly compares with the ex- cavating work of the archaeologist), not only effects 1 Published in the Psychiatrisch-Neurologische Wochenschrift, 1908, Jahrg. X. 11 18 Contributions to Psycho- Analysis a cure of the symptoms, but also results in such fundamental change in the patient's character that we no longer have any right to call him a sick man. 2 We are the less justified in doing so, in that after the analysis is finished he is well armed also against new psychical conflicts and shocks, pretty much as well as the non-analysed "healthy persons," who as we now know with certainty carry about with them throughout life a multitude of repressed ideational complexes that are at all times ready to increase and exaggerate with their affect-value the patho- genic action of psychical traumata. Besides this, the burden of proof completely dis- appears in the cases where our medical task is com- prised in the curing of a single symptom. Among these tasks the treatment of psychical impotence has constantly been regarded as one of the most difficult. So many of my patients came with this complaint, and so great have I found the mental misery due to this symptom, that I have been untiring in the ap- plication of the most diverse medicinal 3 and sugges- tive 4 methods of treatment. Now and then I have had success with both of these, but neither of them proved to be reliable. I count myself all the more fortunate to be able now to report much more suc- *Jung and Muthmann in their works come to the same con- clusion. * Ferenczl. Arzneimittelschatz des Neurologen. Gy6gyaszat, 1906. 4 Ferenczi. Ueber den Heilwert der Hypnose. Gyogyaszat, 1904. Psycho sexual Impotence 13 cessful results, for which I have to thank Freud's psycho-analytic method of treatment. 5 I will first relate, without any theoretical discus- sion, the cases I have observed, and interpolate my own remarks. I was consulted by a workman, aged thirty-two, whose apprehensive and almost abject appearance allowed the "sexual neurasthenic" to be recognised even at a distance. My first thought was that he was being tormented by conscience-pangs due to mas- turbation, but his complaint proved to be a much more serious one. In spite of his age, and in spite of innumerable attempts, he had never been able, so he told me, properly to perform cohabitation; an inadequate erection and ejaculatio praecox had al- ways made the immissio impossible. He had sought help from various physicians ; one of them ( a no- torious newspaper-advertiser) spoke to him roughly, saying "You have masturbated, that is why you are impotent," and on this the patient, who in fact had indulged in self-gratification from his fifteenth to his eighteenth year, as the result of this consul- tation went home convinced that the sexual capacity was the well-deserved and irrevocable consequence of the "sins of his youth." Nevertheless he made 5 Freud's works may be referred to in this connection, as well as the following ones by two Vienna physicians: M. Steiner, "Die funktionelle Impotenz des Mannes," Wiener med. Presse, 1907, Nr. 42 (also Die psychischen Storungen der mannlichen Potenz, 1913, by the same author: Translator's Note), and W. Stekel, Nervose Angstzustande, 1908. 14 Contributions to Psycho- Analysis further efforts to be cured, and went through among others a long hydriatic and electrical treatment, without success. The patient would already have bowed to the inevitable, but that he had recently be- come attached to a very suitable girl; the wish to marry her was the motive of his present attempt to be cured. The case is a very everyday one, nor did the an- amnesic exploration and the examination of the pa- tient bring out anything special in addition. It became evident that besides the impotence he suffered from a neurotic symptom-complex: various paraes- thesias, auditory hyperaesthesia, pronounced hypo- chondria, disturbed sleep with unpleasant dreams; altogether, therefore, an anxiety-neurosis in Freud's sense, for which an adequate explanation was to be found in the lack of sexual gratification and the fre- quent frustrated excitations. The patient, although the coitus-mechanism completely failed at just the critical moment, indulged in phantasies, both when awake and when half-asleep, the content of which was entirely comprised of sexual situations, and during these experienced the most intense erections. This circumstance aroused in me tHe suspicion that besides the nervous results of the abstinence he might also be suffering from a psychoneurosis, and that the cause of the impotence itself would have to be sought in the inhibiting, interdicting power of an uncon- scious psychical complex, which became operative Psychosexual Impotence 15 just at the moment of the wished-for sexual union. This pathological condition has, under the term "psychical impotence," long been known to us, and we have known that with it the inhibiting action of morbid anxiety and fear makes impassable the otherwise intact sexual reflex-arcs. It was formerly believed, however, that such cases were fully ex- plained by the "cowardice" of the patient or by the conscious memory of a want of success sexually, and our medical activity was confined to calming or en- couraging the patient, with successful results in a certain number of cases. With a knowledge of Freud's psychology I could not remain content with such superficial explanations ; I had to suppose that not conscious fear, but unconscious mental processes, having an absolutely definite content and taking their origin in infantile memory-traces, probably some childish sexual wish that in the course of the individual cultural development had become not only unobtainable, but even unthinkable, would have to be made responsible for the symptom. I received merely negative answers to the questions put to him along these lines. Nothing special had happened to him in a sexual connection ; his parents and the family had always been very decent and re- served in this respect, and as a child he had not bothered himself in the least about "these matters ;" he knew himself to be entirely free of homosexual impulses ; the thought of the functioning of "erogen- 16 Contributions to Psycho-Analysis ous zones" (anal- and oral-erotism) filled him with repugnance; the doings of exhibitionists, voyeurs, sadists and masochists were almost quite unknown to him. At the most he had, rather unwillingly, to admit a somewhat excessive fondness for the female foot and its covering, without being able to give any information as to the source of this fetishistic par- tiality. I allowed the patient, of course, to relate exactly how he had gained his knowledge of sexual matters, what his phantasies consisted of during the period of self-gratification, and how the first at- tempts at cohabitation, unsuccessful from the start, had passed off. Still even this detailed anamnesis did not elicit anything that I would have been able to accept as an adequate explanation of the psycho- sexual inhibition. We know, however, since Freud's work that such an account of the illness does not re- produce the real story of the individual's develop- ment, even with complete honesty and a keen mem- ory on the part of the person questioned ; so cleverly can consciousness "overlook" and "forget" thoughts and memories that have become disagreeable that they can be withdrawn from the repression or made conscious only by laborious analytic work. I did not hesitate, therefore, to apply the analytic method. In the analysis it soon turned out that the sus- picion as to the presence of a psychoneurosis was justified. With closer attention the neurotic nature of the paraesthesias mentioned above was recognis- Psycliosexual Impotence 17 able ("pains" and "crackling" in the tendons, "agi- tation" in the abdominal and crural muscles, etc.), but besides these there appeared a number of un- doubtedly obsessive thoughts and feelings: he dared not look people in the eyes ; he was a coward ; he felt as if he had committed a crime ; he was always afraid of getting laughed at. Obsessive ideas and sensations of this kind are typical of sexual impotence. The cowardice of the sexually impotent person is explained by the radia- tion over the whole individuality of the humiliating consciousness of such an imperfection. Freud speaks very appositely of the "prefigurativeness of sexu- ality" for the rest of the psychical behaviour. The degree of sureness in sexual efficiency becomes the standard for the sureness in demeanour, in views, and in conduct. The motiveless consciousness of guilt, however, that seemed to play a not inconsiderable part with our patient, made one suspect the presence of deeper, suppressed, unconscious thought-pro- cesses, which in a certain sense were really "sinful ;" the analysis gradually yielded the psychical material from which I was able to infer the nature of this "sin." It struck me above all that in his sexually coloured dreams the patient occupied himself very frequently with corpulent women whose faces he never saw, and with whom he was unable to bring about sexual union even in dreams ; on the contrary, instead of an emis- 18 Contributions to Psycho- Analysis sion occurring, as might have been expected, he would be overtaken by acute dread and would wake up in alarm with such thoughts as : "This is impossible !" "This situation is unthinkable." After such anxiety- dreams he would wake up exhausted, bathed in sweat, with palpitation, and usually had "a bad day." The fact that in the dream he never saw the face of the sexual-object I had to interpret as a dream- distortion (Freud); it serves the purpose here of making the person towards whom the libidinous dream-wish was directed unrecognisable in conscious- ness. The starting up in alarm signified that it was nevertheless beginning to dawn in his consciousness how "unthinkable this situation was" with the woman hinted at by the dream. The anxiety-attack is the effective reaction of consciousness against wish- fulfilment of the unconscious. 6 The unconscious interdiction of full sexual gratifi- cation was so strict in the patient that even in day dreams, when he indulged in his sexual phantasies, he had in a terrified way to pull himself together The Hungarian poet Ignotus seems to have surmised the existence of the distortion and censuring of dreams, as is evi- dent from the following fragment of verse: "... A coward's dreams betray the man: So harshly can Fate ply her flail, That of safety he dare not even dream." It had occurred to me long ago (see the article on "Love and Science" in Gy6gy6szat, 1901) that for any useful writings on individual-psychology we have to go not to scientific literature, but to belles-lettres. Psychosexual Impotence 19 and somehow divert his thoughts elsewhere in the moment when he was about to imagine to himself the act of cohabitation. 7 A certain active cruelty made its appearance sev- eral times in his dreams ; for instance, he bit some- one's finger off, or bit someone's face. It was not hard to recognise the source of these cannibalistic inclinations in the infantile hostility against a brother, twenty years older, who in his time had behaved much too strictly and not at all kindly towards his little brothers. This propensity for cruelty, by the way, also lurked in the waking state behind the patient's "manifest" cowardice. Every time it was discovered in how cowardly a manner he had behaved in regard to this or that person (mostly a superior) he would sink into phantasies that lasted for several minutes, in which he depicted himself in the greatest detail how he would conduct himself on the next opportunity in a similar situation, what bodily castigations and abusive language he would 1 Freud first called attention to the frequent occurrence of anxious examination-dreams in those sexually impotent, and I can fully confirm this observation. The dream phantasy of sit- ting for an examination very often recurs with such people as a "typical dream," and is constantly associated with the un- pleasant feeling of not being ready, of making a fool of one- self, etc. This feeling is a dream-displaced affect; it belongs to the consciousness of the sexual incapacity. A synonym of cohabitation that is commonly used in vulgar Hungarian ("to shoot") is probably the reason why in the dreams of impotent patients under my treatment situations so often recur in which the chief part is played by the (mostly clumsy) use of weapons (e. y. rusting of the rifle, missing the target, missing fire in shooting, etc.). 80 Contributions to Psycho- Analyst* serve out. 8 This is an expression of the esprit d'escalier so frequent amongst psychoneurotics, or, as Freud terms it, "subsequentness." These high- flown plans, however, remain for the most part otiose phantasy-pictures ; dread or fear always paralyses the patient's hand and tongue again and again in the critical moment. The analysis finds a determin- ing factor of this kind of cowardice in the infantile awe of the parents and older members of the family, which at that time restrained the child's revolt against their rebukes and bodily chastisements. With the close physiological connection and the ideational association that obtain between the sexual function and the passage of urine I found it intelligi- ble that the patient's inhibition also made its appear- ance, as it soon turned out, in regard to micturition. He was unable to discharge urine in the presence of a second person. So long as he was quite alone in a public urinal he urinated regularly, and with a good stream ; at the moment when anyone entered the flow was "as if cut off," and he became unable to press out even a drop. From this symptom, as also from his bashfulness in regard to men, I inferred that with the patient, as with most neurotics (Freud), the homosexual compo- nent was present in a higher degree than usual. I believed that the infantile source of this was to be In Ibsen's "Pretenders" the figure of the Bishop Nicholas excellently illustrates cowardice and concealed cruelty as the result of sexual impotence. Psychosexual Impotence 21 sought in his relation to a younger brother, with whom he had slept in the same bed for years, and with whom he had lived in an offensive and defensive league against the elder brother who ill-treated them. With the expression "usual amount of homosexu- ality" I imply that my psycho-analyses, now quite numerous, support the theory of psycho-bisexualityA according to which there is retained from the original / bisexual disposition of man not only anatomical, but \ also psychosexual rudiments, which under certain circumstances may obtain the supremacy. On the ground of other similar analyses I sus- pected that the corpulent woman who recurred in the dreams stood for some near relative of the patient, the mother or a sister; he indignantly rejected this imputation, however, and triumphantly told me that he had only one corpulent sister, and it was just this one that he couldn't bear ; he had always been sullen and gruff towards her. When, however, one has ex- perienced, as I have, how often a sympathy that is burdensome to consciousness is hidden behind an ex- aggerated harshness and ill-temper, one's suspicion is not lulled by information such as this. 9 On one of the following da}'s the patient had a peculiar hypnagogic hallucination, which with slight modifications he had already noticed a few times be- fore: in the act of going to sleep he had the feeling as if his feet (which, though naked, appeared to him "I hate because I cannot love." (Ibsen.) 22 Contributions to Psycho-Analysis to have shoes on) were rising in the air, while his head sank deep down ; he awakened at once with an intense feeling of dread. Having regard to the al- ready mentioned foot- and shoe-fetishism I submit- ted afresh to an exact analysis the patient's free associations to this theme, with the result that the following memory-images emerged, which he had long forgotten, and which were most painful to him : The corpulent sister, whom he "couldn't stand," and who was ten years older than the patient, used to undo and do up the shoes of her then three- or four-year- old brother, and it also not infrequently happened that she would let him ride on her naked leg (cov- ered only by a short stocking), whereupon he used to experience a voluptuous sensation in his member. (Since this is obviously a "cover-memory" in Freud's sense, more must have passed between them). When he wanted to repeat this later on his sister, now four- teen or fifteen years old, rebuffed him with the re- proach that such conduct was improper and indecent. I was now able to tell the patient of my assured conviction that the psychological ground for his im- potence was to be sought in the wish for the repetition of those sexual acts, a wish incompatible with the "cultivated sexual-morality" (V. Ehrenfels, Freud) and hence repressed, but which lived on in the uncon- scious. The patient, with whom the arguments only half prevailed, adhered to his denial, but his resis- tance did not last much longer. He came shortly Psychosexual Impotence 23 after with the news that he had thought over what I had said to him, and recollected how in his youth (from the fifteenth to the eighteenth year) he would select this infantile experience with his sister as the object of his masturbation phantasies ; indeed, it was the dread of his conscience after self-gratification of this kind that had moved him to give up masturba- tion altogether. Since that time the childhood story had never occurred to his mind till now. I induced the patient from the beginning to con- tinue during the treatment his attempts at cohabita- tion. After the dream-analysis related above he came one day with the surprising news that on the day before (for the first time in his life) he had suc- ceeded in this ; the erection, the duration of the fric- tion, and the orgasm had given him complete satis- faction, and, with the avidity characteristic of neu- rotics, he repeated the act twice again on the same evening, each time with a different woman. I continued with the treatment and began to re- duce analytically the other symptoms of his neurosis, but the patient, after he had achieved his chief aim and convinced himself of the durability of the result, lacked the necessary interest for the analysis, and so I discharged him after treating him for two months. This therapeutic success needs explaining. From Freud's pioneering work on the evolution of sexual- ity in the individual (Drei AWiandlimgen) we learnt that the child receives his first sexual impressions 24 Contributions to Psycho-Analysis from the immediate environment, and that these im- pressions determine the direction in the later choice of the sexual-object. It may happen, however, that as a result of constitutional causes or of external favouring factors (e. g. spoiling) the incestuous object-choice becomes fixed. Cultural morality, gradually strengthened by example and education defends itself energetically against the obtrusion of the improper wishes, and repression of these comes about. This defence to begin with succeeds com- pletely ("Period of successful defence," Freud) as also in our case , but the suppressed wishes may again become active under the influence of the or- ganic-sexual development in puberty, making neces- sary another corresponding stage in repression. The second repression signified for our patient the be- ginning of the psychoneurosis, which manifested itself in, amongst other ways, the psychosexual in- hibition and the aversion to the sister. He was incapable of performing the sexual act, since every woman reminded him unconsciously of his sister ; and he couldn't endure his sister because, without know- ing it, he always saw in her not only the relative, but also the woman. The antipathy was a good means of protection against his becoming conscious of a feeling-stream of the opposite kind. Still the unconscious (in Freud's sense) is only able to control the mental and bodily being of man until the analysis reveals the content of the thought- Psychosexual Impotence 25 processes hidden in it. Once the light of conscious- ness has illuminated these mental processes there is an end of the tyrannical power of the unconscious complex. The repressed thoughts cease to be heaps and collections of non-abreacted affects ; they be- come links in the ideational chain of normal asso- ciation. It was, therefore, in our case thanks to the analysis, i. e. to a kind of "circumvention of the censor" (Freud), that the affective energy of the complex was no longer converted into a physical compulsion- (inhibition-) symptom, but was disinte- grated and led off by thought-activity, losing its in- adequate 10 significance forever. That incestuous fixation of the "sexual hunger" 11 is to be recognized not as an exceptional, but as a relatively frequent cause of psychosexual impotence, is shewn by the quite analogous psycho-analyses by Steiner and Stekel. I am also able to bring forward a second similar case. A psychoneurotic, twenty- eight years old (who had been treated by me and at that time was almost cured), was tormented by anxious obsessions and obsessive acts, and suffered besides from psycho-sexual inhibition, just like the patient whose history was related above. This symp- tom, however, ceased of itself in the sixth month of the analysis after we managed to make conscious infantile incest-thoughts that had been fixed on the 10 (This word is used in psychopathology to mean "dispropor- tionate." Translator.) u This word is used to translate the German "Libido." 86 Contributions to Psycho- Analysis person of the mother. When I mention that this otherwise rather "over-moral" patient also indulged in hostile phantasies against his father among his un- conscious thought-processes, one will recognize in him a typical personification of the Oedipus myth, the general human significance of which has been re- vealed by Freud's discoveries. The libidinous thoughts repressed in childhood, which condition psychical impotence, need not refer to the nearest relatives; it is enough that the in- fantile sexual-object has been a so-called "respected person," demanding in one way or another high con- sideration. As an example of this I may cite a patient, aged forty-five, with whom both the torment- ing "cardiac anxiety" (angina pectoris nervosa) and the sexual weakness considerably improved after he was able to give an account of repressed disre- spectful phantasies, the object of which was his dead foster-mother. In this case the incestuous fix- ation (if this designation is permitted in regard to people not related in blood) was furthered by the circumstance that the foster-mother also had not re- strained her child-love within the necessary limits; she let the boy sleep in her bed till his tenth year, and for a long time tolerated without contradicting him his demonstrations of affection, which was al- ready plainly tinged with erotism. Children are often exposed to such dangers and temptations from the side of their teachers and educators ; it is not Psychosexual Impotence 87 rare for them to fall a victim to masked sexual acts on the part of grown-up relatives, and not only as might have been supposed in the slums, but also among classes of society where the greatest possible care is lavished on children. 12 The tragic part that the foster-mother had played in the life of this patient was shewn by the fact that, when he wanted to marry, a few years ago, the old lady, then over seventy years old, committed suicide in her despair ; she threw herself out of the window of the second floor 13 just in the moment that her adopted son left the front door. The patient be' lieved that the motive for this deed was her dissatis- faction with his choice. But his unconscious must have interpreted the suicide more correctly, for about this time appeared the cardiac pains, which one re- gards as converted (projected into the corporeal sphere) "heart-ache." The sexual weakness had ex- isted with this patient since puberty, and he will perhaps attain full sexual capacity only towards the decline of masculine life. Steiner distinguishes, besides the cases of func- tional impotence that are determined by unconscious complexes of infantile origin, two other kinds of psychosexual inhibition; with one of these congeni- tal sexual inferiority, with the other certain injuri- 12 See Freud's Kleine Schriften, S. 114, and also my article "Sexual-Padagogik," Budapesti Orvosi Ujsdg, 1908. 18 [In America this would be called the fourth floor, in Eng- land the third. Translator.] 28 Contributions to Psycho- Analysis ous influences acting after puberty, are to be re- garded as the causative agents. The value of this division is, in my opinion, more a practical than a theoretical one. From the "congenital" cases we have above all to exclude the cases of pseudo- heredity, where neuropathic parents as a result of their complaint treat the children wrongly, train them badly, and may expose them to influences that have as a result a subsequent sexual inhibition, whereas without these influences even the person afflicted through heredity would perhaps not have become sexually impotent. Freud compares the pathogenesis of the neuroses with that of tuberculosis. The predisposition also plays an important part with the latter, but the real pathogenic agent is none the less only the Bacil- lus Kochii, and if this could be kept at a distance not a single soul would die of the predisposition alone. Sexual influences of childhood play the same part in the neuroses as bacteria do in infective dis- eases. And though one must admit that where the predisposition is very marked the ubiquitous, un- avoidable impressions may suffice to determine a fu- ture functional impotence, one has nevertheless to be absolutely clear that these impressions, and not the unsubstantial "predisposition," are the specific cause (Freud) of the disorder. From this it also follows that even with "congenital sexual inferiority" Psychosexual Impotence 29 psycho-analysis is not quite without hopeful possi- bilities. The psychosexual impotence that is acquired after puberty also differs, in my opinion, only apparently from that constellated by unconscious complexes. When anyone, after being able for a time properly to perform the act of copulation, loses for a long period his capacity under the impression of special circumstances (e. g. fear of infection, of pregnancy, of being detected, too great sexual excitement, etc.), one may be confident that repressed infantile com- plexes are present in him also, and that the exag- geratedly long or intense, i. e. pathological, effect of the present harmful agent is to be ascribed to the affect that has been transferred from such complexes to the current reaction. From a practical point of view Steiner is entirely right when he brings this group into special prominence, for the cases to be reckoned here are often curable by simple tranquilli- sation, suggestive measures, or a quite superficial analysis (which may be equated to the old Breuer- Freud "catharsis" or "abreaction"). Still, this kind of cure has not the prophylactic value of the pene- trating psycho-analysis, although one cannot gain- say its advantage in being a much lesser burden to the physician and the patient. A superficial analysis of this kind restored his potestas coewndi to one of my patients, a young man 30 Contributions to Psycho-Analysis who became impotent from hypochondria after ac- quiring his first gonorrhoea, and also to a second one, who was made impotent with his wife by the sight of her menstrual blood. Simple encouragements and suggestive tranquillisation had the same effect with a thirty-six-year-old man who, although he had pre- viously been fairly active sexually, became impotent when he married and it was a question of marital *'duty." In this case, however, I continued the an- alysis after restoring the sexual function, and the result of this was the discovery of the following facts: The patient, the son of a cooper, had in his fourth or fifth year masturbated the genital parts otf a girl of the same age; in this he was encouraged by an undoubtedly perverse assistant of his father's, who then got the girl to manipulate the boy's prepuce wtth a small wooden needle, such as is used for stop- ping up casks with worm holes in them. In this way the needle happened to bore into the prepuce, and a medical man had to perform an operation to take il away. With all this there was considerable fright, dread, and shame. What depressed him still more, however, was that his comrades somehow got wind of the occurrence and teased him for years with the nickname "needle-prick." He became taciturn and sullen. About the time of puberty he was often frightened that the scar in his prepuce, trivial as it was, would diminish his capacity for the act, but after a little wavering the first attempts succeeded Psychosexual Impotence 31 fairly well. Still, the fear of being unable to meet the higher sexual claims of married life entailed an inordinate burden for his sexuality, already weak- ened through an infantile complex, and after the marriage he was reduced to impotence. The case is instructive in several respects. It shews that when potency returns after dispersing the current anxious ideas, this does not mean that this fear has been the exclusive cause of the inhibi- tion ; it is much likelier that, in this case as in all similar ones, the preconscious dread has only a "transferred field of activity," while the original source of the disorder is hidden in the unconscious. The successful treatment by suggestion would then have only "broken the point" off the symptom as Freud says i. e. would have so far diminished the total burthen of the neuropsychical apparatus that the patient could then manage it alone. The case also illustrates how, besides infantile in- cestuous fixation, other experiences of early child- hood connected with the affect of pronounced shame may later determine a psychosexual inhibition. One kind of shame deserves special mention on account of its practical importance, that, namely, which the child feels on being caught masturbating. The feeling of shame on such an occasion .is often still more strongly fixed through the child receiving bodily punishment and having the fear of severe ill- nesses implanted in him ; Freud has called our atten- 32 Contributions to Psycho- Analysis tion to the fact that the way in which the child is weaned from onanism is a typical influence in the later character- and neurosis-formation. It may be asserted with confidence that the tactless behaviour of parents, teachers, and physicians in this matter, which is so important for the child, causes more mis- chief than all the other noxious influences of civili- sation that are so often blamed. The isolation of children in their sexual exigencies, the resulting ex- aggerated and false notions on everything that physiologically or ideationally has to do with sex- uality, the inordinate strictness in the punishment of sexual habits of childhood, the systematic train- ing of children to blind obedience and motiveless respect for their parents: all these are components of a method of education, unfortunately prevailing to-day, that might also be called artificial breeding of neuropaths and sexually impotent people. I may sum up as follows my view on male psycho- sexual impotence: 1. Male psychosexual impotence is always a single manifestation of a psychoneurosis, /and accords with Freud's conception of the genesis / of psychoneurotic symptoms. Thus it is always the symbolic expression of repressed memory-traces of infantile sexual experiences, of unconscious wishes striving for the repetition of these, and of the mental conflicts provoked in this way. These memory- traces and wish-impulses in sexual impotence are always of such a kind, or refer to such personalities, Psycho sexual Impotence 33 as to be incompatible with the conscious thought of adult civilised human beings. The sexual inhibition is thus an interdiction on the part of the unconscious, which really is directed against a certain variety of sexual activity, but which, for the better assuring of the repression, becomes extended to sexual gratifi- cation altogether. 2. The sexual experiences of early childhood that determine the later inhibition may be serious mental traumata. When the neurotic predisposition is marked however, unavoidable and apparently harm- less childhood impressions may lead to the same result. 3. Among the pathogenic causes of later psycho- sexual impotence, incestuous fixation (Freud) and sexual shame in childhood are of specially great significance. 4. The inhibiting effect of the repressed complex may manifest itself at once in the first attempts at cohabitation, and become fixed. In slighter cases the inhibition becomes of importance only later, in co- habitation accompanied by apprehension or by spe- cially strong sexual excitement. An analysis carried to a sufficient depth, however, would probably be able in all such cases to demonstrate beside (or, more correctly, behind), the current noxious influ- ence that is acting in a depressing way also repressed infantile sexual memories and unconscious phantasies related to these. 34 Contributions to Psyclw-Analyv* 5. Full comprehension of a case of psychosexunl impotence is only thinkable with the help of Freud's psycho-analysis. By means of this method cure of the symptom and prophylaxis against its return is often to be obtained even in severe and inveterate cases. In mild cases suggestion or a superficial an- alysis may be successful. 6. The psychoneurosis of which the sexual in- hibition is a part manifestation is as a rule compli- cated by symptoms of an "actual-neurosis" in Freud's sense (neurasthenia, anxiety-neurosis). (The following sentence may be added here, ex- tracted from a short article written some years later by Dr. Ferenczi ("Paraesthesias of the Genital Re- gion in Impotency," Internat. Zeitschr. f. Psycho- analyse, May 1913): "Apart from unconscious (onanistic) incest-phantasies, fears of castration are the most frequent cause of psychical impotence; most often both are the cause (dread of castration on account of incest-wishes)." Transl.). CHAPTER II INTROJECTION AND TRANSFERENCE 1 /. Introjection in the Neuroses THE productivity of the neurosis (during a course of psycho-analytic treatment) is far from being extinguished, but exercises itself in the creation of a peculiar sort of thought-formation, mostly unconscious, to which the name 'transfer- ences' may be given. "These transferences are re-impressions and re- productions of the emotions and phantasies that have to be awakened and brought into consciousness during the progress of the analysis, and are char- acterised by the replacement of a former person by the physician." In these sentences Freud announced, in the mas- terly description of a hysterical case, 2 one of his most significant discoveries. Whoever since then, following Freud's indications, has tried to investigate psycho-analytically the men- 1 Published in the Jahrbuch der Psychoanalyse, 1909. *"Bruchstiick einer Hysteric-analyse," in Sammlung Kleiner Schriften zur Neurosenlehre, Bd. II. 35 36 Contributions to Psycho- Analysis tal life of neurotics, must have become convinced of the truth of this observation. The greatest difficul- ties of such an analysis, indeed, proceed from the remarkable peculiarity of neurotics that "in order to avoid insight into their own unconscious, they transfer to the physician treating them all their affects (hate, love) that have been reinforced from the unconscious." 3 When, however, one becomes more familiar with the workings of the neurotic mind, one recognises that the psychoneurotic's inclination to transference expresses itself not only in the special case of a psycho-analytic treatment, and not only in regard to the physician, but that transference is a psychi- cal mechanism that is characteristic of the neurosis altogether, one that is evidenced in all situations of life, and which underlies most of the pathological manifestations. With increasing experience one becomes convinced that the apparently motiveless extravagance of af- fect, the excessive hate, love and sympathy of neu- rotics, are also nothing else than transferences, by means of which long forgotten psychical experiences are (in the unconscious phantasy) brought into con- nection with the current occasion, and the current re- action exaggerated by the affect of unconscious idea- tional complexes. The tendency of hysterical pa- * Ferenczi, "Ueber Aktual-und Psychoneurosen im Sinne Freuds," Wiener klin. Rundschau, 1908, Nr. 48 to 51. Introjection and Transference 37 tients to use exaggeration in the expression of their emotions has long been known, and often ridiculed. Freud has shewn us that it is rather we physicians who deserve the ridicule, because failing to under- stand the symbolism of hysterical symptoms the language of hysteria, so to speak we have either looked upon these symptoms as implying simulation, or fancied we had settled them by the use of abstruse physiological terms. It was Freud's psychological conception of hysterical symptoms and character traits that first really disclosed the neurotic mind. Thus he found that the inclination of psychoneu- rotics to imitation, and the "psychical infection" so frequent among hysterics, are not simple automa- tisms, but find their explanation in unconscious pre- tensions and wishes, which the patient does not con- fess even to himself, and which are incapable of becoming conscious. The patient copies the symp- toms or character traits of a person when "on the basis of an identical aetiological claim" he identifies himself in his unconscious with him. 4 The well- known impressionability also of many neurotics, their capacity to feel in the most intense way for the ex- periences of others, to put themselves in the place of a third person, finds its explanation in hysterical identification ; and their impulsive philanthropic and magnanimous deeds are only reactions to these un- conscious instigations are therefore in the last 4 Freud. Die Traumdeutung, 2e Aufl., S. 107. 88 Contributions to Psycho- Analysis analysis egoistic actions governed by the "unpleas- antness (Unlust) principle." The fact that every sort of humanitarian or reform movement, the propa- ganda of abstinence (vegetarianism, anti-alcoholism, abolitionism), revolutionary organisations and sects, conspiracies for or against the religious, political, or moral order, teem with neuropaths is similarly to be explained by the transference of interest from censored egoistic (erotic or violent) tendencies of the unconscious on to fields where they can work themselves out without any self-reproach. The daily occurrences of a simple civic life also, however, offer neurotics the richest opportunity for the dis- placement on to permissible fields of impulses that are incapable of being conscious. An example of this is the unconscious identification of grossly sexual genital functions with those of the oral organs (eat- ing, kissing), as was first established by Freud. In a number of analyses I have been able to prove that the partiality of hysterics for dainty feeding, their inclination to eat indigestible material (chalk, unripe fruit, etc.), their peculiar search for exotic dishes, their preference or idiosyncrasy in regard to food of a certain form or consistency, that all this was concerned with the displacement of interest from repressed erotic (genital or coprophilic) inclinations, and was an indication of a lack of sexual satisfac- tion. (The well-known manias of pregnant women also, which, by the way, I have observed with non- Introjection and Transference 39 pregnant women as well at the menstrual time, I have many times been able to trace to insufficient satisfactions, relative to the increased "sexual hun- ger"). Otto Gross and Stekel found a similar cause with hysterical kleptomania. I am aware that in the examples brought forward I have confounded the expressions Displacement and Transference. Transference, however, is only a spe- cial case of the neurotic's inclination to displace- ment; in order to escape from complexes that are unpleasant, and hence have become unconscious, he is forced to meet the persons and things of the outer world with exaggerated interest (love, hate, passion- ate manias, idiosyncrasy) on the basis of the most superficial "aetiological pretensions" and analogies. A course of psycho-analytic treatment offers the most favourable conditions for the occurrence of such a transference. The impulses that have been repressed, and are gradually becoming conscious, first meet "m statu nescendi" the person of the phy- sician, and seek to link their unsatisfied valencies to his personality. If we pursued this comparison taken from chemistry we might conceive of psycho- analysis, so far as the transference is concerned, as a kind of catalysis- The person of the physician has here the effect of a catalytic ferment that tempo- rarily attracts to itself the affects split off by the dissection. In a technically correct psycho-analysis, however, the bond thus formed is only a loose one, 40 Contribution* to Psycho- Analysis the interest of the patient being led back as soon as possible to its original, covered-over sources and brought into permanent connection with them. What slight and trivial motives suffice with neuro- tics for the transference of affects is indicated in the quoted work of Freud. We may add a few charac- teristic examples. A hysterical patient with very strong sexual repression betrayed first in a dream the transference to the physician. (I, the physician, am operating on her nose, and she is wearing a frisure a la Cleo de Merode.) Whoever has already analy- tically interpreted dreams will readily believe that in this dream, as well also as in the unconscious waking thought, I have taken the place of the rhinologist who once made improper advances to the patient; the frisure of the well-known demi-mondaine is too plain a hint of this. Whenever the physician ap- pears in the patient's dreams the analysis discovers with certainty signs of transference. Stekel's book on anxiety states 5 has many pretty examples of this. The case just mentioned, however, is also typical in another way. Patients very often use the oppor- tunity to revive all the sexual excitations they have previously noticed and repressed during medical ex- aminations (in unconscious phantasies about un- dressing and being percussed, palpated, and "ope- rated on"), and to replace in the unconscious the Stekel, Nervdse Angstzustande, 1908. Introjection and Transference 41 previous physicians in question by the person of the present one. One need only be a physician to become the object of this kind of transference; the mystical part played in the sexual phantasy of the child by the doctor, who knows all forbidden things, who may look at and touch everything that is concealed, is an obvious determining factor in unconscious fancying, and therefore also in the transference occurring in a subsequent neurosis. 8 With the extraordinary significance that attaches (according to Freud's conclusion which is confirmed daily) to the repressed "Oedipus-complex" (hate and love towards the parents) in every case of neurosis, one is not surprised that the "paternal" air, the friendly and indulgent manner, with which the physi- cian has to meet the patient in psycho-analysis gets so frequently used as a bridge to the transference of conscious feelings of sympathy and unconscious erotic phantasies, the original objects of which were the parents. The physician is always one of the "revenants" (Freud) in whom the neurotic patient hopes to find again the vanished figures of childhood. Nevertheless, one less friendly remark, reminding him of a duty or of punctuality, or a tone that is only a nuance sharper than usual, on the part of the an- alysing physician is sufficient to make him incur all 'Compare the remark about the "doctor game"" in Freud's article on "Infantile Sexualtheorien," Kleine Schriften, 2e FoUre, S. 171. 42 Contributions to Psycho-Analysis the patient's hate and anger that is directed against moralising persons who demand respect (parent, husband). The ascertaining of such transferences of positive and negative effects is exceedingly important for the analysis, for neurotics are mostly persons who believe themselves incapable either of loving or of hating ( often denying to themselves even the most primitive knowledge about sexuality) ; they are therefore either anaesthetic or else good to a fault, and nothing is more suited to shatter their erroneous belief in their own lack of feeling and angelic goodness than having their contrary feeling-currents detected and exposed in flagranti. The transferences are still more important as points of departure for the con- tinuation of the analysis in the direction of the more deeply repressed thought-complexes. Ridiculously slight resemblances also: the colour of the hair, facial traits, a gesture of the physician, the way in which he holds a cigarette or a pen, the identity or the similarity in sound of the Christian name with that of some person who has been signifi- cant to the patient; even such distant analogies as these are sufficient to establish the transference. The fact that a transference on the ground of such petty analogies strikes us as ridiculous reminds me that Freud in a category of wit shewed the "presen- tation by means of a detail" to be the agent that sets free the pleasure, . e. reinforces it from the un- Introjection and Transference 48 conscious ; in all dreams also we find similar allusions to things, persons, and events by the help of mini- mal details. The poetical figure "pars pro toto" is thus quite current in the language of the uncon- scious. The sex of the physician is in itself a much-used bridge for the transference. Female patients very often attach their unconscious heterosexual phan- tasies to the fact that the physician is a man; this gives them the possibility of reviving the repressed complexes that are associated with the idea of mas- culinity. Still the homosexual component that is hidden in everyone sees to it that men also seek to transfer to the physician their "sympathy" and friendship or the contrary. It is enough, however, that something in the physician seems to the patient to be "feminine" for women to bring their homo- sexual, and men their heterosexual interests, or their aversion that is related to this, into connection with the person of the physician. In a number of cases I succeeded in demonstrating that the relaxation of the ethical censor in the physician's consulting room was partly determined by the lessened feeling of responsibility on the pa- tient's part. The consciousness that the physician is responsible for everything that happens (in his own room) favours the emergence of day-dreams, first unconscious, later becoming conscious, which very often have as their subject a violent sexual 44 Contributions to Psycho- Analysis assault on the part of the physician and then mostly end with the exemplary punishment of such a vil- lain (his being sentenced, publicly degraded through newspaper articles, shot in a duel, etc.). It is just in this sort of moral disguise that the repressed wishes of people can become conscious. As another motive lessening the feeling of responsibility I recog- nised in a patient the idea that "the doctor can do everything," by which she understood the operative removal of any possible consequence of a liaison. In the analysis the patients have to communicate all these lewd plans, just as everything else that oc- curs to them. In the non-analytic treatment of neurotics all this remains unknown to the physician, and as a result the phantasies sometimes attain an almost hallucinatory character and may end in a public or legal calumny. The circumstance that other persons also are be- ing treated psychotherapeutically allows the patients to indulge without any, or with very little, self- reproach the affects of jealousy, envy, hate, and violence that are hidden in their unconscious. Nat- urally the patient has then in the analysis to detach these "inadequate," 7 feeling-impulses also from the current inciting cause, and associate them with much more significant personalities and situations. The same holds good for the more or less conscious thought-processes and 1 feeling-impulses that have 1 (I. e. disproportionate, misplaced, or inappropriate. Transl.) Introjection and Transference 45 their starting-point in the financial contract between the patient and physician. In this way many "mag- nanimous," "generous" people have to see and admit in the analysis that the feelings of avarice, of ruth- less selfishness, and of ignoble covetousness are not quite so foreign to them as they had previously liked to believe. (Freud is accustomed to say, "People treat money questions with the same mendacity as they do sexual ones. In the analysis both have to be discussed with the same frankness.") That the money complex, transferred to the treatment, is often only the cover for much more deeply hidden impulses Freud has established in a masterly characterologi- cal study ("Charakter und Analerotik"). When we bear in mind these different varieties of the transference to the physician, we become de- cidedly strengthened in our assumption that this is only one manifestation, although in a practical way the most important one, of the general neurotic passion for transference. This passion, or mania, we may regard as the most fundamental peculiarity of the neuroses, and also that which goes most to ex- plain their conversion and substitution symptoms. All neurotics suffer from flight from their complexes; they take flight into illness, as Freud says, from the pleasure that has become disagreeable; that is to say, they withdraw the "sexual hunger" from cer- tain ideational complexes that were formerly charged with pleasantness. When the withdrawal of "sexual 46 Contributions to Psycho- Analysis hunger" is less complete, the interest for what form- erly was loved or hated disappears, being succeeded by indifference; if the detachment of the "sexual hunger" is more complete, then the censor does not let pass even the slight degree of interest necessary for the exercising of attention the complex becomes "repressed," "forgotten," and incapable of being conscious. It would seem, however, as though the mind did not easily tolerate "sexual hunger" that has been released from its complex, and is thus "free- floating." In the anxiety neurosis, as Freud has shewn, the deviation of the somatic sexual excitation from the psychical field converts the pleasure into anxiety. In the psychoneuroses we have to presup- pose a similar alteration; here the deviation of the psychosexual hunger from certain ideational com- plexes causes a sort of lasting unrest, which the patient tries to mitigate as much as possible. He manages also to neutralise a greater or less part by the way of conversion (hysteria) or of substitution (obsessional neurosis).' It seems, however, as if this bond were scarcely ever an absolute one, so that a variable amount of free-floating and complex-escap- ing excitation remains over, which seeks satisfaction from external objects. The idea of this excitation could be used to explain the neurotic passion for transference, and be made responsible for the "manias" of the neurotic. (In the petite hysterie Intr ejection and Transference 47 these manias seem to constitute the essence of the disease.) To understand better the fundamental character of neurotics one has to compare their behaviour with that of patients suffering from dementia praecox and paranoia. The dement completely detaches his interest from the outer world and becomes auto- erotic (Jung, 8 Abraham 9 ). The paranoiac, as Freud has pointed out, would like to do the same, but cannot, and so projects on to the outer world the interest that has become a burden to him. The neurosis stands in this respect in a diametrical con- trast to paranoia. Whereas the paranoiac expels from his ego the impulses that have become unpleas- ant, the neurotic helps himself by taking into the ego as large as possible a part of the outer world, making it the object of unconscious phantasies. This is a kind of diluting process, by means of which he tries to mitigate the poignancy of free-floating, unsatisfied, and unsatisfiable, unconscious wish-im- pulses. One might give to this process, in contrast to projection, the name of Intro jection. The neurotic is constantly seeking for objects with * Jung, Zur Psychologic der Dementia Praecox, 1907. ("Lack of pleasant rapport in dementia praecox.") Abraham, "Die psychosexuellen Differenzen der Hysteric und der Dementia praecox," Zentralbl. f. Nervenheilk. u. Psych., 1908. ("The contrast between dementia praecox and hysteria lies in the auto-erotism of the former. Turning away of 'sex- ual hunger' in the former, excessive investment of the object in the latter.") 48 Contributions to Psycho- Analysis whom he can identify himself, to whom he can trans- fer feelings, whom he can thus draw into his circle of interest, i. e. introject. We see the paranoiac on a similar search for objects who might be suitable for the projection of "sexual hunger" that is creat- ing unpleasant feeling. So finally there appear the opposite characters of the large-hearted, impression- able, excitable neurotic, easily flaming up with love of all the world or provoked to hate of all the world, and that of the narrow-souled, suspicious paranoiac, who thinks he is being observed, persecuted, or loved by the whole world. The psychoneurotic suffers from a widening, the paranoic from a shrinking of his ego. When we revise the ontogenesis of the ego-con- sciousness on the basis of the new knowledge, we come to the conclusion that the paranoiac projection and the neurotic introjection are merely extreme cases of psychical processes the primary forms of which are to be demonstrated in every normal being. We may suppose that to the new-born child every- thing perceived by the senses appears unitary, so to speak monistic. Only later does he learn to distin- guish from his ego the malicious things, forming an outer world, that do not obey his will. That would be the first projection process, the primordial projection, and the later paranoiac probably makes use of the path thus traced out, in order to expel still more of his ego into the outer world. Int rejection and Transference 49 A part of the outer world, however, greater or less, is not so easily cast off from the ego, but continually obtrudes itself again on the latter, chal- lenging it, so to speak; "Fight with me or be my friend" (Wagner, Gotterdammerung, Act I). If the individual has unsettled affects at his disposal, and these he soon has, he accepts this challenge by ex- tending his "interest" from the ego on to the part of the outer world. The first loving and hating is a transference of auto-erotic pleasant and unpleasant feelings on to the objects that evoke those feelings. The first "object-love" and the first "object-hate" are, so to speak, the primordial transferences, the roots of every future introjection. Freud's discoveries in the field of psychopathology of everyday life convince us that the capacity for projection and displacement is present also in normal human beings, and often overshoots the mark. Fur- ther, the way in which civilised man adjusts his ego to the world, his philosophic and religious meta- physics, is according to Freud only metapsychology, for the most part a projection of feeling-impulses into the outer world. Probably, however, besides projection introjection is significant for man's view of the world. The extensive part played in myth- ology by the anthropomorphising of lifeless objects seems to speak in favour of this idea. KleinpauPs able work on the development of speech, 10 to the 10 Kleinpaul, Das Stromgebiet der Sprache, 1893. 50 Contributions to Psycho- Analysis psychological significance of which Abraham u has called attention, shews convincingly how man suc- ceeds in representing the whole audible and inaudible environment by means of the ego, no form of projec- tion and introjection remaining untried thereby. The way in which in the formation of speech a series of human sounds and noises gets identified with an object on the ground of the most superficial acoustic analogy, and of the slightest "aetiological claim," reminds one strongly of the neurotic transference- bridges mentioned above. The neurotic thus makes use of a path that is much frequented by the normal as well when he seeks, to mollify the free-floating affects by extension of his circle of interest, i. e. by introjection, and when, so as to be able to keep unconscious various affective connections with certain objects that concern him nearly, he lavishes his affects on all possible objects that do not concern him. In analysing a neurotic one often succeeds in tracing out historically this extension of the circle of interest. Thus I had a patient who was reminded of sexual events of childhood by reading a novel and thereupon produced a phobia of novels, which later extended to books altogether, and finally to every- thing in print. The flight from a tendency to mas- turbate caused in one of my obsessional patients a phobia of privies (where he used to indulge this 11 Abraham. Traum und Mythos, 1909. Introjection and Transference 51 tendency) ; later there developed from this a claus- trophobia, fear of being alone in any closed space. I have been able to shew that psychical impotence in very many cases is conditioned by the transfer- ence to all women of the respect for the mother or sister. 12 With a painter the pleasure in gazing at objects, and with this the choice of his profession, proved to be a "replacement" for objects that as a child he might not look at. In the association investigations carried out by Jung 13 we can find the experimental confirmation of this inclination of neurotics to introjection. What is characteristic for the neurosis Jung desig- nates as the relatively high number of "complex- reactions" : the stimulus-words are interpreted by the neurotic "in terms of his complex." The healthy person responds quickly with an indifferent reaction- word that is associated by either the content or the sound. With the neurotic the unsatisfied affects seize on the stimulus-word and seek to exploit it in their own sense, for which the most indirect associa- tion is good enough. Thus it is not that the stimu~ lus-words evoke the complicated reaction, but that the stimulus-hungry affects of neurotics come to meet them. Applying the newly coined word, one may say that the neurotic "mtrojects" the stimulus- words of the experiment. "See Chapter I. (Impotence.) 13 Jung, Diagnostische Assoziationsstudien, 1906 52 Contributions to Psycho- Analysis The objection will be raised that extension of the circle of interest, identifying of oneself with many people indeed with the whole human race , and sensitiveness for the stimuli of the outer world, are attributes with which normal persons also, and espe- cially the most distinguished representatives of the race, are endowed ; that one cannot, therefore, desig- nate introjection as the psychical mechanism that is typical and characteristic of the neuroses. Against this objection must be brought the knowl- edge that the fundamental differences, assumed be- fore Freud's time, between normal and psychoneuro tic do not exist. Freud shewed us that "the neuroses have no special psychical content that is peculiar to them and occurs only in them," and according to Jung's statement, neurotics suffer from complexes with which we all fight. The difference between the two is only quantitative and of practical import. The healthy person transfers his affects and identi- fies himself on the basis of "aetiological claims" that have a much better motive than in the case of the neurotic, and thus does not dissipate his psychi- cal energies so foolishly as the latter does. Another difference, to the cardinal importance of which Freud has called attention, is that the healthy person is conscious of the greater part of his intro- jection, whereas with the neurotic this remains for the most part repressed, finds expression in wncon- gcious phantasies, and becomes manifest to the expert Introjection and Transference 53 only indirectly, symbolically. It very often appears in the form of "reaction-formations," as an exces- sive accentuation in consciousness of a current of feeling that is the opposite of the unconscious one. The fact that the pre-Freudian literature con- tained nothing of all these matters, of transferences to the physician, of introjections fa ne les em- pechait pas d'exister. With this remark I consider answered also those critics who repudiate the posi- tive results of psycho-analysis as not even worthy of being re-examined, but who readily accept our estimate, on which we insist, of the difficulties of this method of investigation, and use it as a weapon against the new movement. Thus I have come across among others the curious objection that psycho- analysis is dangerous because it brings about trans- ferences to the physician, where significantly enough there was never any talk of the negative transfer- ences, 14 but always of the erotic ones. If, however, transference is dangerous, then, to be consistent, all neurologists, including the oppo- nents of Freud, must give up having anything to do with neurotics, for we get more and more con- vinced that in the non-analytic and non-psycho- therapeutic methods of treating the neuroses also "The practical significance and the exceptional position of the kind of introjections that have as their object the person of the physician, and which are discovered in analysis, make it desirable that the term "transferences" given to them by Freud be retained. The designation "introjection" would be applic- able for all other cases of the same psychical mechanism. 54 Contributions to Psycho-Analysis transference plays the greatest, and probably the sole important part, only that in these methods of treatment as Freud rightly points out merely the positive feelings towards the physician come to ex- pression, for when unfriendly transferences make their appearance the patient leaves the "antipathetic doctor." The positive transferences, however, are overlooked by the physician, who surmises nothing, and the curative effect is attributed to the physical measures or to an obscurely conceived idea of "suggestion." The transference shews itself most clearly in treat- ment by hypnotism and suggestion, as I shall try to demonstrate in detail in the following chapter of this work. Since I have known something about transferences, the behaviour of the hysteric who after the end of a suggestion treatment asked for my photograph, in order so she said to be reminded of my words by looking at it, appears to me in its true light. She simply wanted to have a memento of me, as I had given so many pleasant quarters of an hour to her conflict-tortured soul by stroking her forehead, by friendly, gentle talk, and by letting her fancies have free rein in a darkened room. Another patient, with a washing mania, even confessed to me once that to please a sympathetic doctor she could often suppress her obsessive act. Introjection and Transference 55 These are not exceptional cases, but are typical, and they help to explain not only the hypnotism and suggestion "cures" of psychoneurotics, but also all the others by means of electrotherapy, mechano- therapy, hydrotherapy and massage. It is not intended to deny that more reasonable conditions of living improve the nutrition and the general sense of well-being, and in this way can to isome extent help to subdue psychoneurotic symp- toms, but the main curative agency with all these methods of treatment is the unconscious transfer- ence, in which the disguised satisfaction of libidinous tendencies (in mechanotherapy the vibration, in hydrotherapy and massage the rubbing of the skin) certainly plays a part. Freud summarises these considerations in the say- ing that we may treat a neurotic any way we like, he always treats himself psychotherapeutically, that is to say, with transferences. What we describe as introjections and other symptoms of the disease are really in Freud's opinion, with which I fully agree self-taught attempts on the patient's part to cure himself. He lets the same mechanism function, how- ever, when he meets a physician that wants to cure him: he tries as a rule quite unconsciously to "transfer," and when this is successful the improve- ment of the condition is the result. The plea may be raised that when the non-analytic 56 Contributions to Psycho- Analysis methods of treatment follow although uncon- sciously the path automatically laid down by the sick mind they are in the right. The transference therapy would thus be, so to speak, a natural way of healing, psycho-analysis on the other hand some- thing artificial, imposed on nature. This objection might be irrefutable. The patient does in fact "heal" his mental conflicts through repression, dis- placement, and transference of disagreeable com- plexes ; unfortunately what is repressed compensates itself by creating "costly replacement-formations" (Freud), so that we have to regard neuroses as "healing attempts that have miscarried" (Freud), where really "medicina pejor morbo." It would be very wrong to want to imitate Nature slavishly even here, and to follow her along a road where in the case in question she has shewn her incapacity. Psycho-analysis wishes to individualise, while Nature disdains this; analysis aims at making capable for life and action persons who have been ruined by the summary repression-procedure of that Nature who does not concern herself with the weakly individual being. It is not enough here to displace the re- pressed complexes a little further by the help of transference to the physician, to discharge a little of their affective tension, and so to achieve a tem- porary improvement. If one wants seriously to help the patient one must lead him by means of analysis to overcome opposing the unpleasantness-principle Introjection and Transference 57 the resistances (Freud) that hinder him from gaz- ing at his own naked mental physiognomy. Present-day neurology, however, will not hear of complexes, resistances, and introjections, and quite unconsciously makes use of a psychotherapeuttic measure that in many cases is really effective, namely transference; it cures, so to speak, "unconsciously," and even designates as dangerous the really effective principle of all methods of healing the psycho- neuroses. The critics who look on these transferences as dangerous should condemn the non-analytic modes of treatment more severely than the psycho-analytic method, since the former really intensify the trans- ferences, while the latter strives to uncover and to resolve them as soon as possible. I deny, however, that transference is harmful, and surmise rather that at least in the pathology of the neuroses the ancient belief, which strikes its roots deep in the mind of the people, will be con- firmed, that diseases are to be cured by "sympathy.'* Those who scornfully reproach us with explaining and wanting to cure "everything from one point" are still far too much influenced by that ascetic- religious view of life, with its depreciation of every- thing sexual, which for nearly two thousand years has prevented the attainment of insight into the great significance that "sexual hunger" has for the mental life of the normal and pathological. 68 Contributions to Psycho-Analysis II. The Part played by Transference in Hypnotism and Suggestion. The Paris neurological school (Charcot's school) regarded stimuli acting peripherally and centrally on the nervous system (optical fixation of objects, stroking the skin of the head, etc.), as the main fac- tors in hypnotic phenomena. The Nancy school (Bernheim's school), on the contrary, sees in these and similar stimuli only vehicles for the "administer- ing" of ideas, and in hypnotism in particular the vehicle for introducing the idea of going to sleep. The successful administration of the sleep idea is then supposed to be able to evoke a kind of "disso- ciation condition of the brain" in which one is ac- cessible with special ease to further suggestions, . e. hypnosis. This was an enormous progress, the first attempt at a purely psychological explanation, freed from unjustifiable physiological phrases, of the phenomena of hypnosis and suggestion, though even this did not quite satisfy our causality criteria. It was a priori unlikely that fixing the eye on a shining object could be the main cause of such radical changes in the mental life as those brought about by hypnosis. It is not much more plausible, however, to assume that an idea "administered" to a waking person, the idea of sleeping, could cause such changes without the indispensable assistance of much more potent psychical forces. Everything speaks much Introjection and Transference 59 more in favour of the view that in hypnotism and suggestion the chief work is performed not by the hypnotist and suggestor, but by the person himself, who till now has been looked upon merely as the "object" of the administering procedure. The exist- ence of auto-suggestion and auto-hypnosis on the one hand, and the limits of producible phenomena residing in the individuality of the "medium" on the other hand, are striking proofs of what a subordinate part in the causality chain of these phenomena is really played by the intrusion of the experimental- ist. In spite of this knowledge, however, the condi- tions of the intrapsychical elaboration of the sug- gestion influence remained wrapped in obscurity. It was the psycho-analytic investigation of ner- vous patients by Freud's method that first yielded glimpses into the mental processes that go on in suggestion and hypnosis. Psycho-analysis allowed us to establish with certainty the fact that the hypnotist is relieved of the effort of evoking that "dissociation condition" (which effort, by the way, he would scarcely be equal to), for he finds dissocia- tion ready, i. e. the existence of different layers of the mind by the side of one another (Freud's "lo- calities," "ways of working") also in persons who are awake. Besides the certain establishment of this fact, however, psycho-analysis gives previously un- surmised information also about the content of the ideational complexes and the direction of the affects 60 Contributions to Psycho- Analysis that go to make up the unconscious layer of the mind which is operative during hypnosis and sugges- tion. It has been found that in the "unconscious" (in Freud's sense) all the impulses are pent up that have been repressed in the course of the individual cultural development, and that their unsatisfied, stimulus-hungry affects are constantly ready to "transfer" on to the persons and objects of the outer world, to bring these unconsciously into con- nection with the ego, to "introject." If we now im- agine from this aspect the psychical state of a per- son to whom something is to be suggested, we note a displacement of the earlier point of view, a dis- placement that is of cardinal importance. The unconscious mental forces of the "medium" appear as the real active agent, whereas the hypnotist, pre- viously pictured as all-powerful, has to content him- self with the part of an object used by the uncon- scious of the apparently unresisting "medium" ac- cording to the latter's individual and temporary disposition. Among the psychical complexes that, fixed in the course of childhood, remain of extraordinarily high significance for the whole fashioning of life later on, the "parental complexes" rank foremost. Freud's experience that these complexes furnish the basis for the psychoneurotic symptoms of adults is confirmed by all who have seriously occupied themselves with these problems. My efforts to investigate analyti- Int rejection and Transference 61 cally the causes of psychosexual impotence led to the conclusion that this condition also is in a very large number of cases due to "incestuous fixation" of "sex- ual hunger" (Freud), t. e. to the formation of a too firm though quite unconscious bond between sex- ual wishes and the images of the nearest relatives, especially the parents ; this confirms similar observa- tions of Steiner and Stekel. We owe to Jung 15 and Abraham 16 a considerable enrichment of our knowl- edge concerning the lasting after-effect of parental influences. The former has shewn that psycho- neuroses mostly arise from a conflict between the (unconscious) parental constellation and the striv- ing towards personal independence, and the latter has unmasked as a symptom of the same psychical constellation the inclination to stay unmarried, or to marry near relatives ; Sadger 17 also has rendered service in making these connections clear. As psycho-analysts see things, however, it may be considered as settled that there are only quantitative differences between "normal" and "psychoneurotic" mental processes, and that the results of mental in- vestigation of psychoneurotics are also applicable to the psychology of the normal. It is thus a priori 15 Jung, "Die Bedeutung des Vaters fur das Schicksal des einzelnen," Jahrb., Bd. 1. 18 Abraham, "Die Stellting der Verwandtenehen in der Psy- chologic der Neurosen," Jahrb., Bd. 1. 17 Sadger, "Psychiatrisch-Neurologisches in psychoanalytischer Beleuchtung," Zentralbl. f. das Gesamtgebiet d. Medizin, 1908, Nr. 7 and 8. 62 Contributions to Psycho-Analysis likely that the suggestions which one person "gives'* to another set into movement the same complexes as those seen to be active in the neuroses. I have, how- ever, to lay stress on the fact that in reality it was not this a priori expectation, but actual experiences in psycho-analysis that led me to preceive this. Freud was the first to notice how in the analysis one sometimes meets with great resistances that seem to make the continuation of the work impossible, and which in fact check it until one manages to make per- fectly clear to the patient that this counter-striving is a reaction to unconscious feelings of sympathy which really refer to other persons, but which at the moment have been brought into connection with the personality of the analyst. On other occasions one observes in the patient an enthusiasm for the physician bordering on adoration, and this like everything else has to be submitted to analysis. It turns out here also that the physician has served as a "cover-person" for the indulgence of affects, mostly of a sexual nature, which really refer to other personalities much more signifi- cant to the patient. The analysis is very often, however, disagreeably disturbed by motiveless hate, fear and apprehension in regard to the physician, which in the unconscious relate not to him, but to persons of whom the patient is not at the time think- ing. When now we go through with the patient the list of personalities whom these positive and negative Introjection and Transference 68 affects concern, we often come across in the first place some who have played a part in the patient's immediate past (e. g. husband or sweetheart), then come undischarged affects from the period of youth (friends, teachers, hero fancies), and finally we ar- rive, mostly after the overcoming of great resis- tances, at repressed thoughts of sexuality, violence, and apprehension that relate to the nearest relatives, especially the parents. It thus becomes manifest that the child with its desire for love, and the dread that goes with this, lives on literally in every human being, and that all later loving, hating, and fearing are only transferences, or, as Freud terms them, "new editions" of currents of feeling that were ac- quired in the earliest childhood (before the end of the fourth year) and later repressed. With this knowledge it was not making a too venturesome step further to assume that the curious authority with which we as hypnotists dispose of all the psychical and nervous forces of the "medium" is nothing else but the expression of repressed, infantile impulses of the hypnotised person. I found this explanation much more satisfying than the assump- tion of a capacity on the part of an idea to provoke dissociation, which would make one feel apprehensive at one's resemblance to a god. An obvious objection to these considerations would be that it has long been known how greatly sympathy and respect favour the bringing about of a suggesti- 64 Contributions to Psycho-Analysis ble state*, this fact could not escape the competent observers and experimenters in this field. What has not been known, however, and what could only be known through the help of psycho-analysis, is first that these unconscious affects play the chief part in bringing about the action of suggestion and sec- ondly that in the last analysis they are shewn to be manifestations of libidinous impulses, which for the most part are transferred from the ideational com- plexes bearing on the relation between parent and child to the relation between physician and patient. That sympathy or antipathy between hypnotist and medium greatly influences the success of the ex- periment was also previously recognised. It was not known, however, that the feelings of "sympathy" and "antipathy" are highly complex psychical or- ganisations capable of still further analysis, and of dissection into their elements, by Freuds' method. When this is done one finds in them the primary, un- conscious, libidinous impulses as the substratum, and over this an unconscious and preconscious superstructure. In the deepest layers of the mind the crude "un- pleasantness-principle" still rules, as at the begin- ning of psychical developments in other words, the impulsion towards immediate motor satisfaction of "sexual hunger;" this is, according to Freud, the layer, or stage, of auto-erotism. This region in the stratification of the adult mind can no longer as a Intro jection and Transference 65 rule be directly reproduced, and has to be inferred from its symptoms. What can be reproduced al- ready belongs for the most part to the layer (or stage) of "object-love" (Freud), and the first ob- jects of love are the parents. Everything pomts to the conclusion that an un- conscious sexual element is at the basis of every sympathetic emotion, and that when two people meet, whether of the same or the opposite sex, the uncon- scious always makes an effort towards transference. ("In the unconscious No does not exist." . . . "The unconscious can do nothing except wish," Freud writes.) When the unconscious succeeds in making this transference acceptable to the conscious mind, whether it is in a pure sexual (erotic) or in a subli- mated form (respect, gratitude, friendship, aesthetic admiration, etc.) a bond of "sympathy" is formed between the two persons. When consciousness re- fuses to accept the positive unconscious desire, then we get, according to the degree of intensity in each case, antipathy of various degrees up to loathing. 18 M That the feeling of antipathy, of disgust, is made up of pleasantness and unpleasantness, of liking and disliking, I found to be especially well illustrated in a case of paranoiac delusion of jealousy occurring in a woman of the educated classes; the case was also investigated by Professor Freud. The original cause of her disorder was discovered to be in- fantile homosexuality, which had been transferred from the mother to nurses, later to young friends, and which had been allowed to function extensively. The disappointments of mar- ried life had as a result the flowing back of the "sexual hun- ger" into "infantile channels," but in the meantime this kind f sexual pleasure had become intolerable to her. She pro- 66 Contributions to Psycho-Analysis As a classical witness for the reality of the "sexual attitude" towards all people I might cite Freud's pa- tient Dora (in the Bruchstuck einer Hysterie- analyse). In the course of the analysis, incomplete as this was, it turned out that her sexuality had not remained indifferent to a single person in her environ- ment. The husband and wife of the family K, the governess, the brother, the mother, the father: all excited her "sexual hunger." With all this she was consciously like most neurotics rather prudish and negativistic than otherwise, and had no idea that sexual wishes were concealed behind her gushing friendships, her sympathies and antipathies. Dora, however, is not exceptional, but typical. As her analysed mind stands before us she gives a true picture of the inner man in general, for if we go deep enough into the mental life of any human being (whether "normal" or neurotic) we can find again, jected it, therefore, on to her husband (whom she had pre- viously loved), and accused him of infidelity. Curiously enough she suspected him only in regard to quite young females, twelve or thirteen years old, or else elderly ugly ones, mostly servants, whom she found "antipathetic" or even "repulsive." Wherever she could admit her fondness to herself in a sublimated form (aesthetic liking, friendship), . g. with pretty women of her own class, she could feel keen sympathy, and she also ex- pressed no delusions in regard to them. The fact that we find a mixture of sweet and bitter "disgusting" probably has similar psychological causes, just as also the idiosyncrasy to- wards food and drink of a certain colour and consistence is a reaction against infantile, repressed wish-impulses, mostly of a coprophilic and urophilic nature. The impulse to spit or vomit at the sight of "disgusting" things is only the reaction to the unconscious desire to take these things into the mouth. Introjection and Transference 67 apart from quantitative differences, the same phe- nomena. The capacity to be hypnotised and influenced by suggestion depends on the possibility of transference taking place, or, more openly expressed, on the posi- tive, although unconscious, sexual attitude that the person being hypnotised adopts in regard to the hypnotist; the transference, however, like every "ob- ject-love," has its deepest roots in the repressed parental complexes. 19 Further circumstantial evidence for the correct- ness of this conception is obtained when one takes into consideration practical experience concerning the conditions under which a person may be hypno- tised or made to receive suggestions. It is striking how greatly the percentage for suc- cessful hypnosis differs with individual authors. One achieves a positive success in only 50 per cent, another in 80-90, or even 96 per cent of the cases. According to the unanimous conviction of experi- enced hypnotists, suitability for this profession pre- supposes a number of external, and internal attri- butes (really only external, for the "internal" ones also must manifest themselves in movements of ex- pression that can be noted from without and in the nature and content of speech, all of which a the- 19 Being convinced of the correctness of Berheim's view, that hypnosis is only a form of suggestion (suggested sleep), I at- tach no importance to the sharp differentiation of the two terms, and often use here the one for both. 68 Contribution* to Psycho- Analysis atrical talent can imitate without having any feeling of conviction). Hypnosis is facilitated by an im- posing appearance on the part of the hypnotist; one often thinks of an "imposing" man, further, as having a long, and if possible black beard (Sven- gali) ; a notable stature, thick eyebrows, a pene- trating glance, and a stern expression of countenance though one that arouses confidence can compen- sate for the lack of these manly attributes. It is generally recognised that a self-confident manner, the reputation of previous successes, the high esteem attaching to a celebrated man of science, help in the successful effect of suggestion, even when em- ployed also by his assistants. Such effect is also promoted by the hypnotist being of a higher social rank. During my military service I witnessed how an infantryman instantaneously fell asleep at his lieutenant's command; it was a "coup de foundre". My first attempts at hypnotism, undertaken in my student days with the apprentices in my father's publishing business, succeeded without exception ; later on I had nothing like such a high percentage of successes, but then I had lost the absolute self- confidence that only ignorance can give. The commands in hypnosis must be given with such decision and sureness that contradiction should appear to the patient as quite impossible. The "being-startled hypnosis" may count as a border- land instance of this kind of hypnosis, where in ad- Introjection and Transference 69 dition to a stern tone grimaces and clenched fists may be of use. Being startled just as at the sight of the Medusa head may be followed in a predis- posed person by his being paralysed with fright, or by catalepsy. There is quite another method, however, for send- ing someone to sleep, the requisites being: a dark- ened room, absolute stillness, gentle, friendly ad- dress in a monotonous, slightly melodic tone (on which great stress is laid by those experienced in the matter) ; light stroking of the hair, forehead, and hands may serve as adjuvant measures. In general, therefore, it may be said that there are two ways and means at our disposal in hypno- tising, or giving suggestion to, others, i. e., in com- pelling them to (relatively) helpless obedience and blind belief : dread and love. The professional hyp- notists of the pre-scientific era of this therapeutic method, the real inventors of the procedures, seem, however, to have chosen instinctively with regard to every detail, for their purpose of sending to sleep, and rendering pliant, just those ways of frightening and being tender, the efficacy of which has been proved for thousands of years in the relations of parent to child. The hypnotist with the imposing exterior, who works by frightening and startling, has certainly a great similarity to the picture impressed on the child of the stern, all-powerful father, to believe in, to 70 Contributions to Psycho-Analysis obey, to imitate whom, is the highest ambition of every child. 20 And the gentle stroking hand, the pleasant, monotonous words that talk one to sleep: are they not a re-impression of scenes that may have been enacted many hundred times at the child's bed by the tender mother, singing lullabies or telling fairy-tales ? I lay no great stress on this distinction between paternal and maternal hypnosis, for it happens often enough that the father and mother change their parts. I only call attention to the way in which the situation during hypnosis tends to favour a conscious and unconscious imaginary return to childhood, and to awaken reminiscences, hidden away in everyone, that date from the time of child- like obedience. The measures also for sending to sleep that are said to work by means of external stimulation, e. g., holding up a shining object, laying a ticking watch to the ear, are the same that first succeeded in fas- tening the attention of the child in his cradle, and are thus very effective means for awakening infantile memories and feeling-impulses. That customs and rituals preserved since child- hood also play a large part in the usual sponta- 10 The giant motive that ever recurs in myths, sagas, and fairy-tales, and the universal interest in these colossal figures, has the same infantile roots, and is a symptom of the undying father-complex. This respect for "giants" appears in Nietzsche in a quite sublimated form as the demand for a "pathos of distance." Introjection and Transference 71 neous going to sleep, and that there are auto-sug- gestive elements concerned in going to sleep, has recently been admitted by many, some of whom are hostile to psycho-analysis. All these considerations force one to the supposition that a preliminary con- dition of every successful suggestion (hypnosis) is that the hypnotist shall figure as "grown up" to the hypnotised subject; i. e. the former must be able to arouse in the latter the same feelings of love or fear, the same conviction of infallibility, as those with which his parents inspired him as a child. To avoid any misunderstanding it must be pointed out with emphasis that not only is suggestibility (i. e. receptivity for ideas, with the inclination to blind belief and obedience,) here conceived as being genectically connected with analogous psychical pe- culiarities of childhood, but, further, it is our opinion that in hypnosis and suggestion "the child that is dormant in the unconscious of the adult" (Freud) is, so to speak, re-awakened. The existence of this second personality betrays itself not only in hyp- nosis; it is manifested at night in all our dreams, which as we know since Freud's work have always to do with childhood reminiscences, and by day we discover the infantile tendencies and modes of func- tioning of our mind in certain "erroneous perform- ances" 21 and in all expressions of wit. 22 In our n Freud. Zur Psychopathologie des Alltagslebens. M Freud. Der Witz und seine Beziehungen zum Unbewus- Sten. 72 Contributions to Psycho-Analyait innermost soul we are still children, and we remain so throughout life. Grattez VaduLte et vosu, y trour verez Venfant. Whoever wants properly to appreciate this way of looking at things has, of course, fundamentally to change his accustomed views about "forgetting." Analytical experience convinces us more and more that a forgetting, a disappearing without leaving a trace, occurs as little in the mental life as does an annihilation of energy or matter in the physical world. Psychical processes seem to possess a very great capacity for persistence and, even after being forgotten for decades, can be revived as unchanged, related complexes, or can be reconstructed from their elements. A favourable opportunity puts me in a position to support, by psycho-analytical experiences with pa- tients that I had previously hypnotised, the view that unconditional subordination to an external will is to be explained as simply the unconscious trans- ference to the physician of affects (love, respect) originating in childhood, and erotically tinged. 1. Five years ago I successfully hypnotised a patient who had fallen ill with an anxiety-hysteria after the proved infidelity of her fiance. About six months ago, after the death of a nephew she had been fond of, she came to me with a recurrence of her suffering, and was submitted to psycho-analysis. The characteristic signs of transference soon shewed Introduction and Transference 78 themselves, and when I pointed them out to the patient she supplemented my observations with the confession that already on the previous occasion, during the hypnotic treatment, she had indulged in conscious erotic phantasies concerning the physician and had followed my suggestions "out of love." The analysis, therefore, discloses, as Freud says, the transference that created the hypnosis. It thus seems that I had formerly cured the patient in hypnosis through offering her, in my friendliness, sympathy and words of consolation, a replacement for the unhappy love-affair that evoked her first illness. The inclination to the faithless lover was itself only a surrogate for the love of an elder sis- ter, lost through the latter's marriage, with whom she had lived in childhood in the closest intimacy, indulging for years in mutual masturbation. Her greatest grief, however, had been an early estrange- ment from her mother, who before then used to idolise and pamper her to an incredible extent, and indeed all her later essays at loving seemed to have been only surrogates of this first, infantile, but thoroughly erotic inclination to the mother. After the end of the hypnotic treatment her "sexual hun- ger," in a way that was quite sublimated, but which in the analysis proved to be erotic, seized on a little eight-year-old nephew, whose sudden death evoked the recurrence of the hysterical symptoms. The hypnotic docility was here the result of the 74 Contributions to Psycho-Analysis transference, and the original love-object, never i\i\\y replaced, was with my patient undoubtedly the mother. n. An official, aged twenty-eight, came to me for the first time about two years ago with a severe anxiety-hysteria. I was already occupied with psycho-analysis, but for external reasons decided on hypnotism, and achieved with simple talking ("mother-hypnosis") a splendid temporary improve- ment in his emotional state. The patient soon re- turned, however, with a recurrence of the anxiety, and I repeated the hypnosis from time to time with the same, but always only a passing, success. As I finally decided on analysis I had the greatest diffi- culties with the transference, certainly increased through the hypnoses. These difficulties were only resolved when it became evident that he had identified me with his "dear mother," on the ground of super- ficial analogies. As a child he had felt himself drawn to the mother in an extraordinary degree, her caresses were a necessity to him, and he also admit- ted having experienced at that time great curiosity concerning the sexual relations of the parents; he was jealous of his father, fancied himself playing the father's part, and so on. For a time the analysis passed off quite smoothly, but when I once dismissed a remark of his a little impatiently he got a severe anxiety attack, and the course of the analysis began to be disturbed. After we had finally talked over Introjection and Transference 75 the incident that had excited him, the analysis went deeper into the memories of similar occurrences, and now after despatching friendships tinged with homosexuality and masochism, and painful scenes with teachers and seniors the father-complex ap- peared. He saw in front of him in the flesh the "frightful, grimacing, puckered countenance of his wrathful father," and he trembled at it like an aspen leaf. At the same time, however, a flood of memories also came that shewed how fond he was of his father, and how proud of the latter's strength and size. These are only episodes in the analysis of a com- plicated case, but they shew clearly that with the hypnosis it was only his mother-complex, of which he was then still unaware, that enabled me to in- fluence his condition. In this case, however, I should probably have been able to achieve just the same success with the other method of sugges- tion : intimidating, impressing, i. e. appealing to the father-complex. m. The third case that I can bring forward is that of a tailor, aged twenty-six, who came for help on account of epileptic attacks, which, however, I considered were hysterical after hearing the descrip- tion of them. His forlorn, submissive, and resigned appearance absolutely cried out for suggestion, and in fact he obeyed all my commands like a tractable child; he developed anaesthesias, paralyses, etc., quite at my will. I did not omit to carry out an 76 Contributions to Psycho- Analyst analysis of his condition, although an incomplete one. In this I found that for years he had been somnambu listic; he used to get up at night, sit at a sewing machine, and work at an hallucinated material until he was waked. This "impulsive" occupation dated from the time when he was an apprentice to a strict master-tailor, who often hit him, and whose high demands he had tried to satisfy at any cost. This was of course only a cover-memory for his respected and feared father. His present attacks also began with an impulse to occupation. He believed he heard an inner voice saying "Get up," and then he would sit up, take off his night-shirt, and make sewing movements, which ended in general convulsions ; he could not recall afterwards the motor phenomena, knowing of them only from his wife. His father had called him every morning with the cry "Get up," and the poor fellow seemed still to be always carry- ing out commands that he had received as a child from his father and as an apprentice from his chief. Freud writes 23 "These subsequent effects of orders and threats in childhood may be observed in cases where the interval is as great or greater than here (11/4 decades);" he terms this occurrence "subse- quent obedience." I surmise now that this kind of "subsequentness" in the psychoneuroses in general has much in com- mon with the post-hypnotic command- automatisms. Freud. Jahrb. Bd., I., S. 23. Intro jection cmd Transference 77 In both cases actions are performed the motives of which cannot be explained, or only inadequately, since the patient is following out with them either (in the neurosis) a command repressed long ago or (in the hypnosis) a suggestion concerning which amnesia has been induced. That children should willingly, and indeed cheer- fully, obey their parents is really not at all obvious. One might have expected that the demands made by parents on the behaviour and conduct of children would be felt to be an external compulsion, and as something unpleasant. This is really the case in the very first years of life, so long as the child knows only auto-erotic satisfactions, but with the begin- ning of "object-love" it becomes different. The loved objects are introjected, taken into the ego. The child loves his parents, that is to say, he iden- tifies himself with them in thought. Usually one identifies oneself as a child with the parent of the same sex, and fancies oneself into all his situations. Under such circumstances obedience is not unpleas- ant; the expressions of the all-powerfulness of the father even flatter the boy, who in his fancy em- bodies in himself all the power of the father, and only obeys himself, so to speak, when he bows to his father's will. This willing obedience obviously only goes to a certain limit, varying with the in- dividual; if this is overstepped by the parents in their demands, if the bitter pill of compulsion is not 78 Contributions to Psycho- Analysis sugared with love, a precocious severing of tne 'sexual hunger" from the parents results, and gen- erally there is an important disturbance of psy- chical development, as especially Jung has estab- lished (in his work on the part played by the father). In Mereschkovszky's charming book, "Peter der Grosse und Alexei" (1905) the relationship is very characteristically depicted between a cruel, tyran- nical father, who regrets every impulse of sentiment, and the son, helplessly submissive to him, who through his father-complex, compounded of love and hate, is incapable of energetic revolt. The poetic his- torian makes the picture of the father appear very often in the reveries of the Crown Prince. At one time he sees himself as a little child, with his father before his cot. "He stretches out his arms to his father with a fond, sleepy smile, and cries out "Papa, Papa, my darling.' Then he jumps up and flings himself round his father's neck. Peter embraces him so tightly as to hurt the child, presses him to himself, kisses his face, his neck, his bare legs, and his whole warm, sleepy body." The Czar, however, had later used frightfully stern educational measures when his son was growing up. His pedagogy cul- minated in the following (historical) sentence: "Give the boy no power when he is young; break his ribs so long as he is growing; when you hit him with a stick, he won't die, but will only get stronger." And in spite of all this the Czarevitch's face Intro jection and Transference 79 glowed with bashful joy when he "gazed at the fa- miliar, horrible and dear face, with the full, almost bloated cheeks, with the curled, pointed moustache . . . with the cordial smile on the dainty, almost womanly tender lips ; he looked into the large, dark, clear eyes, which were as frightful as they were gentle, and of which he had once dreamed as does a youth in love of a beautiful woman's eyes; he took in the odour known to him from childhood, a mixture of strong tobacco, spirits, sweat, and another, strong, but not unpleasant smell of the barracks, one that pervaded his father's working-rooms and office; he felt the touch, also known to him from childhood, of the not very smoothly shaven chin with the little cleft in the middle that formed such a curious exception, almost comical, in the gloomy countenance." Such descriptions of the father, or similar ones, are in psycho-analysis typical. The author wants to make us understand through this characterisation of the bond between father and son how it came about that the Crown Prince in his safe Italian hiding-place gave up all resistance on getting a letter from his father calling him back, and help- lessly yielded himself to that cruel being (who then whipped him to death with his own hands). The Czarevitch's suggestibility is here quite correctly ascribed to his strongly marked father-complex. Mereschovszky seems likewise to have divined "trans- ferences" when he writes: "He (the Czarevitch) 80 Contributions to Psycho-Analysis transferred on to the priestly father (the confessor Jacob Ignatiew) all the love that he could not be- stow on his actual father. It was a jealous, tender, passionate friendship, as though between lovers." The feeling of awe for the parents, and the tend- ency to obey them, normally disappear as the child grows up, but the need to be subject to someone re- mains; only the part of the father is transferred to teachers, superiors, impressive personalities ; the submissive loyalty to rulers that is so wide-spread is also a transference of this sort. In Alexei's case the father-complex could not fade even when he grew up, for his father really was the terrible and mighty despot that in childhood we think our fathers to be. That the union in the father's person of parental power with the dignity attaching to a respected position can fix immovably any incestuous inclination I was able to observe with two female patients who were pupils of their own father. Passionate trans- ference in the one and neurotic negativism in the other caused almost insuperable difficulties for the psycho-analysis. The limitless obedience in the one case and the defiant rejection of all medical efforts in the other were both determined by the same psychical complexes, by the fusion of the father and teacher complexes. These striking cases, as well as all the other ob- servations brought forward above, confirm Freud's view that the hypnotic credulity and pliancy take Int rejection and Transference 81 their root in the masochistic component of the sexual mstinct. 24 Masochism, however, is pleasurably obey- ing, and this one learns in childhood from one's parents. In the case of the timid and obedient tailor we saw how the parental commands go on acting long after the years of childhood, in the manner of a post-hypnotic suggestion. I have also been able to demonstrate the neurotic analogy to the so- called "dated suggestions" (suggestion a echeance) in a case of morbid anxiety (the twenty-eight year old official mentioned above). He got ill on a quite trivial ground, and it was striking that he had familiarised himself rather too readily with the thought of retiring on his pension at such an early age. The analysis brought out that he had entered on this career exactly ten years before the illness, and very unwillingly, for he considered himself to have artistic gifts. At that time he had only yielded to the pressure brought to bear by his father, mak- ing up his mind, however, to get himself pensioned under the pretext of illness the moment he had served the time (ten years) that entitled him to a pension; (the inclination to malingering dated from childhood, when he had obtained in this way much tenderness from his mother and some consideration from his father). In the meantime, however, he completely " Freud. Drei Abhandlungen zur Sexualtheorie, S. 18. Anm. 2. 82 Contributions to Psycho- Analysis forgot his resolve ; he got a rather better income, and, although the conflict continued between his antipathy toward his office work and his preference for his ar- tistic activities which he had successfully pursued in the meanwhile, the pusillanimity that had been instilled into him prevented him from even thinking of giving up a part of his income, a loss which his retirement would have entailed. The plan resolved on ten years ago seems to have lain dormant in his unconscious throughout the whole time, to have become mature after the given interval had elapsed, and to have cooperated "auto-suggestively," so to speak, as one of the evoking causes of his neurosis. The fact, however, that the idea of dates and periods of time was able to play such a significant part in the life of this patient was at bottom a symptom of unconscious phantasies connected with infantile pon- derings on the menstruation and gravidity time periods with his mother, and, amongst others, on the idea of his own situation in the womb and at birth. 25 This case like all others confirms Jung's state- ment that "the magic binding children to their par- ents" is really "the sexuality on both sides." "The unconscious birth-fancy was the final explanation of the following lines that he wrote in his diary during an anxiety attack, and which turned out to possess symbolic meaning: "Hypochondria surrounds my soul like a fine mist, or rather like a cobweb, just as a fungus covers a swamp. I have the feeling as though I were sticking in a bog, as though I had to stretch out my head so as to be able to breathe. I want to tear the cobweb, to tear it. But no, I can't do it! The web is fastened somewhere the props would have to be Introjection and Transference 83 Such far-reaching points of agreement between the mechanism of the psychoneuroses revealed analyt- ically and the phenomena that can be produced by means of hypnosis and suggestion absolutely compel us to revise the judgment that has been passed in scientific circles on Charcot's conception of hypnosis as "artificial hysteria." Many scientists believe they have already reduced this idea to absurdity in that they are able to hypnotise ninety per cent of healthy people, considering such an extension of the "hys- teria" concept as unthinkable. Psycho-analysis has led, nevertheless, to the discovery that healthy people fight with the same complexes as those from which the neurotic fall ill (Jung), that thus some hysterical predisposition exists in every human being, which can also manifest itself under unfavourable cir- cumstances that inflict an undue burden on the mind. The fact that so many normal people may be hypno- tised can by no means be taken as an irrefragible proof of the impossibility of Charcot's conception. If, however, one is once free from this prejudice, and compares the pathological manifestations of the psychoneuroses with the phenomena of hypnosis and suggestion, one becomes convinced that the hypnotist can really shew nothing more, and nothing else, than pulled out on which it hangs. If that can't be done, one would have slowly to work one's way through the net in order to get air. Man surely is not here to be veiled in such a cob- web, suffocated, and robbed of the light of the sun." All these feelings and thoughts were symbolic representations of phan- tasies concerning intra-uterine and birth events. 84 Contributions to Psycho- Analysis that which the neurosis spontaneously produces : the same psychical, the same paralysis and stimulation phenomena. The impression of a far-reaching anal- ogy between hypnosis and neurosis becomes strength- ened to the point of a conviction of their inherent sameness as soon as one reflects that in both states unconscious ideational complexes determine the phe- nomena, and that among these ideational complexes in both cases the infantile and sexual, especially those concerned with the parents, play the greatest part. It will be the task of future investigations to see if these points of agreement extend to the details as well; our experience up to the present justifies the expectation that this will be shewn to be the case. The certainty of this expectation is essentially sup- ported by the undeniable existence of the so-called auto-hypnoses and auto-suggestion. These are states in which unconscious ideas, without any intended external influence, bring about all the neuro-pyschic phenomena of deliberate suggestion and hypnosis. It is perhaps not too daring to assume that a far- reaching analogy must exist between the psychical mechanism of these auto-suggestions and that of psychoneurotic symptoms, which after all are the realisations of unconscious ideas. This relationship, however, must be assumed with just the same right between neurosis and foreign suggestion, since ac- cording to our conception there is no such thing as a "hypnotising," a "giving of ideas" in the sense of Int rejection and Transference 85 psychical incorporating of something quite foreign from without, but only procedures that are able to set going unconscious, pre-existing, auto-suggestive mechanisms. The activity of the person suggesting may then be very well compared with the action of the evoking cause of a psychoneurosis. We do not, of course, mean to deny that, in addition to this extensive resemblance, there may also exist differ- ences between being neurotic and being hypnotised; to make these differences clear is indeed an important task for the future. I only wanted here to point out that the high percentage of normal people that may be hypnotised can, according to the experience gamed by psycho-analysis, be cited as an argument rather for the universality of the predisposition to suffer from a psychoneurosis than against the essen- tial sameness of hypnosis and neurosis. Even after this discussion, which must at first produce a displeasing impression from its very nov- elty, the statement will probably sound paradoxical, that the resistance against being hypnotised or af- fected by suggestion is a reaction to the same psy- chical complexes that in other cases make trans- ference, hypnosis, or suggestion possible; and yet Freud divined this already in his first work on psycho-analytic technique, 26 and was able to strengthen it by means of examples. * Freud, "Zur Psychotherapie der Hysteric," IV Abschnitt in Breuer und Freud, Studien iiber Hysteric, 1895. 86 Contributions to Psycho-Analysit According to Freud's conception, which later ex- perience has confirmed in all respects, an inability to be hypnotised signifies an unconscious refusal to be hypnotised. The fact that many neurotics cannot be hypnotised, or only with difficulty, is very often due to their not really wanting to be cured. They have, so to speak, come to terms with their suffer- ing, since it yields them libidinous pleasure 27 , al- though by a highly unpractical and costly route, still without self-reproach, and frequently also brings other considerable advantages (termed by Freud "the secondary function of the neuroses"). The cause of a second kind of resistance lies in. the relations between the hypnotist and the person to be hypnotised, in the "antipathy" to the physi- cian. It has already been pointed out that this obstacle also is mostly created by the unconscious infantile complexes. It may be assumed with considerable probability that the other resistances which can be demonstrated in the psycho-analytic treatment of patients simi- larly exert influence in attempts at hypnosis and suggestion. There are some sympathies that are un- endurable. The reason for hypnosis miscarrying is in many cases, as Freud has shewn, the fear "of getting too used to the physician's personality, of losing one's independence in regard to him, or "Freud, Kleine Schriften, Bd. II, 1909, S. 142: "The hys- terical symptom serves sexual gratification and represents a part of the person's sexual life." Intro jection and Transference 87 even of becoming sexually dependent on him." That with one patient an unrestrained inclination to trans- ference comes to expression, in another a flight from every idea of external influence, can ultimately, I believe, be similarly traced to the parental complex, and especially to the way in which the "sexual hunger" became detached from the parents. 28 IV. Not long ago a patient aged thirty-three, the wife of a land-proprietor, consulted me: her case may serve to illustrate these resistances. Her hus- band was several times awakened in the middle of the night by her moaning, and saw her restlessly turning about in every direction ; "she was making sounds as if something that she was vainly trying to swallow was sticking in her throat" ran the hus- band's description. Finally, choking and straining movements came on, at which the patient would wake up, calmly going to sleep again soon after. The patient was the absolute opposite of a "good me- dium." She was one of those refractory persons who are always lying in wait for inconsistencies in the physician's remarks, who are very particular about everything he does and says, and who alto- gether behave in a very stubborn and almost nega- tivistic manner. Sharpened by bad experiences with ** Infantile (incestuous) fixation and capacity for transfer- ence seem in fact to be reciprocal quantities. Every psycho- analyst can entirely confirm Jung's observations on this point, , but I believe that this sentence is also valid for the form of affective transference that we call suggestion. 88 Contributions to Psycho- Analysis such patients, I did not even make any attempt at hypnosis or suggestion, but immediately undertook an analysis. To describe the winding ways by which I arrived at the solution of her symptom-complex would lead me too far from the subject. In the pres- ent connection I will confine myself to the explana- tion of her stubborn behaviour, which shewed to me especially at the beginning of the analysis, and long before that on the most trivial occasions to her husband, with whom she often exchanged not a word for days. Her illness came on after a social gathering, at which she had interpreted as insulting the behaviour of an older lady when the latter wanted to reproach her with improperly tak- ing the first place at the table. The appearance of inadequacy in her feeling-reaction, however, disap- peared as the analysis progressed. When she was a young girl she had really improperly taken the first place at table for a short time at home, after her mother's death. The father had been left with a number of children, and after the burial a touch- ing scene took place between him and his daughter; he promised never to marry again, at which she gave her solemn word not to marry for ten years, and to take her mother's place with the poor orphans. It happened otherwise, however. Scarcely a year had passed before her father began to insinuate that she ought to get married. She guessed what that meant, and obstinately kept every suitor at a distance. Intro jection amd Transference 89 True enough, the father soon after took a young wife, and a bitter fight began between the daughter, who was displaced from every position, and her step-mother ; in this fight the father openly took sides against the daughter, and the only weapon against them both that remained to her was stubbornness, which she used to the best of her powers. Up to this point the whole thing sounded like a touching story of the wicked step-mother and the faithless father; but soon came the turn of the "infantile" and the "sexual." As sign of a beginning transfer- ence I began to play a part in her dreams, and curi- ously enough in the not very flattering figure of a composite person put together of myself and a horse. The association to "horse" led to disagree- able topics ; she recollected being taken by her nurse as a quite small child to a stud-farm in the barracks, and seeing many horses there (also copu- lation scenes between stallion and mare). She con- fessed further that when she was a girl she had been unusually interested in the size of the male genitals, and that she had been disappointed at the relative smallness of this organ in her husband, with whom she remained frigid. Even as a girl she persuaded a friend to agree that they would measure the dimen- sions of their future husbands' genital organs and tell each other. She kept her promise, but the friend didn't. The strange circumstance that in one dream the 90 Contributions to Psycho-Analysis horse appeared in a night-shirt led to the reproduc- tion of much older childhood memories, among which, as is often the case, the overhearing of sexual acts between the parents, and especially the observation of the father's micturition, were the most important. She remembered now how often she used to fancy herself in her mother's place, how fond she used to be of playing father and mother with her dolls and friends, on one occasion going through an imaginary pregnancy with the help of a pillow stuffed under her petticoats. It turned out finally that the patient had even in childhood suffered for years from minor anxiety-hysteria: often she was not able to go to sleep till late at night from the fear that her stern father might come to her and shoot her dead with the revolver that he kept in his night-commode. The choking and straining movements in her attacks were signs of repression "from below upwards" (Freud); for a long period she was (like Freud's patient, Dora) passionately fond of sucking various objects, a large number of perverse phantasies co- operating with a strongly developed erogenous mouth-zone. This anamnesis, although only very imperfectly reproduced, is instructive in two respects. In the first place, it shews that here stubbornness, the re- jection of any idea of being influenced, which stood in the way of any attempt at treatment by sugges- tion, turned out in the analysis to be resistance Introjection and Transference 91 against the father. In the second place, the case teaches one that this resistance was a derivative of a strongly fixed parental complex, an Oedipus-com- plex feminini generis, and that her parental com- plexes were interspersed with infantile sexuality. (The horse dreams of this patient also form a strik- ing analogy with the phobia of horses in the five- year-old "little Hans" [Jahrbuch I.] that Freud was similarly able to trace to identification of the father with a horse.) What I desired to establish by the facts brought forward is the view that the "medium" is really in love with the hypnotist, and has brought his tend- ency with her from the nursery. I will merely add that the usual state of being in love may also evince psychological phenomena that remind one of hyp- nosis. A man blinded with the passion of love almost helplessly does things suggested to him by his sweetheart, even if they are crimes. In the cele- brated Czynsky trial the most learned experts could not decide whether the actions of the baroness con- cerned were determined by her being in love or by ideas "suggested" to her. Most of the homosexuals who have told me their story stated that they had been hypnotised, or at least submitted to the influence of suggestion, by the first man with whom they had had relations. In the analysis of such a case it becomes evident, of course, 92 Contributions to Psycho- Analysts that these phantasies of being hypnotised are only apologetic attempts at projection. I will content myself with these hints, and will not continue the analogy between the state of being in love and hypnosis, lest the incorrect impression be aroused that it is here only a question of deductively expatiating on a banal resemblance. That is not at all the case. The basis on which this hypothesis is built consists of laborious individual-psychological investigations, such as we have been able to carry out since Freud's work, and if they end in a common- place, that is in no sense an argument against their correctness. An undeniable weakness of these considerations, it is true, is that they are based on a relatively small number of observed cases. It lies in the nature of psycho-analytic work, however, that the observation of large numbers and the statistical method are not applicable. Nevertheless I believe I have brought together, through thorough investigation of the cases even though these are not many , through the funda- mental agreement in all the cases, and lastly through the extent to which these observations fit in with the rest of psycho-analytic knowledge, sufficient ma- terial to support a conception of hypnosis and sug- gestion that differs from the previous ones. According to this conception, the application of suggestion and hypnosis consists in the deliberate Intro jection and Transference 93 establishment of conditions under which the tendency to blind belief and uncritical obedience present in everyone, but usually kept repressed by the censor {remains of tlw mfantUe-erotic loving and fearing of the parents), may unconsciously be transferred to the person hypnotising or suggesting. 22 " (This chapter may be read in conjunction with that en- titled "The Action of Suggestion in Psychotherapy" in the Translator's "Papers on Psycho-Analysis.") : CHAPTER III THE PSYCHOLOGICAL ANALYSIS OF DREAMS * A PHENOMENON not rare in the evolution of science is that professional men of erudition, with all the help at their disposal, with all the im- plements of their knowledge and ability, combat some principle of popular wisdom which is, on the other hand, defended by the people with equal te- nacity, and that finally science is forced to recognise that in essentials the popular conception, and not its own, is the correct one. It would be especially worthy of investigation to discovery why it is that science, on its gradually mounting path, progresses in an irregular zigzag line, which at times comes close to the popular view of the world, and at times quite departs from it. I mention this peculiar phenomenon for the reason that the latest investigations of dreams, those re- markable and bizarre manifestations of mental life, 'Delivered before the Konigliche Gesellschaft der Aerzte, Budapest, Oct. 16, 1909; published in the Psychiatr.-Neurolog. Wochenschr., Jahrg. XII. (A translation by Professor Chase was also published in the Amer. Jour, of Psych., April, 1910, and I am indebted to President Stanley Hall for permission to reproduce the article in this series. Transl.) 94 Tlie Psychological Analysis of Dreams 95 have laid bare facts that compel us to abandon our former views regarding the nature of dreams, and, with certain limitations, to return to the popular conceptions. The people have never given up a belief in the significance of dreams. The oldest writings that have been preserved to us, hewn out in stone in praise of the old Babylonian kings, as also the mythology and history of the Hindoos, Chinese, Aztecs, Greeks, Etruscans, Jews, and Christians, take the point of view held to-day by the people, that dreams can be interpreted. The interpretation of dreams was for thousands of years a special science, a particular cult, whose priests and priestesses often decided the fate of countries and called forth revolutions that changed the history of the world. This now anti- quated science rested on the unshakable belief that dreams, though in a concealed way and by obscure analogies, were quite capable of being interpreted by the initiate and revealed the future, and that by these nocturnal phenomena the powers above desired to prepare mortals for approaching events of im- portance. In the lower ranks of the populace the dream book, that curious survival of ancient Baby- lonian astrology, still enjoys to-day great popu- larity. Although the details of the dream-books differ in the different countries, they have to be con- sidered as products of the common folk-spirit. On the other hand, we find on the part of the great 96 Contributions to Psycho-Analysis majority of recent psychologists an almost complete contempt for the dream as a psychical function, and consequently a denial that the dream-content has any significance. Many of these investigators con- sider dreams to be a senseless complex of hallucina- tions, which blaze up in a lawless way in the brain of the sleeper. According to the view of other writers dreams are nothing but the psychical re- action to the external (objective) or internal (sub- jective) stimuli which the sensory end-organs of the body receive during sleep an^ conduct to the centres. There were only a few who held that the mind at sleep was able to develop a complicated, significant activity, or that the dream could be maintained to have any sort of symbolic meaning. Even these authors, however, failed to make comprehensible the peculiarities of dreams without forcing their explana- tions into the Procrustian bed of an artificial play- ing with allegories. Accordingly for centuries the army of supersti- tious interpreters of dreams stood over against that of the sceptics, until about ten years ago the Vien- nese neurologist, Professor Freud, discovered facts that make possible a unification of the two opposing conceptions, and which on the one hand helped to disclose the true nucleus in the age-old superstition, and on the other hand fully satisfied the scientific need for knowledge of the relations between cause and effect. The Psychological Analysis of Dreams 97 I may state at this point that Freud's theory of dreams and his method of interpretation approach the popular conception only in so far as it attributes sense and meaning to dreams. The newly discovered facts in no way sustain the belief of those who would ascribe dreams to interference on the part of higher powers, and see prophecies in them. Freud's theory regards dreams as mental products dependent on endopsychic occurrences, and is not calculated to strengthen the belief of those who consider the dream to be a device of higher powers or a clairvoyance of the sleeper. It was psycho-analysis, a new method for investi- gating and treating psychoneuroses, that made it possible for Freud to recognise the true significance of dreams. The method takes its point of departure in the principle that the symptoms of these dis- orders are only the sensory images of particular thought-constellations, impregnated with feeling, which were distasteful to consciousness and there- fore repressed, but which still live on in the uncon- scious; and in the fact that the surrogate-creations for the repressed material vanish as soon as the un- conscious thought can be brought to light, and made conscious, by help of free association. In the course of this analytic work the patients' dreams were re- lated, and Freud made their content also an object of psycho-analytic investigation. To his surprise he not only found in dream analysis a great aid to 98 Contributions to Psycho- Analysis the treatment of neuroses, but he gained at the same time as a by-product a new explanation of dreams as a psychical function, more enlightening than any of the previous explanations. In many chemical processes materials are incidentally obtained by the reduction of certain chemicals that perhaps have long been thrown away as useless, but which after a time have been shewn to be valuable materials, often surpassing in value the principal products of the manufacture. This was rather the case with the explanation of dreams incidentally discovered by Freud; it opens up such outlooks for the knowledge of both the sound and the disordered mind that by comparison its particular point of departure, the treatment of certain phenomena of nervous disease, seems a scientific question of second rank. In the short time at my disposal I cannot repro- duce exhaustively Freud's theory of dreams. I must rather confine myself to the more essential explana- tions and the most valuable facts of the new theory, and to the verification by means of examples. Fur- ther, I do not imagine that this lecture will convince my hearers. According to my experience conviction in matters of psycho-analysis is only to be gained through oneself. So I shall not controvert here the less important and quite superficial critics of Freud, but will rather explain in brief the most essential parts of the theory itself. First a few words concerning the method. If we The Psychological Analysis of Dreams 99 desire to analyse a dream, we proceed exactly as in the psychological investigation of psychoneurotic symptoms. Behind each obsession, no matter how illogical it may appear, are hidden coherent but un- conscious thoughts, and to make these evident is the problem of psycho-analysis. Freud has shewn that the images and experiences of which the dream con- sists are for the most part merely disguises, sym- bolic allusions to suppressed trains of thought. Be- hind the conscious dream-content is hidden a latent dream-material, which, for its part, was aroused by coherent, logical dream-thoughts. The interpreta- tion of the dream is nothing else than the transla- tion of the dream from its hieroglyphic-symbolic speech into conceptual speech, the leading back of the manifest dream-content to the logical dream- thoughts through the clues of association provided by the hidden dream-material. The means by which this is done is the so-called free association. We have the dream related to us, divide the given ma- terial into several parts or sections, and ask the dreamer to tell us all that occurs to him when he directs his attention, not to the whole dream, but to a definite part of it, to a particular event or word- image occurring in it. This association, however, must be wholly free ; consequently the one thing for- bidden is the dominance of critical choice among the irruptive ideas. Any half-way intelligent man can be brought to express all the thoughts associated 100 Contributions to Psycho-Analysts with the fragments of the dream, whether clever or stupid, coherent or senseless, pleasant or unpleas- ant, suppressing the shame perhaps bound up with them. The other fragments of the dream are also worked over in this way, and so we collect the latent dream material, that is to say, all the thoughts and memories of which the conscious dream-picture is to be considered the condensation-product. It is an error to think that the activity of association when left free is devoid of any regulation by law. As soon as we disregard in the analysis the conscious goal idea of our thinking, the directive forces of the un- conscious psychic activities, that is to say, the very same mental forces that functioned in the creation of the dream, prevail in the choice of associations. We have long been familiar with the thought that there is no chance in the physical world, no event without sufficient cause; on the basis of psycho- analytical experience we have to suppose just as strict a determination of every mental activity, however arbitrary it may appear. The fear is there- fore unjustified that the activity of association when freed from all restraint, as it is in such an analysis, will give valueless results. The subject of the analy- sis, who at first reproduces his apparently senseless ideas with scornful scepticism, soon discovers, to his surprise, that the train of associations, uninfluenced by conscious aid, leads to the awakening of thoughts and memories that had lorg been forgotten or re- The Psychological Analysis of Dreams 101 pressed on account of the pain they caused. Through the emergence of these, however, the fragment taken from the dream is made intelligible or capable of in- terpretation. If we repeat this procedure with all the parts of the dream, we see that the trains of thought radiating from the different fragments con- verge on to a very essential train of thought, which had been stimulated on the day before the dream night the dream thoughts themselves. Once these are recognised, not only the single fragment, but also the dream as a whole appears coherent and intelli- gible. If, finally, we compare the point of departure of the dream, the dream thoughts, with the content of the naively related dream, we see that the dream is nothing else than the concealed fulfilment of a repressed wish. This sentence contains the most essential results of Freud's investigation of dreams. The idea that dreams fulfil wishes that in the rude world of facts have to remain unfulfilled seems to partake of the language of abandoned popular science. "Dreams'* are used metaphorically in most languages for "wishes," and a Hungarian proverb says just this, "swine dream of acorns, geese of maize" which can only be regarded as an allusion to the similar di- rection of human dreams. Some of the dreams of adults and most of those of children are purely wish-fulfilment dreams. The child dreams of pleasurable experiences denied him 102 Contributions to Psycho-Analysis by day, of the toys that he envied his little com- rades, of victorious struggles with those of his own age, of his good mother or his friendly father. Very often in his dream he seems "big," endowed with all the freedom and power of his parents for which he wishes so ardently by day. Wish dreams like these also occur to adults. The difficult examination ( about which we are so anxious) seems in dreams splendidly passed; dear relatives awaken from their graves and assure us they are not dead ; we appear to our- selves rich, powerful, endowed with great oratorical gifts ; the most beautiful of women solicit our favour, and so on. For the most part we attain in dreams just that which we painfully miss on waking. The same tendency to wish-fulfilment dominates not only in nocturnal, but also in day dreams, those fancies in which we can catch ourselves at unoccupied moments or during monotonous activity. Freud has observed that women's fancies deal for the most part with things directly or indirectly concerned with sex life (of being loved, proposals, beautiful clothes), those of men predominantly with power and esteem, but also with sexual satisfaction. Fancies concern- ing the means of escape from a real or imagined danger and the annihilation of real or imagined ene- mies are also very common. These simple wish-ful- filment dreams and fancies have an obvious mean- ing, and need no particular labour for their inter- pretation. The Psychological Analysis of Dreams 108 But what is new, surprising, and incredible to many in Freud's explanation of dreams is the asser- tion that all dreams, even those which seem indiffer- ent or even unpleasant, can be reduced to this basai form, and that it can be shewn by analysis that they fulfil wishes in a disguised way. In order to under- stand this we have first to make ourselves familiar with the mechanism of psychic activity in dreams. The associative analysis of a dream is only the reversal of the synthetic work performed at night by the mind when it transforms the unwelcome thought and the unpleasant sensation that disturb sleep into wish-fulfilling dream-images. Critical consideration convinces one that this work never ceases during sleep, even when after waking we can- not recall having dreamed at all. The traditional idea that dreams disturb rest during sleep must be abandoned on the ground of these newly won results ; on the contrary, since they do not allow the unpleas- ant, painful or burdensome thought that would dis- turb sleep to become conscious with its true content, but only in a changed form as the fulfilment of a wish, we are compelled to recognise dreams as the preservers of sleep. The psychic factor watching over rest during sleep, often with the assistance of the dream disguise already mentioned, is the censor. This is the gate- keeper at the threshold of consciousness, which we see zealously at work during waking life also, es- 104 Contributions to Psycho- Analysis pecially in the psychoneuroses, and which for our problem is to be considered as either repressing all thought groupings that are in ethical or aesthetic ways distasteful, or disguising them in the form of apparently harmless symbols, symptomatic actions, or symptomatic thoughts. The function of the censorship is to secure repose for consciousness, and to keep at a distance all psy- chical productions that would cause pain or disturb rest. And like the censor of political absolutism, who sometimes works at night, the psychic censor- ship is kept in activity during sleep, though its red penciling is not so strongly in evidence as in waking life. Probably the censor is led to relax its activity by the idea that motor reactions are paralysed dur- ing sleep, so that thoughts cannot be expressed in deeds. Thus the fact may be explained that for the most part the images and situations emerging as wish-fulfilments in dreams are those which by day we refuse to recognise as wishes. We all shelter in our unconscious many wishes repressed since childhood, which take the oppor- tunity of exercising their psychic intensity as soon as they perceive the relaxation of the censorship at night. It is not chance that among the wishes revealed in dreams the greatest part is played by the strongly repressed sexual excitations, and in particular those of the most despised kind. It is a very great error to The Psychological Analysis of Dreams 105 believe that psycho-analysis deliberately places sex- ual activity in the foreground. It cannot be denied that whenever one attempts thoroughly to investi- gate the basal facts of mental life one always strikes against the sexual element. If, accordingly, we find psycho-analysis objectionable for this reason, we are really degrading the description of the unconscious facts of human mentality by our attitude in regard- ing them as obscene. The censorship of sexual mat- ters is, as already said, much milder in dream life than in waking hours, so that in dreams we experi- ence and crave for sexual experiences without bounds, even representing in our dreams experiences and acts that remind one of the so-called perversions. As an example of this I may avail myself of the dream of a patient who was extraordinarily modest in waking life. He saw himself enveloped in an antique pep- lum, fastened in front with a safety-pin ; suddenly the pin fell out, the white garment opened in front, and his nakedness was admired by a great crowd of men. Another patient, equally modest, told me this, which is an exhibition dream with somewhat altered circumstances : She was draped from top to toe in a white garment, and bound to a pillar ; around her stood foreign men, Turks or Arabs, who were hag- gling over her. The scene strongly reminds one, apart from her enveloping garment, of an Oriental slave market ; and, indeed, analysis brought out that this lady, now so modest, had read when a young 106 Contributions to Psycho-Analysis girl the tales of the Arabian Nights, and had seen herself in fancy in many of the situations of the highly coloured love scenes of the Orient. At that time she imagined that slaves were exposed for sale not clothed, but naked. At present she repudiates the idea of nudity so strongly, even in dreams, that the suppressed wishes bearing on this theme can be manifested only when changed to their opposite. A third dreamer only allowed herself so much free- dom in this respect as to move about amongst the other figures of her dream incompletely clad, in her stockings or with bare feet ; and here analysis shewed that as a child she had over a long period greatly en- joyed removing her clothes and going about without them, so that she was nicknamed "the naked Pancri" (her name was Anna, in Hungarian Fauna). Such exhibition dreams are so frequent that Freud was able to put them in the class of his "typical" dreams, which recur with most people from time to time and have the same origin. They are based on the fact that there lives on in all of us an undying longing for the return of the paradise of childhood; this is the "Golden Age" that poets and Utopians project from the past into the future. It is a very common means of dream disguise to circumvent the censorship by presenting the wish not as such, but only in the form of an allusion in the dream. It would not be possible to understand, for example, why one of my patients dreamed so often of sexual scenes with A The Psychological Analysis of Dreams 107 man by the name of Frater, who was quite indifferent to her, if we had not learned that in her youth her brother (/ rater) was her ideal and that in childhood the affection of the pair had often assumed a purely erotic form, manifesting itself by relations that she now repressed as incestuous. This repression of for- bidden things often enters into dreams, especially with persons who in consequence of incomplete satis- faction of their sexual hunger are inclined to the development of morbid anxiety (Freud's anxiety neurotics). Nocturnal anxiety can become so great that the dreamer awakes with feelings of distress (pavor noctumus). Anxiety, which has a physio- logical basis, gives in such cases an opportunity for the deeply repressed childish-perverse excitations to involve themselves in the dream, in the form of cruel, horrible scenes, which seem frightful to us, but which in a certain depth of the unconscious satisfy wishes that in the "prehistoric" ages of our own mental de- velopment were actually recognised as desires. The great part played in such dreams by cruelties inflicted or endured must find its explanation in the sadistic idea that children have of the sex-relation- ship, as Freud has so prettily shewn in his "infantile sexual theories." 2 All the cruel acts of such dreams appear in analysis as sexual events transformed into deeds of violence. Sexually unsatisfied women, for * Freud. Sammlung Kleiner Schriften zur Neurosenlehre. 2e Folge, 1909. 108 Contributions to Psycho- Analysis example, very commonly dream of thieves breaking in, of attacks by robbers or wild beasts, not one of the well-concealed incidents of the dream betraying the fact that the outrages to which the dreamer is subjected really symbolise sexual acts. An hysteric of my observation once dreamed that she was run down by a bull in front of which she held a red garment. There was involved in this dream not only the present wish to possess such a dress, but also an unavowed sexual wish, the same one that also caused the illness. The thought of the frightfully enraged bull, which is a wide-spread symbol of mas- culine strength, came to her especially through the circumstance that a man with a so-called "bull neck" had played a certain part in the development of her sexual life. Childhood memories make continual and always significant contributions to the creation of dreams. Freud has shewn not merely that even the earliest age of childhood is not free from sexual excitations, but rather that infantile sexuality, not yet restrained by education, is expressly of a perverse character. In infantile sexuality the oral and anal-urethral ero- genous zones, the partial instincts of sexual curiosity and of exhibitionism, as well as sadistic and maso- chistic impulses, dominate the scene. When we con- sider these facts we come to the conclusion that Freud is in the right when he says that dreams ex- press such impulses as wish-fulfilments, the fulfil- The Psychological Analysis of Dreams 109 ment of wishes from that part of our childhood that seems long since outgrown. There are, however, dreams of very unpleasant content which strangely enough disturb our sleep hardly at all, so that when we awaken we reproach ourselves for experiencing such terrible events with so little sympathy or feeling. This sort of dream was observed, for instance, by one of Freud's pa- tients who in a dream was present at the funeral of a beloved nephew. An apparently unessential detail* of the dream, a concert ticket, led to the explanation of the occurrence. The lady in question meant to attend a concert on the next night, where she ex- pected to see again the man whom she had formerly loved and had not yet forgotten, and whom she had last met a long while before at the funeral of another nephew. So the dream, in order to hasten the meet- ing, sacrificed the other nephew. The censorship, ap- parently knowing that a harmless wish, not one of death, was to be fulfilled, let the funeral "pass" without attaching to it any obvious emotional ex- citation. This analysis may serve as an illustra- tion of all those dreams that apparently contradict Freud's wish theory, and which have to do with very unwelcome matters or even with the non-fulfilment of wishes. If we seek out the latent dream thoughts concealed behind these dreams that are invested with painful effects, it becomes clear to us that, as Fteud himself expresses it, the non-fulfilment of a wish in 110 Contributions to Psycho- Analysis a dream always means the fulfilment of some other wish. When we consider the dream-material gained by free association from the conscious dream elements, it becomes clear that they more usually flow from two opposite sources; from childhood memories on the one hand, and from unnoticed experiences of the "dream day," often quite indifferent, to which the person had not reacted. Indeed, according to Freud's expression, every well-articulated dream stands as it were on two legs, and is shewn by analysis to be over-determined, that is, to be the fulfilment of both a present and a long suppressed wish. As an example I may relate the dream of a patient suffering from a nervous difficulty in urination. "A polished floor, wet, as though a pool lay there. Two chairs leaning against the wall. As I look around, I note that the front legs of both chairs are missing, as when one wants to play a practical joke on some one and gets him to sit down on a broken chair, so that he falls. One of my friends was also there with her affianced." Free association on the theme of the polished floor gave the fact that on the day before her brother in a rage had thrown a pitcher to the floor, which, with the water spilled over it, looked like the floor in the dream. She also recalled a similar floor from her childhood; on this occasion her brother, then very young, had made her laugh so hard that micturition The Psychological Analysis of Dreams 111 ensued. This part of the dream, which also proved to be significant for the symptom-formation of the neurosis, accordingly fulfilled infantile erotic wishes, which could now in consequence of strong censorship be presented only as allusions. The two broken chairs leaning against the wall were shewn by analysis to be a scenic presentation of the proverb "to fall to the ground between two stools." The patient had had two suitors, but the family constellation just mentioned (the unconscious love for the brother) prevented the marriage on both occasions. And al- though her conscious ego, according to her repeated testimony, had long been reconciled to the idea of spinsterhood, she still seems in the depth of her soul to have regarded with some envy the recent be- trothal of one of her friends. The affianced pair had in fact been calling on her the day before the dream. According to Freud's theory we may picture to ourselves the origin of this dream in the following way: The dream-work succeeded in uniting two ex- periences of the day before, the breaking of the pitcher and the visit of the bethrothed pair, with that train of thought, always emotionally toned, which, though already suppressed in childhood, was always in a condition to lend its effective energy to any cur- rent mental image that could be brought into even a superficial connection with it. Freud compares a dream to the promotion of a business undertaking. 112 Contributions to Psycho-Analysis in which the unconscious repressed complex fur- nishes the capital, that is, the affective energy, while the wishes play the part of promoters. Another source of dreams is in the sensory and sensorial nerve-stimulations to which the organism is subjected during sleep. These may be: dermal stimuli, the pressure of mattress and covering, cool- ing of the skin ; acoustic or optical stimuli ; organic sensation* hunger, thirst, an overloaded stomach, an excited condition of the sexual parts, and so on. Most psychologists and physiologists are inclined to attribute too great significance to stimuli of this sort; they think they have given a satisfactory ex- planation of all dreams when they say that the dream is nothing but the sum of the psychophysical reac- tions set free by nerve stimuli of this character. On the other hand, Freud rightly remarks that the dream does not admit these bodily stimuli as such to consciousness, but disguises and alters them in par- ticular ways ; the motive and means of this disguise are given, not through the external stimuli, but from mental sources of energy. The nervous stimuli dur- ing sleep offer, as it were, only the opportunity for the unfolding of certain immanent tendencies of the psychical life. Analysis shews that dreams caused by nervous stimulation are also wish-fulfilments, either open or concealed: the thirsty man drinks large amounts of water in his dreams; the hungry man satisfies himself; the sick man who is disturbed The Psychological Analysis of Dreams 113 by the ice-packing on his head throws it away, for he thinks of himself in his dream as already well; the painful throbbing of a boil on the perinaeum leads to the dream idea of riding. So it is made possible that the hunger, the thirst, the pressure on the head, the painful inflammation, do not waken the sleeper, but are transformed into wish-fulfilments by the psychic forces. The anxiety-dream known as "nightmare," brought on by an overloaded stomach, respiratory or circulatory disturbances, or by intoxication, per- mits of explanation in the same way ; the unpleasant bodily sensations offer an opportunity for deeply repressed wishes to fulfil themselves, wishes which the censorship of civilisation will not allow to pass and which can break through into consciousness only in connection with feelings of anxiety and disgust. In the process of analysis, as has already been said, we retrace, only in the reverse direction, the same path that the sleeping soul has travelled in the formation of the dream. When we compare the mani- fest dream, often very short, with the rich material that is brought to light during the process of analy- sis, and when we consider that in spite of this quan- titative difference all the elements of the latent dream-content are contained in some way in the por- tion that is manifest to us, we must agree that Freud is right in considering this dream-condensation as the most laborious part of the dream-formation, I Contributions to Psycho-Analysis will try to shew this by means of an example. A patient suffering from psychosexual impotence brought to me on one occasion a dream composed of two fragments. In the first one the only occurrence was that instead of a Hungarian newspaper "Pesti Hirlap," which came regularly to him, he received the Vienna "Neue Freie Presse," to which as a mat- ter of fact one of his colleagues had subscribed. The second part of the dream dealt with a brunette whom he ardently desired to marry. It turned out that in the dream he acquired not the foreign newspaper but, in the hidden sense of the dream, a foreign woman to whom in fact a colleague had "subscribed." This woman had long excited his interest, for it seemed to him that just this person would be able to get his sexuality, which was struggling with strong inhibitions, to function. The thought associations that came from this idea made it plain that he had been deceived in his hopes of another woman, with whom he had entered into the same relation. This woman, being a Hungarian, had been concealed in the dream behind the name of the paper "Pesti Hirlap." Of late he had occupied himself in seeking free sexual associations, which led to no obligations, instead of a more stable relationship. When we know the great freedom with which the dream avails itself of symbols, we are not surprised to learn that my patient also applied the word "Press" in a sexual sense. The second part of the dream shews, as The Psychological Analysis of Dreams 116 though to confirm our interpretations, that the pa- tient had often been obliged to think, not without anxiety, that relations which lasted too long, like that between him and his friend, could easily lead to a mesalliance. One who does not know what Freud has shewn in his monograph, 3 namely that the psychic motive and means of presentation of wit are almost exactly the same as those that come out in dreams, might consider us guilty of a cheap joke in saying that the dream succeeds in condensing in the words "Neue Freie Presse" all the patient's thoughts and wishes relating to the pleasures of which his ill- ness had robbed him and the means of benefit that he had in mind, namely, the stimulus of the new, and the greater freedom for which he was striving. ( Nov- elty and newspaper are expressed in Hungarian by the same word "ujsag.") Highly characteristic products of the dream-con- densation are the composite formations of persons, objects, and words. These "monstrosities of the dream world" have largely contributed to the cir- cumstance that dreams up to our day have been re- garded as mental productions without value or sense. But psycho-analysis convinces us that when the dream links together or fuses two features or concepts, it furnishes a product of the same work of condensation to which the less obvious parts of the * Freud. Der Wit* und seine Beziehung zum Unbewussten. 1009. 116 Contributions to Psycho- Analysis dream owe their disguise. One of the rules of the art of dream interpretation says that in cases of such composite formations the dream material of the single constituents must first be sought, and then only can it be determined on what basis of a com- mon element or similarity the welding together has taken place. An example of this, which is of value theoretically, I owe to one of my patients. The com- posite picture that occurred in one of her dreams was made up of the person of a physician and of a horse, which in addition was attired in night cloth- ing. Associations led from the horse into the pa- tient's childhood. As a girl she had suffered for a long time from a pronounced phobia of horses ; she avoided them especially on account of their evident and open satisfaction of their bodily needs. It also occurred to her that as a child she had often been taken by her nurse to the military quarters, where she had had the opportunity of observing all these things with a curiosity that was at that time still unrestrained. The night-clothing reminded her of her father, whom she had had the opportunity of seeing, while she still slept in her parents' room, not only in such costume, but in the act of satisfying his bodily needs. (This case often occurs; parents for the most part place no restraint on themselves be- fore three-and four-year-old children, whose under- standing and faculty of observation they materially underestimate). The third constituent of the com- The Psychological Analysis of Dreams 117 posite picture, the physician, awakened in me the suspicion, which proved to be well grounded, that the patient had unconsciously transferred her sexual curiosity from her father to the physician who was treating her. The constituent parts of a composite image often have an unequal share in its formation ; perhaps only a characteristic movement of one person is grafted on to the second person. I once saw myself in a dream rub my forehead with my hand just as my honoured master, Professor Freud, does when he is meditating over a difficult question. It does not re- quire much art of interpretation to guess that this confounding of teacher and pupil, particularly in, meditation, can only be ascribed to envy and ambi- tion, when at night the intellectual censorship was relaxed. In my waking life I have to laugh at the boldness of this identification, which makes me think of the saying, "How he clears his throat, and how he expectorates, that you have learned well from him." As an example of a composite word I may mention that in a dream a German-speaking patient thought of a certain Metzler or Wetzler. No one of this name, however, is known to the patient, but on the day before the dream he was much occupied with the approaching marriage of a friend, by the name of Messer, who liked to tease (hetzen) the patient. The associations from Messer shewed that as a small child he had been very afraid of his grandfather, 118 Contributions to Psycho-Analysis who while whetting (wetzen) his pocket-knife (Tas- chenmesser) had jokingly threatened to cut his penis off, a threat that was not without influence on the development of his sexuality. The names "Metzler- Wetzler" are accordingly nothing but condensations of the words, messer, lietzen and wetzen. Dream condensation stands in close relation to the work of displacement and transvaluation of the dream. This consists essentially in the fact that the psychical intensity of the dream-thoughts is shunted over from the essentials to the accessories, so that the thought-complex that is at the focus of interest is represented in the conscious dream content either not at all or by a weak allusion, while the maximum of interest in the dream is turned to the more insig- nificant constituents of the dream-thoughts. The work of condensation and of displacement go hand in hand. The dream renders harmless an important thought, which would disturb the sleeper's rest, or be censured on ethical grounds. It goes as it were be- yond such a thought, by attaching memory-images to its less essential parts until the condensed psy- chical intensity of the former can distract the at- tention from the thought of particular interest. As an example of the displaced centre of the conscious dream in comparison with the centre of the dream- thoughts I may mention the already cited dream of the aunt concerning the death of her beloved nephew. The funeral, which actually was not essential, took The Psychological Analysis of Dreams 119 up the largest place in the dream, the personality that was most significant for the dream-thoughts was on the contrary present in the dream only through a distant allusion. I was once called upon to analyse the very short dream of a woman ; in it she had wrung the neck of a little, barking, white dog. She was very much aston- ished that she, who "could not hurt a fly," could dream such a cruel dream, and she did not remem- ber having dreamt one like it before. She admitted that, being very fond of cooking, she had many times killed pigeons and fowls with her own hand. Then it occurred to her that she had wrung the neck of the little dog in the dream in exactly the same way as she was accustomed to do with the pigeons in order to cause them less pain. The thoughts and associa- tions that followed had to do with pictures and stories of executions, and especially with the thought that the executioner, when he has fastened the cord about the criminal's neck, arranges it so as to give the neck a twist, and thus hasten death. Aslced against whom she felt strong enmity at the present time, she named a sister-in-law, and related at length her bad qualities and malicious deeds, with which she had disturbed the family harmony, before so beau- tiful, after insinuating herself like a tame pigeon into the favour of her subsequent husband. Not long before a violent scene had taken place between her and the patient, which ended by the latter shew- 120 Contributions to Psycho- Analysis ing her the door with the word : "Get out ; I cannot endure a biting dog in my house." Now it was clear whom the little white dog represented, and whose neck she was wringing in the dream. The sister-in- law is also a small person, with a remarkably white complexion. This little analysis enables us to ob- serve the dream in its displacing and thus disguising activity. Without doubt the dream used the com- parison with the biting dog, instead of the real ob- ject of the execution fancy (the sister-in-law), smuggling in a little white dog just as the angel in the Biblical story gave Abraham at the last mo- ment a ram to slaughter, when he was preparing to slaughter his son. In order to accomplish this the dream had to heap up memory-images of the killing of animals until by means of their condensed psychi- cal energy the image of the hated person paled, and the scene of the manifest dream was shifted to the animal kingdom. Memory-images of human exe- cutions served as a connecting link for this displace- ment. This example gives me the opportunity to repeat that, with few exceptions, the conscious dream-con- tent is not the true reproduction of our dream- thoughts, but only a displaced, wrongly accented caricature, the original of which can be reconstructed only by the help of psycho-analysis. It is a noteworthy phenomenon of dream work that the material of abstract thought, the concept, is The Psychological Analysis of Dreams 121 capable of being presented in the dream only to a slight extent or not at all, that rather the dream as it were dramatises thoughts only in optical or acous- tic sense-images, changes them to scenes enacted on a stage, and in this way brings them to presentation. Freud strikingly characterises the difficulty imposed on the dream by this necessity of working only with concrete material when he says that the dream itself has to turn the thoughts of a political editorial into illustrations. Dreams are given to using ambiguous words and interpretations of all sorts of expressions in concrete or metaphorical senses in order to make abstract conceptions and thoughts capable of presentation and so of inclusion in the dream. The memory of every man at all educated contains a large number of proverbs, quotations, figures of speech, parables, fragments of verse, and so forth. The content of these offers very suitable material, ever present, that can be applied to the scenic presen- tation of a thought or to an allusion to it. I will try to make this clear by a series of examples. One of my patients related to me the following dream: "I go into a large park, walking on a long path. I cannot see the end of the path or of the garden hedge, but I think I will go on until I arrive at the end." The park and hedge of the dream resem- 4 (This dream was in the Hungarian language, and the sense of it depends on a play on words that is not translated by the author. Transl.) 122 Contributions to Psycho-Analysis bled the garden of one of her aunts, with whom she had passed many happy holidays in her youth. She remembers in connection with this aunt that they customarily shared the same room, but when her uncle was at home the young guest was "put out" into a neighbouring room. The girl at that time had only a very fragmentary conception of sex matters, and often tried by peeping through cracks in the door and through the keyhole to find out what was going on within. The wish to get to the end of the hedge symbolised in this dream the wish to get to the bottom of what was going on between the married pair. This wish was further determined by an ex- perience of the day before. Another patient dreamed of the corridor of the girls' boarding school in which she was educated. She saw her own clothes-closet there, but could not find the key, so that she was forced to break open the door; but as she violently opened the door, it be- came evident that there was nothing within. The whole dream proved to be a symbolic masturbation- phantasy, a memory from the time of puberty; the female genitals were, as so often happens, presented as a cupboard. But the supplement to the dream, "there is nothing within" (es ist nichts darm) means in Hungarian the same as "it is no matter" (es ist nichts daran), and is a sort of exculpation or self- consolation of this sufferer from a bad conscience. Another girl, whose neurosis was brought on by The Psychological Analysis of Dreams the death of her brother, who, according to her view, married too early and was not happy in his marriage, dreamed continually of the dead man. Once she saw him lying in his grave, but the head was turned to one side in a peculiar manner, or the skull had grown into a bough ; another time she saw him, referring to his modest origin, "one fallen from which he had to jump. All this symbolism was a complaint against the wife and the father-in-law of the dead man, who turned the boy's head when he was almost a child, and in the end made him "jump down" (a Hungarian idiom) and who nevertheless did not consider him their equal, for they once called him, referring to his modest origin, "one fallen from a bough" (another Hungarian idiom.) Very often falling from a great height pictures in a concrete way the threat of ethical or material fall ; with girls, sitting may mean spinsterhood (Sitzen- bleiben) ; with men, a large basket may mean the fear of an unsuccessful wooing (emen Korb erhalten). It occurs still more commonly that the human body is symbolised by a house, the windows and doors of which represent the natural openings of the body. My patient who suffered from sexual impotence made use of a vulgar Hungarian expression for coitus, namely the word for "to shoot," and very often dreamed of shooting, missing fire, the rusting of his fire-arms, and so on. It would be an enticing problem to collect the Contributions to Psycho- Analysis fragments of dreams that can be explained symboli- cally and to write a modern dream-book, in which the explanation could be found for the separate parts of dreams. This is not possible, however, for although much typical material recurs in dreams and in most cases can be correctly interpretated without analysis, symbols may have different meanings with different individuals, and even with the same indi- vidual at different times. Accordingly, if we wish to know in any particular case all the determinants of a single dream fragment there is nothing for it but laborious analysis, for which the investigating power and the wit of the interpreter alone will not suffice, the industrious co-operation of the dreamer being indispensable. Still greater difficulties than are created by the presentation of abstract thoughts are met with when the dream endeavours to present in a concrete way the thought-relations of the individual dream- thoughts. Freud rendered a valuable service by succeeding in making it possible to discover the whole of the concealed, formal peculiarities of the connec- tions of the dream, with which it endeavours to pre- sent logical relations. Logical relations between two dream elements with respect to the dream-thoughts that are concealed behind them are presented in the simplest cases by temporal or spatial proximity, or by a fusion of the features of the dream. Dreams lack a means for presenting causal con- The Psychological Analysis of Dreams 125 nection, of the "either-or" relation of conditions, and so on, so that all these relations are brought to presentation in a very insufficient way by means of a temporal sequence of the dream elements. From this circumstance arise many embarrassments for the dream interpreter, from which he can often be extri- cated only by the communications of the dreamer. Much, however, can be divined. For example, if one dream picture changes to another, we can divine behind this cause and effect; but this connection the dream often presents by two completely separated dreams, one signifying the cause, the other the effect. Even the presentation of a simple negative the dream can manage only with great difficulty, so that as we know from Freud we can never tell in advance whether the dream-thought is to be taken in a posi- tive or a negative way. Considering the complexi- ties of our mental organisation it may be seen only too easily that affirmation and negation of the same thoughts and feeling-complexes are to be met with in the dream-thoughts side by side, or, rather, in succession. It may be taken as an indication of displeasure or scorn when anything in a dream is pre- sented in a reversed form, or when the truth is pre- sented very openly and in a striking way. The feeling of inhibition, which is so common, signifies a conflict of the will, the struggle of opposing motives. In spite of the lack of all logical relations in the translation of the dream-thoughts into the manifest 126 Contributions to Psycho- Analysis dream, the latter often seems to be possessed of sense and to be correlated. When this is the case it may result from one of two causes. We may on the one hand have to do with a dream-phantasy, that is, with the reproduction of fancies that have developed in waking life, articles read in books or magazines, fragments of novels, or bits of conversation spoken or heard by the person himself. A deeper and more general explanation for the apparently logical ar- ticulation of many dreams, however, is the fact that the rationalising tendency of mental activity, which seeks to arrange senseless material into logical trains of thought, does not rest at night. This last activity of the dream Freud calls the secondary elab- oration. It is due to this that the originally frag- mentary parts of the dream are rounded into a whole by supplementarily inserted connecting words and other little connections. x^ince the dream has fundamentally condensed, displaced, disguised, and scenically presented a dream-thought, robbed it of its logical connections, and elaborated it in a secondary manner, the work of interpretation is often very difficult. We are con- fronted by the conscious dream-content as by a hieroglyph or by a rebus that is very difficult of solution ; the result is that the explanation of many dreams needs, besides the rules of Freud's interpre- tation, special capacity and inclination to occupy oneself with the questions of mental life. The Psychological Analysis of Dreams Not less a riddle than the dream itself is its rapid fading away after awakening. When we awake, the dream-images so toilsomely built up at night collapse like a house of cards. During sleep the mind is like an air-tight room, into which neither light nor sound can penetrate from without, but within whose own walls the slightest sound, even the buzzing of a fly, can be heard. But awakening is like opening the door to the air of the bright morning; through the doors of our senses press in the bustle and the im- pulses of every-day life, and the daily cares, lately soothed to sleep by wish-fancies, once more assert their domination. The censor, too, wakens from its slumber, and its first act is to declare the dream to be foolishness, to explain it as senseless, to put it as it were under guardianship. It is not always satisfied with this measure, it reacts much more strongly against the revolutionary dreams (and there is not a single dream that cannot be shewn by analysis to offend against some ethical or legal canon). The stronger method consists in the con- fiscation, the full suppression, of the dream-image. Mental confiscation is commonly called "forgetting.'* One wonderingly relates how distinctly one dreamed, and yet when one woke all was confused and in a few minutes it had all been forgotten. At other times one can only say that the dream was beautiful, good, bad, confused, stimulating, or stupid. Even in mak- ing this judgment often a remnant of the dream-con- 128 Contributions to Psycho- Analysis tent will shew itself, the analysis of which may lead to a later recovery of larger fragments of the dream. Behind the additional fragments of the dream thus brought to light one often finds the kernel of the dream-thoughts. It is an important consequence of Freud's theory of dreams, that one is always dreaming, so long as one sleeps. 5 That one remembers nothing of it is no decisive objection against this consideration. My patients, for example, who at the beginning of the analysis declared that they usually had no dreams, gradually accustomed themselves to remember all their dreams by continual weakening of the internal psychic resistance against the censorship. But if in the course of the analysis one strikes a very re- sistant, painfully toned complex, dreams apparently cease naturally they are only forgotten, repressed, because of their unpleasant content. The obvious objection that these dream observa- tions and analyses have for the most part been carried out on neurotic and thus abnormal persons, and that conclusions should not be drawn as to the dreams of healthy people, does not need to be refuted by the reply that mental health and psychoneuroses differ in only a quantitative way; the answer can (This remark is perhaps carelessly phrased. The author probably means that unconscious psychic activity always goes on during sleep, tending to lead to the formation of dreams, not that we are always actually dreaming in the sense of con- sciously experiencing fully formed dreams. TransL) The Psychological Analysis of Dreams 129 also be made that the analyses of people mentally normal fully agree with the interpretations of dreams of neurotics. The communication of the analysis of one's own dreams, however, meets with almost in- surmountable difficulties. Freud has not shrunk from this sacrifice the exposure of intimate per- sonal matters in his Traumdeutung, even though regard for others make unavoidable gaps here and there in his analysis. Similar considerations make it necessary for me to explain the interpretation of dreams not from my own dreams, but from those of my patients. For the rest, the practice of self- analysis is indispensable for anyone who desires to penetrate into the unconscious processes of dream life. The neurotic persons whose dreams I have brought forward here and there as examples also pave the way for me to say a few words about the patho- logical significance of dreams and their interpreta- tion. We have seen how greatly the analysis of a neurotic may be accelerated by a successful dream analysis. The dream censorship, which is only half awake, often allows thought-complexes to penetrate to the dream consciousness that in waking life could not be brought to consciousness by free association. From the dream elements also lead out immediate and shorter ways to the repressed pathogenic ma- terial, becoming conscious of such complexes may be regarded as a step towards the cure. 130 Contributions to Psycho- Analysis Then, too, the diagnostic significance of dreams should not escape us, and in a time that is not too distant there ought to arise besides the physiological, also a pathological dream psychology, which should treat systematically of dreams among hysterics, ob- sessional patients, paranoiacs, dementia praecox pa- tients, sufferers from neurasthenia, from the anxiety- neurosis, alcoholism, epilepsy, paralysis, etc. Many pathognostic peculiarities of dreams in these dis- eased conditions are already recognisable to-day. All these more practical and special questions have been raised to importance by the unexpected theo- retical consequences of this investigation of dreams. Freud has succeeded in surprising a process on the boundary line between the physiological and patho- logical departments of mental life, in taking it in the midst of its work, in flagranti, so to speak. In this way he has brought us nearer to an understand- ing of the mechanism of the manifestations of neu- roses and insanity in waking life. And though it was the study of psycho-neuroses that led Freud to his investigation of dreams, the dream theory pays back with interest all that it owes to pathology. The case could not, indeed, be other than it is. Waking life, dreams, neuroses, and psychoses are only variations of the same psychic material with different modes of functioning, and progressive in- sight into one of these processes must necessarily deepen and widen our knowledge of the others. The Psychological Analysis of Dreams 131 Those who expect from the new dream theory any sort of prophetic insight into the future will turn back disillusioned. But those who value highly the solution of psychological problems that have until now been set aside as insoluble, the widening of the psychological point of view apart from any imme- diate practical consequences, and who are not kept back from advance by hide-bound prejudices, will perhaps supplement the presentation given here by a thorough and serious study of Freud's Traumdev- twng. CHAPTER IV ON OBSCENE WORDS l Contribution to the Psychology of the Latent Period IN all analyses one is sooner or later fa^ed with the question whether one should mention in front of the patient the popular (obscene) designations of the sexual and excremental organs, functions, and material, and get him to utter in an unvarnished, unaltered way the obscene words, phrases, curses, etc., that occur to his mind, or whether one can rest content with allusions to them or with the use of scientific language to denote such matters. In one of his earlier works Freud called attention to the possibility of finding ways and means to dis- cuss with patients even the most proscribed sexual activities (perversions) without wounding their mod- esty, and for this purpose he recommended the use of technical medical expressions. At the beginning of a course of psycho-analytic treatment one avoids unnecessarily provoking re- sistance on the part of the patient, and in this way 1 Published in the Zentralbl. f. Psychoanalyse, Jahrg. 1, 1911. 132 On Obscene Words setting up perhaps insurmountable obstacles to the continuation of the analysis. One contents oneself, therefore, at first with allusive references or with serious scientific terms, and can very soon talk with one's patient about the most delicate matters of sexuality, as of the instincts in general, without ex- citing any reaction of shame whatever. In a number of cases, however, this does not suffice. The analysis comes to a standstill, no thoughts occur to the pa- tient, his behaviour shews signs of inhibition, indica- tions of increased resistance manifest themselves, and this resistance ceases only when the physician man- ages to discover the ground for it in the fact that proscribed words and phrases have occurred to him, which he does not venture to utter aloud without the analyst's express "permission." An hysterical patient of twenty-three, for exam- ple, who so far as consciousness was concerned was intent on the greatest honesty, and who listened without much prudishness to my explanations about her sexuality (formulated in scientific language), in- sisted that she had never heard or noticed anything about sexual matters ; she still professed belief in the "kissing-theory" of propagation (which, by the way, is always a secondary one). In order to display her assiduity, she bought a large work on embryol- ogy and related to me, with naive interest and with- out any inhibition, her recently acquired informa- tion concerning spermatozoa and ova, male and fe- 184 Contributions to Psycho-Analysis male sexual organs and their union. On one occa- sion she casually told me that ever since childhood she had had the habit of shutting her eyes when at stool. She could give no reason for this eccentricity. Finally I helped her memory by asking if, by clos- ing her eyes, she had not sought to shun the ob- scene writings and drawing so frequent in closets. I then had to direct attention to the obscene writ- ings known to her, and this evoked in the patient, who up till then had been so superior and imper- turbable, an intense reaction of shame, which gave me access to the deepest layers of her previously latent store of memories. The repression, therefore, evidently appertained to the wording itself of the sexual thought-complexes, and could be reversed only by uttering those "magic words." A young homosexual, who without much ado made use of even the vulgar designations for the sexual parts and their functions, refused for two hours long to utter aloud the commoner expression for the word "flatus" which had occurred to him. He sought to avoid it by all possible circumlocutions, foreign words, euphemisms, etc. After the resistance against the word was overcome, however, he was able to pene- trate much deeper into the previously barren analy- sis of his anal-erotism. The hearing of an obscene word in the treatment often produces in the patient the same agitation that on some earlier occasion had been produced by ac- On Obscene Words 135 cidentally overhearing a conversation between the parents, in which some coarse (usually sexual) ex- pression had slipped o^t. This agitation and shock, which for a moment seriously threatens the child's respect for his parents, and which in a neurotic may remain "fixed" for life (although unconsciously), happens as a rule in the years of puberty and is really a "new edition" of the impressions made by overhearing in infancy actual sexual performances. The early confidence in parents and superior au- thorities, however, which the latter have sought to instil, but which has been nullified by awe, belongs to the most significant complexes of the suppressed psychical material, and if one does not shrink from and, indeed, insists on getting the patient to express the very wording of these thoughts (and, if necessary, to utter it oneself), it often results in unexpected disclosures and a gratifying progress in the mental dissection, which had perhaps been for some time at a standstill. Apart from this practical importance, which, by the way, is not to be underestimated, the behaviour of the patient in this connection is also a matter of more general interest. It gives us a psychological problem. How is it that it is so much harder to designate the same thing with one term than with another? That this is the case can be observed not only with the patient, but also with oneself. Indeed, it was the 136 Contributions to Psycho- Analysis not inconsiderable inhibition which I noticed, to be- gin with, on mentioning such words, and against which I have even now occasionally to contend, that led me to devote more attention to this question and to investigate it by examining myself as well as my patients. By both of these ways I came to the con- clusion that the popular (obscene) designations for sexuality and excretion, the only ones known to the child, are in the most intimate manner associated with the deeply repressed nuclear complex of the neurotic as well as of the healthy. (Following Freud, I call the Oedipus-complex the "nuclear com- plex.) The child's thoughts about the sexual aspects of the parents, about the processes of birth and the animal functions, in a word, the "infantile sexual theories," are, as soon as they appear, clothed in the popular terminology that is the only one accessi- ble to the child. The moral censorship and the in- cest-barrier, which later on covers over these theo- ries, becomes exerted, therefore, on just this formu- lation of the hypotheses. This would suffice to make comprehensible, at least in part, the resistance that is manifested against the mentioning of, and listening to, such words. As, however, this explanation did not quite satisfy me, I looked for further causes of the special quality of these word-ideas and reached a point of view that I cannot, it is true, regard as certainly correct, but On Obscene Words 137 which I wish to communicate here in order to prompt &ther workers to bring forward a better explanation. An obscene word has a peculiar power of compel- ling the hearer to imagine the object it denotes, the sexual organ or function, in substantial actuality. That this is the case was clearly recognised and ex- pressed by Freud in his discussion of the motives and conditions of obscene jokes. He writes: 2 "Through the mentioning of the obscene word the ribald jest forces the assailed person to imagine the part of the body or the function in question." I would supple- ment this statement by calling special attention to the fact that delicate allusions to sexual processes, and scientific or foreign designations for them, do not have this effect, or at least not to the same extent as the words taken from the original, popu- lar, erotic vocabulary of one's mother-tongue. One may therefore infer that these words as such possess the capacity of compelling the hearer to revive memory pictures in a regressive and halluci- natory manner. This inference, founded on self-ob- servation, is confirmed by the statements of a con- siderable number of normal as well as of neurotic individuals. The causes of the phenomenon must be sought for in the hearer himself, and we have to as- sume that he harbours in his store of memories a number of word-sound and writing images of erotic Freud. Der Witz und seine Beziehung zum Unbewussten. S. 80. 188 Contributions to Psycho-Analysis content that differ from other word-pictures in their increased tendency to regression. On hearing or seeing an obscene word this capacity of the mem- ory-traces in question would then come into opera- tion. If, now, we subscribe to Freud's conception of the ontogenetic development of the psychical mechan- ism out of a motor-hallucinatory reaction centre to an organ of thought (and his conception is the only one that does justice to the results of psycho-analy- sis and to our idea of the unconscious), we come to the conclusion that obscene words have attributes which all words must have possessed in some early stage of psychical development. Ever since Freud's work 3 we regard as the funda- mental cause of every act of mental representation the wish to put an end to an unpleasantness due to privation, by means of repeating an experience of gratification once enjoyed. If this need is not satis- fied in reality, what happens in the first primitive stage of mental development is that on the appear- ance of the wish the perception of the previously ex- perienced gratification becomes regressively engaged (besetzt) and maintained in a hallucinatory way. The idea is thus treated as equivalent to the reality (perceptual identity, as Freud terms it). Only gradually, sharpened by bitter experience of life, Freud. Die Traumdeutung. [The view in question is ex- pounded in an article in Child Study, April and May, 1916. Transl.] On Obscene Words 139 does the child learn to distinguish the wish-idea from real gratification, and to make use of his motor pow- ers only when he has convinced himself that he sees in front of him real objects, and not illusions of his phantasy. Abstract thought, thinking in words, de- notes the culminating point of this development. In this, as Freud has set forth in detail, finer accom- plishments are rendered possible through the mem- ory images being represented merely by certain qualitative remains of these images, the speech-signs. It may be added that the capacity of represent- ing wishes by means of speech signs, so poor in qual- ity, is not acquired all at once. Apart from the fact that it takes some time to learn to speak, it seems that speech-signs replacing images, i. e., words, retain for a considerable time a certain tend- ency to regression, which we can picture to our- selves in a gradually diminishing degree, until the capacity is attained for "abstract" imagination and thought that is almost completely free from hal- lucinatory perceptual elements. In this line of development there may be psychical stages of which the characteristic is that the already perfected capacity for the more economic form of thought by means of speech-signs is accompanied with a still existing, strong tendency to revive re- gressively the image of the object. The assumption that such stages occur is supported by the behaviour of children at the time of their mental development. 140 Contributions to Psycho- Analysis Freud, on investigating the psychogenesis of the pleasure afforded by wit, recognised the significance of the child's play with words. "Children," he says, "treat words as objects." The distinction, not yet rigorously carried out, between what is only imagined and what is real, (. e. the tendency of the mind to relapse into the primary, regressive mode of functioning), may also make the special charcter of obscene words compre- hensible, and justify the surmise that at a certain stage of development this concreteness, and with it probably a strong tendency to regression, applies still to all words. On this, indeed, rests Freud's ex- planation of dream images ; in sleep we fall back on the original mode of mental functioning, and once more regressively revive the perceptual system of consciousness. In dreams we no longer think in words, but hallucinate. If we now assume that this development from speech-signs, still endowed with many concrete ele- ments, in the direction of the abstract has been sub- ject to a disturbance, an interruption, in the case of certain words, which results in a lagging of the word-image on a lower level, then we have some prospect of approaching an understanding of the tendency to regression which is so marked when ob- scene words are heard. Not only the hearing of obscene words, however, but also the utterance of them is endued with quali- On Obscene Words 141 ties that are not found in the case of other words, at least not in the same degree. Freud points out, with truth, that whoever makes an obscene joke per- petrates, in so doing, an attack (a sexual action) on the object of the aggression, and evokes the same phenomena of reaction as those which would have resulted from the action itself. When uttering an obscene word one has the feeling that it is almost equivalent to a sexual aggression : "uncovering of the individual who interests one personally." 4 The ut- terance of an obscene joke, therefore, shews in a higher degree what is scarcely indicated with most words, namely, the original source of all speech in pretermitted action. While other words, however, contain the motor element of the word-image only in the form of a reduced innervation impulse, the so-called "mimicry of imagery," 5 on uttering an obscene joke we still have the definite feeling of in- itiating an act. This marked investment of the vocal image of obscene words with motor elements, as also the sen- sorial and hallucinatory character of the heard ob- scene joke, may be the result of a disturbance in de- velopment. These vocal images may have remained on a level of speech development where words are still more markedly invested with motor elements. One has here to ask oneself whether this speculation, Freud. Der Witz. S. 80. Ibid. S. 167. 142 Contributions to Psycho-Analysis which represents only one of the many possibilities, is in any way supported by experience, and if so, what could be the cause of this developmental error, one which concerns a small group of words, and is of general occurrence among civilised people. Psycho-analysis of normal and neurotic persons, and observation of children, if fearless investigation is made of the fate that the terms for sexual and ex- cremental organs and functions undergo in the course of mental development, bring much confirma- tion of the hypothesis brought forward here. In the firrt place, confirmation is found throughout of the almost self-evident assumption that the specially strong aversion to repeating certain obscene words is to be ascribed to strong feelings of unpleasantness which have become attached to just those words through inversion of affect in the course of child de- velopment. A young man, for example, who was on the whole normal, although he was noted for a rather exag- gerated strictness in morals and was unusually intol- erant of obscene words, recollected during a dream analysis that his mother caught him, when he was six and a half years old, writing down on a piece of pa- per a dictionary, so to speak, of all the obscene expressions he knew. The humiliation of being thus detected, especially by his mother, as well as the se- vere punishment that followed, resulted in a lack of interest in erotic matters for many years after On Obscene Wordt 143 and in an inimical disposition even later towards the contents of the erotic vocabulary. The young homosexual who had displayed such strong opposition to uttering the obscene word for "flatus" developed in infancy an extraordinary love of odour and coprophilia, and his over-lenient fa- ther did not prevent him from indulging these incli- nations even on his own body (the father's). The association, inseparable from this time forward, of the idea of defilement with that of the parents re- sulted in an unusually strong repression of the pleas- ure in dirt and smell; hence also the great unpleas- antness in mentioning such matters. That it was the obscene term for intestinal gas which was so much more intolerable to him than any circumlocu- tion had its reason in childhood experiences similar to those of the "dictionary-writer" mentioned above. The intimate connection between obscenity and the parental complex was thus the strongest repressing force in both cases. 6 In the case of the hysterical patient who used to shut her eyes when in the closet this habit could be traced back to the time of a confession at which she was severely reprimanded by the priest for artlessly mentioning the obscene term for the vagina. Such rebukes, however, or similar ones, happen to almost every child, with the possible exception of The infantile interest for the sounds accompanying the emission of intestinal gas was not without influence on his choice of profession. He became a musician. 144 Contributions to Psycho-Analysis those belonging to the lowest classes. In the fourth or fifth year of life, and considerably earlier with precocious children (i. e., at a time when children are restricting their "polymorphous-perverse" im- pulses), a period is interpolated between the relin- quishing of the infantile modes of gratification and the beginning of the true latency period, one char- acterised by the impulse to utter, write up, and listen to obscene words. This fact would without doubt be confirmed by a questionnaire addressed to mothers and teachers, still more certainly by one to servants, the real con- fidants of children, and that this is true of children not only in Europe, but also in such a prudish coun- try as America, I recognised, when strolling with Professor Freud in New York Central Park, from the chalk drawings and inscriptions on a beautiful marble flight of steps. We may conceive this impulse to utter, draw, write, hear, and read obscenities as being a prelimi- nary stage in the inhibition of the infantile desires for exposure and sexual visual curiosity. It is the suppression of these sexual phantasies and actions, manifested in the weakened form of speech, that real- ly connotes the beginning of the latency period proper, that period in which "the mental counter- forces against infantile sexuality, namely, disgust, shame, and morality, are formed," 7 and the child's 1 Freud. Kl. Schr., 2e Aufl., S. 39. On Obscene Words 145 interest is turned in the direction of social activities (desire for knowledge). One is hardly likely to be wrong in surmising that this suppression of obscene word-images occurs at a time when speech, and especially the sexual vocabu- lary, which is so strongly invested with affect, is still characterised by a high degree of regressive tend- ency and by a vivid "mimicry of imagery." It is, therefore, no longer so improbable that the sup- pressed verbal material must, in consequence of the latency period (i. e. the deflection of attention), remain at this more primitive developmental stage, while the rest of the vocabulary gradually becomes, for the greater part, divested of its hallucinatory and motor character by progressive exercising and training, and is rendered through this economy suit- able for higher thought activities. I know, however, from psycho-analysis of neuro- ses that suppressed or repressed psychical material becomes in fact through the blocking of association a "foreign body" in the mental life, which is capable of no organic growth and of no development, and that the contents of these "complexes" do not par- ticipate in the development and constitution of the rest of the individual. I might bring forward here a few surprising examples. Apprehension about the smallness and consequent incapacity of the copulatory organ or, as we psy- cho-analysts are accustomed to say, "the complex 146 Contribution* to Psycho-Analysis of the small penis" is especially common among neurotics, and far from rare among the healthy. In every case in which I have analysed this symptom the explanation was as follows: All those who suf- fered later in this way had in their earliest childhood occupied themselves to an unusual degree with the phantasy of coitus cum matre (or with a corre- sponding older person) ; in doing so they had nat- urally been distressed at the idea of the inadequacy of their penis for this purpose. 8 The latency period interrupted and suppressed this group of thoughts; when, however, the sexual impulse unfolded itself afresh in puberty, and interest was again directed towards the copulatory organ, the old distress once more emerged, even when the actual size of the or- gan was normal or exceeded the average. While, therefore, the penis developed in the normal way, the idea of the penis remained at an infantile level. The deflection of attention from the genital region led the individual to take no note of the changes in it. I have similarly been able to observe among fe- male patients a "complex of the vagina being too small" (fear that it would be torn during sexual intercourse), and have been able to explain it through the idea of the relative size of the paternal The condition for this apprehensive phantasy is the igno- rance of the extensibility of the vagina; children only know that coitus takes place in an opening through which they once passed in toto at birth. On Obscene Words 147 organ, an idea acquired in childhood and suppressed in the latency period. Such women are then sex- ually anaesthetic in consequence of the imaginary smallness of the penis in their husbands. As a third example of the effect of the latency pe- riod in inhibiting development in an isolated manner I may mention the "complex of the large breast": The dissatisfaction that many men feel with the di- mensions of most female breasts. With one patient, whose sex hunger could be aroused only by quite enormously developed female breasts, it was estab- lished in the analysis that in his early childhood he had taken an extraordinary interest in the suckling of infants and had indulged in the secret wish that he might share with them. In the latency period these fancies disappeared from his consciousness, but when he began once more to take an interest in the opposite sex his wishes were constellated by the complex of the large breast. The idea of the breast had not developed in him during the intermediary period, and the impression of size which the organ must have made on the child, who was then so little, had become fixed. Hence he desired only women whose breasts corresponded with the old proportion of his own smallness to the size of the woman. The female breasts themselves had become relatively smaller in the intermediary period, but the fixed idea of them retained the old dimension. These examples, which could easily be multiplied, 148 Contributions to Psycho-Analysis support the assumption that the latency period ac- tually brings about an isolated inhibition in the de- velopment of individual repressed complexes, and this makes it seem likely that the same process hap- pens in the development of verbal images that have become latent. Apart from this inference from an- alogy, however, I wish to mention the fact, which has often been demonstrated from the side of ex- perimental psychology, that young children are of a pronouncedly "visual" and "motor" reaction type. I surmise that the loss of this visual and motor char- acter comes about not gradually, but in a series of stages, and that the advent of the latency period denotes one, and perhaps the most important one, of these stages. 9 I can bring forward two further series of observations in favour of the correctness of my supposition concerning the influence of the latency period. In a number of cases I have had the opportunity of investigating the cause of lack of capacity for visual representation and the resulting incom- petency for certain subjects of school study that demand a capacity for spacial presentation (geometry, natural history). It appeared that this incapacity, which was out of correspond- ence with the other powers of comprehension, was not con- ditioned by a congenital partial weakness, but came about only after the repression of phantasies, mostly of an incestuous nature, that had been over-exuberant. To secure (Adler) the repression of certain phantasy-pictures all kind of conscious fancying, even the imaginative representation of quite indif- ferent objects, was instinctively avoided. (Dread of the im- agination.) Another neurotic symptom, which may be observed much more frequently, is exaggerated calm and grave precision in the carrying out of every action, of every movement, shewn also in the whole attitude and in the dread of all hurry and haste. It is usually accompanied with pronounced antipathy against those people who "let themselves go" easily, who are immod- On Obscene Words 149 Little can be said at present concerning the fate of the repressed obscene verbal images during the lat- ency period. From what I have gathered in self- analysis and in the analyses of other normal people, I think I am justified in inferring that the latency of these images, especially with men, is normally not an absolute one. The reversal of affect that occurs sees to it, it is true, that attention is deflected so far as possible from these verbal images that are in- vested with unpleasantness, but a total forgetting, a becoming unconscious of them, scarcely happens in the normal. Everyday life, intercourse with the lower classes and with servants, obscene inscriptions on benches and in public urinals, see to it that this latency gets broken through often enough and that the memory of what has been put aside gets revived, although the point of view is changed. Nevertheless not much notice is paid to these memories for some years, and when they once more make their appear- ance at the time of puberty they are already in- erate, hasty, lively, unthinking and frivolous. One might here speak of phobia of movement. This symptom is a reaction- formation against a strong, but suppressed, motor tendency to aggression. Both the dread of imagining and that of movement seem to me to be exaggerations of the suppression of phantasy and the inhibition of motility that comes to everybody in the la- tency period, and which helps to purge the motor and hallucina- tory elements even from the images that are capable of being conscious. The images, however, that are incapable of being conscious, the repressed or suppressed ones, and especially the obscene verbal images, retain, as does all repressed ma- terial, the characters of a more primitive type of imagination. 150 Contributions to Psycho-Analysis vested with the character of shamefulness, perhaps also with that of foreignness (on account of their plasticity and natural vividness), which they retain throughout life. Quite other is the historical development of these verbal images among the perverse and neurotic. Whoever has become perverse, through his sexual constitution and experiences, will, as we might ex- pect according to Freud's theory of sex, take pos- session of this source of pleasure also, and become cynical in his speech, or perhaps content himself merely with reading coarse obscenities. There ex- ists, indeed, a perversity of its own that consists in the uttering aloud of obscene words; I know from the analysis of several women that they have been insulted in the street by well-dressed men, who whis- pered obscene words to them in passing by, without any other sexual advances being made ( such as offer- ing to accompany, etc.). These are evidently mild exhibitionists and voyeurs, who instead of actual exposure content themselves with an act that has been weakened into the form of speech, and who in doing so select those words that (through their being forbidden, as through their motor and plastic attributes) are especially calculated to evoke the re- action of shame. This perversity might be called "coprophemia." 10 10 "Coprolalia," on the contrary, is the involuntary, obsessive expelling of obscene words, as may happen, for instance, in severe cases of tic convulsif. On Obscene Words 151 The true neurotic turns his attention away from obscene words, either completely or almost complete- ly. Wherever possible he passes them by without thinking of them, and when he cannot avoid them he responds with an exaggerated reaction of shame and disgust. The case mentioned above is rare, where the words get totally forgotten. Only women shew such a capacity for repression. A very severe mental shock, however, can bring about the re-appearance of these half-buried words in the normal as well as in the neurotic. Then, just as the Olympian gods and goddesses were degraded to demons and witches after the great step in repres- sion betokened by Christianity, so the words that once denoted the most highly treasured objects of infantile pleasure recur in the form of oaths and curses, and, characteristically, associated very often with the idea of the parents or the sacred beings and gods that correspond to them (blasphemies). These interjections that issue in vehement anger, which are often softened down to jokes also, do not at all be- long, as Kleinpaul rightly insists, to conceptual speech ; they do not serve the needs of conscious com- munication, but represent reactions to a stimulus which are nearly related to gestures. It is none the less remarkable, however, that a violent affect is only with considerable difficulty saved from discharg- ing itself along a motor path and is turned into an oath; the affect involuntarily makes use of the ob- 152 Contributions to Psycho- Analysis scene words that are best suited to the purpose from the strength of their affect and their motor force. Quite tragical are the cases in which obscene words abruptly burst forth into the virtuous con- sciousness of a neurotic. Naturally this can hap- pen only in the form of obsessive ideas, for they are so completely foreign to the conscious emotional life of the psycho-neurotic that he feels them to be mere- ly absurd, senseless, pathological ideas, "foreign bodies," and can in no way recognise them as a war- rantable content of his vocabulary. If one were not prepared by what has already been mentioned here, one would be faced with an insoluble riddle in the fact that obsessive ideas of obscene words, and es- pecially of words denoting the most despised ex- cretions and excretory organs in a coarse way, fre- quently appear in men after the death of their fa- ther, in men, in4eed, who adoringly loved and hon- oured their father. Analysis then shews that on the death, in addition to the frightful pain at the loss, the unconscious triumph at being freed at last from all constraint comes to expression, and the con- tempt for the "tyrant" who has now become harm- less displays itself in words that were most strictly forbidden to the child. 11 I have observed a similar case with a girl whose eldest sister became danger- ously ill. 11 As associative links between the conceptions of death and excrement one often finds the ideas concerning the de- composition of the corpse. On Obscene Words 153 An important support for my supposition that obscene words remain "infantile" as the result of in- hibited development, and on this account have an abnormal motor and regressive character, would be the ethnographic confirmation. Unfortunately I have not sufficient experience on this point. What I know of the life of the lower classes, and especially of the gypsies, seems to indicate that among unculti- vated people obscene words are perhaps more mark- edly invested with pleasure, and do not differ so es- sentially from the rest of the vocabulary, as com- pared with the state of affairs among the culti- vated. Whether further observation will support or prove incorrect the assumption of a specific infantile char- acter of obscene verbal images, and of "primitive" attributes resulting from a disturbance in develop- ment, I think I can at least maintain after what has been said that these highly affective images have a significance in our mental life which has not up to the present received corresponding attention. CHAPTER V ON THE PAET PLAYED BY HOMOSEXUALITY IN THE PATHOGENESIS OF PARANOIA X IN the summer of 1908 I had the opportunity of opening up the problem of paranoia in the course of conversation with Professor Freud, and we arrived at certain tentative ideas, which for the main part were developed by Professor Freud, while I con- tributed to the final shaping of the train of thought with detached suggestions and criticisms. We laid down to begin with that the mechanism of projec- tion, as explicated by Freud in the only case of paranoia at that time analysed, is characteristic of paranois in general. We assumed further that the paranoiac mechanism stands midway between the opposite mechanisms of neurosis and of dementia praecox. The neurotic gets rid of the affects that have become disagreeable to him by means of the different forms of displacement (conversion, trans- ference, substitution ) ; the patient suffering from de- mentia praecox, on the other hand, detaches his in- ' Published in the Jahrbuch der Psychoanalyse, Band III, 1912. 154 Homosexuality in Pathogenesis of Paranoia 155 tcrest from objects ~ and retracts it to his ego (au- to-erotism, grandiose delusions). The paranoiac also would make an attempt to withdraw his participation (in external interests), but it meets with only a limited success. Some of the desires get happily retracted into the ego grandiose delusions occur in every case of para- noia but a greater part of the interest, varying in amount, cannot disengage itself from its original ob- ject, or else returns to it. This interest, however, has become so incompatible with the ego that it gets ob- jectified (with a reversal of affect, t. e. with a "neg- ative sign in front") and thus cast out from the ego. The tendency that has become intolerable, and has been withdrawn from its object, in this way returns from its love-object in the form of a per- ception of its own negative. The feeling of love is turned into the sensation of its opposite. The expectation that further observation would verify the correctness of these assumptions has been fulfilled. The cases of paranoid dementia published by Maeder in the last volume of the Jahrbuch con- firm Freud's assumptions to a very considerable ex- tent. Freud himself by further studies has been able to confirm not only this leading formula of paranoia, but also certain finer details that we presuppose in Cp. Abraham, "Die psychosexuellen Differenzen der Hys- teric und der Dementia praecox," Zentralbl. f. Nervenheilk. u. Psych., Juli, 1908. 156 Contributions to Psycho- Analysis the psychical mechanism of the different kinds of paranoia. The aim of the present publication, however, is not the opening up of the whole question of paranoia (to which Professor Freud himself is devoting a larger work 3 ), but only the communication of an experiential fact which the analysis of several para- noiacs has yielded, and which goes beyond the an- ticipated ideas mentioned above. It has become evident, namely, that t he paranoiac mechanism is not set in action as a defence against all possible attachments of the "sexual hunger," but, according to the observations made up to the present, * directed only against the homosexual choice of object. Homosexuality played a strikingly great part in the case of the paranoiac analysed long ago by Freud, a part not adequately appreciated by him at that time. 4 In Maeder's investigations into cases Jahrb., Bd. III. Reprinted in Sammlung kl. Schr., 3e Folge. 4 "When she was alone with the servant" she "had a sen- sation in the lower part of the body, which made her think that the maid then had an indecent thought." She had "hallu- cinations of female nudities, especially of an exposed female lap with hair, occasionally also of male genitals." "When- ever she was in a woman's company she constantly got the torturing sensations of seeing her indecently exposed, and believed that in the same moment the woman had the same sensation about her." "The first pictures of female laps came a few seconds after she had in fact seen a number of un- dressed women at the baths." "Everything became plain to her as soon as her sister-in-law uttered something," etc. (Freud, Sammlung kl. Schr., S. 124.) Homosexriality in Pathogen-esis of Paranoia 157 of paranoid dementia also "undoubted homosexual tendencies" 5 were discovered behind one patient's delusions of persecution. The observation of several cases, presently to be related, seems to justify the surmise that in the pathogenesis of paranoia, homosexuality plays not a chance part, but the most important one, and that paranoia is perhaps nothing else at all than dis- guised homosexuality. The first case occurred in the husband of my own housekeeper, a well-built man of about thirty-eight, whom I had occasion to observe exhaustively for sev- eral months. He and his wife (who could hardly be called pretty), who had got married just before entering my service, occupied a part of my flat consisting of one room and the kitchen. 6 The husband worked all day (he was an employee in the post-office), came home punctually in the evening, and in the first part of his time with me gave no grounds for complaint. On the contrary, he impressed me by his extraordinary diligence and his great politeness to myself. He always found something in my rooms to clean and embellish. I would come across him "Jahrb., Bd. II, S. 237. It is customary here in Budapest to get a reliable married couple to look after one's residence. 158 Contributions to Psycho- Analysis late at night putting fresh polish on the doors or floors, burnishing the top window-panes that could hardly be reached, or arranging some ingenious nov- elty in the bathroom. He was most desirous of giv- ing me satisfaction, obeyed all my instructions with military smartness and punctuality, but was ex- tremely sensitive to any criticism on my part, for which, it is true, he rarely gave any occasion. One day the housekeeper sobbingly told me that she lived very unhappily with her husband. He was drinking a great deal latterly, came home late, and constantly scolded and abused her without cause. At first I did not want to interfere in this domestic affair, but when I accidentally heard that he was beating his wife (which fact the woman had con- cealed from me for fear of losing her place), I spoke to him seriously and insisted he should abstain from alcohol and treat his wife well, all of which he tear- fully promised me. When I offered to shake hands with him I could not prevent his impetuously kiss- ing my hand. I ascribed this at the time, however, to his emotion and to my "paternal" attitude (al- though I was younger than he). After this scene peace prevailed in the house for a time. A few weeks later, however, the same scenes were repeated, and when I now looked at the man more carefully I saw evident signs of chronic alco- holism. On this I interrogated the woman and learnt from her that she was constantly being accused by Homosexuality m Pathogenesis of Paranoia 159 her husband of marital infidelity, without the slight- est ground. The suspicion naturally occurred to me at once that the husband was suffering from alco- holic delusions of jealousy, the more so since I knew the housekeeper to be a very respectable and modest person. I managed once more to get the husband to give up drinking, and to restore peace in the house for a while. The state of affairs, however, soon changed for the worse. It became clear that we had to deal with a case of alcoholic paranoia. The man neglected his wife, and stayed in the public-house drinking till midnight. On coming home he beat his wife, abused her incessantly, and accused her of flirting with every male patient who came to see me. I learnt subsequently that he was even at this time jealous also of me, but his wife, from a comprehensible anx- iety, concealed this from me. I was naturally un- able to keep the couple any longer, but I allowed the woman, at her request, to retain her position until the quarter was up. It was now that I learnt all the details of these domestic scenes. The husband, whom I called to account, absolutely denied having beaten his wife, although this had been confirmed by people who had witnessed it. He maintained that his wife was a lascivious woman, a sort of vampire that "sucked out a man's force;" that he har 1 relations with her five or six times every night, that this was never enough 160 Contributions to Psycho- Analysis for her, however, so that she committed adultery with every possible man. During this explanation the emotional scene described above was repeated; he took possession again of my hand, and kissed it amid tears. He said he had never known anyone dearer or kinder than I. As his case began to interest me from a psychia- tric point of view also, I learnt from the woman that the man had had sexual relations with her only two or three times since they were married. Now and then he would make preparations in this direc- tion mostly a tergo and then push her away, de- claring in abusive language ^that she was a whore, and that she could do it with anyone she liked, but not with him. I began to play an increasingly important part in his delusions. He wanted to force his wife, un- der the threat of stabbing her, to confess she had had sexual relations with me. Every morning when I went out he burst into my bedroom, sniffed the bed-clothes, and then beat his wife, asserting he had recognised her odour in the bedding. He tore from her a head-kerchief I had brought back for her from a holiday, and stroked it several times a day; he was not to be parted from a tobacco-pipe that I had made him a present of. If I was in the water- closet he listened all the time in the ante-room, then related to his wife with obscene words what he had heard, and asked her "if it pleased her." He then Homosexuality m Pathogenesis of Paranoia 161 hurried into the closet immediately after me, to see whether I had "properly rinsed everything away." All this time he remained the most zealous servant you could think of, and was exaggeratedly amiable towards me. He turned to account my absence from Budapest and without instructions repainted the water-closet, even adorning the walls with coloured sketches. The fact that they had been discharged was kept private from him for a time. When he heard of it he became sad, abused and hit his wife, and threatened that he would put her in the street and stab me, "her darling." Even now he remained well-behaved and devoted so far as I personally was concerned. When I learned, however, that he was sleeping at night with a well-ground kitchen knife at his side and on one occasion seriously looked like forcing his way into my bedroom, I felt I could not wait the two or three days till their notice was up. The woman notified the authorities, who took him to the insane asylum after having him medically certified. There is no doubt that this was a case of alcoholic delusions of jealousy. The conspicuous feature of homosexual transference to myself, however, allows of the interpretation that this jealousy of men sig- nified only the projection of his own erotic pleasure in the male sex. Also, the disinclination for sexual relations with his wife was probably not simply im- potency, but was determined by his unconscious 162 Contributions to Psycho- Analysis homosexuality. The alcohol, which might well be called a censure-poison, had evidently for the most part (though not quite) robbed his homosexuality, which had been spiritualised into friendliness, as- siduity and complaisance, of its sublimations, and so caused the crude homosexual erotism that thus came to the surface intolerable as such to the conscious- ness of a man of ethical high standing to be sim- ply imputed to his wife. In my opinion the alcohol played here only the part of an agent destroying sublimation, through the effect of which the man's true sexual constitution, namely the preference for a member of the same sex, became evident. It was only subsequently that I received a com- plete confirmation of this. I learnt that he had been married before, years ago. He lived only a short time in peace with his first wife also, began to drink soon after the wedding, and abused his wife, tor- menting her with jealousy scenes, until she left him and got a divorce. In the interval between these two marriages he was said to have been a temperate, reliable, and steady man, and to have taken again to drink only after the second marriage. Alcoholism was thus not the deeper cause of the paranoia; it was rather that in the insoluble conflict between his conscious heterosexual and unconscious homosexual desires he took to alcohol, which then by destroying the subli- mations brought the homosexual erotism to the sur- Homosexuality in Pathogenesis of Paranoia 163 face, his consciousness getting rid of this by way of projection, of delusions of jealousy. The destruction of the sublimation was not com- plete. He was still able to let a part of his homo- sexual tendency function in a spiritualised form, as a faithful, compliant servant of his master, as *a smart subordinate in his office, and as a competent worker in both positions. Where the circumstances made high claims on his capacity for sublimation, however, for instance, in his occupation with the bedroom and closet he was compelled to saddle his wife with his desires, and by jealousy scenes to as- sure himself that he was in love with her. The boasting about his colossal potency in regard to his wife was similarly a distortion of the facts that served to calm his mind. 7 II I shall cite as a second case that of a lady, still young, who after living for years in moderate har- * The one-sided agitation of temperance reformers tries to veil the fact that in the large majority of cases alcoholism is not the cause of neuroses, but a result of them, and a. ca- lamitous one. Both individual and social alcoholism can be cured only by the help of psycho-analysis, which discloses the causes of the "flight into narcosis" and neutralises them. The eradication of alcoholism only seemingly signifies an improve- ment in hygiene. When alcohol is withdrawn, there remain at the disposal of the psyche numerous other paths to the "flight into disease." And when then psychoneurotics suffer from anxiety-hysteria or dementia praecox instead of from alcoholism, one regrets the enormous expenditure of energy that has been applied against alcoholism, but in the wrong place. 164 Contributions to Psycho- Analysis mony with her husband, and bearing him daughters, began to suffer from delusions of jealousy not long after giving birth to a son ; alcohol played no part in her case. 8 She began to find everything in her husband sus- picious. A cook and one chambermaid after another were dismissed, and finally she got her way and had only male servants in the house. Even that didn't help. The man, who was everywhere regarded as a model husband, and who assured me on his word of honour that he had never been unfaithful to her, could not go a step or write a line without being watched, suspected, and even abused by his wife. Curiously enough she was suspicious of her husband only with either very young females, about twelve or thirteen years old, or quite old, ugly ones, while she was not jealous of society women, friends, or good-class governesses, even when they were attrac- tive or pretty. Her conduct at home became more and more odd, and her threats more dangerous, so that she had to be taken to a sanatorium. (Before doing this I got the patient to consult Professor Freud, who agreed with my diagnosis and approved of psycho-analysis being tried). The patient was so remarkably distrustful and perspicacious that it was not easy to establish a rap- * I have briefly narrated the case in another connection : see Chapter II. Homosexuality m Pathogenesis of Parcmoia 165 port with her. I had to take the ground that I was not quite convinced of her husband's innocence, and in this way induced the otherwise inaccessible pa- tient to part with the delusional ideas that she had till then kept to herself. Among these were pronounced delusions of gran- deur and of connection. Between the lines of the local newspaper were innumerable insinuations of her supposed moral depravity, and of her ridiculous position as a betrayed wife; the articles were writ- ten by journalists at the orders of her enemies. Per- sonalities of the highest standing (e. g, of the epis- copal court) knew of these goings on, and the fact that the royal manoeuvres took place every year just in the neighbourhood of her home was not uncon- nected with certain secret intentions of her enemies. The enemies turned out in the course of further con- versation to be the dismissed servants. I then gradually learnt from her that it was against her will, and only at her parents' wish, es- pecially her father's, that she had looked favourably on her husband's courtship. He seemed to her at the time too common, too coarse. After the mar- riage, however, she said she got used to him. A cu- rious scene took place in the house after the birth of the first daughter. The husband was supposed to have been dissatisfied that she had not borne a son, and she felt quite conscience-pricked about it also; on this she began to doubt whether she had 166 Contributions to Psycho- Analysis done right to marry this man. At this time she began to be jealous of an extra servant-girl, aged thirteen and said to be very pretty. She was still in bed after the confinement when she summoned the little girl and made her kneel down and swear by her father's life that the master had done nothing to her. This oath calmed her at the time, and she thought she might have made a mistake. After a son was at last born, she felt she had ful- filled her duty to her husband and was now free. She began to behave discordantly. She became jeal- ous of her husband again, and on the other hand would behave towards men in a remarkable manner. "Only with the eyes, however," she said, and if any- one took the hints she gave, she always vigorously rebuffed him. This "harmless playfulness," on which her ene- mies similarly put a false construction, soon dis- appeared from view, however, behind the jealousy scenes, which went from bad to worse. In order to make her husband impotent as re- gards other women, she got him to perform coitus several times every night. Even so, when she left the bedroom for a moment (to attend to bodily needs) she locked the room behind her. She hurried back at once, but if she found any disarrangement of the bed-clothes she became suspicious that the discharged cook, who might have got a key made, had been with him in the interval. Homosexuality in Pathogenesis of Paranoia 167 The patient, as we see, realised the sexual insa- tiability that the alcoholic paranoiac mentioned above had only invented and could not carry out. (A woman can, to be sure, increase sexual rela- tions at will, even without real pleasure, much more easily than a man.) The sharp watching of the state of the bed-clothes was also repeated here. The patient's behaviour in the sanatorium was full of contradictions. She coquetted with all the men, but would not let any of them approach her. On the other hand she made close friendships and en- mities with all the female inhabitants of the house, and her conversations with me turned for the most part on these. She willingly took the luke-warm baths prescribed for her, but used the opportunity given by the bathing to collect detailed observations on the shapes and figures of the other female pa- tients. She described to me with every sign of dis- gust and abhorrence the wrinkled abdomen of an elderly patient who was very ill. As she narrated her observations on prettier patients, however, the lascivious expression of her face was unmistakable. One day when she was alone with these younger ones she got up a "calf exhibition;" she stated that she won the first prize in the competition (narcissism). I tried, with great circumspection, to learn some- thing about the homosexual component of her sexual development by asking her whether, like so many young girls, she had been passionately fond of her 168 Contributions to Psycho- Analysis girl friends. She divined my intention immediately, however, snubbed me severely, and maintained that I wanted to talk her into all sorts of abominations. I managed to calm her, whereupon she confessed to me under a pledge of secrecy that when she was a child she performed mutual masturbation for years with a little girl, whom she had seduced. (The pa- tient had only sisters, no brothers.) More than this, indications of over-strong sexual fixations to the mother and nurses could be inferred from the pa- tient's communications, which were becoming more and more scanty. The comparative peacefulness of the patient was for the first time seriously disturbed by her hus- band's visit, and the delusions of jealousy flared up anew. She accused her husband of having used her absence to do all sorts of disgraceful things, and her suspicion was particularly directed against the aged house-porteress, who, as she had heard, had helped in the house-cleaning. In sexual relations she be- came more insatiable than ever. If her husband re- fused this, she threatened to kill him, and on one occasion actually threw a knife at him. The slight traces of transference to the physi- cian, which were present at the beginning, also gave way in these stormy times to a more and more ve- hement resistance, so that the prospects of the analy- sis sank to nothing. We found ourselves compelled, therefore, to provide for her in a more distant in- Homo sexuality in Patho gene sis of Paranoia 169 stitution where she could be more strictly watched. This case also of delusional jealousy only becomes clear when we assume that it was a question of the projection on to the husband of her pleasure in her own sex. A girl who had grown up in almost ex- clusively feminine surroundings, who as a child was too strongly attached to the female nurses and ser- vants and in addition to this had for years enjoyed sexual relations with a girl comrade of her own age, is suddenly forced into a marriage de conve- nance with a "coarse man." She reconciles herself to it, however, ana only once shews indignation against an especially crude piece of unkindness on her husband's part, by letting her desires turn to- wards her childhood ideal (a little servant girl). The attempt fails, she cannot endure the homosex- uality any longer, and has to project it onto her husband. That was the first, temporary attack of jealousy. Penally, when she had done her "duty" and borne her husband the son he demanded, she felt herself free. The homosexuality that had been kept in bounds until then takes stormy possession in a crude erotic way of all the objects that offer no pos- sibility for sublimation (quite young girls, old women and servants), though all this erotism, with the exception of the cases where she can hide it un- der the mask of harmless play, is imputed to the hus- band. In order to support herself in this lie, the patient is compelled to shew increased coquetry to- 170 Contributions to Psycho- Analysis wards the male sex, to whom she had become pretty indifferent, and indeed to demean herself like a nymphomaniac. Ill One day I was asked by a lawyer to examine and declare sane one of his clients, the recorder of the town X, who was being unjustly persecuted by his compatriots. Soon after the man in question an- nounced himself. It made me suspicious to begin with that he handed me a mass of newspaper cut- tings, documents and pamphlets, numbered and sorted in the most exemplary order, all of which he had written himself. A glance at the papers con- vinced me that he was a paranoiac with delusions of persecution. I made an appointment to examine him on the next day, but the perusing of his papers alone shewed me the homosexual root of his par- anoia. His disputes had begun with his writing to a cap- tain that his vis-a-vis, an officer of the . . . regi- ment, "shaved himself at the window, partly in his shirt, with a bare chest." "In the second place he lets his gloves dry at the window on a line, as I have seen done in small Italian villages." The patient asked the captain "to effect a redress of this nui- sance." He replied to the captain's disclaimer by attacking him. Then followed a notification to the Homosexuality in Pathogenesis of Paranoia 171 colonel, in which he begins to speak of the "drawers" of the man opposite ; he complains again also of the gloves. In printing of an enormous size he empha- sises the fact that the matter would be indifferent to him if it were not that he wanted to let his sister occupy the rooms giving on to the street. "I be- lieved I was fulfilling a chivalrous duty to the lady." At the same time an extreme sensitiveness and every sign of megalomania is noticeable in the papers. In the later ones the drawers get mentioned oftener and oftener. The expression "protection of ladies," un- derlined, frequently appears. In a subsequent application he adds that he had forgotten to mention that the lieutenant was accus- tomed to dress himself in the evening at the bright- ly-lit window without pulling down the blinds. "That would make no difference to me" (this in small letters) : "In the name of a lady, however, I must beg for protection against such a sight." Then came memorials to the commander-in-chief, to the ministry of war, to the cabinet, etc., and in all of them the words in small print, "shirt, drawers, naked chest," etc., and only these had been sub- sequently underlined in red. (The patient was the owner of a newspaper, and could get everything printed according to his heart's desire.) From a document of the commander-in-chief it appeared that the patient's father and brother had been insane and had ended in suicide. The father Contributions to Psycho- Analysis was, as the patient expressed it, a "country lawyer and orator" (the patient was also a lawyer), the brother was a lieutenant. It was further to be gath- ered that the patient was a follower of Kneipp ; 9 indeed he appeared once at the Supreme Court of Justice with bare feet in sandals, for which he was reprimanded ( exhibitionism) . Then he transferred the affair on to the code of honour basis, 10 but always slipped out in the critical moment, appealing to some paragraph or other in the duelling code, of which he was complete master. Here the half-deliberate exaggeration crept in that he spoke as if his letter had been an insult to the officer by a deed. In other places he said (in huge print) that he had cited facts to the officer in the most considerate way possible. He ascribes to the military authorities the opinion of himself that he was "an old woman, who has nothing else to do but discover objects of her curiosity." He quoted in- numerable examples of how officers abroad were punished for insulting a girl in the street. He de- manded protection for defenceless women in general against brutal assaults, etc. In one of his applica- tions he complained that the above-mentioned cap- * (Kneipp was the founder of a pseudo-religious sect, one of whose tenets was that the members should wear the same foot-gear as that worn in the time of Christ. Transl.) 10 (This refers to the custom still prevailing in Hungary, and elsewhere, of regarding certain matters as affairs of honour in- volving the necessity of a duel if suitable satisfaction be not provided. Transl.) Homosexuality in Pathogenesis of Paranoia 178 tain had "angrily and ostentatiously turned his face away from him." The number of law-suits in which he was involved increased like an avalanche. What annoyed him most was that the military authorities ignored his memorials. Civilians he dragged before the civil courts ; soon he transferred the matter to the politi- cal sphere, egged on in his newspaper the military and municipal authorities against each other, and exploited the "Pan-Germans" against the Hungarian civil authorities. In a short time about a hundred "comrades" came forward, who applauded him both publicly and by letter. Then followed a curious episode. One day he complained to the new colonel that another officer had called "For shame, you miserable Saxon !" after his sister in the street. The sister was supposed to confirm this in a letter, which was certainly written by the patient himself. He then turned to newspaper articles, in which he set difficult riddles with "dangerous'* places indi- cated with dots. He mentioned, for instance, a French proverb that in German ran "das L. . . T. . ". I had considerable trouble to discover that this signified "Lacherliche totet." n A NEW COMPLAINT AGAINST THE CAPTAIN (Nr I) mentioned "grimaces, gestures, movements, challeng- ing glances.'* He wouldn't have bothered about it, 11 "Ridicule kills." 174 Contributions to Psycho- Analysis but it concerned a lady. The officer was like a boy. He and his sister would make the matter plain to him regardless of everything. This was followed by new attacks on honour with retreat of the patient, who with legal niceties appealed to the duelling code. Then follow threatening letters in which he, in his sister's name, talks a lot about "self-help;" long explanations ; a hundred quotations about duelling, etc. : for instance, "Not bullets or swords is it that kill, but the seconds." The words "man," "men," "manly," recur again and again. He writes hymns of praise to himself, and gets fellow-citizens to sign them. In one place he ironically states that perhaps one would like him, in the service of love, "to kiss the hands and feet of those gentlemen." Now comes the fight with the municipal authori- ties, to whom the military had applied. Forty-two municipal councilmen demanded that he be punished. He picked out one of these, named Dahinten, and bitterly persecuted him in public. Encouraged by the cries of approval and the backing up of a Vienna yellow journal, he canvassed for the position of vice- Lord Lieutenant of a county and blamed everyone at the injustice of his not getting this. Then he wanted to restore the good relations be- tween the civil and military authorities, always un- derlining these words. Finally the matter reached a superior civil au- thority, who got the patient's mental state examined Homosexuality in Pathogenesis of Paranoia 175 into. He came to me in the hope I would declare him to be sane. Previous experiences with paranoiacs made it easy for me to infer from these facts alone the extraordi- narily important part played by homosexuality in this case. The appearance of the delusion of perse- cution, perhaps long hidden, was evoked by the sight of a half-naked officer, whose shirt, drawers, and gloves also seem to have made a great impression on the patient. (Let me recall the part played by the bed-clothes in the two cases mentioned above.) No female person was ever accused or complained of, he constantly fought and wrangled only with men, for the most part officers or high dignitaries, supe- riors. I interpret this as projection of his own homosexual delight in those persons, the affect being preceded by a negative sign. His desires, which have been cast out from the ego, return to his con- sciousness as the perception of the persecutory tendency on the part of the objects that uncon- sciously please him. He seeks until he has convinced himself that he is hated. He can now indulge his own homosexuality in the form of hate, and at the same time hide from himself. The preference for being persecuted by officers and officials was prob- ably conditioned by the fact of his father having been an official and his brother an officer; I surmise that these were the original, infantile objects of his homo- sexual phantasies, 176 Contributions to Psycho-Analysis The false, magnified potency of the alcoholic delu- sional patient and the hypocritical nymphomania of the jealous paranoiac correspond with the exagger- ated chivalry here and with the delicate feeling that he demands from men towards women. I have found this with most manifest homosexual men. This high esteem is one reason why homosexuals, like many psychically impotent men, are unable to take a woman as an object of love. Homosexuals esteem women, but love men. Thus also our paranoiac, only that his love has been transformed through reversal of affect into persecutory delusion and hate. The fact that he put his sister in the foreground as the insulted person was probably also in part con- ditioned by passive-homosexual phantasies in which he identifies himself with this sister. His complaint that he was regarded as an old woman, who was seek- ing for the objects of her curiosity in nude officers and their underlinen, speaks in favour of this view. When, therefore, he continually complains of insults on the part of the men who persecute him, he means unconsciously sexual assaults of which he would like to be the object himself. It is neat to see in this case how the laboriously built up social sublimations of homosexuality col- lapse, probably under the pressure from the over- growth of infantile phantasies, perhaps also as a result of other exciting causes which are unknown to me, and how the childish-perverse basis of these spir- Homosexuality m Pathogenesis of Paranoia 177 itualisations (e. g. peeping mania, exhibitionism) breaks through in the delusions. As a control to my conception of this case I noted the patient's reactions to a hundred stimulus-words of Jung's scheme, and analysed the associations. The instructive part of this analysis is that it yielded meagre results. The paranoiac so thoroughly gets rid of the affects disturbing him that he believes they do not concern him, and that is why he relates in his actions and speech everything that the hys- teric from fear of his conscience represses deeply. It is further striking, and evidently characteristic of true paranoia, that of Jung's "complex-signs" dis- turbed reproduction is hardly met with. The pa- tient recalls excellently even the reactions to the "critical" stimulus-words that touch the complexes. Projection guards the paranoiac so well from affects that he has no need of the hysterical amnesia. Near- ness of a complex seems to betray itself here rather through talkativeness and personal relation. The reactions are in any case throughout egocentric. Sound and rime reactions are very frequent, as are witty ones. So much for the form. I shall narrate here for the sake of example, some individual reac- tions, together with the analysis relating to them. S. W. 12 Cooking. R. cook. A. Cooking makes women quarrelsome. A woman gets inflamed, heated, at the fire. My mother was also heated. I wouldn't 11 S. W.=Stimulus-word. R.=Reaction. A.=Analysis, 178 Contributions to Psycho-Analysis let her cook to-day. A man can stand much more. Goethe says, to be sure : "Seven men would not stand what one woman can." My mother had six children. A man "would be more suitable for bearing children. (In this reaction we find the forbearance towards women and the over-estimation of men, with a phan- tasy: for a man to bear children.) S. W. River. R. I should like to bathe in a river. A. I am passionately fond of bathing; I bathed in the river with my cousin every day until October. He shot himself, on account of over-strain. I avoid over-strain, and that's why I don't have much to do with women. (Attempt to explain on hygienic grounds his sexual avoidance of women. The cousin was an officer.) S. W. Salt. R. Reminds me of the salt of mar- riage. A. I am an enemy of married life. In it there is daily "friction." (He perhaps means also the compulsion to coitus in marriage.) S. W. Writing. R. I like the writing of the Berlin artist who has died, the founder of the Kun- stgewerbe . . . Eckmann was his name. A. Strik- ing, enormously large handwriting like his pleases me. Like that of my father's. Mine resembles my father's, but it is not so pretty. My letters, how- ever, are also large ones. (Esteem for his father and his physical superiority expresses itself, as so often, in the tendency to copy his handwriting. Homosexuality m Pathogenesis of Paranoia 179 Pleasure in the size of the letters may also be taken symbolically.) S. W. Cork. R. "Brings out the popping effect of champagne." A. Nature hasn't given women any of this. Hence their fading. My father, how- ever, was handsome even as an old man. S. W. Hitting. R. That is what my opponents deserve, to put it mildly. A. What I should best like would be to turn a hose on them till they were soaking. That would be fine. Fire-brigades inter- ested me even in childhood. (Fire-hose is one of the universal symbols for the male organ.) S. W. Pure. R. To the pure all things are pure. A. I was always a cleanly child, and was praised for this by my uncle. My elder brother was dirty. ( Exaggerated or precocious intolerance for dirt and disorder on a child's part is a symptom of homosex- ual fixation Sadger). IV The fourth case I wish briefly to relate was not one of pure paranoia, but one of dementia praecox with marked paranoiac aspects. It concerned a country teacher, still young, who so his rather elderly-looking wife told me had been tormented for about a year with thoughts of suicide, believed himself to be persecuted and accused by everyone, and brooded alone for hours at a time. 180 Contribution* to Psycho-Analysis I found the patient, who was in bed, awake, but with his head hidden away under the clothes. I had hardly exchanged a few words with him when he asked me if as a doctor I had to keep my patient's secrets. After I affirmed this he told me, amidst signs of intense dread, that he had three times per- formed cunnilingus with his wife. He knew that humanity had condemned him to death for this crime, that his hands and feet would be chopped off, his nose would decompose, and his eyes be plucked out. He shewed me a defective place in the ceiling, which, however, had been walled up, through which they must have watched his crime. His greatest enemy, the school-director, was informed of everything by means of complicated mirrors and electro-magnetic apparatus. Through his perverse deed he had be- come a woman, for a man performed coitus with his penis, not with his mouth. They would cut off his penis and testicles, or else his whole "Kiirbiskopf" (literally block-head, but kiirbis is also a vulgar Hungarian expression for testicles). I happened to touch my nose, and he said "Yes, my nose is decomposing, you want to say." I said on entering the room "Are you Herr Kugler?" Coming back to this he explained : "The whole story is told in my name; I am Die Kugel-er (= Kugl- er), . e. a die-er t a mau-woman. 13 The d'or of the " (Die and er are German for she and he respectively. TransL) Homosexuality in Pathogenesis of Paranoia 181 Christian name Sandor signified to him gold (French or gold), . ., he was made sexless. 14 On one occa- sion he wanted to jump out of the window, but the word "Hunyad" occurred to him ("huny" is Hun- garian for to shut, "ad" for to give) *. e. he is clos- ing his eyes (he dies), so that his wife may give her- self to another (sexually). So that no one should think this of him he stayed alive. They might even think when he was alive that he wanted to shut an eye if his wife "gave" herself to another. He was filled with a terrible sense of guilt cm ac- count of his perverse act. Such perversity had al- ways been foreign to him, and now also he abhors it. His enemy must have caused it, perhaps through sug- gestion. On closely questioning him I learnt that he had sacrificed himself for his director ("A handsome, im- posing man") ; the latter was also very pleased with him and often said, "I could do nothing without you ; you are my right hand." (This reminds one of the "better half.") For the past five years the direc- tor had tormented him, disturbing him with docu- ments when he was most deeply engrossed at his work in explaining a poem to the class, etc. At the question "Can you speak German" (tud nemetiil in Hungarian) he dissected and translated the word nemetiil (=German) into the syllables: 14 (Gold in German happens to be of the neuter gender. Transl.) 182 Contributions to Psycho-Analysis nem = nimm (German for take) et = und (German for and) ill = sitz (German for seat) (ill is Hungarian for to sit), . e. I meant by my question that he should take his penis in his hand, and, as a punishment for this, sit (be imprisoned in a hole). By this he expressly meant his own penis, which according to his enemies' accusation he wanted to insert into another hole, i. e. other strange women. He swore that he adored his wife. His father had been a poor man-servant (this was true) and very stern with him. In student days he constantly sat at home and read poetry aloud to his mother. His mother had always been very kind to him. We have here to do with a man who had happily sublimated his homosexuality for a long time, but who since the disappointment with the previously adored director hated all men, and in order to find reason for this hate had to explicate every expres- sion, every gesture, every word, in terms of the wish to be persecuted. He soon got to hate me also: every one of my words and gestures he explained in a hostile way, and dissected, translated, and distorted every word until it was turned into a hostile insinua- tion. The patient's mother told me her son had always been a good child. Instead of playing with other children, he read aloud books, especially poetry, to Homosexuality m Pathogenesis of Paranoia 183 his mother, and explained to her their contents. The father was a simple workman, and was sometimes rather harsh with the boy, whom he often annoyed by disturbing the reading. 15 There is no doubt that the patient thought very little of his father, to whom he was intellectually superior, and longed for a more imposing one. This he found later in the person of the school-director, his superior, whom he served for years with tireless zeal, but who did not satisfy the patient's expecta- tions (doubtless too high). He wanted now to give his love back to his wife, but in the meantime, how- .ever, she had become for him a "neutral quantity." The heterosexual exaggeration and the cunnilingus might have veiled his eyes to the lack of desire for his wife, but the longing for the male sex did not cease ; it was only cast out from the ego-consciousness and returned to this as a projection with a negative pre- fix; he became a persecuted being. * * * * * In addition to those here narrated I have made an "analytic anamnesis" with three other paranoiacs. 16 In each of these projected homosexual desires played the most important part, but as I learnt nothing "Hence the traumatic effect of the later disturbing of his lecture by the director. M One with delusions of jealousy and two querulants. One of the latter, an engineer, introduced himself to me with the complaint, "certain men in some unknown way sucked the masculine power from his genitals." 184 Contributions to Psycho-Analysis essentially new from these cases I did not make any exact notes of them. The histories here published, however, justify the surmise that with paranoia it is essentially a question of the re-occupation of homosexual pleasurable ob- jects with unsublimated "sexual hunger," against which the ego defends itself by help of the projection mechanism. The establishment of this process would naturally bring us face to face with a larger problem, that of the "choice of neurosis" (Freud) ; with the question, namely, what conditions have to be fulfilled for the normal preponderance of heterosexuality, a homo- sexual neurosis, or paranoia to proceed from the in- fantile bisexuality, or ambisexuality. 17 " I suggest that the term ambisexuality be used in psychology instead of the expression "bisexual predisposition." This would connote that we understand by this predisposition, not the presence of male and female material in the organism (Fliess), nor of male and female sex hunger in the mind, but the child's psychical capacity for bestowing his erotism, originally object- less, on either the male or the female sex, or on both. CHAPTER VI ON ONANISM l APART of the neurotic disturbances caused by onanism is certainly of a purely psychical nature and can be traced to the apprehension that, in the earliest years of childhood (at the time of infantile masturbation), had been brought into an indissoluble associative connection with the idea of self -gratification (fear of castration with boys, fear of having the hands cut off with girls). A great many cases of hysteria and obsessional neurosis prove in the analysis to be the psychical result of this infantile apprehension, which on the awaking of object-love becomes accompanied with appre- hension of incestuous onanistic phantasies. The adult dread of masturbation is thus composed of infantile (castration-) dread together with juvenile (incest-) dread, and the symptoms resulting from the conversion and substitution of this dread may be removed by means of analysis. I have no doubt, however, that onanism is also able 1 Contribution to the Symposium on Onanism held by the Vienna Psycho-Analytical Society. Published in the Diskus- sionen der Vereinigung, Heft II. 1912. 185 186 Contributions to Psycho-Analysis directly to evoke certain nervous and psychical dis- turbances, although it cannot be pointed out too often that this significance of onanisra is as a rule much less than that of psychoneurotic symptoms caused by rough frightening and repression. In a series of cases in which the analysis had made conscious the dread of castration- and incest- thoughts, and had thereby removed psychoneurotic symptoms, in which, however, abstinence from onan- ism was not total even during and after the treat- ment, the patients shewed on the day following mas- turbation a typical disturbance in their psychical and somatic condition which I will term One-Day- Neurasthenia. The chief complaints of the patients were: marked fatigability and leaden weight in the legs, especially on getting up in the morning; in- somnia or disturbed sleep ; over-sensitiveness to light and sound stimuli (sometimes definite sensations of pain in the eye and ear) ; gastric disturbances ; paraesthesias in the lumbar region, and sensitive- ness to pressure along the nerves. In the psychical sphere: great emotional irritability; ill-humour and fault-finding; incapacity or diminished capacity for concentration (aprosexia). These disturbances lasted the whole forenoon, gradually receded in the early hours of the afternoon, and only towards eve- ning was there complete restoration of the bodily state, with calm in the sphere of the emotions and re- covery of full intellectual capacity. On Onanism 187 I wish expressly to remark that these symptoms did not coincide with any relapse in, or worsening of, the psychoneurotic symptoms, and that I did not manage in a single case to reach these symptoms psy- cho-analytically or to influence them in this way. Honesty, therefore, demands that psychological speculations should be disregarded here, and that the symptoms described be recognised as physiological results of onanism. This observation supports, so I think, Freud's views regarding the genesis of neurasthenia. The masturbatory actual-neurosis may be conceived as a becoming chronic, a summation, of the symptoms of the onanistic one-day neurasthenias. Many observations tell in favour of the conclu- sion that masturbatory activity is really able to bring about physiological effects that do not per- tain to the normal act of coitus, and theoretical con- siderations are not in disaccord with it. There are men who have frequent sexual inter- course with their wives, in spite of a diminution in "sexual hunger," but who replace in their imagina- tion the person of their wife by another, and, there- fore, so to speak, perform onanism per vaginam. When such men occasionally have sexual relations with someone else who gives them complete satisfac- tion, they remark a very great difference between their state after the coitus that was helped by phan- tasy and after the coitus that gave satisfaction in 188 Contributions to Psycho- Analysis itself. If the other person fulfilled the conditions of their sexual hunger, they felt invigorated after the act, enjoyed a short sleep, and on both the same and the next day were unusually competent and efficient. After the onanistic coitus, however, there surely followed a one-day neurasthenia, with all the symp- toms described above. Especially typical in such cases was the occurrence, immediately after the in- tercourse, of pain in the eyes when light fell on them, weight in the legs, and apart from the psy- chical irritability a pronounced hyperaesthesia of the skin, especially sensitiveness to tickling. On the ground of the accompanying feelings of heat and pulsation I interpret the insomnia as the result of vasomotor excitability. Theoretical considerations also yield no sound ob- jection to the supposition that normal coitus and masturbation are processes that are to be estimated differently not only psychologically, but also physio- logically. Whether the onanism is performed by rubbing with the hand or through friction of the member against the vagina of a non-satisfying sex- ual object two processes are essentially altered in comparison with normal intercourse. With onanism the normal fore-pleasure is absent, whereas the share taken by the phantasy is enormously increased. Now I do not believe that fore-pleasure is a purely psychological process. When a satisfying sexual object is gazed at, touched, kissed, embraced, the op- On nanism 189 tic, tactile, oral, and muscular erogenous zones are actively excited, and they automatically pass s>ver a part of this excitation to the genital zone ; the proc- ess takes place to begin with in the sense organs, or sensorial centres, and the phantasy is only second- arily drawn into sympathetic enjoyment. With onanism, however, all the sense organs are silent, and the conscious phantasy, together with the genital stimulation, have to procure the whole sum of exci- tation. The forcible retaining of a picture, often imagined with hallucinatory sharpness, during a sexual act that normally is almost unconscious is no slight task ; it is certainly great enough to explain a resulting fatigability of the attention. The excitability of the sense organs after onanism (and in neurasthenia) is not so easily explained. Too little is known for this purpose of the nervous proc- esses in normal coitus. Through the stimulation of the erogenous zones in coitus a state of preparedness of the genital organ is aroused in the first place; in the friction that succeeds, the genito-spinal reflex then plays the chief part ; it ends in a summation of genital stimuli, and finally synchronously with ejaculation in an explosive radiation of the excita- tion over the whole body. I surmise that the sensual pleasure, which, like all common feelings, cannot be localised, arises through the genital stimulation (when it has accumulated enough or reached a cer- tain tension) explosively radiating beyond the spinal 190 Contributions to Psycho-Analysis centre into the whole sphere of feeling, thus into the cutaneous and sensorial centres as well. If this is the case, it is probably not a matter of indifference whether the wave of lust finds a sphere of feeling that is prepared by fore-pleasure, or one that is un- excited and, so to speak, cold. It is therefore very far from obvious that the nervous processes in coitus and masturbation should be physiologically identical, and indeed the considerations just mentioned even give a hint of the direction in which one would have to look for the causes of the vasomotor, sensory, sen- sorial, and psychical over-stimulation that remains after onanism. It is possible that the wave of lust normally dies away altogether, but that with mas- turbation a part of the excitation cannot reach a proper level; this amount of excitation remaining over would explain the one-day neurasthenia per- haps neurasthenia altogether. 2 The discoveries of Fliess concerning the relations between nose and genitalia should also not be forgot- ten. The vasomotor over-excitation in masturbation can cause chronic disturbances in the erectile tissue of the nasal mucous membrane, which may then lead to the most diverse forms of neuralgia and func- tional disturbances. In some of my cases of mas- * "One-Day Neurasthenia" sometimes happens even after quite normal coitus, e. g. when as an exception the intercourse takes place in the forenoon, when the sexual hunger is usually less. The sexual hunger increases in the late hours of the afternoon, a fact that certainly is not without bearing on the evening im- provement in the neurasthenic's condition. On Onanism 191 turbatory Neurasthenia the patient's condition per- ceptibly improved after cauterisation of the genital points in the nose. Extensive investigations will have to be undertaken on this matter. Whereas in the preceding remarks I wanted to warn against regarding the results of masturbation exclusively from the psychological point of view, I fear that in the question of ejaculatio praecox it is the opposite mistake that is made. To judge from my experience, precocious emission of semen often happens with people to whom coitus is for one reason or another disagreeable, who thus have an interest in finishing the business as quickly as possible. Now we know that onanists warped by their phantasy are only too soon dissatisfied with their sexual object, and it is to be supposed that unconsciously they would like to shorten the act. By these re- marks I do not mean to say that local causes (changes around the ductus ejaculatorii) are in no case to be held responsible for the ejaculatio praecox. I only wish to add a remark about the genesis of the tooth-pulling symbolism of onanism in dreams and neuroses. We all know that tooth-pulling in dreams symbolises onanism. Freud and Rank have shewn this with irrefragable examples and have also drawn attention to colloquial German, which pro- fesses the same symbolism. The same symbol, how- ever, is very often met with among Hungarians who certainly did not know of those German expressions, 192 Contributions to Psycho-Analysis and yet the Hungarian language has no similar syno- nym for masturbation. On the other hand the sym- bolic identification of tooth-pulling and castration could in all the cases be made probable through analysis. Dreams use tooth-pulling as a symbol for castration, i. e. the punishment in the place of the onanism. In the formation of this symbol of onanism apart from the external similarity of tooth and penis, tooth-pulling and cutting off a penis a certain tem- poral factor may not be without significance. Cas- tration and tooth-pulling (falling out of the teeth) are the first operative interventions with the possi- bility of which the child is seriously threatened. It is then not hard for the child to repress the more dis- agreeable of the two interventions (castration) out of the phantasy, and on the other hand to empha- sise symbolically the tooth-pulling that resembles it. This is probably the way in which sexual symbolism altogether has come about. There exists, by the way, even a tooth-neurosis of its own (excessive dread of anything being done to the teeth, e. g. by a dentist; continual boring and probing into the cavities of hollow teeth; obsessions concerned the teeth, etc.). In the analysis this neu- rosis proves to be a derivative of onanism, or fear of castration. CHAPTER VII TRANSITORY SYMPTOM-CONSTRUCTIONS DURING THE ANALYSIS l (Transitory Conversion, Substitution, Illusion, Hal- lucination, "Character-Regression," and "Expres- sion-Displacement"} IT is in the transference that the physician, as well as the patient, receives the really convincing im- pressions as to the correctness of the analytical ex- planation of symptoms. So long as the psychical material afforded through free association is the only proof that the patient has of the correctness of the analytical explanations, they may seem to him remarkable, surprising, even illuminating; he still does not attain a conviction of their indubitable cor- rectness, the feeling that they are the only explana- tions possible, however honestly he may try to be- come convinced, or even if he forces conviction on himself with all his strength. It definitely looks as if one could never reach any real convictions at all 1 Published in the Zentralblatt fur Psychoanalyse, Jahrd. II, 1912. 193 194 Contributions to Psycho-Analysis through logical insight alone ; 2 one needs to have lived through an affective experience, to have so to speak felt it on one's own body, in order to gain that degree of certain insight which deserves the name of "conviction." The physician also who has only learned analysis from books, without having submitted his own mind to a thorough analysis and gathered practical experience with patients, cannot convince himself of the truth of its results; at the most he gains a more or less high degree of confi- dence, which may at times closely approach convic- tion, but behind which there always still lurks a sup- pressed doubt. I wish here to bring forward a number of symp- toms that I have seen arise with my patients during the treatment and pass away through analysis, which contributed in converting into certainty my impres- sion of the truth of the Freudian mechanisms, and aroused or strengthened the patients' confidence in the matter. Free association and the analytic scrutinising of the incoming thoughts is not infrequently inter- rupted in hysterics by the abrupt appearance of so- matic phenomena of a sensory or motor nature. One might at first sight be inclined to regard these con- ditions as disagreeable disturbances of the analytic work, and to treat them accordingly. If, however, 1 (The author is evidently speaking of psychological truths, not of physical ones. Transl.) Symptom-Constructions During Analysis 195 one takes really seriously the principle of everything that happens being strictly determined, one has to seek an explanation for these phenomena also. If one makes up one's mind to do so, and thus submits these symptoms also to analysis, it becomes plain that they really are representations, in symptom form, of unconscious feeling and thought-excitations which the analysis has stirred up from their inactiv- ity (state of rest, equilibrium) and brought near to the threshold of consciousness, but which before becoming quite conscious in the last moment, so to speak have been forced back again on account of their painful character (to consciousness), whereby their sum of excitation, which can no longer be quite suppressed, becomes transformed into the production of somatic symptoms. A symptom that has been brought about in this way does not only represent a certain sum of excitation, but it proves to be determined in a qualitative manner also. For if at- tention be directed to the nature of the symptom, to the kind of motor or sensory state of stimulation or of paralysis, to the organ in which it occurs, to the occurrences and thoughts that immediately preceded the formation of the symptom, and an effort be made to discover its meaning, this somatic symptom is shewn to be a symbolic expression for an unconscious thought- or emotion-excitation that has been stimu- lated through the analysis. If one now translates the symptom for the patient from symbolic to con- 196 Contributions to Psycho- Analysis ceptual language, it may happen, even when he had no idea of this mechanism beforehand, that he at once declares with great astonishment that the sen- sory or motor state of stimulation or paralysis has disappeared as suddenly as it had appeared. Obser- vation of the patient shews unmistakably that the symptom only ceases when the patient has recognised our explanation to be the correct one, not when he has merely understood it. In so doing the patient very often betrays the fact of being "detected" through smiling, laughing, blushing, or some other sign of embarrassment; not infrequently he himself confirms the correctness of our surmise or brings at once memories of his past that strengthen our supposition. I had to interpret one of the dreams of an hys- terical patient as a wish-phantasy; I told her that this dream betrayed her dissatisfaction with her sit- uation, her desire for a better educated and more agreeable husband in a more distinguished position, and especially the wish for more beautiful clothes. At this moment the patient's attention was deflected from the analysis by the sudden onset of toothache. She begged me to give her something to ease the pain, or at least to get her a glass of water. Instead of doing so, I explained to the patient that by the toothache she was perhaps only expressing in a meta- phorical way the Hungarian saying "My tooth is Symptom-Constructions During Analysis 197 aching for these good things." 3 I said this not at all in a confident tone, nor had she any idea that I expected the pain to cease after the communica- tion. Yet, quite spontaneously and very astonished, she declared that the toothache had suddenly ceased. Subsequent questioning of the patient established the fact that she had striven to blind herself to the trying situation in which she found herself on marry- ing beneath her station. The interpretation of the dream disclosed her unfulfilled wishes in such a man- ner that she could scarcely escape its truth. She managed nevertheless in the last moment to let the "unpleasantness-censor" prevail, to drive the recog- nition of my interpretation into the sphere of bodily feeling by means of the association-bridge "My tooth aches for it," and thus to transform into toothache the painful insight. The unconscious utilisation of this current expres- sion was perhaps the final, but not the only, condition of the symptom-formation. Psychical space, just as physical space, has several dimensions, so that the site of a point in it can only be determined exactly by means of several coordinate axes. Put into psy- cho-analytical language, that is: every symptom is over-determined. Ever since childhood the patient in question had fought against an unusually strong ' (Compare the English expression: "My mouth waters for, etc." Transl.) 198 Contributions to Psycho-Analysis inclination to masturbation, and with masturbators the teeth have a special symbolic significance. 4 The factor of bodily predisposition also has always to be considered in cases of this sort. On another occasion the same patient brought her repressed infantile-erotic phantasies to expression in the form of a declaration of love addressed to the physician, and received by way of reply instead of the hoped-for response an explanation of the trans- ference character of this access of feeling. There- upon she immediately felt a curious paraesthesia in the mucous membrane of the tongue, crying out: "My tongue suddenly feels as though it were scalded (abgebriiht)" At first she rejected my explanation that with the word "abgebruht" she was only ex- love advances, but the sudden and startling disap- pearance of the paraesthesia after my explanation gave her food for thought, and she presently admit- ted that I had been right in my surmise. In this case also the preference for the tongue as the site of symptom-formation was determined by several con- ditions, the analysis of which made possible the pene- tration into the deeper layers of the unconscious complexes. It is very common indeed for patients to express a suddenly appearing mental suffering by transitory cardiac pains, the feeling of bitterness by a bitter feeling in the tongue, and care by a sudden sense of 4 (Se Ch. VI, p. 163. Transl.) Symptom-Constructions During Analysis 199 pressure on the head. One neurotic used to utter his aggressive intentions directed against me (more cor- rectly: against his father) in the form of sensations which he felt on those parts of the body where his unconscious wanted to injure me: the feeling as though he had suddenly received a blow on the head turned out to be a murderous intention, a pricking in the cardiac region to be one of stabbing. (Con- sciously he is a masochist and his aggressive phanta- sies can enter consciousness only in the form of the self-borne talion punishment an eye for an eye: a tooth for a tooth. ) Another patient regularly felt a peculiar sense of giddiness as soon as we came to talk about matters that severely tested his lack of self-confidence. The analysis led to infantile experi- ences in which, while at a considerable height, he felt himself so helpless that he became giddy. The sud- den appearance of heat or cold sensations may sig- nify emotional stirrings (with a corresponding name) in the patient or, conversely, may represent the idea that the patient surmises the existence of such feeling in the physician. A "frightful sleepiness" overcame one patient every time that she wanted to escape by a short cut the analysis which was getting disagreeable to her. Another one used this means to indicate her uncon- scious erotic phantasies, which were associated with this sleepy condition; she was one of those persons who could endure sexual phantasies only when they 200 Contributions to Psycho-Analysis were without self-reproach, e. g. only in the form of an imaginary rape. These transitory conversions are also to be ob- served, though much less often, in the sphere of mo- tility. By this I do not mean the "symptomatic actions" in the sense of Freud's Psychopathology of Everyday Life, which are higher, combined and co- ordinated actions, but isolated, and sometimes pain- ful, spasms in individual muscles or suddenly appear- ing states of weakness resembling paralysis. A neurotic who wanted to remain homosexual, and who sought by every possible means to escape from the heterosexual erotism that was powerfully press- ing forward, got a cramp in the left leg every time in the analysis that he managed to suppress phan- tasies which threatened to produce an erection. He discovered for himself the symbolic identification "Leg:=Penis, Cramp=Erection." Drawing in of the belly-wall with or without the feeling of retrac- tion of the penis occurred with one patient every time that he took more liberties with the physician than his infantile cowed unconscious would allow him. Analysis shewed the cramp to be a defensive meas- ure against the feared punishment castration. Not infrequently a convulsive clenching of the fist is re- vealed to be an inclination to assault, a contraction of the masseters to be a refusal to speak or a desire to bite. Transitory states of weakness in the whole mus- Symptom-Const ructions During Analysis 201 culature or in certain groups of muscles are some- times to be explained as symptoms of moral weakness or as a not wanting to carry out some action. The conflict between two tendencies of equal strength can express itself, as in dreams, in an inhibition of cer- tain movements. In the analysis of these passing conversion-symp- toms one learns as a rule that something of the kind has already happened before in the patient's life ; one has then to search for the causes that evoked them on the previous occasion. There occur, however, also transitory symptoms that seem to the patient to be .quite new, and which, according to him, have never been experienced before the analysis ; even in such cases it nevertheless remains for the most part unde- cided whether they had not merely escaped the pa- tient's introspection, which was less trained before the analysis. A priori, however, one cannot dismiss the possibility that the analysis, penetrating into the disagreeable layers of the mind and disturbing its apparent rest, can force the patient to make use of quite new possibilities of symptom-formation. In ordinary life or in a non-analytic treatment the thought-connections would have come to a stop far enough from the disagreeable areas. Transitory obsessional phenomena may also occur in the treatment. There is something similar to an obsession in every association, however senseless, that is a conscious substitute for an intelligent but re- 202 Contributions to Psycho-Analysis pressed idea ("Replacement-associations," according to Freud). Apparently senseless ideas of a true obsessional character are sometimes produced, how- ever, which definitely obsess the patient's thinking and yield only to an analytic explication. An obses- sional patient, for instance, suddenly interrupted the free association with the thought: He couldn't un- derstand why the word "window" should mean just a window; why the letters w-i-n-d-o-w, which after all are only senseless sounds and tones, should sig- nify a corporeal object. He could not be brought to give any further free associations: the idea of the. meaning of the word window so strongly dominated him that he was unable to produce any new thought. For a while I allowed myself to be deceived by the in- telligent patient, took up his idea, and discussed the theory of speech-formation. But I soon saw that the patient was not interested in the explanation, the idea remaining in its obsessional form. Then it oc- curred to me that it might be a piece of resistance and I wondered how it was to be resolved. I re- flected on what had preceded this obsessional asso- ciation in the analysis, and recalled that just be- fore it occurred I had explained to the patient the meaning of a symbol and that he had seemed to ac- cept my explanation with an acquiescing "yes." I now expressed my surmise that the patient had not been able to agree with this explanation, but had repressed his contradiction. The repressed incredu- Symptom-Constructions During Analysis 203 lity then returned in the distorted guise of the thought "why should the letters w-i-n-d-o-w signify a window?" This should really run : "Why does the symbol just explained signify just that object?" With this explanation the interruption was removed. Indirect contradiction, which here quite uncon- sciously formed an obsession, evidently has its source in similar conscious reactions of small children who through their lack of courage and self-confidence are compelled to adopt this mediate speech when they want to contradict an adult. 5 Another obsessional patient let his incredulity be recognised in a different way. He began not to un- derstand any foreign words that I used, and then, as I faithfully translated them for him for a while, he maintained that he could not longer understand his mother-tongue. He behaved absolutely like a de- ment. I then explained to him that with this lack of understanding he was unconsciously expressing his disbelief. Really it was me (my remarks) that he wanted to mock, but he repressed this inclination and acted like an idiot, as if to say: If I were to accept this nonsense, I would be a fool. From now on he understood my explanations perfectly well. 6 6 1 said once to a boy, aged five, that he need not be afraid of a lion, for the lion would run away if only he would look him straight in the eyes. His next question was: "And a lamb can sometimes eat up a wolf, can't it?" "You didn't believe my story about the lion," said I. "No, not really but don't be cross with me for it," answered the little diplomatist. Analytical experience makes it highly probable that many 04 Contributions to Psycho-Analysis A third obsessional patient was curiously obsessed by the Slavonic term for doctor ("Lekar"). The obsessional impulse came from the German homonym of the word (=licker), a term of abuse which the patient, a man of high ethical principles, could bring out only indirectly. In rare and exceptional cases true hallucinations are evoked in the analysis hour. (Much more often, of course, come memories of especial clearness and vividness in respect to which, however, the patient can none the less still behave in an objective way, *. e. he can correctly estimate their unreality.) One of my patients shewed a special capacity for hallucinations, constantly making use of them when the analysis came upon certain things that were pain- ful to her. On such occasions she would suddenly drop the thread of the free associations and produce instead pure hallucinations with a fearful content: she sprang up, crouched in a corner of the room, and with signs of acute dread made convulsive movements of defence and protection, after which she soon got calm again. When she came to herself she could tell me exactly the content of the hallucinated proc- esses, and it turned out that they were phantasies intelligent children at the stage of repression marked by the latency period, before they have gone through the "great in- timidation," regard adults as dangerous fools, to whom one can- not tell the truth without running the risk of being punished for it, and whose inconsistencies and follies have therefore to be taken into consideration. In this children are not so very wrong. Symptom-Constructions During Analysis 205 presented in a dramatic or symbolic form (fights with wild animals, rape scenes, etc.), which were connected with the associations immediately preceding the hal- lucinations ; the analysis of them mostly brought to light new memory material, affording her great re- lief. The hallucinatory-symbolic representation was thus merely the last means of escaping the conscious recognition of certain pieces of insight. It could also be neatly observed in this case how the associa- tions gradually approached conscious knowledge, and then suddenly glided away in almost the last moment, allowing the excitement to regress on to the sense area. It is not rare for transitory illusionary deceptions (especially of the sense of smell) to appear in the analysis hour. In one case an illusionary "change in the perceptual world" could be observed in the analy- sis. I was just striving to make clear to a patient her excessive ambition, arising from narcissistic fix- ation, and said to her that she might be happier if she could properly appreciate this, renounce a part of the phantasies of self-importance, and be content with smaller successes. In this moment she called out, her face glowing: "It is wonderful, now I sud- denly see everything, the room, the bookcase, so 'con- cretely' clear in front of me; everything has bright and natural colours and is so plastically arranged in space." On further questioning I learnt that for years she had not been able to see so "concretely," 206 Contributions to Psycho- Analysis the outer world appearing to her dull, faded, and flat. The explanation was as follows: As a spoilt child she obtained the satisfaction of all her desires ; since she had been grown up the perfidious world had not been so considerate to her wish-fancies, where- upon "she had not been pleased with the world ;" she projected this feeling into the optical sphere by see- ing the world since then changed in the way described. The prospect of reaching new possibilities of happi- ness through renouncing a part of the wish-fulfil- ments was similarly projected into the optical sphere, and expressed itself there as illumination and more vivid reality of the perceptual world. These variations in optical excitability may be conceived as "autosymbolic phenomena" in Silberer's sense, as symbolic self-perception of psychical processes of the "functional category." In this case, by the way, it would be more correct to speak of transitory dis- appearance of a symptom than of transitory crea- tion of one. Transitory character-regressions during the treat- ment I should call a pretty frequent occurrence, the essence of which consists in certain character traits temporarily losing their sublimations and suddenly regressing on to the primitive, infantile level of in- stinct life from which they had taken their origin. It is not rare, for instance, with certain patients for an acute need for passing water to develop in the analysis hour. Many hold out until the end of the Symptom-Constructions \Durmg Analysis 207 sitting, others suddenly get up and have to leave the room sometimes with signs of anxiety in order to attend to the need. In cases where the natural ex- planation of the occurrence could be excluded (and my communication concerns only such), I was able to establish the following psychical origin of the ves- ical excitation: It was always with very ambitious and vain patients, who did not admit their vanity to themselves, and who felt their ambitiousness wounded in the most sensitive way by the psychical material brought out in the analysis hour, also feel- ing discouraged by the physician, without having made this wounding of their ego completely con- scious, or logically working it over and overcoming it. With one of these patients the parallelism be- tween the more or less wounding content of the an- alytic conversation and the desire to micturate was so noticeable that I could at will evoke the latter by dwelling on a theme that was plainly disagreeable to the patient. Analytic talking out on this theme can reverse the "character-regression" or hinder its reappearance. An occurrence of this sort allows the process of regression, established by Freud, to be observed as it were in flagranti. It shews that a sublimated char- acter trait can in the event of denial (of gratifica- tion) assuming the corresponding sites of fixation in the psychical development really fall back on to the infantile level at which the satisfaction of 208 Contributions to Psycho- Analysis the not yet sublimated impulse met with no hin- drance. The saying "on revient toujours a ses pre- miers amours" finds here its psychological confirma- tion ; the person who is disappointed in his ambition reaches back towards the auto-erotic foundation of this passion. 7 Temporary rectal troubles (diarrhoea, constipa- tion) often reveal themselves in the analysis as re- gressions of the anal character. One patient suffered from acute diarrhoea towards the end of the month, when she had to send to her parents means of support that in her unconscious she only unwillingly parted with. Another compensated himself for the physi- cian's fees by producing large quantities of intesti- nal gas. When a patient feels himself unkindly treated by the physician he takes to onanism, if there is a cor- responding auto-erotic fixation. He brings in the form of this transference the confession of his child- hood masturbation. As a child he gave up self-grati- fication only in exchange for object-love (love of the parents). If he feels himself disappointed in this kind of love he relapses. Even patients who cannot re- member ever having masturbated may one day come with a confession of dismay that they have suddenly had to give in to an irresistible impulse to self-grati- fication. * (Ambitiousness is unconsciously associated with urethra! erotism. Transl.) Symptom-Constructions During Analysis 209 (These sudden regressions to anal, urethral, and genital auto-erotism also explain why the disposition of these erotisms to function in anxiety states \e. g. dread of examinations] is so strong. The fact also that in his fearful dread a man being hanged relaxes both sphincters and ejaculates semen may be due, apart from direct nervous stimulation, also to a final convulsive regression to the pleasure sources of life. I once saw a nephritic patient aged seventy, who was tortured by acute headache and cutaneous irritation, carrying out movements of onanism in his despair.) With male neurotics who feel themselves unkindly treated by the physician homosexual obsessions may appear, which often refer to the person of the latter. This is a proof, which might almost be called ex- perimental, that friendship is essentially sublimated homosexuality, which in case of denial is apt to re- gress on to its primitive level. Expression displacements. I noticed with one pa- tient that he yawned with striking frequency. I then remarked that the yawning accompanied just those analytic conversations whose content, since it was important to him although disagreeable, would more suitably have evoked interest than boredom. An- other patient who came to treatment soon after this brought me what I believe to be the solution of this peculiar phenomenon. She also yawned often and at inappropriate times, but in her case the yawning 210 Contributions to Psycho-Analysis was sometimes accompanied with a flow of tears. That gave me the idea that these patients' yawning might be a distorted sigh, and in both cases the analysis confirmed my surmise. The censorship ef- fected in both cases the repression of certain dis- agreeable emotional states that were aroused through the analysis (pain, grief), but it was unable to bring about a complete suppression, only a displacement of the movements of expression, one that was enough, however, to conceal from consciousness the real char- acter of the emotional state. On turning my atten- tion, after these observations, to the movements of expression with other patients as well, I found that there are other forms of "expression displacements." One patient, for instance, had to cough every time he wanted to avoid saying something to me; the in- tended, but suppressed, speech then came through nevertheless in the form of a cough. We see that the displacement from one emotional expression to another takes place along the line of physiological vicinity (yawning sighing; talking coughing). A cough may also represent a consciously or uncon- sciously intended, and then suppressed, laugh, in which case the displaced expression of the emotional state as with a pure hysterical symptom contains also the punishment for the satisfaction of pleasure. Neurotic women often cough when they are being medically examined, e. g., auscultated ; this also I be- lieve may be regarded as a displacement of the Symptom-Constructions During Analysis 811 movements of laughter elicited by unconscious erotic phantasies. After what has been said it will cause no surprise if I add that in one case I was able to inter- pret a temporary hiccough as representing a sob of despair. These symptoms that only appear transi- torily in the analysis also throw light on the chronic hysterical symptoms of the same kind (spasms of laughter and of crying). Really incredible but none the less true is the occurrence of an "expres- sion displacement" to which Professor Freud called my attention. Many patients produce a rumbling in the stomach when they have concealed some associa- tions. The suppressed speech is turned into a ven- triloquism ( Bauchreden) . Besides the didactic value for physicians and pa- tients, discussed at the beginning of the paper, these "transitory symptom-formations" possess a certain practical and theoretical significance. They offer us points of attack for dealing with the patient's strongest resistances, concealed as transferences, and are thus of practical, technical value for the analy- sis. And in giving us the opportunity to watch symptoms of disease arise and disappear before our eyes, they throw light on these processes in general. They enable us to form theoretic conceptions of the dynamics of disease, at least with many kinds of disease. We know from Freud that a neurotic disorder comes about in three stages: the infantile fixation (a Contributions to Psycho-Analysis disturbance in the development of the sexual hun- ger) constitutes the foundation of every neurosis; the second stage is that of the repression, which re- mains still without symptoms; the third that of the outbreak of the disorder, the symptom-formation. The experiences gathered here of "transitory symptom-formations" make it probable that in the great neuroses, as in these neuroses en miniature, symptoms are formed only when repressed portions of complexes threaten, for internal or external rea- sons, to enter into associative connection with con- sciousness, t. e. to become conscious, and when there- by the equilibrium of a previous repression is dis- turbed. The "unpleasantness" censorship watching over the calm of consciousness then manages in the last moment, so to speak, to deflect the excitation from the progressive path, t. e. its path into con- sciousness, and since the driving back into the old repression situation does not succeed well to let a part of the excitation and of the unconscious psy- chical structures find at least a distorted expression in symptoms. CHAPTER VIII STAGES IN THE DEVELOPMENT OF THE SENSE OF REALITY * development of the mentai lorms of activ- L ity in the individual consists, as Freud has shewn, in the resolution of the originally prevailing pleasure-principle, and the repression mechanism pe- culiar to it, by the adjustment to reality, i. e. by the testing of reality that is based on judgment. Thus arises out of the "primary" psychical stage, such as is displayed in the mental activities of primitive be- ings (animals, savages, children), and in primitive mental states (dreams, neurosis, phantasy), the sec- ondary stage of the normal man in waking thought. At the beginning of its development the new-born babe seeks to attain a state of satisfaction merely through insistent wishing (imagining), whereby it simply ignores (represses) the unsatisfying reality, picturing to itself as present, on the contrary, the wished-for, but lacking, satisfaction ; it attempts, therefore, to conceal without effort all its needs by means of positive and negative hallucinations. "It 1 Published in the Internal. Zeitschr, f . arztl. Psychoanalyse, 1913. 213 21 4> Contributions to Psycho- Analysis was only the non-appearance of the expected satis- faction, the disappointment, that led to the abandon- ment of this attempt at satisfaction by the halluci- natory method. Instead, the psychical apparatus had to decide to represent the actual circumstances of the outer world to itself, and to strive to alter reality. With this a new principle of mental activity was initiated ; not what was pleasant was any longer imagined, but what was real, even though it should be unpleasant.'* 2 The significant essay in which Freud displayed to us this fundamental fact of psychogenesis is confined to the sharp differentiation between the pleasure and the reality stages. Freud also concerns himself here, it is true, with transitional states in which both prin- ciples of mental functioning coexist (phantasy, art, sexual life), but he leaves for the present unan- swered the question whether the development of the secondary form of mental activity from the pri- mary takes place gradually or in a series of steps, and whether such stages of development are to be recognised, or their derivatives demonstrated, in the mental life of the normal or abnormal. An earlier work of Freud's, however, in which he affords us deep insight into the mental life of ob- sessional patients, 3 calls attention to a fact from * Freud. "Fonnulierungen uber die zwei Prinzipien des psy- chischen Geschehens." Jahrb. Bd. III. S. 1. Freud. "Bemerkungen iiber eincn Fall von Zwangsneurose." Jahrb. Bd. I. S. 411. Stages In the Development of Sense of Reality 215 which as a starting point one may attempt to bridge over the gap between the pleasure and the reality stages of mental development. Obsessional patients who have submitted them- selves to a psycho-analysis so it runs in that work admit to us that they cannot help being convinced of the omnipotence of their thoughts, feelings, and wishes, good and bad. However enlightened they may be, however much their academic knowledge and their reason may strive to the contrary, they have the feel- ing that their wishes in some inexplicable way get realised. Of the truth of this state of affairs any analyst can convince himself as often as he likes. He will learn that the weal and woe of other people, indeed their life and death, seem to the obsessional patient to depend on certain thought processes and actions, in themselves harmless, on which he engages. The patient has to think of certain magical formu- las, or carry out a certain action ; otherwise a great misfortune will befall this or that person (mostly a near relative). This conviction, though felt to be superstitious, is not shaken even by repeated ex- periences to the contrary. 4 Leaving aside the fact that analysis reveals such obsessive thoughts and actions to be the substitutes of wish-impulses that are logically correct, but which 4 This article was finished before use could be made of Freud's article on "Animismus, Magie und Allmacht der Ge- danken" (Imago, Jahrg. II, Heft I), which deals with the same topic from other points of view. 216 Contributions to Psyclw-Analysis on account of their intolerableness have been re- pressed, 5 and turning our attention exclusively to the peculiar manifestation of this obsessional symptom, we must admit that it constitutes a problem in itself. Psycho-analytical experience has made it clear to me that this symptom, the feeling of omnipotence, is a projection of the observation that one has slavish- ly to obey certain irresistible instincts. The obses- sional neurosis constitutes a relapse of the mental life to that stage of child-development characterised, amongst other things, by there being as yet no inhib- iting, postponing, reflecting thought-activity inter- posed between wishing and acting, the wish-fulfilling movement following spontaneously and unhesitating- ly on the wishing an averting movement away from something disagreeable, or an approach towards something agreeable. 6 A part of the mental life, more or less removed from consciousness, thus remains with the obsession- al patient as the analysis shews on this childhood level in consequence of an arrest in development (fix- ation), and makes wishing equivalent to acting be- Freud. Sammlung kleiner Schriften zur Neurosenlehre. 1906. S. 45 und 86. It is well known that small children almost reflexly stretch out their hands after every object that shines or in any other way pleases them. They are to begin with also incapable of foregoing any "naughtiness" that yields them any kind of pleasure, whenever the stimulus causing this appears. A young boy who had been forbidden to bore his finger into his nose answered his mother, "I don't want to, but my hand does and I can't prevent it." Stages in the Development of Sense of Reality 217 cause just on account of the repression, of the distraction of attention this repressed portion of the mental life was not able to learn the difference between the two activities, while the ego itself, which has developed free from repression and grown wise through education and experience, can only laugh at this equating of the two. Hence the inner discord- ance of the obsessional patient, the inexplicable oc- currence of enlightenment and superstition side by side. Not being quite satisfied with this explanation of the feeling of omnipotence as an autosymbolic phe- nomenon, 7 I put to myself the question: Whence then does the child get the boldness to set thinking and acting as equivalents? Whence comes the feel- ing of obviousness with which it stretches out its hand after all objects, after the lamp hanging above him as after the shining moon, in the sure expecta- tion of reaching it with this gesture and drawing it into the domain of its power? I then recalled that according to Freud's assump- tion "a piece of the old grandiose delusion of child- hood was honestly confessed" in the omnipotence phantasy of the obsessional patient, and I tried to trace out the origin and fate of this delusion. In this way I hoped also to learn something new about the development of the ego from the pleasure to 1 This is what Silberer terms the self-perceptions that are symbolically represented. fcl'8 Contributions to Psycho- Analysis the reality principle, since it seemed to me probable that the replacement (to which we are compelled by experience) of the childhood megalomania by the recognition of the power of natural forces composes the essential content of the development of the ego. Freud declares an organisation that is a slave to the pleasure principle, and which can neglect the reality of the outer world, to be a fiction, one, how- ever, which is almost realised in the young infant, when one only takes into account the maternal care. 8 I might add that there is a stage in human develop- ment that realises this ideal of a being subservient only to pleasure, and that does so not only in imagi- nation and approximately, but in actual fact and completely. I mean the period of human life passed in the womb. In this state the human being lives as a para- site of the mother's body. For the nascent being an "outer world" exists only in a very restricted de- gree; all its needs for protection, warmth, and nourishment are assured by the mother. Indeed, it does not even have the trouble of taking the oxy- gen and nourishment that is brought to it, for it is seen to that these materials, through suitable ar- rangements, arrive directly into its blood-vessels. In comparison with this an intestinal worm, for ex- ample, has a good deal of work to perform, "tc Jahrb. Bd. III. S. 2. Footnote. See also the controversy between Bleuler and Freud on this question (Bleuler, "Das autistische Denken." Jahrb. Bd. IV.). Stages in the Development of Sense of Reality 219 change the outer world," in order to maintain itself. All care for the continuance of the foetus, however, is transferred to the mother. If, therefore, the hu- man being possesses a mental life when in the womb, although only an unconscious one, and it would be foolish to believe that the mind begins to function only at the moment of birth he must get from his existence the impression that he is in fact omnipo- tent. For what is omnipotence? The feeling that one has all that one wants, and that one has noth- ing left to wish for. The foetus, however, could maintain this of itself, for it always has what is .necessary for the satisfaction of its instincts, 9 and so has nothing to wish for; it is without wants. The childhood megalomania of their own omnipo- tence is thus at least no empty delusion; the child and the obsessional patient demand nothing impos- sible from reality when they are not to be dissuaded from holding that their wishes must be fulfilled ; they are only demanding the return of a state that once existed, those "good old days" in which they were all-powerful {Period of unconditional omnipotence). With the same right by which we assume the transference of memory traces of the race's history ' As a result of disturbances, such as through illness or in- jury of the mother or of the umbilical cord, etc., necessity can face a human being already in the mother's body, can rob him of his omnipotence and compel him to the effort of "changing the outer world," i. e. of performing work (an example being the inspiration of amniotic fluid when in danger of suffoca- tion.) 220 Contributions to Psycho- Analysis on to the individual, indeed with more justification than this, we may assert that the traces of intra- uterine psychical processes do not remain without in- fluence on the shaping of the psychical material pro- duced after birth. The behaviour of the child im- mediately after birth speaks for this continuity of the mental processes. 10 The new-born child does not accommodate himself uniformly as regards all his needs to the new situa- tion which is visibly disagreeable to him. Imme- diately after the delivery he begins to breathe, so as to restore the provision of oxygen that has been interrupted by the tying of the umbilical vessels ; the possession of a respiratory mechanism, formed al- ready in intra-uterine life, at once enables him ac- tively to remedy the oxygen privation. If, however, one observes the remaining behaviour of the new- born child one gets the impression that he is far from pleased at the rude disturbance of the wish-less tranquillity he had enjoyed in the womb, and indeed that he longs to rega'm this situation. Nurses in- stinctively recognise this wish of the child, and as soon as lie has given vent to his discomfort by strug- gling and crying they deliberately bring him into a situation that resembles as closely as possible the one he has just left. They lay him down by the 10 Freud has incidentally pointed out that the sensations of the child during the birth act probably evoke the first anx- iety affect of the new being, which remains prefigurative for all later anxiety and anxiousness. Stages in the Development of Sense of Reality warm body of the mother, or wrap him up in soft, warm coverings, evidently so as to give him the il- lusion of the mother's warm protection. They guard his eye from light stimuli, and his ear from noise, and give him the possibility of further enjoying the in- tra-uterine absence of irritation, or, by rocking the child and crooning to him monotonously rythmi- cal lullabies, they reproduce the slight and monoto- nously rhythmical stimuli that the child is not spared even in utero (the swaying movements of the mother when walking, the maternal heart-beats, the deadened noise from without that manages to penetrate to the interior of the body). If we try, not only to feel ourselves into the soul of the new-born babe (as the nurses do), but also to think ourselves into it, we must say that the helpless crying and struggling of the child is ap- parently a very unsuitable reaction to the unpleas- ant disturbance that the previous situation of being satisfied has suddenty experienced as a result of the birth. We may assume, supported by considera- tions which Freud has expounded in the general part of his Traumdeutung, 11 that the first consequence of this disturbance is the hallucinatory re-occupation of the satisfying situation that is missed, the untroubled existence in the warm, tranquil body of the mother. The first wish-impulse of the child, therefore, cannot be any other than to regain this situation. Now the "Freud. Die Traumdeutung. 3e Aufl., S. 376. 222 Contributions to Psycho- Analysis curious thing is that pre-supposing normal care this hallucination is in fact realised. From the sub- jective standpoint of the child the previously un- conditional "omnipotence" has changed merely in so far, that he needs only to seize the wish-aims in a hallucinatory way (to imagine them) and to alter nothing else in the outer world, in order (after sat- isfying this single condition) really to attain the wish-fulfilment. Since the child certainly has no knowledge of the real concatenation of cause and effect, or of the nurse's existence and activity, he must feel himself in the possession of a magical ca- pacity that can actually realise all his wishes by simply imagining the satisfaction of them. (Period of magical-hallucinatory omnipotence.) That the nurse guesses the hallucinations of the child aright is shewn by the effect of her actions. As soon as the first nursing measures are carried out the child calms itself and goes to sleep. The first sleep, however, is nothing else than the successful re- production of the womb situation {which shelters as far as possible from external stimuli), probably with the biological function that the processes of growth and regeneration can concentrate all energy on themselves, undisturbed by the performance of any external work. Some considerations, which cannot be presented in this connection, have convinced me that also every later sleep is nothing else than a periodically repeated regression to the stage of the Stages in the Development of Sense of Reality magical-hallucinatory omnipotence, and through the help of this to the absolute omnipotence of the womb situation. According to Freud, one has to postulate for each system subsisting by the pleasure-principle arrangements by means of which it can withdraw itself from the stimuli of reality. 12 Now it seems to me that sleep and dreams are functions of such arrangements, that is to say, remains of the hal- lucinatory omnipotence of the small child that sur- vive into adult life. The pathological counter-part of this regression is the hallucinatory wish-fulfil- ment in the psychoses. Since the wish for the satisfying of instincts mani- fests itself periodically, while the outer world pays no attention to the occurrence of the occasion on which the instinct is exerted, the hallucinatory rep- resentation of the wish-fulfilment soon proves inade- quate to bring about any longer a real wish-fulfil- ment. A new condition is added to the fulfilment : the child has to give certain signals thus performing a motor exertion, although an inadequate one so that the situation may be changed in the direction of his disposition, and the "ideational identity" be followed by the satisfying "perceptual identity." 13 The hallucinatory stage was already characterised by the occurrence of uncoordinated motor discharges (crying, struggling) on the occasion of disagreeable u Freud. Jahrb., Bd. Ill, S. 3. 11 Freud. Die Traumdeutung. Loc. cit. 224 Contributions to Psycho- Analysis affects. These are now made use of by the child as magic signals, at the dictation of which the satis- faction promptly arrives (naturally with external help, of which the child, however, has no idea). The subjective feeling of the child at all this may be compared to that of a real magician, who has only to perform a given gesture to bring about in the outer world according to his will the most compli- cated occurrences. 14 We note how the omnipotence of human beings gets to depend on more and more "conditions" with the increase in the complexity of the wishes. These efferent manifestations soon become insufficient to bring about the situation of satisfaction. As the wishes take more and more special forms with de- 14 When I search in pathology for an analogy to these dis- charges I have always to think of genuine epilepsy, that most problematical of the major neuroses. And although I fully ad- mit that in the question of epilepsy the physiological is difficult to separate from the psychological, I may call attention to the fact that epileptics are known to be uncommonly "sensitive" beings, behind whose submissiveness frightful rage and do- mineeringness can appear on the least occasion. This char- acteristic has up to the present usually been interpreted as a secondary degeneration, as the consequence of repeated at- tacks. One should, however, think of another possibility, namely whether the epileptic attacks are not to be considered as regressions to the infantile period of wish-fulfilment by means of uncoordinated movements. Epileptics would then be persons with whom the disagreeable affects get heaped up and are periodically abreacted in paroxysms. If this explanation proves to be useful we should have to localise the place of fix- ation for a later affliction of epilepsy in this stage of unco- ordinated wish-manifestations. The irrational stamping of the feet, clenching of the fists, and grinding of the teeth, etc., that are to be seen in outbursts of anger would be a milder form of the same regression in otherwise healthy persons. Stages in the Development of Sense of Reality velopment, they demand increasingly specialised sig- nals. To begin with are such as, imitations of the movement of sucking with the mouth when the infant wants to be fed, and the characteristic expressions by means of the voice and abdominal pressing when it wants to be cleansed after excreting. The child gradually learns also to stretch out its hand for the objects that it wants. From this is developed later a regular gesture-language : by suitable combinations of gestures the child is able to express quite special needs, which then are very often actually satisfied, so that if only it keeps to the condition of the expression of wishes by means of corresponding ges- ture the child can still appear to itself as omnip- otent: Period of omnipotence by the help of magic gestures. This period also has a representative in pathol- ogy; the curious jump from the world of thought into that of bodily processes, which Freud has dis- covered hysterical conversion to be, 15 becomes more intelligible to us when we view it as a regression to the stage of gesture-magic. Psycho-analysis shews us in fact that hysterical attacks present with the help of gestures the repressed wishes of the patient as fulfilled. In the mental life of the normal the count- less number of superstitious gestures, or such as are in some other way considered efficacious (gestures of cursing, blessing, praying), is a remainder of that " See Freud's works in the Studien iiher Hysteric, 1895. 226 Contributions to Psycho- Analysis developmental period of the sense of reality in which one still felt mighty enough to be able to violate the regular order 16 of the universe. Fortune-tellers, soothsayers, and the magnetisers continually find belief in the assertion of such complete power of their gestures, and the Neapolitan also averts the evil eye with a symbolic gesture. With the increase in the extent and complexity of the wants goes naturally an increase, not only of the "conditions" that the individual has to submit to if he wishes to see his wants satisfied, but also of the number of cases in which his ever more audacious wishes remain unfulfilled even when the once effica- cious conditions are strictly observed. The out- stretched hand must often be drawn back empty, the longed-for object does not follow the magic gesture. Indeed, an invincible hostile power may forcibly op- pose itself to this gesture and compel the hand to resume its former position. Till now the "all-pow- erful" being has been able to feel himself one with the world that obeyed him and followed his every nod, but gradually there appears a painful discordance in his experiences. He has to distinguish between certain perfidious things, which do not obey his will, as an outer world, and on the other side his ego ; i. e. between the subjective psychical contents (feelings) and the objectified ones (sensations). I once called the first of these stages the Introjection Phase of the 16 This being of course quite unsuspected. Stages in the Development of Sense of Reality 227 pysche, since in it all experiences are still incorpo- rated into the ego, and the later one the Projection Phase. 11 One might also, following this terminol- ogy, speak of the omnipotence stage as the introjec- tion stage, the reality stage as the projection stage, of the development of the ego. Still even the objectifying of the outer world does not at once destroy every tie between the ego and the non-ego. The child learns, it is true, to be content with having only a part of the world, the ego, at his disposal, the outer world, however, often opposing his wishes, but there still remains in this outer world qualities that he has learned to know in him- self, i. e. ego qualities. Everything points to the con- clusion that the child passes through an animistic period in the apprehension of reality, in which every object appears to him to be endowed with life, and in which he seeks to find again in every object his own organs and their activities. 18 The derisive remark was once made against psy- cho-analysis that, according to this doctrine, the unconscious sees a penis in every convex object and a vagina or anus in every concave one. I find that this sentence well characterises the facts. The child's mind (and the tendency of the unconscious in adults that survives from it) is at first concerned exclusively with his own body, and later on chiefly 17 Ch. II. "On the subject of animism see also the essay "Ueber Naturgefuhl" by Dr. Hanns Sachs (Imago, Jahrg. I.). 228 Contributions to Psycho- Analysis with the satisfying of his instincts, with the pleas- urable satisfactions that sucking, eating, contact with the genital regions, and the functions of excre- tion procure for him ; what wonder, then, if also his attention is arrested above all by those objects and processes of the outer world that on the ground of ever so distant a resemblance remind him of his dear- est experiences. Thus arise those intimate connections, which re- main throughout life, between the human body and the objective world that we call symbolic. On the one hand the child in this stage sees in the world nothing but images of his corporeality, on the other he learns to represent by means of his body the whole multif ariousness of the outer world. This ca- pacity for symbolic representation is an important' completion of the gesture-language; it enables the child not only to signalise such wishes as immediately concern his body, but also to express wishes that re- late to the changing of the outer world, now recog- nised as such. If the child is surrounded by loving care, he need not even in this stage of his existence give up the illusion of his omnipotence. He still only needs to represent an object symbolically and the thing, believed to be alive, often really "comes" to him ; for the animistically thinking child must have this impression at the satisfaction of his wishes. From the uncertainty regarding the arrival of the satisfaction it gradually dawns on him, to be sure, Stages in the Development of Sense of Reality 229 that there are also higher, "divine" powers (mother or nurse), whose favour he must possess if the sat- isfaction is to follow closely on the magic gestures. Still this satisfaction also is not hard to obtain, es- pecially with indulgent surroundings. One of the bodily means that the child makes use of for representing his wishes, and the objects he wishes for, attains then an especial significance, one that ranges beyond that of all other means of rep- resentation speech, namely. Speech is originally 19 imitation, i. e. vocal representation, of sounds and noises that are produced by things, or which can be produced by their help ; the executive capacity of the speech organs allows the reproduction of a much greater multiplicity of objects and processes of the outer world than was possible with the help of ges- ture-language, and in a much simpler manner. Speech symbolism thus gets substituted for gesture symbolism : certain series of sounds are brought into close associative connection with definite objects and processes, and indeed gradually identified with these. From this accrues the great progress : there is no longer a necessity for the cumbrous figurative imagi- nation and the still more cumbrous dramatic repre- sentation ; the imagination and representation of the series of sounds that we call words allow a far more specialised and economic conception and expression 18 See Kleinpaul, Leben der Sprache (1893), and Sperber, "Uber den Einfluss sexueller Momente auf Entstehung und Entwicklung der Sprache," Imago, 1912. 230 Contributions to Psycho- Analysis of the wishes. At the same time conscious thinking makes speech symbolism possible by becoming asso- ciated to thought processes that are in themselves unconscious, and lending them perceptual qualities. 20 Now conscious thought by means of speech signs is the highest accomplishment of the psychical ap- paratus, and alone makes adjustment to reality pos- sible by retarding the reflex motor discharge and the release from unpleasantness. In spite of this the child knows how to preserve his feeling of omnipo- tence even in this stage of his development, for his wishes that can be set forth in thoughts are still so few and comparatively uncomplicated that the at- tentive entourage concerned with the child's welfare easily manages to guess most of these thoughts. The mimic expressions that continually accompany thinking (peculiarly so with children) make this kind of thought-reading especially easy for the adults; and when the child actually formulates his wishes in words the entourage, ever ready to help, hastens to fulfil them as soon as possible. The child then thinks himself in possession of magic capacities, is thus in the period of magic thoughts and magic words . 21 It is this stage of reality development to which 20 See Freud, Traumdeutung, III Aufl., S. 401 and Jahrb., Bd. Ill, S. I. 11 The psychological explanation of "magic" naturally does not exclude the possibility of this belief containing also the foreshadowing of physical facts (telepathy, etc.). Stages in the Development of Sense of Reality 281 the obsessional patients seem to regress when they are not to be dissuaded from the feeling of the omnip- otence of their thoughts and verbal formulas, and when, as Freud has shewn, they set thinking in the place of acting. In superstition, in magic, and in religious cults this belief in the irresistible power of certain prayer, cursing, or magical formulas, which one has only to think inwardly or only to speak aloud for them to work, plays an enormous part. 22 This almost incurable megalomania of mankind is only apparently contravened by these neurotics with whom behind the feverish search for success one at once comes across a feeling of inferiority (Adler), which is well known to the patients themselves. An analysis that reaches to the depths reveals in all such cases that these feelings of inferiority are in no sense something final, an explanation of the neurosis, but are themselves the reactions to an exaggerated feel- ing of omnipotence, to which such patients have be- come "fixed" in their early childhood, and which has made it impossible for them to adjust themselves to any subsequent renunciation. The manifest seeking for greatness that these people have, however, is only a "return of the repressed," a hopeless attempt to reach once more, by means of changing the outer world, the omnipotence that originally was enjoyed without effort. "This "omnipotence" ("Motor power") is highly characteris- tic also of obscene words. See Chapter IV. 282 Contributions to Psycho- Analyst* We can only repeat : All children live in the happy delusion of omnipotence, which at some time or other even if only in the womb they really par- took of. It depends on their "Daimon" and their "Tyche" whether they preserve the feelings of omnip- otence also for later life, and become Optimists, or whether they go to augment the number of Pessi- mists, who never get reconciled to the renunciation of their unconscious irrational wishes, who on the slightest provocation feel themselves insulted or slighted, and who regard themselves as step-children of fate because they cannot remain her only or favourite children. Freud dates the end of the domination of the pleas- ure-principle only from the complete psychical de- tachment from the parents. It is also at this epoch, which is extremely variable in individual cases, that the feeling of omnipotence gives way to the full ap- preciation of the force of circumstances. The sense of reality attains its zenith in Science, while the il- lusion of omnipotence here experiences its greatest humiliation: the previous omnipotence here dissolves into mere "conditions." (Conditionalism, determin- ism.) Nevertheless, we possess in the doctrine of the freedom of the will an optimistic philosophical dogma that can still realise phantasies of omnipotence. The recognition that our wishes and thoughts are conditioned signifies the maximum of normal projec- tion, . e. objectification. There is also, however, a Stages in the Development of Sense of Reality 233 psychical disorder, paranoia, which has the charac- teristic, among others, that in it even the person's own wishes and thoughts are expelled into the outer world, are projected. 23 It seems natural to locate the fixation point of this psychosis in the period of the final renunciation of omnipotence, i. e. in the projection phase of the sense of reality. The stages in the development of the sense of reality have here been presented up to now only in terms of the egoistic, so-called "ego-instincts," which serve the function of self-preservation; reality has, as Freud has established, closer connections with the . ego than with sexuality, on the one hand because the latter is less dependent on the outer world (it can for a long time satisfy itself auto-erotically), on the other hand because it is suppressed during the la- tency period and does not come at all into contact with reality. Sexuality thus remains throughout life more subjected to the pleasure-principle, whereas the ego has immediately to experience the bitterest disappointment after every disregarding of reality. 2 * If we now consider the feeling of omnipotence in sex- ual development that characterises the pleasure stage, we have to observe that here the "period of unconditional omnipotence" lasts until the giving up "See Freud, "Die Abwehr-Neuropsychosen" (Kl. Schr. z. Neurosenlehre, S. 45), "Psychoanalytische Bemerkungen tiber einen autobiographisch beschriebenen Fall von Paranoia," Jahrb., Bd. Ill, and Chapter V of this book. "Freud. Jahrb., Bd. Ill, S. 5. 234 Contributions to Psycho-Analysis of the auto-erotic kinds of satisfaction, a time when the ego has already long adjusted itself to the in- creasingly complicated conditions of reality, has passed through the stages of magic gestures and words, and has already almost attained the knowl- edge of the omnipotence of natural forces. Auto- erotism and narcissism are thus the omnipotence stages of erotism, and, since narcissism never comes to an end at all, but always remains by the side of object-erotism, it can thus be said that in so far as we confine ourselves to self-love in the matter of love we can retain the illusion of omnipotence throughout life. That the way to narcissism is at the same time the constantly accessible way of re- gression after every disappointment in an object of love is too well known to need proof; auto-erotic narcissistic regressions of pathological strength may be suspected behind the symptoms of Paraphrenia (Dementia praecox) and Hysteria, whereas the fix- ation-points of the Obsessional Neurosis and of Par- anoia should be found in the line of development of "erotic reality" (the compulsion to find an object). These relations, however, have not yet been ap- propriately studied with all the neuroses, so that we have to be content with Freud's general formulation concerning the choice of neurosis, namely, that the variety of the subsequent disorder is decided by "which phase in the development of the ego and the Stages in the Development of Sense of Reality 235 sexual hunger is affected by the determining inhibi- tion of development." One may nevertheless venture to add to this sen- tence a second one ; we suspect that the wish-con- stituent of the neurosis, . e. the varieties and aims of the erotism that the symptoms present as fulfilled, depends on where the fixation-point is in the phase of the development of the sexual hunger, while the mechanism of the neuroses is probably decided by what stage in the development of the ego the indi- vidual is in at the time of the determining inhibition. It is very well thinkable that with the regression of the sexual hunger to earlier stages of development the level of the reality-sense that was dominant at the time of fixation also becomes renascent in the mechanisms of the symptom-formation. Since, that is to say, this earlier kind of "reality-testing" is in- comprehensible to the present ego of the neurotic, there is nothing to prevent its being placed at the dis- posal of the repression, and used for the presentation of censured feeling- and thought-complexes. Hysteria and the obsessional neurosis, for example, would ac- cording to this conception be characterised on the one hand by a regression of the sexual hunger to earlier stages of development (auto-erotism, Oedipusism), and on the other hand in their mechanisms by a re- lapse of the reality-sense to the stage of magic ges- tures (conversion) or of magic thoughts (omnipo- 236 Contributions to Psycho-Analysis tence of thought). I repeat: It will need much longer laborious work before the fixation-points of all neuroses can be established with certainty. I wish here only to point to one possibility of a so- lution, one, it is true, that to me is plausible. What we may conceive about the phylogenesis of the reality-sense can at present be offered only as a scientific prediction. It is to be assumed that we shall some day succeed in bringing the individual stages in the development of the ego, and the neu- rotic regression-types of these, into a parallel with the stages in the racial history of mankind, just as, for instance, Freud found again in the mental life of the savage the characters of the obsessional neurosis. 25 In general the development of the reality-sense is represented by a succession of repressions, to which mankind was compelled, not through spontaneous "strivings towards development," but through neces- sity, through adjustment to a demanded renuncia- tion. The first great repression is made necessary, by the process of birth, which certainly comes about without active cooperation, without any "intention" on the part of the child. The foetus would much rather remain undisturbed longer in the womb, but it is cruelly turned out into the world, and it has to forget (repress) the kinds of satisfaction it had got * Freud. "Ueber einige Uebereinstimmungen im Seelenleben der Wilden und der Neurotiker," Imago, Jahrg I, 1912. Stages in the Development of Sense of Reality 237 fond of, and adjust itself to new ones. The same cruel game is repeated with every new stage of de- velopment. 26 It is perhaps allowable to venture the surmise that it was the geological changes in the surface of the earth, with their catastrophic consequences for primitive man, that compelled repression of favour- ite habits and thus "development." Such catastro- phes may have been the sites of repression in the history of racial development, and the temporal lo- calisation and intensity of such catastrophes may have decided the character and the neuroses of the race. According to a remark of Professor Freud's, racial character is the precipitate of racial history. Having ventured so far beyond the knowable, we have no reason to shrink before the last analogy and from bringing the great step in individual repres- sion, the latency period, into connection with the last and greatest catastrophe that smote our primitive ancestors (at a time when there were certainly hu- man beings on the earth), i. e. with the misery of the glacial period, which we still faithfully recapitulate in our individual life. 27 18 If this thought is logically pursued, one must make oneself familiar with the idea of a tendency of preservation, or re- gression-tendency, also dominating organic life, the tendency to further development, adaptation, etc., depending only on ex- ternal stimuli. 17 Cases where development precedes the real needs seem to contradict the conception that only external compulsion, and never spontaneous impulse, leads to the giving up of accus- tomed mechanisms (development). An example for this would 288 Contributions to Psycho-Analysis The impetuous curiosity to know everything that has just seduced me into enchanted vistas of the past, and led me to bridge over the yet unknowable by the help of analogies, brings me back to the starting-point of these considerations: to the theme of the acme and decline of the feeling of omnipotence. Science has to repudiate this illusion, or at least al- ways to know when she is entering the field of hy- potheses and fancies. In fairy-tales, on the con- trary, phantasies of omnipotence are and remain the dominating ones. 28 Just where we have most humbly to bow before the forces of Nature, the fairy-tale comes to our aid with its typical motives. In reality we are weak, hence the heroes of fairy-tales are strong and unconquerable; in our activities and our knowledge we are cramped and hindered by time and space, hence in fairy-tales one is immortal, is in a hundred places at the same time, sees into the future and knows the past. The ponderousness, the solid- ity, and the impenetrability of matter obstruct our way every moment: in the fairy-tale, however, man has wings, his eyes pierce the walls, his magic wand be the development of the respiratory mechanism already in utero. This happens, however, only in ontogenesis, and is here to be regarded as a recapitulation of a compulsory process of development in the history of the race. The playful practising of animals (Gross) also are not the preliminary stages of a future racial function, but repetitions of phylogenetically ac- quired capacities. They thus allow of a purely historical-causal explanation, and we are not compelled to regard them from the point of view of finality. * Cp. Riklin, Wunscherfullung und Symbolik im Marchen. (Schriften zur angewandten Seelenkunde, Heft 2.) Stages in the Development of Sense of Reality 239 opens all doors. Reality is a hard fight for exist- ence; in the fairy-tale the words "little table, be spread" are sufficient. A man may live in perpetual fear of attacks from dangerous beasts and fierce foes; in the fairy-tale a magic cap enables every transformation and makes us inaccessible. How hard it is in reality to attain love that can fulfil all our wishes ! In the fairy-tale the hero is irresist- ible, or he bewitches with a magic gesture. Thus the fairy-tale, through which grown-ups are so fond of relating to their children their own un- fulfilled and repressed wishes, really brings the for- feited situation of omnipotence to a last, artistic presentation. CHAPTER IX A LITTLE CHANT T CI,EER 1 A LADY a former patient of mine who had re- tained her interest in psycho-analysis, called my attention to the case of a little boy, which she surmised would be of general interest. The case was that of a five-year-old boy, Arpad by name, who according to the unanimous reports of all his relatives had developed up to the age of three and a half in quite a regular way both mentally and physically, and was said to have been a perfectly nor- mal child; he spoke fluently and shewed considerable intelligence. All at once he became quite different. In the sum- mer of 1910 the family went to an Austrian spa, where they had also spent the previous summer, and took rooms in the same house as in the year before. Immediately after the arrival the child's demean- our changed in a curious way. Hitherto he had taken an interest in all the goings on, both indoors and out of doors, that might attract the attention of a child; from now on he was interested in only one 1 Published in the Internal. Zeitschr. f. arztl. Psychoanalyse, 1913. 240 A Little Chanticleer 241 thing, and that was the fowl-house in the courtyard of the dwelling. Early in the morning he hastened to the poultry, watched them with tireless interest, imitated their sounds and movements, and cried when he was forcibly removed from the fowl-run. But even when he was away from it he did nothing else but crow and cackle. He did this unintermittingly for hours at a time, and answered to questions only with these animal cries, so that his mother was se- riously concerned lest her child would lose his power of speech. This peculiar behaviour of little Arpad lasted throughout the whole duration of the summer stay. When the family returned to Budapest he began once more to speak in a human way, but his talk was al- most exclusively of cocks, hens, and chickens, at the most with geese and ducks besides. His usual game, repeated endlessly every day, was as follows: He crumpled up newspaper into the shape of cocks and hens, and offered them for sale; then he would take some object (generally a small flat brush), call it a knife, carry his "fowl" to the sink (where the cook really used to kill the poultry, and cut the throat of his paper hen. He shewed how the fowl bled, and with his voice and gestures gave an excellent imi- tation of its death agony. Whenever fowls were of- fered for sale in the courtyard little Arpad got rest- less, ran in and out of the door, and gave no peace until his mother bought some. He wanted to witness 242 Contributions to Psycho-Analysis their slaughter. Of live cocks, however, he was not a little afraid. The parents asked the child endless times why he was so afraid of cocks, and Arpad always related the same story: He had once gone out to the hen-coop, had micturated into it, whereupon a fowl or capon with yellow feathers (sometimes he said with brown) came and bit his penis, and Ilona, the servant, had dressed the wound. Then they cut the cock's throat, so that he died. Now, as a matter of fact, the parents remembered this occurrence, which had happened in the first sum- mer spent in the spa, when Arpad was only two and a half years old. One day the mother had heard the little one shrieking fearfully, and learnt from the servant that he was frightened of a cock which had snapped at his penis. Since Ilona was no longer in the family's service it could not be ascertained whether on that occasion Arpad had really been hurt or (as the mother's memory went) had merely been bandaged by Ilona to calm him. The curious part of the matter was that the psychi- cal after-effect of this experience had set in with the child after a latent period of a whole year, on the second visit to the summer residence, without any- thing having happened in the meanwhile to which the relatives could ascribe this sudden recurrence of the fear of fowls and the interest in them. I did not, however, let the negative nature of this evidence re- A Little Chanticleer 243 strain me from putting a question to the child's en- tourage, one sufficiently justified by psycho-analyti- cal experience, namely, whether in the course of the latent period the child had not been threatened as so often happens with the cutting off of his penis on account of voluptuous playing with his genitals. The answer, given unwillingly, was to the effect that at the present time, it was true, the boy was fond of playing with his member, for which he often got pun- ished, that it was also "not impossible" that some- one might have "jokingly" threatened to cut it off, further that Arpad had had this bad habit "for a long time," but whether he already had it in the lat- ent year was no longer known. In what comes presently it will be seen that in fact Arpad had not been spared this threat at a later date, so that we are entitled to regard the assump- tion as probable that it was the threat experienced in between which had so greatly excited the child on re-visiting the scene of the first terrifying expe- rience, in which the well-being of his member had sim- ilarly been endangered. A second possibility is of course not to be excluded, namely, that the first fright already had been exaggerated by a still earlier threat of castration, and that the excitement on re- visiting the hen-coop is to be ascribed to the increase of "sexual hunger" that had come about in the mean- time. Unfortunately it was no longer possible to reconstruct these time relationships, and we have to 244 Contributions to Psycho- Analysis be content with the probability of the casual connec- tion. Personal investigation of the boy yielded nothing striking or abnormal. Immediately on entering my room his attention was attracted by a small bronze mountain cock among the numerous other objects lying about ; he brought it to me and asked "will you give it to me?" I gave him some paper and a pencil and he immediately drew a cock (not unskilfully). Then I got him to tell me the story about the cock. But he was already bored and wanted to get back to his toys. Direct psycho-analytic investigation was therefore impossible, and I had to confine myself to getting the lady who was interested in the case and, being a neighbour and friend of the family, could watch him for hours at a time, to note down his cu- rious remarks and gestures. I was able to establish so much for myself, however, that Arpad was men- tally very alert and also not untalented; his mental interest and his talent were, it is true, peculiarly cen- tered round the feathered folk of the fowl-run. He clucked and crowed in a masterly way. Early in the morning he woke the family a true Chanticleer with a lusty crow. He was musical, but sang only popular songs in which cock, fowl, or the like came, being especially fond of the song: "To Debreczen I must run, There to buy a turkey-cock." A Little Chanticleer 245 then the songs: "Chicken, chicken, come, come, come," and "Under the window are two chickens, Two little cocks and a hen." He could draw, as was remarked above, but he con- fined himself exclusively to birds with a large beak, drawing these with considerable skill. One thus sees the directions in which he was seeking to sublimate his pathologically strong interest in these creatures. The parents had finally to put up with his hobbies, seeing that their interdictions did no good, and bought for him various toy birds made of unbreak- able material with which he carried out all sorts of fanciful games. Arpad was in general a pleasant little fellow, but very defiant whenever he was reprimanded or beaten. He hardly ever cried, and never begged for forgive- ness. Apart from these character traits, however, there were no traces of true neurotic traits to be recognised. He was easily frightened, dreamt a great deal (of fowls, of course) and often slept badly (Pavor noctumus). Arpad's curious sayings and actions, which were noted down by the lady observer, mostly display an unusual pleasure in phantasies about the cruel tor- turing of poultry. His typical game, imitating the slaughter of fowls, I have already mentioned ; to this 246 Contributions to Psycho-Analysis should be added that even in his bird dreams it was mostly "killed" cocks and hens that he saw. I will here give a literal translation of some of his charac- teristic sayings : "I should like to have a live plucked cock," he once said quite spontaneously. "He must have no wings, no feathers, and no tail, only a comb, and he must be able to walk like that." He was playing in the kitchen with a fowl that had just been slaughtered by the cook. All of a sudden he went into the next room, fetched a curling-tongs out of a drawer, and cried: "Now I will stick this dead fowl's blind eyes." The slaughtering of poul- try was quite a festival for him. He could dance round the animals' bodies for hours at a time in a state of intense excitement. Someone, pointing to the slaughtered fowl, asked him : "Would you like it to wake again ?" "The devil I would; I would knock it down again at once my- self." He often played with potatoes or carrots (which he said were fowls), slicing them into small pieces with a knife. He could hardly be restrained from throwing to the ground a vase that had fowls painted on it. The affects displayed in regard to fowls, however, were by no means simply those of hate and cruelty, but were plainly ambivalent. Very often he would kiss and stroke the slaughtered animal, or he would A Little Chanticleer 24*7 "feed" his wooden goose with maize, as he had seen the cook do; in doing this he clucked and peeped continuously. Once he threw his unbreakable doll (a fowl) in the oven because he could not tear it, but then pulled it out again at once, cleansed it and caressed it. The animal figures in his picture book, however, had a worse time of it; he tore them in pieces, was then naturally unable to bring them back to life, and got very upset. If such symptoms were observed in an adult in- sane patient, the psycho-analyst would not hesitate to interpret the excessive love and hate concerning poultry as a transference of unconscious affects that really referred to human beings, probably near rel- atives, but which were repressed and could only mani- fest themselves in this displaced, distorted way. He would further interpret the desire to pluck and blind the animals as symbolising castration intentions, and regard the whole syndrome as a reaction to the pa- tient's fear of the idea of his own castration. The ambivalent attitude would then arouse in the ana- lyst the suspicion that mutually contradictory feel- ings in the patient's mind were balancing each other, and on the basis of numerous experiential facts he would have to surmise that this ambivalence prob- ably referred to the father, who although other- wise honoured and loved had at the same time to be also hated on account of the sexual restrictions sternly imposed by him. In a word, the analytic in- 248 Contributions to Psycho-Analysis terpretation would run: The cock signified in the syndrome the father. 2 In little Arpad's case we can spare ourselves the trouble of making any interpretation. The work of repression was not yet able entirely to conceal the significance of his peculiarities; the original thing, the repressed tendencies, could still be discerned in his talk, and indeed it became evident at times with a startling openness and crudity. His cruelty was often displayed in regard to hu- man beings also, and was strikingly often directed against the genital region of adults. "I'll give you one in the faeces, in your behind," he was fond of say- ing to a boy somewhat older than himself. Once he said, still more plainly, "I'll cut your middle out." The idea of blinding occupied him pretty often. He once asked his neighbour: "Can one make a person blind with fire or with water?" (He was also highly interested in the genitals of poultry. With every fowl that was slaughtered they had to enlighten him about the sex whether it was a cock, a hen, or a capon.) He ran to the bed of a grown-up girl and called out: "I'll cut your head off, lay it on your belly, 1 In a very large number of analyses of dreams and neuroses the figure of the father is discovered behind that of an animal. See Freud, Schriften, etc. Ch. 1, and Internat. Zeitschr. f. Psychoanalyse, Jahrg. I, Heft 2. Professor Freud tells me that one of his next works in "Imago" will make use of this iden- tity to explain totemism. (This has since appeared in book form under the title "Totem und Tabu." Transl.) A Little Chanticleer 249 and eat it up.'* Once he said quite suddenly: "I should like to eat a potted mother (by analogy: potted fowl) ; my mother must be put in a pot and cooked, then there would be a potted mother and I could eat her." (He grunted and danced the while). "I would cut her head off and eat it this way" (mak- ing movements as if eating something with a knife and fork). After cannibalistic desires of this sort he would at once get an attack of remorse, in which he maso- chistically yearned for cruel punishments. "I want to be burnt," he would then call out : "Break off my foot and put it in the fire." "I'll cut my head off. I should like to cut my mouth up so that I didn't have any." There can be no doubt that by fowl, cock, chicken he meant his own family, for he said once quite spon- taneously: "My father is the cock!" On another occasion: "Now I am small, now I am a chicken. When I get bigger I shall be a fowl. When I am bigger still I shall be a cock. When I am biggest of all I shall be a coachman." (The coachman who drove their carriage seemed to impress him even more than did his father) . After this independent and uninfluenced admission of the boy we can better understand the enormous excitement with which he was never tired of watch- ing the goings on in the fowl-yard. He could con- veniently observe in the hen-coop all the secrets of 250 Contributions to Psycho-Analyri* his own family about which no information was vouchsafed to him at home; the "helpful animals" shewed him in an unconcealed way everything he wanted to see, especially the continual sexual activ- ity between cock and hen, the laying of eggs, and the creeping out of the young brood. The dwelling conditions at Arpad's are such that he had beyond all question been an ear-witness to similar proceed- ings (between the parents). The curiosity in this way aroused he then had to satisfy by insatiable gazing at animals. We are also indebted to Arpad for the last confir- mation of my assumption that the morbid dread of cocks was ultimately to be traced to the threat of castration for onanism. One morning he asked the neighbour: "Tell me, why do people die?" (Answer: Because they get old and grow tired). "Hm! So my grandmother was also old? No! She wasn't old, and yet she died. Oh, when there's a God why does he always let me fall down? And why does he make people have to die ?" Then he began to get interested in angels and souls, upon which he was given the explanation that they are only fairy-tales. At this he got quite rigid with fright and said : "No ! That's not true ! There are angels. I have seen one who carries the dead children to heaven." Then he asked, horrified: "Why do children die?" "How long can one live?" A Little Chanticleer 251 It was only with great difficulty that he calmed down. It turned out then that early on the same day the chamber-maid had suddenly lifted his bed-clothes and found him manipulating his penis, whereupon she threatened to cut it off. The neighbour tried to quiet him and told him that no harm would be done to him ; every child did things of that sort. Upon which Arpad cried out indignantly: "That's not true! Not every child ! My papa has never done anything like that." Now we understand better his unquenchable rage towards the cock who wanted to do with his member what the grown-ups threatened to do, and his awe for this sexual animal which dared to do everything that filled him with terror; we also understand the cruel punishments that he pronounced on himself (on ac- count of the onanism and the sadistic phantasies). To complete the picture, so to speak, he began later on to occupy himself greatly with religious thoughts. Old, bearded Jews filled him with great respect, mixed with dread. He begged his mother to invite these beggars into the house. When one actually came, however, he would hide and watch him from a respectable distance; as one of these was going away the boy let his head hang down and said, "Now I am a beggar-fowl." Old Jews inter- ested him, so he said, because they come "from God" (out of the temple). 252 Contributions to Psycho- Analysis In conclusion another utterance of Arpad's may be given which shews that he had not watched the go- ings on of the fowls so long for nothing. He told his neighbour one day in all seriousness: "I shall marry you and your sister and my three cousins and the cook ; no, instead of the cook rather my mother." He wanted, therefore, to be a real "cock of the roost." CHAPTER X SYMBOLISM The Symbolic Representation of the Pleasures and Reality Principles in the Oedipus Myth 1 SCHOPENHAUER writes : 2 "Every work has its origin in a happy thought, and the latter gives the joy of conception ; the birth, however, the carry- ing out, is, in my own case at least, not without pain; for then I stand before my own soul, like an inexorable j udge before a prisoner lying on the rack, and make it answer until there is nothing left to ask. Almost all the errors and unutterable follies of which doctrines and philosophies are so full seem to me to spring from a lack of this probity. The truth was not found, not because it was unsought, but because the intention always was to find again instead some preconceived opinion or other, or at least not to wound some favourite idea, and with this aim in view subterfuges had to be employed against both other 1 Published in Imago, 1912. 1 Letter to Goethe, dated November the llth, 1815. 253 Contributions to Psycho-Analyait people and the thinker himself. It is the courage of making a clean breast of it in face of every question that makes the philosopher. He must be like Soph- ocles' Oedipus, who, seeking enlightenment concern- ing his terrible fate, pursues his indefatigable enquiry, even when he divines that appalling horror awaits him in the answer. But most of us carry in our hearts the Jocasta, who begs Oedipus for God's sake not to enquire further; and we give way to her, and that is the reason why philosophy stands where it does. 3 Just as Odin at the door of hell unceas- ingly interrogates the old prophetess in her grave, disregarding her opposition and refusals and prayers to be left in peace, so must the philosopher interro- gate himself without mercy. This philosophical courage, however, which is the same thing as the sin- cerity and probity of investigation that you attrib- ute to me, does not arise from reflection, cannot be wrung from resolutions, but is an inborn trend of the mind." The deep and compressed wisdom of these remarks deserves to be discussed, and to be compared with the results of psycho-analysis. What Schopenhauer says about the psychical at- titude requisite for scientific (philosophical) produc- tion sounds like the application of Freud's formula about the "principles of psychical happenings" 4 to Not underlined in the original. * Freud. Jahrb. d. Psychoanalyse, Bd. Ill, S. 1. Symbolism 55 the theory of Science. Freud distinguishes two such principles: the pleasure-principle, which in the case of primitive beings (animals, children, savages), as in that of the more primitive mental states (in dreams, wit, phantasy, neurosis, psychosis) plays the leading part and allows processes to come about that only strive for the shortest way of gaining pleasure, while the psychical activity of acts that might create feelings of unpleasantness (Urdust) is withdrawn (repression) ; then the reality-principle, which presupposes a higher development and growth of the psychical apparatus, and has as its charac- teristic that "in place of the repression, which ex- cluded a number of the incoming ideas as creative of unpleasantness (Unlust), impartial judgment ap- pears, which has to decide whether a given idea is true or false, i. e. in harmony with reality or not, and which decides by comparison with the memory- traces of reality." Only one kind of thought activity remains free from the tests of reality, even after the inauguration of the higher principle, and subject solely to the (pleasure-principle, namely, phantasy, while it is Science that is most successful in overcoming the pleasure-principle. 5 Schopenhauer's opinion, quoted above, on the men- tal disposition requisite for scientific activity would therefore run somewhat as follows if converted into 8 Freud. Loc. cit., S. 4. 256 Contributions to Psycho- Analysis Freud's terminology: the thinker may (and should) give his phantasy play, so as to be able to taste the "joy of conception" new ideas are of course not to be had in any other way 8 , but in order that these phantastic notions may evolve into scientific ideas they must first be submitted to a laborious testing by reality. Schopenhauer recognised with acute perception that the greatest resistances raised against unprej- udiced testing of reality, even in the case of a scien- tist, are not of an intellectual, but of an affective na- ture. Even the scientist has human failings and pas- sions: vanity, jealousy, moral and religious bias tend- ing to blind him to a truth that is disagreeable to him ; and he is only too inclined to regard as true an error that fits his personal system. Psycho-analysis can only complement Schopen- hauer's postulate in a single point. It has found that the inner resistances may be fixed in the earliest child- hood and may be completely unconscious; it there- fore demands of every psychologist who enters on the study of the human mind that he should thoroughly investigate beforehand his own mental constitution inborn and acquired down to the deepest layers and with all the resources of the analytic technique. Unconscious affects, however, may falsify the truth not only in psychology, but also in all other See on this point Robitschek, "Symbolisches Oenken in der chemischen Forschung," Imago, Jahrg. I, Heft 1. Symbolism 257 sciences, so we have to formulate Schopenhauer's postulate as follows : Everyone who works in Science should first submit himself to a methodical psycho- analysis. The advantages that would accrue to Science from this deepened self-knowledge on the part of the scien- tist are evident. An enormous amount of power for work, which is now wasted on infantile controver- sies and priority disputes, could be put at the dis- posal of more serious aims. The danger of "project- ing into Science as a generally valid theory peculiar- ities of one's own personality" (Freud 7 ) would be much less. The hostile manner also in which, even nowadays, new unusual ideas or scientific proposi- tions are received when put forward by unknown au- thors, unsupported by any authoritative personality, would give way to a more unprejudiced testing by reality. I will go so far as to maintain that, if this rule of self-analysis were observed, the development of the various sciences, whidh today is an endless series of energy-wasting revolutions and reactions, would pursue a much smoother, yet a more profitable and an accelerated course. It cannot be regarded as chance that the Oedipus myth immediately occurred to Schopenhauer when he wished to illustrate by a simile the correct psychical attitude of the scientist in mental production and the T Freud. "Ratschlage, etc." Zentralbl. f. Psychoanalyse, Jahrj?. II. S58 Contributions to Psycho-Analyti* inner resistances that arise against this correct way of working. Had he been as we analysts are con- vinced of the strict determination and determin- ability of every psychical act, this thought would surely have made him reflect. For us, who are the fortunate possessors of the Freudian psychology (which like a mental Dietrich provides a ready key to so many locks that have till now been considered impossible to open), it is not at all difficult to re- trieve this piece of analysis. This idea that occurred to Schopenhauer indicates his unconscious percep- tion of the fact that of all inner resistances by far the most significant is the resistance against the in- fantile fixation on hostile tendencies against the fa- ther and on incestuous ones towards the mother. These tendencies, which through the civilised edu- cation of the race and of the individual have become intensely disagreeable, and have therefore been re- pressed, draw with them into the repression a large number of other ideas and tendencies associated with these complexes, and exclude them from the free in- terchange of thought, or at all events no longer allow them to be treated with scientific objectivity. The "Oedipus complex" is not only the nuclear complex of the neuroses (Freud) ; the kind of atti- 1 tude adopted towards it also determines the most im- portant character traits of the normal man, and in part also the greater or lesser objectivity of the scientist. A man of science who is prevented by the Symbolism 259 incest barrier from admitting to himself nascent in- clinations of love and disrespect towards blood-re- lations will so as to assure the repression of these inclinations also not want, nor be able, to test in their reality with the impartiality demanded by Science the actions, works, and thoughts of other authorities as well as the paternal one. To decipher the feeling and thought content that lies behind the wording of the Oedipus myth was thus beyond even the power of a Schopenhauer, otherwise so discerning. He overlooked the fact as did the whole civilised world until Freud that this myth is a distorted wish phantasy, the projection of re- pressed wish-excitations (father-hate, mother-love) with an altered pleasure-prefix ( abhorrence, shudder- ing awe) on to an external power, "fate." This re- construction of the real meaning of the myth, its in^ terpretation as a "material phenomenon" ( Silberer) , was thus alien to the philosopher. While writing this letter he was himself dominated so I believe by af- fects that would have debarred this insight. The actual occasion that led Schopenhauer to chose this comparison of himself with Oedipus may be divined from the other parts of the letter. The neg- lected philosopher saw himself recognised for the first time by a man of Goethe's greatness and stand- ing. He answered him with expressions of gratitude that we are not accustomed to from the proud, self- confident Schopenhauer: "Your Excellency's kind 60 Contributions to Psycho- Analysis letter has given me great pleasure, because every- thing coming from you is for me of inestimable value, a sacred possession. Further, your letter contains the praise of my work, and your approval outweighs in my estimation that of any other." That sounds absolutely like the enthusiastic grati- tude of one man to an older respected one in whom he hopes to find the long-sought protector, . e. to find again the father. Besides God, King, and national heroes, heroes of the spirit like Goethe are also "revenants" of the father for countless men, who transfer to them all the feelings of gratitude and re- spect that they once shewed to their bodily father. The subsequent quotation of the Oedipus myth, how- ever, may well have been an unconscious reaction against this perhaps rather extravagant expres- sion of gratitude towards the father, a reaction that allowed some display of the hostile tendencies that go to make up the fundamentally ambivalent feeling- attitude of a son towards his father. In favour of this vie\7 speaks the fact that towards the end the let- ter becomes more and more proud and self-confident. Schopenhauer there asks Goethe to secure the publi- cation of his chief work (Die Welt als Wille und Vor- stellung), and now speaks to him as to an equal; he lays a eulogising emphasis on the unusual value of his book, the remarkable nature of its contents, and the beauty of its style, closing with a few cool, business-like lines, which might perhaps be called Symbolism 261 brusque. "I will ask you please to give me a quite decisive answer without delay, because in case you do not accept my proposal I will commission someone who is going to the Leipsic fair to seek a publisher there for me." Perhaps it was just the aid of the attention that had been deviated from the concrete meaning that enabled Schopenhauer to decipher in this letter the "functional symbolism" (which for some time escaped ever; psycho-analysts) of certain details of the Oedi- pus myth. Silberer gives the name of functional symbol- phenomena to those pictures occurring in dreams, phantasies, myths, etc., in which not the content of thought and imagination, but the way of function- ing of the mind (e. g. its ease, difficulty, inhibition, etc) is indirectly represented. 8 If we allow Schopenhauer's comparison and trans- late it into analytical-scientific language, we have to say that the two chief personages of Sophocles' trag- edy also symbolise the two principles of mental ac- tivity. Oedipus, "who, seeking enlightenment concern- ing his terrible fate, pursues his indefatigable en- quiry, even when he divines that appalling horror awaits him in the answer," represents the reality- principle in the human mind, which permits none of the emerging ideas, even those that produce pain, to *Cp. Silberer's throughout original and pregnant works on symbolism, especially those in the Jahrb. d. Psychoanalyse, Bd. 1-111. 262 Contributions to Psycho-Analysis be repressed, but bids all to be equally tested as to their intrinsic truth. Jocasta, "who begs Oedipus for God's sake not to enquire further," is the per- sonification of the pleasure-principle, which, regard- less of objective truth, wants nothing else than to spare the ego pain, to gain pleasure wherever pos- sible, and, so as to reach this goal, bans to the un- conscious whenever possible all ideas and thoughts that threaten to set free pain. Encouraged by Schopenhauer's interpretation and its striking analytical confirmation, I venture to go a step further and to raise the question whether it is pure chance that in both the Oedipus myth and the Edda Saga, also cited by our philosopher, the real- ity-principle is represented by men (Oedipus, Odin) and the pleasure-principle by women (Jocasta, Erda). The psycho-analyst is not accustomed to fly hastily to the idea of "accident," and would in- cline rather to attribute to the Greek and Teutonic peoples, as well as to Sophocles and Schopenhauer, an unconscious knowledge of the bisexuality of every human being. Schopenhauer actually says that most human beings carry in them Oedipus and Jocasta. In accord with this interpretation is the observation of daily experience that in general in women the tend- ency to repression the pleasure-principle, there- fore prevails ; in men the capacity for objective judgment and for tolerating painful insight the reality-principle, therefore. Symbolism 63 An eye made keen by individual-psychological ex- perience will certainly be able to discover and solve many more significant symbols in Sophocles' tragedy. I will only point out two very striking ones, both of the category of "somatic symbol-phenomena" (Sil- berer), in which, therefore, bodily states are mir- rored. To start with, there is the name of the tragic hero Oedipus, which in Greek means "swell-foot." This apparently senseless and odd denomination at once loses this character when we know that in dreams and jokes, as well as in the fetishistic wor- ship of the foot or in the neurotic dread of this mem- ber, it symbolises the male organ. The fact that this member is described in the hero's name as swollen is sufficiently explained by its erecti- bility. It cannot surprise us, by the way, that the myth completely identifies with a phallus the man who achieved the monstrous feat of sexual inter- course with the mother, a feat no doubt conceived as superhuman. The other somatic symbol-phenomenon is Oedipus' self-blinding as a punishment for his unconscious committed sins. It is true that the tragedian gives the explanation for this punishment : "For why was I to see, When to descry no sight on earth could have a charm for me?" * he makes Oedipus (not quite un- equivocally) cry out. But certain psycho-analytical (I quote throughout from Sir George Young's translation of the Oedipus Tyrannus. Transl.) 264 Contributions to Psycho- Analysis experiences, in which the eyes regularly have to be interpreted as symbols of the genital organs, give me the right to interpret the self-blinding as a displace- ment of the really intended self-castration of Oedi- pus, the talion punishment more comprehensible in this connection. To the horrified question of the Chorus, however; Rash man, how could'st thou bear to outrage so Thine eyes? What Power was it, what wrought on thee? the hero answers : Apollo, Apollo fulfils, O friends, my measure of ills Fills my measure of woe. In other words, it was the sun (Phoebus Apollo), the most typical father-symbol; 10 the hero was no longer to look him in the eyes, a consideration that may have given a second determining factor for the distortion of the castration punishment to blinding. 11 * Freud. "Nachtrag zur Analyse Schrebers," Jahrb. d. Psy- choanalyse, Bd. III. "These symbol interpretations will be at once evident to the practised psycho-analyst, since he can find them confirmed in his dream analyses countless times. While reading through this article, however, I received from Dr. Otto Rank the informa- tion that the correctness both of the interpretation of the name Oedipus here attempted and that of the sexual-symbolic explanation f self-binding could be determined with certainty from comparative mythological studies. In his work that has just appeared, "Das Inzest-motiv in Dichtung und Sage," these interpretations are substantiated with a rich collection of facts, which makes it pdssible for the non-analyst also to accept them. Symbolism 265 If we have once assimilated these interpretations, it must amaze us to see how the folk-soul should have managed to fuse together in this myth the knowledge (distorted, it is true) of the most signifi- cant content, the nuclear complex of the unconscious (. e. the parental complex), with the most general and comprehensive formula of mental activity. Our amazement gives way to understanding, however, when we have learnt from Otto Rank's fundamental mytho-psychological works to grasp the way in which the creative folk-soul works. Rank shewed in a beautiful example 12 that the individual poet "by means of his own complex-tones succeeds in clari- fying and emphasising certain attributes of a trans- mitted material," but that the so-called folk -produc- tions are also to be regarded as the work of numerous or countless individuals, who originate, transmit, and decorate the tradition. "Only in this case," he says further, "the story goes through a series of sim- ilarly disposed individual minds, each of which works in the same direction, at the production of general human motives and the polishing of many disturbing accessory works." After the double interpretation of the Oedipus myth we may imagine the crystallising process of our myth, described by Rank, somewhat as follows : Significant but unconscious psychical dontents "Rank. "Der Sinn dcr Griselda-Fabel," Imago. Jahrg. I, Heft 1. $66 Contributions to Psycho- Analysis (aggressive phantasies against the father, sexual hunger for the mother with erection-tendencies, dread lest the father would avenge the sinful intent with the punishment of castration) procured, each for itself, indirect symbolic representatives in the consciousness of all men. Men with special creative capacities, poets, give expression to these universal symbols. In this way the mythical motives of exposure by the par- ents, victory over the father, unconscious inter- course with the mother, and self-blinding, might have arisen in individuals independent of one another. In the course of the passage of the myths through countless poetic individual minds, one that Rank has made probable, condensation of the separate motives led secondarily to a greater unity, which then proved to be durable and which was fashioned anew in much the same form by all peoples and at all times. 13 It is probable, however, that in this, as also in every other myth, and perhaps indeed with mental productivity in general, parallel with the tendency to give expression to psychical contents there is also an unconscious aim at bringing to presentation the men- tal ways of functioning that are operative in master- ing these contents. 14 Only this latter fusion then M See on this point Rank, Der Mythus von der Geburt des Helden (Schriften zur angewandten Seelenkunde, Heft V). "Silberer, to whom we owe the formulation of the idea of functional symbolism, cites a long series of myths and fairy- tales that can be resolved into both material and functional symbol-phenomena. ("Phantasie und Mythos," Jahrb. d. Psy- choanalyse, Bd. II.) Symbolism 267 yields the perfected myth, which without foregoing any of its effect on men is transmitted unchanged for hundreds of years. So was it with the Oedipus myth, in which not only the most deeply repressed feeling and thought complexes of mankind are rep- resented in images, but also the play of the mental forces that were operative in the attempt to master these contents, differing according to sex and indi- viduality. For the correctness of this interpretation let some passages from the tragedy itself bear witness : Oedipus: And how can I help dreading My mother's bed? ,/ocasta: But why should men be fearful,. . O'er whom Fortune is mistress, and fore-knowledge Of nothing sure? Best take life eas- %, 15 As a man may. For that maternal wedding, Have you no fear; for many men ere now Have dreamed as much ; but he who by such dreams Sets nothing, has the easiest life of it. ***** 11 The passages in Italics are not underlined in the original. 268 Contributions to Psycho-Analysis Jocasta (to OEDIPUS, who, enquiring after the frightful truth* summons the only witness of the crime) : Why ask who 'twas he spoke of ? Nay, never mind never remember it 'Twas idly spoken ! Oedipus: Nay, it cannot be That having such a clue I should refuse To solve the mystery of my parentage ! Jocasta: For heaven's sake, if you care for your own life, Don't seek it! I am sick, and that's enough! * * * * * Jocasta: But I beseech you, hearken ! Do not do it! Oedipus: I will not hearken not to know the whole. Jocasta : I mean well ; and I tell you for the best ! Oedipus: What you call best is an old sore of mine. Jocasta: Wretch, what thou art O might' st thou never know! * * * * Oedipus: Break out what will, I shall not hesi- tate, Low though it be, to trace the sourct of me. ***** Symbolism 269 Shepherd (who was ordered to kill the new-born Oedipug, but who exposed him, to the open ) : O, I am at the horror, now, to speak! Oedipus: And I to hear. But I must hear no less. "The Jocasta in us," as Schopenhauer says, the pleasure-principle, as we express it, wishes thus that a man "should best take life easily, as a man may," that he "set no store by" (suppresses) the things that disturb him, e. g. that with the most superficial motivation he should refuse to accord any signifi- cance to phantasies and dreams about the death of his father and sexual intercourse with his mother, pay no attention to disagreeable and dangerous talk, not search after the origin of things, but above all it warns a man against recognising who he is. The reality-principle, however, the Oedipus in the human soul, does not allow the seductions of pleasure to keep him from penetrating into even a bitter or a horrible truth, it estimates nothing so lowly as to be not worth testing, it is not ashamed to seek the true psychological nucleus of even super- stitious prophecies and dreams, and learns to endure the knowledge that in the inmost soul aggressive and sexual instincts dwell that do not pause even at the barriers erected by civilisation between the son and his parents. 70 Contributions to Psycho- Analysis II On Eye Symbolism i Relying on psycho-analytical experience, I have tried to interpret Oedipus* self-blinding as a self- castration. 17 I wish here to relate shortly the facts on which I relied for the purpose of this interpreta- tion. 1. A young lady suffered from a phobia of sharp objects, especially needles. Her obsessive fear ran : such an object might sometime put out her eyes. Closer investigation of the case disclosed the fact that the lady had for a number of years lived with her friend in sexual intimacy, but had anxiously guarded against permitting the intermissio penis, which would have impaired her anatomical integrity by rupturing the hymen. All sorts of accidents now kept happening to her, most of which affected the eye; most commonly unintentional self-inflicted in- juries with needles. Interpretation : Substitution of the genitals by the eyes, and representation of the wishes and fears relating to the former by accidental actions and phobias relating to the latter. 2. A myopic patient with conscious fears of in- feriority and compensating grandiose phantasies transferred all his hypochondriac and anxious feel- 14 Published in the Internal. Zeitschr. f. arztl. Psychoanalyse, 1913, as a contribution to the symposium on eye symbolism. " See Chapter X, Section 1. Symbolism 271 ings, and an exaggerated sense of shame, on to his short-sightedness; these feelings, however, relate in his unconscious to the genitals. When a small child he had sexual "omnipotent phantasies" concerning his mother and sister ; later on painful realisation of his sexual inferiority ("small penis" complex, hypo- chondria, "states of weakness"), which was com- pensated for by excesseive onanism and sadistic acts of coitus. With the help of the symbolic equating: eye genital, he managed to represent by means of the eye a great part of his sexual wishes and fears. An incomplete analytic enlightenment reduced his hypochondria very appreciably. 3. I had the opportunity of getting to know a family whose members suffered without exception from an exaggerated fear of injuries and diseases of the eye. The mere mention of bad or injured eyes made them get pale, and the sight of such things could lead to fainting. In one member of the family the psychical disturbances of potency could be rec- ognised to be the manifestations of masochism which had appeared as a reaction against sadistic desires; the fear of eye injuries was the reaction to the sa- distic wish to injure the eye, a displacement of the sadistic coitus wish. It had been very easy for the sadistic-masochistic components of the sexual in- stinct to be transferred from the genital to another organ susceptible to injury. Another member of this family extended fear and 272 Contributions to Psycho- Analysis disgust for eyes on to corns as well ; in this not only the external resemblance and the identity of the name, 18 but a second symbolic equating (toe=penis) played a part. This was evidently an attempt to bring the symbol eye once more nearer to the real thing (genital organ) with the help of a mediate idea (corn). 4. A patient who was afraid of beetles when a child developed at the time of puberty a dread of see- ing himself in a mirror, especially of seeing his own eyes and eyebrows. This dread turned out to be on the one hand an auto-perception of his tendency to repression (not wanting to look himself in the eye), on the other hand a representation of the fear of onanism. With the help of the idea of movability the child succeeded in displacing his attention and affects from the spontaneously movable (erectile) organ on to the movable beetle. The beetle's vulnerability also, the way in which even a child can so easily crush it under foot, renders it a suitable object for taking the place of the original object of attack, the sexual or- gan. A further displacement then set the equally movable and vulnerable eye in place of the beetle. I might also mention that in Hungarian the pupil is designated by a word meaning literally, "eye- beetle." 5. In a whole series of anxiety dreams (mostly u (Corns in German are called "Hiihneraugen," literally "fowls' eyes." Transl.) Symbolism 273 recollected from childhood) eyes figure that grow alternately larger and smaller. From the total con- text I have had to regard these eyes as symbols of the male sexual organ in its changing size (erection). The apparent change in size of the eyes on opening and closing the lids is obviously used by the child to represent genital processes that are accompanied by changes in size. Children's dread, often excessive, of their parents' eyes has also, in my opinion, a sexual- symbolic root. 6. In another series of dreams, eyes (as paired organs) represent the testicles. Since the face (apart from the hands) is the only uncovered part of the body, children have to satisfy all their curi- osity relating to other parts of the body on the head and face of their adult friends, especially the par- ents. Each part of the face thus becomes the rep- resentative of one or more genital areas. The face is specially well adapted (nose in the middle be- tween the eyes and eyebrows, with the mouth below) for representation of the penis, testicles, pubic hair, and anus. I have no doubt that the sense of embarrassment one experiences on being stared at, and which keeps one from staring hard at others, finds its explana- tion in the sexual-symbolic significance of the parts of the face. This must also go to explain the marked effect of the hypnotiser's eyes on his medium. I may refer also to the sexual symbolism in ogling, in the 274 Contributions to Pgycho-4iia1if.<}i* bashful drooping of the eyes, casting of the eyes on someone, etc., further such expressions as "to cast eyes at someone, to throw sheep's eyes," 9 etc. 7. Finally I may relate the case of an obsessional patient who confirmed subsequently my interpreta- tion of Oedipus' self-blinding. As a child he was unusually spoilt, fixed on his parents, but very bash- ful and modest. One day he learnt from other chil- dren the real course of sexual relations between the parents. At this he displayed intense anger at his father, often with the conscious phantasy that he was castrating him (the father), which was always followed, however, by remorse and self-punishment. Now one of these self-punishments was that he de- stroyed the eyes in his own portrait. I was able to explain to the patient that in doing so he was only expiating in a disguised way the castration he had wished to perform on his father, in accordance with the Mosaic talion threat of punishment, "an eye for an eye, and a tooth for a tooth," which, by the way, takes for example just the two castration symbols, blinding and tooth-extraction. 20 In a work on the stages in the development of the sense of reality 21 I have attempted to explain the origin of symbolism from the impulse to represent in- fantile wishes as being fulfilled, by means of the w (Cp. the modern slang expression, "to make a glad eye." Transl.) " See my remarks on tooth-symbolism in Chapter VI. "Chapter VIII. Symbolism 275 child's own body. The symbolic identification of ex- ternal objects with bodily organs makes it possible to find again, on the one hand, all the wished-for ob- jects of the world in the individual's body, on the other hand, the treasured organs of the individual's body in objects conceived in an animistic manner. The tooth and eye symbolism would be examples of the fact that bodily organs (principally the genital ones) can be represented not only by objects of the outer world, but also by other organs of the body. In all probability this is even the more primary kind of symbol-creation. I imagine that this symbolic equating of genital organs with other organs and with external objects originally happens only in a playful way, out of ex- uberance, so to speak. The equations thus arising, however, are secondarily made to serve repression, which seeks to weaken one member of the equation, while it symbolically over-emphasises the other, more harmless one by the amount of the repressed affect. In this way the upper half of the body, as the more harmless one, attains its sexual-symbolic significance, and so comes about what Freud calls "Displacement from below upwards." In this work of repression, the eyes have proved to be specially adapted to re- ceive the affects displaced from the genital region, on account of their shape and changeable size, their movability, their high value, and their sensitiveness. It is to be supposed, however, that this displacement 276 Contributions to Psycho-Analysis would not have succeeded so well, had not the eye al- ready had from the beginning that significant libidi- nous value that Freud describes in his "Sexualtheo- rie" as a special component of the sexual instinct (the impulse of sexual visual curiosity). Ill The Ontogenesis of Symbols 22 Dr. Beaurain's remarks 23 about the ways in which the child comes to form its first general concepts can be fully confirmed by whoever has had the oppor- tunity to watch the mental development of the child, either directly, or else indirectly via parents whose powers of observation had been psychologically sharpened. There can be no doubt that the child (like the unconscious) identifies two things on the basis of the slightest resemblancej displaces affects with ease from one to the other, and gives the same name to both. Such a name is thus the highly con- densed representative of a large number of funda- mentally different individual things, which, however, are in some way or other (even if ever so distantly) similar and are for this reason identified. Advance in the knowledge of reality (intelligence) then mani- * Published in the Internal. Zeitschr. f. arztl. Psychoanalyse, 1913. * Beaurain, "Ueber das Symbol und die psychischen Bedin- gungen fur sein Entstehen beim Kinde," in the same number of the Zeitschrift. Symbolism 277 fests itself in the child in the progressive resolution of such condensation-products into their elements, in learning to distinguish from one another things that are similar in one respect but otherwise different. Many writers have already rightly grasped and de- scribed this process ; Silberer's and Beaurain's com- munications on the subject have brought further confirmation and have deepened our insight into the details of this development process in the mind. All these authors see in the infantile inadequacy of the capacity for making distinctions the chief factor in the origination of the ontogenetic and phy- Ipgenetic preliminary stages of the knowledge proc- esses. I should like here to raise an objection only against designating all these preliminary stages in knowledge with the word "Symbol;" similes, allego- ries, metaphors, allusions, parables, emblems, and in- direct representations of every sort might also in a certain sense be conceived as products of this lack of sharpness in distinction and definition, and yet they are not in the psycho-analytical sense symbols. Only such things (or ideas) are symbols in the sense of psycho-analysis as are invested in consciousness with a logically inexplicable and unfounded affect, and of which it may be analytically established that they owe this affective over-emphasis to unconscious identification with another thing (or idea), to which the surplus of affect really belongs. Not all similes, 278 Contributions to Psycho- Analysis therefore, are symbols, but only those in which the one member of the equation is repressed into the un- conscious. 24 Rank and Sachs conceive a symbol in the same sense. 25 "We understand by this," they say, "a special kind of indirect representation which is distinguished by certain peculiarities from other allied kinds, such as the simile, the metaphor, the allegory, the allusion, and other forms of figurative representation of thought-material (of the rebus va- riety)," and "it is a substitutive, illustrative replace- ment-expression for something hidden." This being so, it is more prudent not to assume that the conditions under which symbols arise are identi- cal with those for analogy-formation in general, but to presuppose for this specific kind of analogy-for- mation specific conditions of origin, and to search for these. Now analytical experience shews us in fact that although the condition of intellectual insufficiency has to be fulfilled with the formation of real symbols as well, the chief conditions for their production are not of an intellectual, but of an affective nature. I will demonstrate this with individual examples from sexual symbolism. So long as the necessities of life do not compel *See on this matter my remarks in earlier articles, Ch. VI, Ch. VIII, Ch. X, Sect. 2, and my review on Jung's Libido essay in the Internat. Zeitschr. f. arztl. Psychoanalyse, Jahrg. I, S. 393. 38 Rank und Sachs. Die Bedeutung der Psychoanalyse flir die Geisteswissenschaften. 1913. S. 11. et seq. . . . Symbolism 279 them to adaptation and therewith to the knowledge of reality, children concern themselves to begin with only about the satisfaction of their instincts, i. e. about the parts of the body where this satisfaction takes place, about the objects suited to evoke this, and about the actions that actually evoke the satis- faction. Of the sexually excitable parts of the body (erogenous zones), for instance, they are specially interested in the mouth, the anus, and the genitals. "What wonder, then, if also his attention is arrested above all by those objects and processes of the outer world that on the ground of ever so distant a re- semblance remind him of his dearest experiences." 26 Thus comes about the "sexualisation of every- thing." 2T In this stage small boys are prone to apply the childish term for genitals to all long ob- jects, they see an anus in every hole, urine in every fluid, and faeces in every softish material. A boy, aged about one and a half, said when he was first shewn the Danube : "What a lot of spit !" A two-year-old boy called everything that could open, a door, including even his parents' legs, since these can open and shut (be abducted and adducted). Similar analogies are formed also within the sphere of the bodily organs themselves: Penis and tooth, anus and mouth, become equated. Perhaps the child finds an equivalent in the upper part of the body "Ch. VIII. P. 193. 9 (A well-known expression of the philologist Kleinpaul. Transl.) 280 Contributions to Psycho- Analysis (especially on the head and face) for every affective- ly important part of the lower half. This equating, however, is not yet symbolism. Only from the moment when as the result of cultural edu- cation the one member of the equation (the more im- portant one) is repressed, does the other previously less important member attain affective over-signifi- cance and become a symbol of the repressed one. Originally penis and tree, penis and church-steeple, were consciously equated; but only with the repres- sion of the interest in the penis do the tree and church-steeple become invested with inexplicable and apparently ungrounded interest; they become penis symbols. In this way also eyes become symbols of the geni- talia, with which they had previously been identified on the ground of extrinsic resemblance. There thus comes about a symbolic over-emphasis of the upper half of the body in general, after interest in the lower half has been repressed, and all genital symbols that play such an extensive part in dreams (necktie, snake, tooth-drawing, box, ladder, etc.) must have originated ontogenetically in the same way. I should not be surprised if in a dream of the boy mentioned above a door re-appeared as a symbol of the parental lap, and in a dream of the other boy's the Danube as a symbol of bodily fluids. I desired with these examples to point out the overwhelming significance of affective factors in the Symbolism 281 production of true symbols. It is they that have to be taken into consideration in the first place when one wishes to distinguish symbols from other psychi- cal products (metaphors, similes, etc.), which are also the result of condensation. One-sided consider- ation of formal and rational conditions in the expla- nation of psychical processes can easily lead one astray. For instance, one was formerly inclined to believe that things are confounded because they are similar ; nowadays we know that a thing is confounded with another only because certain motives for this are present; similarity merely provides the opportunity for these motives to function. In the same way it must be said that apperceptive insufficiency alone, without consideration of the motives impelling to- wards analogy-formation, do not adequately explain the creation of symbols. CHAPTER XI SOME CLINICAL OBSERVATIONS ON PARANOIA AND PARAPHRENIA J (Contribution to the Psychology of "System- Constmctions") THE sister of a young artist called on me one day and told me that her brother A., a very talented man, had been behaving for some time in a very peculiar manner. He had read a doctor's trea- tise on the serum treatment of tuberculosis, 2 since when he had been the whole time concerned only about himself, had got his urine and sputum exam- ined for abnormal constituents, and, although there were none present, had undergone the serum treat- ment with the doctor in question. It was soon plain that it was not a question of a simple hypochondriac moodiness with him. Not only the treatise, but also 1 Published in the Internal. Zeitschr. f. arztl. Psychoanalyse, 1914. 'This treatise, which traced almost all nervous and psychical disturbances to tuberculosis, and advised a corresponding treat- ment, gave my psychoneurotics plenty to do. 282 Observations on Paranoia and Paraphrenia 28S the doctor's personality made an unusual impression on him. When on one occasion the doctor treated him in a rather off-hand way, he immersed himself in making notes (which the sister gave me to read) of endless worryings as to how this behaviour of the doctor could be harmonised with the fact that he was a real savant (which he did not venture to doubt. ) It then turned out that his hypochondriacal ideas were interwoven in a larger philosophical sys- tem, built, so to speak, into the structure of the lat- ter. For a long time the young man had been in- terested in Ostwald's natural philosophy, and was an eager follower of his ; the energetic main idea and the marked emphasis laid on the economic principle in Ostwald's proposals had made a specially deep impression on him. The statement that one should accomplish as much as possible with as little expendi- ture of energy as possible he wanted to realise in every respect in the practical affairs of his life, but in doing so he went to extremes that struck even his sister (who had a specially high estimation of her brother's intelligence) as peculiar. So long as he only prescribed (in writing) uncommonly exact ar- rangements for the day, in which every bodily and every kind of mental activity was allotted a definite time, he might still have passed as a specially dutiful pupil of his master, but later he began to exaggerate the tendency to economy to such an extent as to drive it unconsciously, of course to downright absurd- 284 Contributions to Psycho-Analysis ity. This became most evident when the amalgama- tion with the hypochondriacal ideas came about. He experienced paraesthesias in the most diverse organs, among others in the legs ; he remarked that the lat- ter ones disappeared when he lifted his leg. In order, now, to deflect his attention (whose energy, accord- ing to his convictions, he felt obliged to employ for more valuable matters than the perception of bodily states) from the sensations in the leg, his sister had to hold his leg up in the air so that he could engross himself in thought undisturbed, the most valuable ac- complishment of which he was capable. The sister often faithfully carried out this wish. Gradually he came to see that he ought really not to perform any work at all himself except thinking ; the carrying out of his ideas in detail a subordinate task must be left to people with feebler capacities. In this way he finally became occupied only with the statement of problems, and employed his whole time in reflect- ing on ultimate scientific, psychological, and philo- sophical questions. He directed those around him to see to it, in ways exactly prescribed by him, that he had absolute rest during his mental work. All this still would not have caused his family any seri- ous solicitude had he not given himself up to com- plete inactivity, after having up till then conscien- tiously carried out his projects. In his endeavour to work "with the most favourable coefficients possi- ble" he had thus brought himself to a point where he Observations on Paranoia and Paraphrenia 285 neglected the tasks that lay nearest to hand (since they could not be literally harmonised with the the- ory of energetic economy) ; the precept of creating in the most economic way possible thus served him, and quite consistently, for the purpose of giving up creating altogether. He lay inactive for hours in certain artificially arranged positions. This latter I had to regard as a variety of catatonic posture, and the purely psychical symptoms as fragments of hypochondriacal and megalomaniac ideas ; I gave the patient's family to understand that I considered the case to be one of paranoid paraphrenia (dementia praecox), and that the young man needed for the time being to be certified as insane. The family at first refused to accept the diagnosis and the advice, although I left open the possibility that it might prove to be a slight and passing attack. Soon after, the sister came again and told me that the brother had begged her to sleep in his room, on the ground that he felt better so, which was good for his mental capacity ; the sister assented to his wishes. For a few nights he did nothing but get her to hold his leg up. Then he began to talk to her of erotic longings and erections, which disturbed him in his work. In between he spoke of his father, who, he said, had treated him too strictly, and towards whom he had until then felt coldly; only now had he dis- covered in her, as in the father, their fondness for him. Suddenly he said: It was against energetic 286 Contributions to Psycho-Analysis economy for him to satisfy his erotic needs with strange women and for money; it would be simpler and less trouble, not to mention without danger or expense : in a word, more economical, if the sister, in the interest of his psychical capacity and faithfully following the "energetic imperative," gave herself to him. After this occurrence (which, by the way, the sister kept secret), and after the patient had threat- ened to commit suicide, he was committed to an asylum. n A very intelligent young man, B, who besides punctiliously fulfilling his official duties achieved quite remarkable poetic accomplishments, and whose development I had watched for over fourteen years, was always recognised by me to be one of those in- sane persons, with delusions of grandeur and of per- secution, who know how to keep their symptoms within such bounds that they can still exist in society. Since I liked his literary works and had several times tried in vain, however to direct the interest of some prominent people to him, he became very fond of me. He called on me about once a month, told me his troubles as to a father-confessor, and always went away to some extent relieved. At his work his colleagues and superiors so he told me placed him, in the most painful situations. According to him, he always did his duty, indeed, as a rule, more than Observations on Paranoia and Paraph re nia 287 was asked of him, and still (or perhaps for that very reason!) they were all hostile to him. They were evidently envious of him on account of his superior intelligence and his high connections. When asked about the annoyances under which he had to suffer, he could only give as examples some trivial jokes of his colleagues and a degree of disdain on the chief's part that did not go beyond what is common enough. He took his revenge in making a special note of all the pieces of carelessness, of slackness, and of rule- breaking, also of supposed unfair advantages, with which the other officials could be charged. From time to time, when his pent-up discontent broke out in open rebellion, he would rake up all these matters, mostly quite things of the past, and bring them to the knowledge of the director, with the result that he himself always incurred unpleasantnesses and re- proofs, but sometimes his colleagues and superiors likewise. Finally he really managed to embroil him- self with almost everybody, and so was spared the trouble of having to construe his colleagues' hostility out of trivial indications ; he got himself thoroughly hated ; every department was glad to get rid of him, and made use of every opportunity to get him trans- ferred to another. After such transferences there were also "transference-improvements." 3 With 1 (Versetzunysbvasuruugen: A term used in German psychia- try to denote the improvements that often come about with insane patients merely as the result of their being transferred from one locality, or part of the asylum, to another. Transl.) 288 Contributions to Psycho-Analysis every new chief he expected that his virtues would at last be recognised, and with each he believed that he could remark unequivocal signs of special esteem for his capacities and of great liking for him; but soon enough it would turn out that the new chief was no better than the previous ones. To be sure, these previous ones had without doubt denounced him to the new chief; the whole lot of them hung together, etc. It went just as badly with him in his literary activity. Those writers who were already recognised constituted themselves so he told me into a com- munity of mutual interests, a "maffia," which kept back young talents. And yet, according to him, his works were fit to stand beside the most renowned ones in the literature of the world. As regards sexuality his wants always seemed to be slight. He had sometimes noticed that he was inex- plicably fortunate with women, he pleased them all without bothering himself much about them, he had to take great care of himself in regard to them, etc., (*. e. in addition to the delusions of persecution and grandeur he also produced those of erotomania). From communications made from time to time, the deeper layers also of his mental existence became known to me. He lived in poor circumstances, a fact that led to an early estrangement with his father, whom to begin with he had tenderly loved; he then transferred (in his phantasy) the father-part to an uncle, who had had considerable success in literary Observations on Paranoia and Paraphrenia 289 renown and in social rank, but he was soon obliged to see that he had nothing to expect from this egoist, so withdrew his love from him also and made as we saw on the one hand vain attempts to find again the lost father-imago in his superiors, while on the other hand he withdrew his sexual hunger in a narcissistic way on to himself, and took delight in his own dis- tinguished attributes and achievements. About the twelfth year of our acquaintanceship, however, there came a break. In an over-intense in- dignation at a supposed piece of bad treatment he at- tacked his highest superior at the office (physically). This led to a tedious and painful investigation, which ended relatively favourably ; the patient was declared to be "ill with his nerves" and was retired with a pension. At about the same time as this perhaps rather earlier, but especially after his dismissal from his post he began to take an extensive interest in psycho-analytical literature. 4 He read among other things my essay on the connection between paranoia and homosexuality. He put the question directly to me, whether I considered him to be a paranoiac and homosexual, and made very merry at the idea in a patronising way. Still the idea seemed to have taken root in him, and to have flourished alongside his pre- vailing inactivity in other directions, for one day he came to me, very excited and enthusiastic, saying 4 As it seemed to me to be quite without prospects I did not want him to go through an analysis. 290 Contribution* to L'syclio- Analysis that on thinking it over he had to agree with my opinion ( !) ; he used really to suffer from delusions of persecution ; it had come over him like an illumina- tion that deep down inside he was a homosexual; he recollected various incidents that directly con- firmed this, in his opinion. Now, so he said, he was able to explain the curious sensations half fearful, half libidinous that he always experienced in the presence of an older friend or patron; he also un- derstood now why he had the tendency to come so near to me physically that he could feel my breath in his face. 5 He now knew, further, why he accused certain patrons of having homosexual intentions in regard to him; it was simply that the wish was father to the thought. I was very pleased at this turn, not only out of consideration for the patient's welfare, but also be- cause the case supported my secret hope that per- haps after all the outlook for the treatment of para- noia in general might not be quite so desperate as it has seemed. A few days later the patient came back again. He was still excited, but no longer so euphoric. He was very afraid, he told me; the homosexual phantasies that swept over him were more and more intolerable ; he saw large phalli in front of him, which disgusted 1 This peculiarity of his I had already noticed in fact and had interpreted in the sense of transferred erotism; naturally I had taken care not to call his attention to it nor to explain the symptom to him. Observations on Paranoia and Paraphrenia 291 him; he kept fancying paederastic situations with other men (also with myself). I tried successfully to calm him, telling him that it was only because of their unaccustomed nature that these phantasies had such an effect on him, and that later on he would certainly not have so much to suffer from the ideas. Then for a few days I heard nothing of him, until one of the members of his family called to tell me that the patient, who for the past two or three days had been inaccessible, had hallucinations, kept talk- ing to himself, and had broken into his uncle's house the day before, and then into a magnate's palace, where he created a disturbance. Ejected from here, he went home, and lay in bed refusing to speak a word; every now and then, however, he was quite clear and assured them that there was nothing wrong with him and that he was not to be transported to an asylum. I visited the patient and found him in a deep cata- tonic state (rigid posture, negativism, inaccessibil- ity, hallucinations). When I came in he appeared to recognise me and shook hands, but immediately after he fell back into the catatonic stupor. It took weeks before he gradually improved a little in the asylum where he was confined, and months before he could be discharged from there improved. When I saw him again he did not have complete insight into his path- ological state he objectified some of his feelings of 292 Contributions to Psycho-Analysis being aggrieved, and a part of the old paranoiac de- lusional formation was again active; on the other hand, he fled terrified from homosexual thoughts, de- nied that he was suffering from a psychosis, and no longer believed in the casual connection between his psychical experiences and homosexuality. Naturally I did not try to penetrate further into his mind, nor to restore his previous convictions. From now on the patient avoided me in a striking manner ; I gath- ered later that he had to be confined again because of a recurrence of his excitement, this time for a somewhat shorter period. What is common to the two cases here communi- cated (apart from the latent homosexuality demon- strable in every case of paranoia and paraphrenia, a matter I do not propose to discuss in more detail at this point) 6 is that they both throw an interesting light on the part played in paranoia by the forma- tion of delusional systems. The patient A. became ill in adopting en bloc a ready-made philosophical sys- tem (Ostwald's natural philosophy), instead of tak- ing the trouble to construct a system of his own. Philosophical systems that seek to explain rationally the whole order of the world, leaving no room over for irrationality (*. e. for what is not yet explica- ble), have been, as is well-known, compared with the The reader may be referred to Freud's work on the subject ("Ein autobiogr. beschr. Fall von Paranoia," Jahrb. d. Psycho- analyse, Bd. Ill) and to my own, Chapter V of the present book. Observations on Paranoia and Paraphrenia 293 paranoiac delusional systems. At all events such systems excellently meet the needs of paranoiacs, whose symptoms spring from the impulse to explain rationally by the external order of the world their own irrational inner strivings. It may be very clearly seen here also how the adopted system grad- ually gets more and more made use of to rationalise the patient's own purely egocentric, repressed wishes (doing nothing, incestuous desires in regard to the sister). Case B. shews again how fateful it may be for the paranoiac when the system that he has laboriously built up, and which allows him to be still socially active, is suddenly torn from him. B. succeeded in projecting all his ethically incompatible longings on to the environment in his office ; he became the victim of a systematic persecution. Dismissed from his post, he had, so to speak, been robbed of his system ; by chance he came across the psycho-analytical lit- erature just at this time of the loss of his system, and this although he had previously heard some- thing of it for the first time was able to appear evi- dent to him. For a short while he seemed inclined to exchange his persecution system for what in our opinion would be correct insight into his true per- sonality, and to make friends with his own repressed complexes. But it soon became plain that this in- sight was unendurable to him, so that since he had no other suitable system at his disposal, and since 294 Contributions to Psycho- Analysis this made it possible for him to anchor at a second neurotic point of fixation 7 he had to flee from the turmoil of morbid dread into dementia. He recov- ered from the paraphrenic attack only in so far as it was possible for him to do away once more with the psycho-analytical insight, and to reconstruct the persecution system. The close relations, such as these, between system- formation and paranoia perhaps also explain the fact that there is always a large crowd of psycho- pathic hangers-on in the train of new scientific (e. g. physical and philosophical) systems, discoveries, and theories. In the therapeutic respect Case B. cau- tions us to uphold Freud's pessimistic opinion as to the psycho-analytic treatment of paranoia. 8 The peculiar catatonic posture of patient A. (ly- ing with upraised leg) deserves, in my opinion, spe- cial attention. The patient made the interpretation of this symptom easy by transferring to the sister the task of holding the leg, and by soon after ap- proaching her with incestuous proposals. When we take into consideration the long known symbolic iden- tification of leg and penis, we may regard this cata- 1 (Referring to the fixation-point of paranoia at the nar- cissistic-homosexual stage of infancy, that of paraphrenia [de- mentia praecox] at the still earlier one of auto-erotism. Transl.) In contrast with Bjerre, who says he has cured a case of paranoia by analysis (Jahrb. d. Psychoanalyse, Bd. II). This case of Bjerre's was in my opinion, and Freud's, not a true paranoia. Observations on Paranoia and Paraphrenia 295 tonic posture as a means of expression (and at the same time a defensive measure) of repressed erection- tendencies. It is thinkable that the collection of sim- ilar observations will explain in this sense catatonic rigidity in general: In support of this idea I can bring forward a third case. Ill A paraphrenic who had an uncommonly keen ca- pacity for self-observation spontaneously explained to me that with all his curious catatonic postures and movements he was seeking to defend himself from erotic sensations in the various parts of the body concerned. The extreme bowing forwards of the body that he kept up for minutes at a time served, for instance, "to break the erection of the intestine." CHAPTER XII THE NOSOLOGY OF MALE HOMOSEXUALITY (HOMO- EROTISM) l WHAT we have learned about homosexuality through psycho-analysis may be put to- gether in a few sentences. The first and most impor- tant step towards a deeper knowledge of this instinct- aim was the supposition by Fliess and Freud 2 that really every human being traverses a psychically bi- sexual stage in his childhood. 3 The "homosexual component" falls later a victim to repression; only a minor part of this component gets rescued in a sublimated form in the cultivated life of adults, in playing, in readiness for social help, in friendship leagues, in club life, etc., a part that is not to be underestimated. Insufficiently repressed homosexu- 1 Delivered at the Third Congress of the Internat. Psycho- Analytical Association at Weimar, October 1911; Published in the Internat. Zeitschr. f. a'rztl. Psychoanalyse, 1914. * Freud, Drei Abhandlungen zur Sexualtheorie. * On a previous occasion I proposed the use of the expression "ambisexual" instead of that of "bisexual," it being thereby expressed that the child in certain stage of development feels amphi-erotically, t. e. can transfer his sexual hunger to man and woman (father and mother) at the same time. In this way the contrast between Freud's conception and Fliess' the- ory of biological bisexuality would be clearly brought out. 296 The Nosology of Male Homosexuality 297 ality can later, under certain circumstances, become once more manifest, or express itself in neurotic symptoms ; this is especially the case with paranoia, concerning which the more recent investigations have been able to establish that it is really to be conceived as a disguised manifestation of the inclination to- wards the person's own sex. 4 A newer point of view, which renders more easy the understanding of homosexuality, we owe to Sadger and Freud. Sadger discovered in the psycho-analy- sis of several male homosexuals that intense hetero- sexual inclinations had been displayed in their early childhood ; indeed that their "Oedipus complex" (love for the mother, attitude of hate towards the father) had come to expression in a specially pro- nounced manner. He considered that the homosex- uality which later develops in them is really only an attempt to restore the original relation to the mother. In the homosexual pleasure-objects of his desires the homosexual is unconsciously loving him- self, while he himself (also unconsciously) is repre- senting the feminine and effeminate part of the mother. This loving of oneself in the person of another hu- man being Sadger called Narcissism. 5 Freud has shewn us that narcissism possesses a much greater and more general significance than had been thought, 4 Freud, Jahrb. d. Psychoanalyse, Bd. Ill; Ferenczi, Ch. V of the present book. * (Or, rather, borrowed the term from Naecke. Transl.) 298 Contributions to Psycho-Analysis and that every human being has to pass through a narcissistic stage of development. After the stage of "polymorphous-perverse" auto-erotism, and be- fore the real choice of an external love-object takes place, every human being adopts himself as an ob- ject of love, in that he collects the previously autistic erotisms together into a unity, the "darling ego." Homosexuals are only more strongly fixed than other people in this narcissistic stage; the genital organ similar to their own remains throughout life an es- sential condition for their love. All these pieces of knowledge, however, important as they are in themselves, give no explanation of the peculiarities of the sexual constitution and the spe- cial experiences that lie at the base of manifest homosexuality. I may say at once that, in spite of much puzzling over them, I have not succeeded in solving these ques- tions. The aim of this communication is nothing more than to bring forward some facts of experience and points of view that have spontaneously forced themselves on me in the course of many years* psy- cho-analytic observation of homosexuals, and which may be capable of rendering easier the correct noso- logical classification of homosexual clinical pictures. It seemed to me from the beginning that the des- ignation "homosexuality" was nowadays applied to dissimilar and unrelated psychical abnormalities. Sexual relations with members of a person's own The Nosology of Male Homosexuality 299 sex are only a symptom, and this symptom may be the form in which the most diverse psychical disor- ders and disturbances of development, as well as normal life, appear. It was thus a priori improba- ble that everything to which the name "homosexu- ality" is now applied would in a simple way yield it- self as a clinical unity. The two types of homosex- uality, for example, distinguished as "active" and "passive" have been up to the present conceived as obviously two forms in which the same condition may appear; in both cases one spoke of "inversion" of the sexual instinct, of "contrary" sexual sensation, of "perversion," and overlooked the possibility that in this way one might be confounding two essentially different morbid states merely because a striking symptom is common to both. Yet even superficial observation of these two kinds of homo-erotism 6 shews that they belong in the pure cases, at all events, to quite different syndromes, and that the "acting" and the "suffering" homo-erotics represent fundamentally different types of men. Only the passive homo-erotic deserves to be called "inverted," only in his case does one see real reversal of normal psychical and perhaps also bodily characteris- tics, only he is a true "intermediate stage." A man The word comes from Karsch-Haack (Das gleichgeschlecht- liche Leben der Naturvolker, 1911) and is in my opinion pre- ferable to the ambiguous expression homosexuality, since it makes prominent the psychical aspect of the impulse in con- tradistinction to the biological- term "sexuality." 300 Contributions to Psycho-Analysis who in intercourse with men feels himself to be a woman is inverted in respect to his own ego (homo- erotism through subject-inversion, or, more shortly, "subject-homo-erotism") ; he feels himself to be a woman, and this not only in genital intercourse, but in all relations of life. It is quite otherwise with the true "active homo- sexual." He feels himself a man in every respect, is as a rule very energetic and active, and there is noth- ing effeminate to be discovered in his bodily or men- tal organisation. The object of his inclination alone is exchanged, so that one might call him a homo- erotic through exchange of the love-object, or, more shortly, an object-homo-erotic. A further striking difference between the "sub- jective" and the "objective" homo-erotic consists in the fact that the former (the invert) feels himself attracted by more mature, powerful men, and is on friendly terms, as a colleague, one might almost say, with women ; the second type, on the contrary, is al- most exclusively interested in young, delicate boys with an effeminate appearance, but meets a woman with pronounced antipathy, and not rarely with ha- tred that is badly, or not at all, concealed. The true invert is hardly ever impelled to seek medical advice, he feels at complete ease in the passive role, and has no other wish than that people should put up with his peculiarity and not interfere with the kind of satisfaction that suits him. Not having to The Nosology of Male Homosexuality 301 fight with any inner conflicts, he can sustain fortu- nate love-relationships for years, and really fears nothing except external danger and being shamed. With all this his love is feminine to the finest de- tails. He lacks the sexual overestimation, which ac- cording to Freud characterises a man's love; he is not very passionate, and, as a true Narcissus, chiefly demands from his lover the recognition of his bodily and other merits. The object-homo-erotic, on the other hand, is un- commonly tormented by the consciousness of his ab- normality ; sexual intercourse never completely satis- fies him, he is tortured by qualms of conscience, and overestimates his sexual object to the uttermost. That he is plagued with conflicts and never comes to terms with his condition is shewn by his repeated at- tempts to obtain medical help for his trouble. It is true that he often changes his companions in love, not from superficiality, however, as the invert does, but in consequence of painful disappointments and of the insatiable and unsuccessful pursuit of the love- ideal ("formation of series," as Freud calls it). It may happen that two homo-erotics of different types unite to make a pair. The invert finds in the object-homo-erotic a quite suitable lover, who adores him, supports him in material affairs, and is impos- ing and energetic; the man of the objective type, on the other hand, may find pleasure in just the mixture of masculine and feminine traits present in the in- 802 Contributions to Psycho- Analysis vert. (I also know active homo-erotics, by the way, who exclusively desire non-inverted youths, and only content themselves with inverts in the absence of the former). 7 However simply these two character pictures of homo-erotism lend themselves to distinction, they sig- nify no more than a superficial description of syn- dromes so long as they are not submitted to the re- solving procedure of psycho-analysis, which alone can render their mode of origin psychologically com- prehensible. Now I have had the opportunity of treating psy- cho-analytically a number of male homo-erotics; many for only a short period (a few weeks), others for months, a whole year, and even longer. Rather than narrate any anamneses in this summary, it seems to me more instructive to condense my impres- sions and experiences on homo-erotism into two psy- cho-analytical Galton photographs. 8 I may at once forestall the final result of my in- 1 1 am conscious that, when I call inverts "female" and ob- ject-homo-erotics "male," I am using terms the scope of which is not sufficiently sharply defined. It may be just indicated here that by maleness I understand activity (aggressivity) of the sexual hunger, highly developed object-love with over- estimation of the object, a polygamy that is in only apparent contrast with the latter trait, and, as a distant derivative of the activity, intellectual talent; by femaleness I understand passivity (tendency to repression), narcissism and intuitiveness. The psychical attributes of sex are, of course, mingled in every individual although in unequal proportion. (Ambisexuality.) 1 A further motive for this is consideration for the patients' anonymity, which it is especially important to preserve. The Nosology of Male Homosexuality 303 vestigations : Psycho-analysis shewed me that the subject- and object-homo-erotism are really essen- tially different conditions. The former is a true "sexual intermediate stage" (in the sense of Magnus Hirschfeld and his followers), thus a pure develop- mental anomaly; object-homo-erotism, however, is a neurosis, an obsessional neurosis. In both types of amphi-erotism 9 the deepest lay- ers of the mind and the oldest memory-traces still bear testimony to the investment of both sexes, or the relationship to both parents, with sexual hunger. In the subsequent development, however, inversion and object-homo-erotism diverge far from each other. We can dig down very deeply into the early his- tory of the subject-homo-erotic and find already everywhere signs of his inversion, namely, the abnor- mal effeminate being. When merely a quite young child he imagined himself in the situation of his mother and not in that of his father ; he even brings about an inverted Oedipus complex ; he wishes for his mother's death so as to take her place with the fa- ther and be able to enjoy all her rights; he longs for her clothes, her jewelry, and of course also her beauty and the tenderness shewn to her; he dreams of begetting children, plays with dolls, and is fond of ' This word renders, I believe, the psychological character of what is intended better than the term "ambisexuality," pre- viously suggested by me. 304 Contributions to Psycho- Analysis dressing up as a girl. He is jealous of his mother, claims for himself all his father's tenderness, where- as his mother he rather admires as something envi- ably beautiful. In many cases it is plainly to be seen that the tendency to inversion, which is prob- ably always constitutionally conditioned, is strength- ened by external influences as well. "Only children" who are spoilt, little favourites who grow up in an exclusively feminine environment, boys who, because they made their appearance in the place of the girl that was longed for, are brought up in a girlish way, can sooner become inverted, given the corresponding predisposition in their sexual character. 10 On the other hand, the narcissistic nature of a boy can provoke excessive indulgence on the parents' part, and so lead to a vicious circle. Bodily attri- butes also girlish figure and features, a wealth of hair, and so on may contribute to the consumma- tion of a boy being treated as a girl. In this way the father's preference and its response may have "Among boys who grow up without a father homo-erotics are to be found relatively often. I imagine that the fixation on the Imago of the father who was lost early or never known results, at least in part, from the fact that under such cir- cumstances the otherwise unavoidable conflict between father and son is absent. ("A man always credits fate twice as highly for something that is lacking as for something that he really possesses; thus my mother's long accounts filled me with more and more longing for my father, whom - I no longer knew." G. Keller, "Der griine Heinrich," Cap. II.) In fam- ilies where the father is alive, but is inferior or insignificant, the son longs exceedingly for a "strong" man and remains in- clined to inversion. The Nosology of Male Homosexuality 305 arisen altogether as a secondary process in relation to the child's narcissism; I know cases in which a narcissistic boy provoked the father's latent homo- erotism in the form of excessive tenderness, the latter then contributing not a little to the fixation of the former's own inversion. Nor can psycho-analysis tell us anything new con- cerning the subsequent fate of these boys ; they stay fixed in this early stage of development, and become finally such personalities as we know well enough from the autobiographies of urnings. I can here lay stress on only a few points. Coprophilia and pleas- ure in smell are deeply repressed with them, often to the extent of aestheticism ; there is a fondness for perfumes, and as a sublimation an enthusiasm for art. Characteristic, further, is their idiosyncrasy against blood and all bloody things. They are most- ly very suggestible and can easily be hypnotised; they are fond of imputing their first seduction to the "suggestion" of a man who stared hard at them or otherwise pursued them. Behind this suggestion there lurks, of course, their own trauriatophilia. Since analysis of inverts does not really elicit any affects that might result in changing his previous attitude towards the male sex, inversion (subject- homo-erotism) is to be regarded as a condition in- curable by analysis (or by any kind of psycho- therapy at all). Psycho-analysis does not remain, however, without any influence on the patient's beha- 306 Contributions to Psycho-Analysis viour; it removes any neurotic symptoms that may accompany the inversion, especially the morbid anx- iety, which is often by no means slight. The invert acknowledges his homo-erotism more frankly after the analysis than before. It must further be re- marked that many inverts are by no means quite insusceptible to the endearments of the female sex. It is through intercourse with woman (t. e. their like) that they dispose of what may be called the homosexual component of their sexuality. How differently does the picture of object-homo- erotism present itself even after only a superficial analysis. After the very shortest examination those suffering from it prove to be typical obsessional pa- tients. They swarm with obsessions, and with obses- sional procedures and ceremonies to guard against them. A more penetrating dissection finds behind the compulsion the torturing doubt, as well as that lack of balance in love and hate which Freud discov- ered to be the basis of the obsessional mechanisms. The psycho-analysis of such homo-erotics as only feel abnormally in reference to their love-object, and are otherwise of a purely masculine type, has shewn me plainly that this kind of homo-erotism in all its phenomena is itself nothing else than a series of ob- sessive feelings and actions. Sexuality in general is obsessive enough, but, according to my experience, object-homo-erotism is a true neurotic compulsion, The Nosology of Male Homosexuality 307 with logically irreversible substitution of normal sex- ual aims and actions by abnormal ones. The average (analytically investigated) early his- tory of homo-erotics of the masculine type is some- what as follows: They were all very precocious sexually, and het- ero-sexually aggressive (thus confirming Sadger's finding). Their Oedipus phantasies were always "normal," culminating in sexual-sadistic plans of as- sault on the mother (or her representative) and cruel death-wishes against the disturbing father. Further, they were all intellectually precocious, and in their impulse for knowledge created a number of infantile sexual theories ; this forms also the founda- tion of their later obsessional thinking. Apart from aggressivity and intellectuality their constitution is characterised by unusually strong anal-erotism and, coprophilia. 11 In the earliest childhood they had been severely punished by one of the parents 12 for a u The view defended in this essay, that object-homo-erotism is an obsessional neurosis, was strengthened when Freud, in his work on "Die Disposition zur Zwangsneurose," (this Zeit- schrift, Jahrg. I, Heft 6) announced that the constitutional basis of this neurosis is the fixation on a pregenital, sadistic- anal-erotic stage in the development of the sexual hunger. It was precisely sadism and anal-erotism that I found at the basis also of object-homo-erotism, a fact that speaks decidedly in favour of the inherent connection of these morbid states. See also Ernest Jones, "Hass und Analerotik in der Zwangsneu- rose," (this Zeitschrift, Jahrg. I, Heft 5). 11 It struck me how often it was the mother who administered these reprovals to later homo-erotics, but I attached no special significance to this circumstance until Professor Freud called my attention to the importance of this very factor. 308 Contributions to Psycho-Analysis hetero-erotic delinquency (touching a girl indecent- ly, infantile attempt at coitus), and on such an oc- casion (which was often repeated) had to suppress an outburst of intense rage. Following on this they became especially docile in the latency period (which set in early), avoided the society of girls and women half obstinately, half anxiously, and consorted ex- clusively with their friends. In one of my patients there occurred several times "irruptions" of homo- erotic affection in the latency period ; in another the latency was disturbed through overhearing parental intercourse, after which the previous good conduct was interrupted by a transitory period of naughti- ness (revenge phantasies). When the sexual hunger increases at the time of puberty the homo-erotic's inclinations again turn at first towards the opposite sex, but the slightest reproval or warning on the part of someone they respect is enough to re-awaken the dread of women, whereupon there takes place, either immediately or shortly after, a final flight from the female to his own sex. One patient when he was fifteen fell in love with an actress about whose morality his mother passed some not quite flattering remarks ; since then he has never ap- proached a woman and feels himself impulsively drawn to young men. In the case of another pa- tient puberty set in with an absolute frenzy of het- erosexuality ; he had to have sexual intercourse every day for a year, and obtained the money for it, if The Nosology of Male Homosexuality 309 necessary, in dishonourable ways. When he made the house servant pregnant, however, and was called to account for it by his father and vilified by his mother, he applied himself with the same ardour to the cult of the male sex, from which no effort has been able to wean him ever since. In the transference-relation to the physician ob- ject-homo-erotics recapitulate the genesis of their trouble. If the transference is a positive one from the beginning then unexpected "cures" come about even after a short treatment; on the slightest con- flict, however, the patient relapses into his homo- erotism, and only now, on the setting in of resistance, does the real analysis begin. If the transference is negative from the outset, as it is especially apt to be with patients who come to the treatment not on their own accord, but at their parents' bidding, then it takes a long time to reach any real analytic work, the patient wasting the hour with boastful and scorn- ful narrations of his homo-erotic adventures. In the object-homo-erotic's unconscious phantasy the physician can represent the place of man and woman, father and mother, reversals 13 of the most diverse kind playing a very important part in this. 11 The dreams of homo-erotics are very rich in reversals. Whole series of dreams have often to be read backwards. The symptomatic action of making a slip of the tongue or pen in the use of the gender of articles is common. One patient even made up a bisexual number: the number 101 signified, as the context shewed, that for him "backwards and forwards were the same." 810 Contributions to Psycho- Analysis It turns out that an object-homo-erotic knows how to love the woman in a man; the posterior half of man's body can signify for him the anterior half of a woman's, the scapulae or nates assuming the sig- nificance of the woman's breasts. It was these cases that shewed me with especial plainness that this kind of homo-erotism is only a substitution product of the hetero-erotic sexual hunger. At the same time the active homo-erotic satisfies in this way also his sadis- tic and anal-erotic impulses ; this holds good not only for the real paederasts, but also for the over-refined boy lovers, those who anxiously shun all indecent contact with boys; with the latter sadism and anal- erotism are replaced by their reaction-formations. In the light of psycho-analysis, therefore, the ac- tive homo-erotic act appears on the one hand as sub- sequent (false) obedience, which taking the paren- tal interdiction literally really avoids intercourse with women, but indulges the forbidden hetero-erotic desires in unconscious phantasies ; on the other hand the paederastic act serves the purpose of the original Oedipus phantasy and denotes the injuring and sul- lying of the man. 14 Considered from the intellectual aspect obsession- al homo-erotism proves to be in the first place an "One patient, whenever he felt himself insulted by a man, especially by a superior, had at once to seek out a male prosti- tute; only in this way was he able to save himself from an outburst of rage. The supposed "love" for a man was here essentially an act of violence and revenge. The Nosology of Male Homosexuality 311 over-correction of the doubt concerning the love to- wards the man's own sex. The homo-erotic obses- sional idea unites in a happy compromise the flight from women, and their symbolic replacement, as well as the hatred of men and the compensation of this. Woman being apparently excluded from the love-life, there no longer exists, so far as consciousness is con- cerned, any further bone of contention between fa- ther and son. It is worth mentioning that most of the obsession- al homo-erotics (as this type might also be called) I have analysed make use of the intermediary stage theory 15 of homosexual tendencies, which is now so popular, to represent their condition as congenital, and therefore not to be altered or influenced, or, to use the expression from Schreber's "Denkwiirdigkei- ten," "in harmony with the universe." They all re- gard themselves as inverts, and are glad to have found a scientific support for the justification of their obsessional ideas and actions. I have naturally also to say something here as to my experience concerning the curability of this form of homo-erotism. In the first place I observe that it has not yet been possible (for me, at all events) to cure completely a severe case of obsessional homo- erotism. In a number of cases, however, I have been able to record very far-reaching improvement, espe- M (About equivalent to what we call the "third sex" theory in English countries. Transl.) Contributions to Psycho-Analysis cially in the following directions: abatement of the hostile attitude and feeling of repugnance towards women; better control of the previously urgent im- pulse for homo-erotic satisfaction, the direction of the impulse being otherwise retained; awakening of potency towards women, therefore a kind of amphi- erotism, which took the place of the previously exclu- sive homo-erotism, often alternating with the latter in periodic waves. These experiences encourage me, therefore, to expect that obsessional homo-erotism will be just as curable by means of the psycho-ana- lytic method as the other forms of obsessional neu- rosis. In any case I imagine that the fundamental reversion of an obsessional homo-erotism that has been firmly rooted for a long time must need whole years of analytic work. (In one very hopeful case I was treating the cure had to be broken off for ex- trinsic reasons after almost two years.) Only when we have at our disposal cured cases, . e. cases an- alysed to the end, will it be possible to pass a final judgment on the conditions under which this neu- rosis arises, and on the peculiarities of its disposi- tional and accidental factors. It is possible, indeed probable, that homo-erotism is to be found not only in those here described, but also in other syndromes; with the isolation of these two types I certainly do not mean to exhaust all the possibilities. In making the nosological distinction The Nosology of Male Homosexuality 313 of subject- from object-homo-erotism I only wanted in the first place to direct attention to the confusion of ideas that prevails even in the scientific literature on the homosexuality problem. Psycho-analytic in- vestigation shews further that nowadays the most heterogeneous psychical states are treated alike un- der the title "homosexuality;" on the one hand true constitutional anomalies (inversion, subject-homo- erotism), on the other hand psychoneurotic obses- sional states (obsessional or object-homo-erotism). The individual of the first kind feels himself to be a woman with the wish to be loved by a man, the feel- ing of the second is rather neurotic flight from women than sympathy towards men. In designating object-homo-erotism as a neurotic symptom I come into opposition with Freud, who in his "Sexualtheorie" describes homosexuality as a perversion, neuroses on the contrary as the negative of perversions. The contradiction, however, is only apparent. "Perversions," i. e. tarrying at primitive or preparatory sexual aims, can very well be placed at the disposal of neurotic repression tendencies also, a part of true (positive) perversion, neurotically exaggerated, representing at the same time the nega- tive of another perversion. 16 Now this is the case with "object-homo-erotism.'* The homo-erotic com- ponent, which is never absent even normally, gets * (Abraham has shewn that the same is true of another per- version: exhibitionism. Jahrbuch der Psychoanalyse. 1914. Transl.) 314 Contributions to Psycho-Analytii here over-engaged with masses of affect, which in the unconscious relate to another, repressed perver- sion, namely, a hetero-erotism of such a strength as to be incapable of becoming conscious. I believe that of the two kinds of homo-erotism here described the "objective'* one is the more fre- quent and the more important socially; it makes a large number of otherwise valuable men (psychoneu- rotically disposed, it is true) impossible in society, and excludes them from propagation. Further, the constantly increasing number of object-homo-erotics is a social phenomenon the importance of which is not to be underestimated, and one that demands ex- planation. As a provisional explanation I assume that the extension of object-homo-erotism is an ab- normal reaction to the disproportionately exagger- ated repression of the homo-erotic instinct-compo- nent by civilised man, i. e. a failure of this repres- sion. In the mental life of primitive peoples (as in that of children) amphi-erotism plays a much greater part than in that of civilised people. But even with certain highly civilised races, e. g. the Greeks, it used to be not merely a tolerated, but a recognised kind of way for the satisfaction of desire; it is still so in the Orient of today. In modern European re- gions of culture, however, and in those attached to them, not only is actual homo-erotism lacking, but also the sublimation of it that appeared so obvious The Nosology of Male Homosexuality 815 to the people of antiquity, enthusiastic and devoted friendship between men. It is in fact astounding to what an extent present-day men have lost the ca- pacity for mutual affection and amiability. Instead there prevails among men decided asperity, resist- ance, and love of disputation. Since it is unthink- able that those tender affects which were so strongly pronounced in childhood could have disappeared without leaving a trace, one has to regard these signs of resistance as reaction-formations, as defence symptoms erected against affection for the same sex. I would even go so far as to regard the barbarous duels of the German students as similarly distorted proofs of affection towards members of their own sex. (Only slight traces still exist today in a posi- tive direction; thus, in club and party life, in "hero worship," in the preference of so many men for boy- girls and for actresses in male parts, also in attacks of cruder erotism in drunkenness, where the alcohol reverses the sublimations.) It looks, however, as if these rudiments of the love for their own sex would not fully compensate the men of today for losing the love of friends. A part of the unsatisfied homo-erotism remains "free floating," and demands to be appeased ; since this is impossible under the conditions of present-day civilisation, this quantity of sexual hunger has to undergo a displace- ment, namely, on to the feeling-relationship to the opposite sex. I quite seriously believe that the men 316 Contributions to Psycho- Analysis of today are one and all obsessively heterosexual as the result of this affective displacement ; in order to free themselves from men, they become the slaves of women. This may be the explanation of the "chiv- alry" and the exaggerated, often visibly affected, adoration of woman that has dominated the male world since the middle ages ; it may also possibly be the explanation of Don-Juanism, the obsessive and yet never fully satisfied pursuit of continually new heterosexual adventures. Even if Don Juan himself would find this theory ridiculous, I should have to declare him to be an obsessional invalid, who could never find satisfaction in the endless series of women (so faithfully drawn by Leporello in his book) be- cause these women are really only substitutes for repressed love-objects. 17 I do not wish to be misunderstood: I find it nat- ural and founded in the psycho-physical organisa- tion of the sexes that a man loves a woman incom- parably better than his like, but it is unnatural that a man should repel other men and have to adore women with an obsessive exaggeration. What won- der that so few women succeed in meeting these ex- aggerated demands and in satisfying, as well as all the other ones, also the man's homo-erotic needs by being his "companion," without doubt one of the commonest causes of domestic unhappiness. "There also exists a Don-Juanism of unsatisfied hetero- erotism. The Nosology of Male Homosexuality 317 The exaggeration of hetero-erotism for the pur- pose of repressing love towards the same sex invol- untarily reminds one of an epigram of Lessing's ( Sinngedichte, Buch II, Nr C) : "The unjust mob falsely imputed love of boys to the righteous Turan. To chastise the lies what else could he do but sleep with his sister." The reason why every kind of affection between men is proscribed is not clear. It is thinkable that the sense of cleanliness which has been so specially reinforced in the past few centuries, . e. the repres- sion of anal-erotism, has provided the strongest mo- tive in this direction ; for homo-erotism, even the most sublimated, stands in a more or less unconscious associative connection with paederastia, i. e. an anal-erotic activity. The increasing number of obsessional homo-erotics in modern society would then be the symptom of the partial failure of repression and "return" of the repressed material. In a brief summary, therefore, the attempt to ex- plain the prevalence of object-homo-erotism would run somewhat as follows: The exaggerated repres- sion of the homo-erotic instinct-component in pres- ent-day society has resulted in general in a rather obsessive reinforcement of hetero-erotism in men. If now the hetero-erotism is also inhibited or strictly 318 Contributions to Psycho-Analysis restrained, as is necessarily the case during educa- tion, the consequence may easily be in the first place with those who are predisposed to it for in- dividual reasons a reverse displacement of the com- pulsion from hetero-erotism to homo-erotism, i. e. the development of a homo-erotic obsessional neu- rosis. CHAPTER XIII THE ONTOGENESIS OF THE INTEREST IN MONEY * THE deeper psycho-analysis penetrates into the knowledge of social-psychological productions (myths, fairy-tales, folk-lore) the stronger becomes the confirmation of the phylogenetic origin of sym- bols, which stand out in the mental life of every indi- vidual as a precipitate of the experiences of previous generations. Analysis has still to perform the task of separately investigating the phylogenesis and on- togenesis of symbolism, and then establishing their mutual relation. The classical formula of "Dai- mon kai Tyche" in Freud's application (the co- operation of heredity and experience in the genesis of individual strivings) will finally become applied also to the genesis of the psychical contents of these strivings, and this also brings to the front the old dispute about "congenital ideas," though now no longer in the form of empty speculations. We may already, however, anticipate to this extent, namely, that for the production of a symbol individual expe- riences are necessary as well as the congenital dispo- 1 Published in 'the Internat. Zeitschr. f. arztl. Psychoanalyse, 1914. 319 320 Contributions to Psycho-Analysis sition, these providing the real material for the con- struction of the symbol, while the congenital basis preceding experience has perhaps only the value of an inherited, but not yet functioning mechanism. I wish here to examine the question of whether, and to what extent, individual experience favours the transformation of anal-erotic interest into interest in money. Every psycho-analyst is familiar with the sym- bolic meaning of money that was discovered by Freud, "Wherever the archaic way of thinking has prevailed or still prevails, in the old civilisations, in myths, fairy-tales, superstition, in unconscious think- ing, in dreams, and in neuroses, money has been brought into the closest connection with filth." As an individual-psychological phenomenon paral- lel with this fact Freud asserts that an intimate as- sociation exists between the strongly marked eroge- nicity of the anal zone in childhood and the charac- ter trait of miserliness that develops later. In the case of persons who later on were especially tidy, economical, and obstinate, one learns from the ana- lytic investigation of their early childhood that they were of that class of infants "who refuse to empty the bowel because they obtain an accessory pleasure from defaecation," who even in the later years of childhood "enjoyed holding back the stools," and who recall "having occupied themselves in their child- hood in all sorts of unseemly ways with the evacu- The Ontogenesis of the Interest in Money ated material." "The most extensive connections seem to be those existing between the apparently so disparate complexes of defaecation and interest in money." 2 Observation of the behaviour of children and an- alytic investigation of neurotics allow us now to es- tablish some single points on the line along which the idea of the most valuable thing that a man pos- sesses (money) is developed in the individual into a symbol "of the most worthless thing, which a man casts aside as dejecta." 3 Experience gathered from these two sources shews that children originally devote their interest with- out any inhibition to the process of defaecation, and that it affords them pleasure to hold back their stools. The excrementa thus held back are really the first "savings" of the growing being, and as such remain in a constant, unconscious inter-relationship with every bodily activity or mental striving that has anything to do with collecting, hoarding, and saving. Faeces are also, however, one of the first toys of the child. The purely auto-erotic satisfaction af- forded to the child by the pressing and squeezing of the faecal masses and the play of the sphincter mus- cles soon becomes in part, at least transformed into a sort of object-love, in that the interest gets displaced from the neutral sensations of certain or- 1 Freud. "Charakter und Analerotik," in his Sammlung kl. Schr. z. Neurosenlehre, Bd. II, S. 132 et seq. Freud. Loc. citi Contributions to Psycho-Analysis gans on to the material itself that caused these feel- ings. The faeces are thus "introjected," and in this stage of development which is essentially character- ised by sharpening of the sense of smell and an in- creasingly adroit use of the hands, with at the same time an inability to walk upright (creeping on all fours) they count as a valuable toy, from which the child is to be weaned only through deterrents and threats of punishment. The child's interest for dejecta experiences its first distortion through the smell of faeces becoming dis- agreeable, disgusting. This is probably related to the beginning of the upright gait. 4 The other at- tributes of this material moistness, discolouration, stickiness, etc. do not for the time being offend his sense of cleanliness. He still enjoys, therefore, play- ing with and manipulating moist street-mud when- ever he has the chance, liking to collect it together into larger heaps. Such a heap of mud is already in a sense a symbol, distinguished from the real thing by its absence of smell. For the child, street-mud is, so to speak, deodourised dejecta. As the child's sense of cleanliness increases with the help of paedagogic measures street-mud also becomes objectionable to him. Substances which on account of their stickiness, moistures, and colour are apt to leave traces on the body and clothing become 4 Freud conceives of the repression of anal-erotism and of the pleasure in smell together in the human race as a result of the upright posture, the erection from the earth. The Ontogenesis of the Interest m Money 323 despised and avoided as "dirty things." The symbol of filth must therefore undergo a further distortion, a dehydration. The child turns its interest to sand, a substance which, while the colour of earth, is cleaner and dry. The instinctive joy of children in gathering up, massing together, and shaping sand is subsequently rationalised and sanctioned by the adults, whom it suits to see an otherwise unruly child playing with sand for hours, and they declare this playing to be "healthy," i. e. hygienic. 5 None the less this play-sand also is nothing other than a cop- ro-symbol deodourised and dehydrated filth. Already in this stage of development, by the way, there occurs a "return of the repressed.'* It gives children endless pleasure to fill with water the holes they dig in the sand, and so to bring the material of their play nearer to the original watery stage. Boys not infrequently employ their own urine for this irri- gation, as though they wanted in this way to empha- 5 The habit of euphemistically disguising coprophilic tenden- cies as "hygienic" is very widespread. The fairly harmless behaviour of stool pedants is well-known, who devote to the regulation of their bowel activities a considerable part of the interest at their disposal; such persons, however, are rather prone to fall into what has been called "stool-hypochondria." A whole series of analyses, by the way, has convinced me that in very many cases hypochondria is really a fermentation- product of anal-erotism, a displacement of unsublimated co- prophilic interests from their original objects on to other or- gans and products of the body with an alteration of the qualifying pleasure. The choice of the organ towards which the hypochondria is directed is determined by special factors (somatic disposition, pronounced erogenicity even in diseased organs, etc.). 324 Contributions to Psycho- Analysis sise quite clearly the relationship of the two mate- rials. Even the interest for the specific odour of ex- crement does not cease at once, but is only displaced on to other odours that in any way resemble this. The children continue to shew a liking for the smell of sticky materials with a characteristic odour, espe- cially the strongly smelling degenerated product of cast off epidermis cells which collects between the toes, nasal secretion, ear-wax, and the dirt of the nails, while many children do not content themselves with the moulding and sniffing of these substances, but also take them into the mouth. The passionate enjoyment of children in moulding putty (colour, consistency, smell), tar, and asphalt, is well known. I knew a boy who had an intense passion for the characteristic smell of rubber materials, and who could sniff for hours at a piece of indiarubber. The smell of stables and of illuminating gas great- ly pleases children at this age indeed, at much older ages even and it is not chance that popular belief appreciates places having these smells as being "healthy," even as being a cure for diseases. A spe- cial sublimation path of anal-erotism branches off from the smell of gas, asphalt, and turpentine: the fondness for substances with an agreeable odour, for perfumes, by means of which the development of a reaction-formation representation through the op- posite is concluded. People with whom this kind of sublimation occurs often develop in other respects The Ontogenesis of the Interest m Money 325 as well into aesthetes, and there can be no question that aesthetics in general has its principal root in repressed anal-erotism. 8 The aesthetic and playful interest springing from this source not infrequently has a share in the developing pleasure in painting and sculpture. 7 Already in the mud and sand periods of copro- philic interest it is striking how fond children are of fabricating objects out of this material so far as their primitive artistic skill allows or, more cor- rectly, of imitating objects the possession of which has a special value for them. They make out of them different articles of diet, cakes, tarts, sweetmeats, etc. The reinforcement of purely egoistic instincts by coprophilia begins here. Progress in the sense of cleanliness then gradually makes even sand unacceptable to the child, and the infantile stone age begins : the collecting of pebbles, as prettily shaped and coloured as possible, in which a higher stage in the development of replacement- formation is attained. The attributes of evil odour, moisture, and softness are represented by those of absence of odour, dryness, and now also hardness. We are reminded of the real origin of this hobby by the circumstance that stones just as mud and sand ' (See on this matter a monograph of mine in the Jahrbuch, Bd. VI. Transl.) 7 1 have already in another connection pointed out the prob- able part played by the childish interest in flatus in later fond- ness for music. See Ch. IV. 326 Contributions to Psycho-Analysis are gathered and collected from the earth. The capitalistic significance of stones is already quite considerable. (Children are "stone-rich" 15 in the narrow sense of the word.) After stones comes the turn of artificial products, and with these the detachment of the interest from the earth is complete. Glass marbles, buttons, 9 fruit pips, are eagerly collected this time no longer only for the sake of their intrinsic value, but as measures of value, so to speak as primitive coins, converting the previous barter exchange of children into an en- thusiastic money exchange. The character of capi- talism, however, not purely practical and utilitarian, but libidinous and irrational, is betrayed in this stage also: the child decidedly enjoys the collecting in itself. 10 It only needs one more step for the identification of faeces with gold to be complete. Soon even stones begin to wound the child's feeling of cleanliness he (A German idiom. Transl.) Cp. L-pu Andreas-Salom6: "Vom friihen Gottesdienst." Im- ago. II. 1913. 10 The German word "Besitz" (= possession) shews, by the way, that man tries even in his speech to represent by the idea of "sitting on it" that which is valuable to him, which belongs to him. Rationalists evidently content themselves with the ex- planation of this simile to the effect that the sitting on is meant to express a concealing, protecting and guarding of the valued object. The fact, however, that it is the buttocks and not the hand which would be more natural with men that is used to represent protection and defence speaks rather in favour of the word "Besitz" being a copro-symbol. The final decision on the point must be reserved for a philologist who has had a psycho-analytic training. The Ontogenesis of the Interest in Money 387 longs for something purer and this is offered to him in the shining pieces of money, the high appreciation of which is naturally also in part due to the respect in which they are held by adults, as well as to the seductive possibilities of obtaining through them everything that the child's heart can desire. Orig- inally, however, it is not these purely practical con- siderations that are operative, enjoyment in the playful collecting, heaping up, and gazing at the shining metal pieces being the chief thing, so that they are treasured even less for their economic value than for their own sake as pleasure-giving objects. The eye takes pleasure at the sight of their lustre and colour, the ear at their metallic clink, the sense of touch at play with the round smooth discs, only the sense of smell comes away empty, and the sense of taste also has to be satisfied with the weak, but peculiar taste of the coins. With this the develop- ment of the money symbol is in its main outlines complete. Pleasure in the intestinal contents be- comes enjoyment of money, which, however, after what has been said is seen to be nothing other than odourless, dehydrated filth that has been made to shine. Pecwvia 'non olet. In correspondence with the development of the or- gan of thought that in the meanwhile has been pro- ceeding in the direction of logicality, the adult's sym- bolic interest in money gets extended not only to ob- jects with similar physical attributes, but to all sorts 328 Contributions to Psycho-Analysis of things that in any way signify value or possession (paper money, shares, bankbook, etc.). But what- ever form may be assumed by money, the enjoyment at possessing it has its deepest and amplest source in coprophilia. Every sociologist and national econ- omist who examines the facts without prejudice has to reckon with this irrational element. Social prob- lems can be solved only by discovering the real psy- chology of human beings; speculations about eco- nomic conditions alone will never reach the goal. A part of anal-erotism is not sublimated at all, but remains in its original form. 11 Even the most culti- vated normal being displays an interest in his evacu- ation functions which stands in a curious contradic- tion to the abhorrence and disgust that he manifests when he sees or hears about anything of the kind in regard to other people. Foreign people and races, as is well known, cannot "riechen" 12 each other. In u The sum of anal-erotism present in the constitution is thus shared in adults among the most diverse psychical structures. Out of it develop: 1. The anal character traits in Freud's sense. 2. Contributions to aesthetics and to cultural inter- ests. 3. To hypochondria. 4. The rest remains unsublimated. From the different proportion of the sublimated and the origi- nal parts, from the preference for this or that form of sub- limation, the most variegated character types arise, which must naturally have their special conditional factors. Anal char- acteristics are specially suited for rapid characterological ori- entation concerning an individual, indeed concerning whole races. The anal character, with his cleanliness, love for order, defiance, and miserliness, sharply deviates from the pronounced anal-erotic, who is tolerant on the matter of dirt, extravagant, and easy-going. " (A German idiom, meaning "cannot stand." "Riechen" literally means to smell. Transl.) The Ontogenesis of the Interest in Money 829 addition to the retention of the original form, how- ever, there also exists a "return" of what is actually concealed behind the money symbol. The intestinal disorders, first observed by Freud, that follow on a wounding of the money complex are examples of this. 13 A further instance is the curious fact, which I have noticed in countless cases, that people are eco- nomical as regards the changing of under-linen in a way quite out of proportion to their standard of liv- ing in other respects. Meanness finally, therefore, makes use of the anal character in order to gain once more a piece of anal-erotism (tolerance of dirt). The following is a still more striking example : A patient could not recall any kind of coprophilic manipula- tions, but soon after related without being asked that he took a special pleasure in brightly shining copper coins, and had invented an original procedure for making them shine ; he swallowed the piece of money, and then searched his faeces until he found the piece of money, which during its passage through the ali- mentary canal had become beautifully shining. 14 Here the pleasure in the clean object became a cover "See Chapter VII. P. 176. "Temporary rectal troubles," etc. " The case reminds one of the coprophilic joke in which the doctor who had succeeded in expelling by means of a purge a piece of money that a child had swallowed was told he could keep the money as his fee. As to the identification of money and faeces see also the fairy-tale of "Eslein streck dich." The word "Losung" (= deliverance) means proceeds of a sale (in business), but in hunting speech it means the faeces of wild animals. 330 Contributions to Psycho- Analysis for satisfaction of the most primitive anal-erotism. The curious thing is that the patient was able to de- ceive himself as to the real significance of his trans- parent behaviour. Apart from striking examples of this sort, the erotic enjoyment of heaping in and gathering up gold and other money pieces, the pleasurable "wallowing in money," can be observed countless times in daily life. Many people are ready enough to sign docu- ments that bind them to pay large sums, and can easily expend large amounts in paper money, but are striking tardy in giving out gold coins or even the smallest copper coins. The coins seem to "stick" to their fingers. (Cp. also the expression "current capital," and the reverse of this, "argent sec," which is used in the Pranche-Comte. ) 15 The ontogenetic path of development of interest in money, as here sketched, while shewing individual differences dependent on the conditions of life, is nevertheless on the whole among civilised people to be regarded as a psychical process which seeks realisa- tion under the most diverse circumstances, in one way or another. It thus seems natural to regard this de- velopmental tendency as a racial attribute, and to suppose that the biogenetic ground principle is also valid for the formation of the money symbol. It is to be expected that phylogenetic and historical conv u (To be "4 sec" is French vernacular for "hard up.' TransL) The Ontogenesis of the Interest in Money 331 parison of the path of individual development here described will shew a parallelism with the develop- ment of the money symbol in the human race in gen- eral. Perhaps the coloured stones of primitive men which have been found in cave excavations will then be capable of interpretation ; observations concern- ing the anal-erotism of savages (the primitive men of today, who in many cases still live in the stage of barter exchange and of pebble or shell money) should considerably further this investigation of the history of civilisation. After what has been communicated, however, it is already not improbable that the capitalistic interest, increasing in correlation with development, stands not only at the disposal of practical, egoistic aims of the reality-principle, therefore but also that the delight in gold and in the possession of money repre- sents the symbolic replacement of, and the reaction^ formation to, repressed anal-erotism, i. e., that it also satisfies the pleasure-principle. The capitalistic instinct thus contains, according to our conception, an egoistic and an anal-erotic component. INDEX Abraham, 47, 50, 61, 155, 313 Abreaction, 25, 29, 224 Abstinence, 14, 38, 186 Adler, 148, 231 Aetiological claims, 37, 39, 50, 52 Affect, 39, 50, 256, 272, 277, 305, 314, 315 Alcohol, 130, 158, 159, 161-164 Ambi-sexual, 184, 296, 302 Ambition, 59, 117, 207, 208 Ambivalency, 246, 247, 260 Amnesia, 77, 177 Amphi-erotism, 296, 303, 312, 314 Anaesthesia, 42, 75, 147 Anal, 208, 209, 320, 329 Anal-erotism, 16, 108, 134, 307, 310, 317, 320, 322, 324, 328-331 Andreas-Salome, 326 Animism, 227, 228, 275 Antipathy, 54, 64, 65, 82, 86 Anxiety, 30, 74, 82, 113, 115, 209, 220, 272, 306 Anxiety neurosis, 14, 34, 107, 130 Anxiety hysteria, 72, 74, 90, 163 Aprosexia, 186 Art, 116, 214 Association, 19, 20, 25, 44, 51, 98-100, 114, 116, 117, 119, 143, 145, 197, 202, 205, 211, 229, 317. See also: Free Association. Auto-erotism, 47, 49, 64, 77, 155, 208, 209, 233-236, 294, 298, 321. Automatism, 37, 76 Auto-suggestion, 59, 71, 82-85 Autosymbolic phenomena, 217 Aversion, 43 Beaurain, 276 Bernheim, 58, 67 Bisexuality, 21, 184, 262, 296 Bjerre, 294 Bleuler, 218 Brev*r, 29 Castration, 34, 185, 186, 192, 200, 243, 247, 250, 264, 266, 270 Catalepsy, 69 Catalysis, 39 Catatonia, 285, 291, 94 Catharsis, 29 Censor, 93, 103-105, 109, 111, 113, 117, 127-129, 136, 210 Character, 37, 44, 47, 141, 145, 148, 150, 202, 206, 207, 237 Charcot, 58, 83 Childhood, 23, 26, 28, 31-33, 41, 50, 60, 63, 76, 79-81, 90, 104, 106-108, 110, 111, 147, 179, 185, 197, 208, 216-219, 231, 256, 273-275, 296, 297, 307, 315, 320 Childish memories: See In- fantile memories. Claustrophobia, 51 Cleanliness, 322, 325, 328 333 334 Index Cohabitation: See Coitus. Coitus, 13-16, 19, 23, 29, 89, 108, 135, 146, 158-161, 166, 168, 180, 187-191, 250, 263, 266, 269, 271, 274, 301, 308 Complexes, 12, 25, 29, 36, 39, 42, 43, 45, 51, 52, 56, 57, 59, 60, 62, 64, 67, 72, 80, 83, 86, 88, 91, 96, 112, 118, 125, 128, 129, 135, 143-148, 177, 198, 212, 235, 258, 265, 267, 271 ,293, 321, 329. See also: Father- complex, mother-complex, GEdipus-complex. Compulsion, 25, 77, 237, 306, 318 Compulsion neurosis: See Ob- sessional neurosis. Condensation, 100, 113, 115, 118, 126, 266, 276 Congenital, 27, 28, 148, 319, 320 Conscience, 23, 122, 177, 301 Consciousness, 16-19, 21, 35, 43, 48, 53, 65, 66, 112, 113, 140, 147, 152, 175, 195, 199, 210, 212, 277, 301 311 Conversion, 154, 185, 200, 235 Coprolalia, 150 Coprophemia, 150 Coprophilia, 38, 66, 143, 150, 305, 307, 323, 325, 328, 329 Cover-memory, 22, 76 Cowardice, 15, 17, 19, 20, 200 Cruelty, 19, 78, 79, 107, 119, 245, 246, 248, 249, 307 Curiosity, 74, 116, 122, 144, 176, 250, 273, 275 Day dreams, 18, 43, 102 Defaecation, 320, 321 Delusions of grandeur: See Grandiose delusions. Delusions of persecution, 48, 157, 170, 175, 176, 179, 183, 286, 288, 290, 293, 294 Dementia praecox, 47, 130, 154, 163, 179, 234, 285, 294 Depression, 30 Determinism, 100, 195, 232, 258 Disgust, 65, 144, 151, 167 Displacement, 39, 49, 56, 60, 118, 120, 154, 202, 210, 211, 264, 271, 272- 275, 276, 316, 318, 323 Disposition, 209 Docility, 308 Dreams, 19, 21, 42, 71, 94-119, 121, 123-131, 191, 192, 196, 201, 213, 245, 246, 255, 261-264, 269, 272, 280, 320 Von Ehrenfels, 22 Ejaculatio praecox, 13, 191 Emotion, 35, 65, 74, 109, 186, 195 Environment, 24, 50, 66 Erection, 13, 14, 23, 200, 273, 285, 295 Erogenous zone, 15, 90, 108, 189, 279, 320 Erotomania, 288 Excitation, 104, 107-110, 188- 191, 195, 207 Exhibitionism, 16, 105, 106, 108, 167, 172, 177, 313 Expression displacement, 209- 212 Faeces, 321, 326, 329 Father-complex, 70, 75, 78-80 Ferenczi, 12, 34, 36, 164, 231, 233, 270, 274, 277, 278, 325, 328 Fetishism, 16, 22 Fixation, 25, 26, 31, 33, 58, 61, 87, 179, 205, 207, 208, 211, 216, 224, 234, 236, 258, 294, 304, 307 Flatus, 134, 143 Index 335 Fliess, 184, 190, 296 Fore-pleasure, 188, 190 Forgetting, 16, 72, 100, 127, 149 Free association, 22, 99, 110, 129, 193, 194, 202, 204 Freud, 11, 13-42, 45-47, 49, 52-57, 59-66, 71-73, 76, 80, 85, 86, 90-92, 96-99, 101- 103, 106-115, 117, 124, 125, 128-132, 136-141, 144, 150, 154-156, 184, 187, 191, 200, 202, 207, 211, 213-217, 220-225, 230-237, 248, 254- 257, 259, 264, 275, 276, 292, 294, 296, 297, 301, 306, 307, 313, 319-322, 329 Functional symbolism, 261, 266 Gesture, 42, 151, 217, 225, 226, 228, 229, 234, 235, 241 Grandiose delusions, 155, 165, 217, 270, 286, 288 Gross, Otto, 39 Hallucinations, 21, 44, 96, 137- 139, 141, 145, 149, 156, 189, 204, 205, 214, 221- 223, 291 Hate, 19, 21, 36, 39, 41, 42, 44, 48, 49, 63, 64, 78, 175, 182, 246, 247, 258-260, 287, 297, 306 Heredity, 28, 319 Hirschfield, 303 Homo-erotism, 253, 318 Homosexuality, 20, 43, 65, 75, 91, 134, 143, 156, 157, 161, 162, 167, 169, 170, 175, 176, 179, 182, 184, 200, 209, 289-292, 294, 296-300, 306, 311, 316 Hostility: See Hate. Hyperaesthesia, 14, 188 Hypnagogic, 21 Hypnotism, 54, 55, 58-60, 63, 64, 67-77, 80, 83-88, 91, 92, 305 Hypochondria, 14, 30, 82, 270, 271, 282-285, 323, 328 Hysteria, 35, 36, 46, 54, 66, 73, 75, 83, 86, 108, 130, 133, 143, 177, 185, 194, 196, 210, 211, 234, 235 Ibsen, 20, 21 Ideational identity, 223 Identification, 37, 52, 74, 77, 117, 176, 191, 275-277, 280, 326 Idiosyncrasy, 38, 66 Ignotus, 18 Imitation, 225, 229, 241, 245 Impotence, 12, 13, 15, 22, 26, 27, 31-34, 51, 61, 114, 123, 161 Incest, 31, 33, 34, 61, 80, 87, 107, 136, 148, 185, 186, 259, 293, 294. Infantile, 15, 19, 20, 23, 25-29, 31, 32, 65, 70, 71, 73, 82, 84, 86-89, 91, 93, 107, 108, 111, 136, 143-146, 151-153, 175, 176, 185, 199, 200, 206, 207, 211, 224, 257, 258, 274, 277, 305, 308, 325 Infantile memories, 33, 70, 84, 90, 101, 108, 110 Inferiority, 28, 146, 231 Inhibition, 33, 114, 125, 133, 136, 144, 147, 149, 201, 235, 261, 317 Interpretation, 88, 95-97, 99, 101, 102, 114-117, 121, 124-126, 129, 161, 197, 248, 259, 262-267, 270, 274, 294, 331 Intra-uterine, 83, 218-222, 232, 238 Index Introjection, 47, 49-53, 55, 57, 226, 322 Inversion, 299-306, 311, 313 Jealousy, 44, 65, 74, 80, 159- 166, 168 Jokes, 115, 137, 141, 151. See also: Wit. Jones, Ernest, 93, 307, 325 Jung, 13, 47, 51, 52, 61, 78, 82, 83, 87, 177, 278 Kartch-Haack, 299 Keller, 304 Kleinpaul, 49, 151, 229 Kleptomania, 39 Latency period, 144-149, 233, 236 Latent dream content, 99, 100, 109, 113, 136 Lesring, 317 Maeder, 155, 156 Manifest dream content, 99, 113, 118, 120 Masochism, 16, 75, 81, 108, 271 Masturbation, 13, 23, 50, 73, 122, 168, 185, 186, 188, 192, 198, 208. See also: Onanism. Megalomania, 117, 219, 231, 285. See also: Omnipo- tence. Memories, 16, 75, 90, 100, 134, 137, 149, 196, 204, 242. See also: Infantile mem- ories. Memory images, 22, 118, 120, 137, 139 Memory traces, 15, 32, 138, 219", 255, 303 Mental conflict, 32, 56. See also: Psychical conflict. Mereschkovszky, 78 Micturition: See Urine. Miserliness, 320, 328 Money, 45, 319-321, 326, 331 Mother-complex, 75 Mouth-eroti jin : See Oral erot- ism. Muthmann. 12 Naecke, 297 Narcissism, 167, 205, 233, 234, 289, 297, 298, 301, 305. See also: Megalomania. Negativism, 80, 87, 291 Neurasthenia, 34, 130, 186-191 Neurosis, 23, 32, 35, 36, 41, 45-47, 51, 77, 82-85, 98, 111, 122, 130, 154, 184, 186, 192, 212, 213, 216, 231, 234, 235 255, 303, 307, 312, 313, 317, 318 Nietzsche, 70 Nuclear complex, 136, 258, 265 Nymphomania, 170 Obedience, 32, 71, 77, 80, 81, 93 Object-erotism, 234 Object-love, 49, 65, 67, 74, 77, 185, 208, 234, 298, 300, 302, 306, 315, 321 Obscene, 105, 132-138, 14O-145, 149-153, 160 Obsession, 25, 99, 192, 202, 203, 209, 215, 216, 306 Obsessional, 50, 130, 202, 215, 216, 231, 274, 306, 307, 310-317, 318 Obsessional neurosis, 46, 185, 218, 234, 235, 303, 306, 312, 318 Obsessive, 17, 25, 54, 150, 152, 271, 306, 316 Odour: See Smell. CEdipus complex, 26, 41, 91, 136, 235, 258, 259, 297, 307, 310 Omnipotence, 77, 215-219, 228, 225, 227-235, 238, 231, 371. See also: Megalomania. Index 337 Onanism, 32, 185, 192, 208, 209, 250, 251, 271, 272. See also: Masturbation. Ontozenesis, 48, 138, 238, 276, 277, 319, 330 Oral erotism, 16, 108, 189 Over-determined, 197 Paederastia, 291, 310, 317 Paraesthesia, 14, 19, 34, 186, 198, 284 Paralysis, 75, 84, 130, 195, 196, 200 Paranoia, 47, 65, 130, 154-157, 159, 162, 167, 170, 175, 177, 179, 183, 184, 233, 234, 282, 285, 289-294, 297 Paraphrenia, 234, 282, 285, 292, 298. See also: De- mentia praecox. Parent, 40, 42, 60-65, 67, 69, 77, 81-84, 87, 91, 93, 102, 116, 135, 136, 143, 151, 265, 266, 273, 274, 276, 281, 307, 308, 310 Pathogenesis, 28, 129, 157 Pavor nocturnus, 107, 245 Perception, 138, 140, 175, 206, 217, 230, 256, 258, 272, 284 Perceptual identity, 138, 223 Persecution: See Delusions of persecution. Perseveration, 237 Perversions, 107, 108, 132, 144, 150, 178, 180, 181, 298, 299 313 Phantasy, 14, 16, 18-20, 23, 26, 33-36, 40, 41, 43, 44, 47, 52, 73, 82, 83, 90, 92, 118, 122, 144, 146, 148, 175-178, 185, 187-189, 191, 192, 196, 198-200, 204, 205, 211, 213, 217, 232, 238, 245, 251, 255, 256, 261, 266, 269-271. 274, 288, 291, 307-310 Phylogenesis, 236, 238, 277 Pleasure principle, 213, 218, 223, 232, 233, 255, 262, 269, 331 Preconscious, 31, 64 Predisposition, 28, 33, 85 Presentation, 42, 121, 124, 125, 131, 239 Projection, 48, 49, 92, 154, 175, 177, 183, 216, 227, 232, 233, 259 Prophylactic, 29, 34 Psychical conflict, 12, 96. See also: Mental conflict. Psychogenesis, 214 Psychoneurosis, 11, 14, 16, 20, 24, 32, 34, 46, 52, 54-57, 60, 61, 76, 83-85, 97, 99, 104, 128, 130, 152, 163, 186, 187, 282, 313 Psychopathology, 49, 200 Psycho-sexual, 16, 21, 24, 25, 27, 29, 31-34, 46, 61 Puberty, 24, 27-30, 122, 135, 146. 149, 272, 308 Rank, Otto, 191, 264-266, 278 Rationalism, 293, 323 Reaction-formation, 36, 51, 53, 66, 88, 148, 231, 247, 251, 310, 315, 324, 331 Reality principle, 218, 255, 261, 262, 269, 331 Reflex-arc, 15 Regression, 137, 140, 145, 153, 205-207, 209, 224, 225, 234- 237 Reminiscence, 70, 71. See also: Memories. Representation, 83, 138, 148, 195, 205, 213, 223, 228, 229, 262, 267, 276, 277 Repression, 16, 24, 33, 40, 56, 90, 100, 107, 134, 143, 148, 203, 204, 210-213, 217, 235- 237, 248, 255, 258, 259, 338 Index 262, 272, 275, 280, 296, 302, 313, 314, 317, 322. Resistences, 57, 62, 63, 87, 133, 134, 256 Respect, 26, 63, 65, 72, 135 Reversals 309 Riklin, 238 Sachs, Hang, 227, 278 Sadger, 61, 179, 297, 307 Sadism, 16, 108, 307 Schopenhauer, 253, 262, 269 Sexual hunger, 25, 39, 45, 46, 48, 57, 61, 64, 66, 73, 78, 87, 156, 184, 187-190, 212, 235, 243, 266, 289, 296, 302, 303, 308, 315 Sexual intercourse: See Coitus. Shame, 31, 100, 133, 134, 144, 151, 271 Silbertr, 207, 217, 261, 266, 277 Smell, 79, 143, 160, 205, 305, 322, 324, 325, 327 Somatic, 194, 195, 263 Somnambulism, 76 Sperber, 229 Steiner, 13, 25 Stekel, 13, 25, 39, 40 Stimulation, 84 Sublimation, 66, 70, 73, 162, 163, 169, 176, 182, 184, 206-209, 245, 305, 314, 315, 323, 324, 328 Subsequentness, 20, 76, 310 Substitution, 45, 46, 154, 185, 307 310 Suggestion, 31, 34, 54, 58-60, 62, 64, 67-69, 71, 75, 77, 81, 83-86, 88, 90-93, 154, 181, 305 Symbol, 53, 96, 99, 104, 108, 114, 124, 179, 192, 202, 264, 266, 272-278, 280, 281, 319, 321-323, 326, 327, 329, 330 331 Symbolism, 37, 108, 122-124, 191, 192, 229, 253, 381, 266, 270, 273-275, 278, 280, 319 Sympathy, 21, 43, 62, 65, 66, 73, 86 Symptom-complex, 14, 88 Symptom-formation, 111, 197, 198, 201, 211, 212, 235 Transference, 35-42, 45, 47, 49, 50, 51, 55, 58, 63, 65, 67, 72-74, 79, 80, 85, 87, 89, 154, 161, 168, 193, 198, 208, 211, 219, 247, 287, 309 Transference-improvement, 287 Trauma, 12, 33 Traumatophilia, 305 Typical dreams, 106 Unconscious, The, 18, 22, 31, 36, 37, 40-43, 53, 55, 58, 61, 62, 65, 71, 72, 82, 86, 97, 107, 129, 138, 227, 262, 265, 276, 278 Unconscious wishes, 17, 27, 32, 47, 65, 104, 232 Unpleasantness principle, 5(5, 64, 65, 255 Urethral, 108, 208, 209 Urine, 20, 110, 206, 207, 279, 323 Urning, 305 Voyeur, 16, 150 Wagner, 49 Wish-fulfilment, 18, 101-103, 108, 109, 112, 113, 206, 216, 222-224 Wit, 42, 71, 115, 124, 140, 255. See also: Jokes. Womb: See Tntra-uterine. Word-association, 177 Yawning, 209, 210 Zone: See Erogenous zone. University of California SOUTHERN REGIONAL LIBRARY FACILITY 405 Hilgard Avenue, Los Angeles, CA 90024-1388 Return this material to the library from which it was borrowed. Win* OCT231993 PtPROl ,,? &2SlS2!St L| BRARY FACILITY A 000 386 369 3