A General Introduction to Psychoanalysis Part 19

Again and again when psychoa.n.a.lysis claimed that psychological event was the result of s.e.xual impulses, indignant protest was raised that in psychic life there were other impulses and interests besides the s.e.xual, that everything could not be derived from s.e.xuality, etc. Well, it is a great pleasure to share for once the opinion of one's opponents.

Psychoa.n.a.lysis never forgot that non-s.e.xual impulses exist. It insisted on the decided distinction between s.e.xual and ego-impulses and maintained in the face of every objection not that neuroses arise from s.e.xuality, but that they owe their origin to the conflict between s.e.xuality and the ego. Psychoa.n.a.lysis can have no reasonable motive for denying the existence or significance of ego-impulses, even though it investigates the influence s.e.xual impulses play in illness and in life.

Only it has been destined to deal primarily with s.e.xual impulses, because transference neuroses have furnished the readiest access to their investigation, and because it had become obligatory to study what others had neglected.

It does not follow, either, that psychoa.n.a.lysis has never occupied itself at all with the non-s.e.xual side of personality. The very distinction of the ego from s.e.xuality has shown most clearly that the ego-impulses also pa.s.s through a significant development, which is by no means entirely independent of the development of the libido, nor does it fail to exert a reaction upon it. To be sure, we know much less about the evolution of the ego than about libido development, for so far only the study of narcistic neuroses has promised to throw light on the structure of the ego. There is extant the notable attempt of Ferenczi to construct theoretically the stages of ego development, and furthermore we already possess two fixed points from which to proceed in our evolution of this development. We do not dream of a.s.serting that the libidinous interests of a person are from the outset opposed to the interests of self-preservation; in every stage, rather, the ego will strive to remain in harmony with its s.e.xual organization at that time, and accommodate itself thereto. The succession of the separate phases of development of libido probably follows a prescribed program; but we cannot deny that this sequence can be influenced by the ego, and that a certain parallelism of the phases of development of the ego and the libido may also be a.s.sumed. Indeed, the disturbance of this parallelism could become a pathological factor. One of the most important insights we have to gain is the nature of the att.i.tude which the ego exhibits when an intensive fixation of its libido is left behind in one stage of its development. It may countenance the fixation and accordingly become perverse or, what amounts to the same thing, become infantile. Or it may be averse to this attachment of the libido, the result of which is that wherever the libido is subject to _fixation_, there the ego undergoes _suppression_.

In this way we reach the conclusion that the third factor of the etiology of neuroses is the tendency to _conflict_, upon which the development both of the ego and libido are dependent. Our insight into the causation of the neuroses has therefore been amplified. First, the most generalized factor, self-denial, then the fixation of the libido, by which it is forced into certain directions, and thirdly, the tendency to conflict in the development of the ego, which has rejected libidinous impulses of this kind. The state of affairs is therefore not so confused and difficult to see through, as you may have imagined it to be in the course of my explanation. But of course we are to discover that we have not, as yet, reached the end. We must add still a new factor and further a.n.a.lyze one we already know.

To show you the influence of ego development in the formation of a conflict, and so to give an ill.u.s.tration of the causation of neuroses, I should like to cite an example which, although it is entirely imaginary, is not far removed from probability in any respect. Drawing upon the t.i.tle of a farce by Nestroy, I shall label this example "On the ground floor and in the first story." The janitor lives on the ground floor, while the owner of the house, a rich, distinguished man, occupies the first story. Both have children, and we shall a.s.sume that the owner permits his little daughter to play unwatched with the child of the people. Then it may easily happen that the games of the children become "naughty," that is, they a.s.sume a s.e.xual character; they play "father and mother," watch each other in the performance of intimate performances and mutually stimulate their genitals. The janitor's daughter, who, in spite of her five or six years of age, has had occasion to make observations on the s.e.xuality of adults, probably played the part of the seducer. These experiences, even though they be of short duration, are sufficient to set in motion certain s.e.xual impulses in both children, which continue in the form of onanism for several years after the common games have ceased. So far the consequences are similar; the final result will be very different. The janitor's daughter will continue onanism possibly to the commencement of her periods, abandon it then without difficulty, not many years later find a lover, perhaps bear a child, choose this or that path of life, which may likely enough make of her a popular artist who ends as an aristocrat. Perhaps the outcome will be less brilliant, but at any rate she will work out her life, free from neurosis, unharmed by her premature s.e.xual activity. Very different is the effect on the other child. Even while she is very young she will realize vaguely that she has done wrong. In a short while, perhaps only after a violent struggle, she will renounce the gratification of onanism, yet still retain an undercurrent of depression in her att.i.tude. If, during her early childhood, she chances to learn something about s.e.xual intercourse, she will turn away in explicable disgust and seek to remain innocent.

Probably she is at the time subjected anew to an irresistible impulse to onanism, of which she does not dare to complain. When the time arrives for her to find favor in the eyes of a man, a neurosis will suddenly develop and cheat her out of marriage and the joy of life. When a.n.a.lysis succeeds in gaining insight into this neurosis, it will reveal that this well-bred, intelligent girl of high ideals, has completely suppressed her s.e.xual desires, but that unconsciously they cling to the meager experiences she had with the friend of her childhood.

The difference of these two destinies, arising from the same experience, is due to the fact that one ego has experienced development while the other has not. The janitor's daughter in later years looks upon s.e.xual intercourse as the same natural and harmless thing it had seemed in her childhood. The owner's daughter had experienced the influence of education and had recognized its claims. Thus stimulated, her ego had forged its ideals of womanly purity and lack of desire which, however, could not agree with any s.e.xual activity; her intellectual development had made unworthy her interest in the woman's part she was to play. This higher moral and intellectual evolution of her ego was in conflict with the claims of her s.e.xuality.

I should like to consider today one more point in the development of the ego, partly because it opens wide vistas, partly because it will justify the sharp, perhaps unnatural line of division we are wont to draw between s.e.xual and ego impulses. In estimating the several developments of ego and of libido, we must emphasize an aspect which has not frequently been appreciated heretofore. Both the ego and the libido are fundamentally heritages, abbreviated repet.i.tions of an evolution which mankind has, in the course of long periods of time, traversed from primeval ages. The libido shows its phylogenetic origin most readily, I should say. Recall, if you please, that in one cla.s.s of animals the genital apparatus is closely connected with the mouth, that in another it cannot be separated from the excretory apparatus, and in others it is attached to organs of locomotion. Of all these things you will find a most fascinating description in the valuable book of W. Bolsche. Animals portray, so to speak, all kinds of perversions which have become set as their permanent s.e.xual organizations. In man this phylogenetic aspect is partly clouded by the circ.u.mstance that these activities, although fundamentally inherited, are achieved anew in individual development, presumably because the same conditions still prevail and still continue to exert their influence on each personality. I should say that originally they served to call forth an activity, where they now serve only as a stimulus for recollection. There is no doubt that in addition the course of development in each individual, which has been innately determined, may be disturbed or altered from without by recent influences. That power which has forced this development upon mankind, and which today maintains the identical pressure, is indeed known to us: it is the same self-denial enforced by the realities--or, given its big and actual name, _Necessity_, the struggle for existence, the '??????.

This has been a severe teacher, but under him we have become potent. The neurotics are those children upon whom this severity has had a bad effect--but there is risk in all education. This appreciation of the struggle of life as the moving force of development need not prejudice us against the importance of "innate tendencies in evolution" if their existence can be proved.

It is worth noting that s.e.xual instincts and instincts of self-preservation do not behave similarly when they are confronted with the necessities of actuality. It is easier to educate the instincts of self-preservation and everything that is connected with them; they speedily learn to adapt themselves to necessity and to arrange their development in accordance with the mandates of fact. That is easy to understand, for they cannot procure the objects they require in any other way; without these objects the individual must perish. The s.e.x instincts are more difficult to educate because at the outset they do not suffer from the need of an object. As they are related almost parasitically to the other functions of the body and gratify themselves auto-erotically by way of their own body, they are at first withdrawn from the educational influence of real necessity. In most people, they maintain themselves in some way or other during the entire course of life as those characteristics of obstinacy and inaccessibility to influence which are generally collectively called unreasonableness. The education of youth generally comes to an end when the s.e.xual demands are aroused to their full strength. Educators know this and act accordingly; but perhaps the results of psychoa.n.a.lysis will influence them to transfer the greatest emphasis to the education of the early years, of childhood, beginning with the suckling. The little human being is frequently a finished product in his fourth or fifth year, and only reveals gradually in later years what has long been ready within him.

To appreciate the full significance of the aforementioned difference between the two groups of instincts, we must digress considerably and introduce a consideration which we must needs call _economic_. Thereby we enter upon one of the most important but unfortunately one of the most obscure domains of psychoa.n.a.lysis. We ask ourselves whether a fundamental purpose is recognizable in the workings of our psychological apparatus, and answer immediately that this purpose is the pursuit of pleasurable excitement. It seems as if our entire psychological activity were directed toward gaining pleasurable stimulation, toward avoiding painful ones; that it is regulated automatically by the _principle of pleasure_. Now we should like to know, above all, what conditions cause the creation of pleasure and pain, but here we fall short. We may only venture to say that pleasurable excitation _in some way_ involves lessening, lowering or obliterating the amount of stimuli present in the psychic apparatus. This amount, on the other hand, is increased by pain.

Examination of the most intense pleasurable excitement accessible to man, the pleasure which accompanies the performance of the s.e.xual act, leaves small doubt on this point. Since such processes of pleasure are concerned with the destinies of quant.i.ties of psychic excitation or energy, we call considerations of this sort economic. It thus appears that we can describe the tasks and performances of the psychic apparatus in different and more generalized terms than by the emphasis of the pursuit of pleasure. We may say that the psychic apparatus serves the purpose of mastering and bringing to rest the ma.s.s of stimuli and the stimulating forces which approach it. The s.e.xual instincts obviously show their aim of pleasurable excitement from the beginning to the end of their development; they retain this original function without much change. The ego instincts strive at first for the same thing. But through the influence of their teacher, necessity, the ego instincts soon learn to adduce some qualification to the principle of pleasure.

The task of avoiding pain becomes an objective almost comparable to the gain of pleasure; the ego learns that its direct gratification is unavoidably withheld, the gain of pleasurable excitement postponed, that always a certain amount of pain must be borne and certain sources of pleasure entirely relinquished. This educated ego has become "reasonable." It is no longer controlled by the principle of pleasure, but by the _principle of fact_, which at bottom also aims at pleasure, but pleasure which is postponed and lessened by considerations of fact.

The transition from the pleasure principle to that of fact is the most important advance in the development of the ego. We already know that the s.e.xual instincts pa.s.s through this stage unwillingly and late. We shall presently learn the consequence to man of the fact that his s.e.xuality admits of such a loose relation to the external realities of his life. Yet one more observation belongs here. Since the ego of man has, like the libido, its history of evolution, you will not be surprised to hear that there are "ego-regressions," and you will want to know what role this return of the ego to former phases of development plays in neurotic disease.

TWENTY-THIRD LECTURE

GENERAL THEORY OF THE NEUROSES

_The Development of the Symptoms_

In the layman's eyes the symptom shows the nature of the disease, and cure means removal of symptoms. The physician, however, finds it important to distinguish the symptoms from the disease and recognizes that doing away with the symptoms is not necessarily curing the disease.

Of course, the only tangible thing left over after the removal of the symptoms is the capacity to build new symptoms. Accordingly, for the time being, let us accept the layman's viewpoint and consider the understanding of the symptoms as equivalent to the understanding of the sickness.

The symptoms,--of course, we are dealing here with psychic (or psychogenic) symptoms, and psychic illness--are acts which are detrimental to life as a whole, or which are at least useless; frequently they are obnoxious to the individual who performs them and are accompanied by distaste and suffering. The princ.i.p.al injury lies in the psychic exertion which they cost, and in the further exertion needed to combat them. The price these efforts exact may, when there is an extensive development of the symptoms, bring about an extraordinary impoverishment of the personality of the patient with respect to his available psychic energy, and consequently cripple him in all the important tasks of life. Since such an outcome is dependent on the amount of energy so utilized, you will readily understand that "being sick" is essentially a practical concept. But if you take a theoretical standpoint and disregard these quant.i.tative relations, you can readily say that we are all sick, or rather neurotic, since the conditions favorable to the development of symptoms are demonstrable also among normal persons.

As to the neurotic symptoms, we already know that they are the result of a conflict aroused by a new form of gratifying the libido. The two forces that have contended against each other meet once more in the symptom; they become reconciled through the compromise of a symptom development. That is why the symptom is capable of such resistance; it is sustained from both sides. We also know that one of the two partners to the conflict is the unsatisfied libido, frustrated by reality, which must now seek other means for its satisfaction. If reality remains inflexible even where the libido is prepared to take another object in place of the one denied it, the libido will then finally be compelled to resort to regression and to seek gratification in one of the earlier stages in its organizations already out-lived, or by means of one of the objects given up in the past. Along the path of regression the libido is enticed by fixations which it has left behind at these stages in its development.

Here the development toward perversion branches off sharply from that of the neuroses. If the regressions do not awaken the resistance of the ego, then a neurosis does not follow and the libido arrives at some actual, even if abnormal, satisfaction. The ego, however, controls not alone consciousness, but also the approaches to motor innervation, and hence the realization of psychic impulses. If the ego then does not approve this regression, the conflict takes place. The libido is locked out, as it were, and must seek refuge in some place where it can find an outlet for its fund of energy, in accordance with the controlling demands for pleasurable gratification. It must withdraw from the ego.

Such an evasion is offered by the fixations established in the course of its evolution and now traversed regressively, against which the ego had, at the time, protected itself by suppressions. The libido, streaming back, occupies these suppressed positions and thus withdraws from before the ego and its laws. At the same time, however, it throws off all the influences acquired under its tutelage. The libido could be guided so long as there was a possibility of its being satisfied; under the double pressure of external and internal denial it becomes unruly and harks back to former and more happy times. Such is its character, fundamentally unchangeable. The ideas which the libido now takes over in order to hold its energy belong to the system of the unconscious, and are therefore subject to its peculiar processes, especially elaboration and displacement. Conditions are set up here which are entirely comparable to those of dream formation. Just as the latent dream, the fulfillment of a wish-phantasy, is first built up in the unconsciousness, but must then pa.s.s through conscious processes before, censored and approved, it can enter into the compromise construction of the manifest dream, so the ideas representing the libido in the unconscious must still contend against the power of the fore-conscious ego. The opposition that has arisen against it in the ego follows it down by a "counter-siege" and forces it to choose such an expression as will serve at the same time to express itself. Thus, then, the symptom comes into being as a much distorted offshoot from the unconscious libidinous wish-fulfillment, an artificially selected ambiguity--with two entirely contradictory meanings. In this last point alone do we realize a difference between dream and symptom development, for the only fore-conscious purpose in dream formation is the maintenance of sleep, the exclusion from consciousness of anything which may disturb sleep; but it does not necessarily oppose the unconscious wish impulse with an insistent "No." Quite the contrary; the purpose of the dream may be more tolerant, because the situation of the sleeper is a less dangerous one.

The exit to reality is closed only through the condition of sleep.

You see, this evasion which the libido finds under the conditions of the conflict is possible only by virtue of the existing fixations. When these fixations are taken in hand by the regression, the suppression is side-tracked and the libido, which must maintain itself under the conditions of the compromise, is led off or gratified. By means of such a detour by way of the unconscious and the old fixations, the libido has at last succeeded in breaking its way through to some sort of gratification, however extraordinarily limited this may seem and however unrecognizable any longer as a genuine satisfaction. Now allow me to add two further remarks concerning this final result. In the first place, I should like you to take note of the intimate connection between the libido and the unconscious on the one hand, and on the other of the ego, consciousness, and reality. The connection that is evidenced here, however, does not indicate that originally they in any way belong together. I should like you to bear continually in mind that everything I have said here, and all that will follow, pertains only to the symptom development of hysterical neurosis.

Where, now, can the libido find the fixations which it must have in order to force its way through the suppressions? In the activities and experiences of infantile s.e.xuality, in its abandoned component-impulses, its childish objects which have been given up. The libido again returns to them. The significance of this period of childhood is a double one; on the one hand, the instinctive tendencies which were congenital in the child first showed themselves at this time; secondly, at the same time, environmental influences and chance experiences were first awakening his other instincts. I believe our right to establish this bipart.i.te division cannot be questioned. The a.s.sertion that the innate disposition plays a part is hardly open to criticism, but a.n.a.lytic experience actually makes it necessary for us to a.s.sume that purely accidental experiences of childhood are capable of leaving fixations of the libido.

I do not see any theoretical difficulties here. Congenital tendencies undoubtedly represent the after-effects of the experiences of an earlier ancestry; they must also have once been acquired; without such acquired characters there could be no heredity. And is it conceivable that the inheritance of such acquired characters comes to a standstill in the very generation that we have under observation? The significance of infantile experience, however, should not, as is so often done, be completely ignored as compared with ancestral experiences or those of our adult years; on the contrary, they should meet with an especial appreciation. They have such important results because they occur in the period of uncompleted development, and because of this very fact are in a position to cause a traumatic effect. The researches on the mechanics of development by Roux and others have shown us that a needle p.r.i.c.k into an embryonic cell ma.s.s which is undergoing division results in most serious developmental disturbances. The same injury to a larva or a completed animal can be borne without injury.

The libido fixation of adults, which we have referred to as representative of the const.i.tutional factor in the etiological comparison of the neuroses, can be thought of, so far as we are concerned, as divisible into two separate factors, the inherited disposition and the tendency acquired in early childhood. We know that a schematic representation is most acceptable to the student. Let us combine these relations as follows:

Disposition as accidental Cause of the determined by experiences neurosis == libido fixation + (traumatic element) | +-------------------------+------------------------+ | | s.e.xual const.i.tution Infantile experience (pre-historic experience)

The hereditary s.e.xual const.i.tution provides us with manifold tendencies, varying with the special emphasis given one or the other component of the instinct, either individually or in combination. With the factor of infantile experience, there is again built up a complementary series within the s.e.xual const.i.tution which is perfectly comparable with our first series, namely, the gradations between disposition and the chance experiences of the adult. Here again we find the same extreme cases and similar relations in the matter of subst.i.tution. At this point the question becomes pertinent as to whether the most striking regressions of the libido, those which hark back to very early stages in s.e.xual organization, are not essentially conditioned by the hereditary const.i.tutional factor. The answer to this question, however, may best be put off until we are in a position to consider a wider range in the forms of neurotic disease.

Let us devote a little time to the consideration of the fact that a.n.a.lytic investigation of neurotics shows the libido to be bound up with the infantile s.e.xual experiences of these persons. In this light they seem of enormous importance for both the life and health of mankind.

With respect to therapeutic work their importance remains undiminished.

But when we do not take this into account we can herein readily recognize the danger of being misled by the situation as it exists in neurotics into adopting a mistaken and one-sided orientation toward life. In figuring the importance of the infantile experiences we must also subtract the influences arising from the fact that the libido has returned to them by regression, after having been forced out of its later positions. Thus we approach the opposite conclusion, that experiences of the libido had no importance whatever in their own time, but rather acquired it at the time of regression. You will remember that we were led to a similar alternative in the discussion of the Oedipus-complex.

A decision on this matter will hardly be difficult for us. The statement is undoubtedly correct that the hold which the infantile experiences have on the libido--with the pathogenic influences this involves--is greatly augmented by the regression; still, to allow them to become definitive would nevertheless be misleading. Other considerations must be taken into account as well. In the first place, observation shows, in a way that leaves no room for doubt, that infantile experiences have their particular significance which is evidenced already during childhood. There are, furthermore, neuroses in children in which the factor of displacement in time is necessarily greatly minimized or is entirely lacking, since the illness follows as an immediate consequence of the traumatic experience. The study of these infantile neuroses keeps us from many dangerous misunderstandings of adult neuroses, just as the dreams of children similarly serve as the key to the understanding of the dreams of adults. As a matter of fact, the neuroses of children are very frequent, far more frequent than is generally believed. They are often overlooked, dismissed as signs of badness or naughtiness, and often suppressed by the authority of the nursery; in retrospect, however, they may be easily recognized later. They occur most frequently in the form of _anxiety hysteria_. What this implies we shall learn upon another occasion. When a neurosis breaks out in later life, a.n.a.lysis regularly shows that it is a direct continuation of that infantile malady which had perhaps developed only obscurely and incipiently.

However, there are cases, as already stated, in which this childish nervousness continues, without any interruption, as a lifelong affliction. We have been able to a.n.a.lyze a very few examples of such neuroses during childhood, while they were actually going on; much more often we had to be satisfied with obtaining our insight into the childhood neurosis subsequently, when the patient is already well along in life, under conditions in which we are forced to work with certain corrections and under definite precautions.

Secondly, we must admit that the universal regression of the libido to the period of childhood would be inexplicable if there were nothing there which could exert an attraction for it. The fixation which we a.s.sume to exist towards specific developmental phases, conveys a meaning only if we think of it as stabilizing a definite amount of libidinous energy. Finally, I am able to remind you that here there exists a complementary relations.h.i.+p between the intensity and the pathogenic significance of the infantile experiences to the later ones which is similar to that studied in previous series. There are cases in which the entire causal emphasis falls upon the s.e.xual experiences of childhood, in which these impressions take on an effect which is unmistakably traumatic and in which no other basis exists for them beyond what the average s.e.xual const.i.tution and its immaturity can offer. Side by side with these there are others in which the whole stress is brought to bear by the later conflicts, and the emphasis the a.n.a.lysis places on childhood impressions appears entirely as the work of regression. There are also extremes of "r.e.t.a.r.ded development" and "regression," and between them every combination in the interaction of the two factors.

These relations have a certain interest for that pedagogy which a.s.sumes as its object the prevention of neuroses by an early interference in the s.e.xual development of the child. So long as we keep our attention fixed essentially on the infantile s.e.xual experiences, we readily come to believe we have done everything for the prophylaxis of nervous afflictions when we have seen to it that this development is r.e.t.a.r.ded, and that the child is spared this type of experience. Yet we already know that the conditions for the causation of neuroses are more complicated and cannot in general be influenced through one single factor. The strict protection in childhood loses its value because it is powerless against the const.i.tutional factor; furthermore, it is more difficult to carry out than the educators imagine, and it brings with it two new dangers that cannot be lightly dismissed. It accomplishes too much, for it favors a degree of s.e.xual suppression which is harmful for later years, and it sends the child into life without the power to resist the violent onset of s.e.xual demands that must be expected during p.u.b.erty. The profit, therefore, which childhood prophylaxis can yield is most dubious; it seems, indeed, that better success in the prevention of neuroses can be gained by attacking the problem through a changed att.i.tude toward facts.

Let us return to the consideration of the symptoms. They serve as subst.i.tutes for the gratification which has been forborne, by a regression of the libido to earlier days, with a return to former development phases in their choice of object and in their organization.

We learned some time ago that the neurotic is held fast somewhere in his past; we now know that it is a period of his past in which his libido did not miss the satisfaction which made him happy. He looks for such a time in his life until he has found it, even though he must hark back to his suckling days as he retains them in his memory or as he reconstructs them in the light of later influences. The symptom in some way again yields the old infantile form of satisfaction, distorted by the censoring work of the conflict. As a rule it is converted into a sensation of suffering and fused with other causal elements of the disease. The form of gratification which the symptom yields has much about it that alienates one's sympathy. In this we omit to take into account, however, the fact that the patients do not recognize the gratification as such and experience the apparent satisfaction rather as suffering, and complain of it. This transformation is part of the psychic conflict under the pressure of which the symptom must be developed. What was at one time a satisfaction for the individual must now awaken his antipathy or disgust. We know a simple but instructive example for such a change of feeling. The same child that sucked the milk with such voracity from its mother's breast is apt to show a strong antipathy for milk a few years later, which is often difficult to overcome. This antipathy increases to the point of disgust when the milk, or any subst.i.tuted drink, has a little skin over it. It is rather hard to throw out the suggestion that this skin calls up the memory of the mother's breast, which was once so intensely coveted. In the meantime, to be sure, the traumatic experience of weaning has intervened.

There is something else that makes the symptoms appear remarkable and inexplicable as a means of libidinous satisfaction. They in no way recall anything from which we normally are in the habit of expecting satisfaction. They usually require no object, and thereby give up all connection with external reality. We understand this to be a result of turning away from fact and of returning to the predominance of pleasurable gratification. But it is also a return to a sort of amplified autoeroticism, such as was yielded the s.e.x impulse in its earliest satisfactions. In the place of a modification in the outside world, we have a physical change, in other words, an internal reaction in place of an external one, an adjustment instead of an activity.

Viewed from a phylogenetic standpoint, this expresses a very significant regression. We will grasp this better when we consider it in connection with a new factor which we are still to discover from the a.n.a.lytic investigation of symptom development. Further, we recall that in symptom formation the same processes of the unconscious have been at work as in dream formation--elaboration and displacement. Similarly to the dream, the symptom represents a fulfillment, a satisfaction after the manner of the infantile; by the utmost elaboration this satisfaction can be compressed into a single sensation or innervation, or by extreme displacement it may be restricted to a tiny element of the entire libidinous complex. It is no wonder that we often have difficulties in recognizing in the symptom the libidinous satisfaction which we antic.i.p.ate and always find verified.

I have indicated that we must still become familiar with a new factor.

It is something really surprising and confusing. You know that by a.n.a.lysis of the symptoms we arrive at a knowledge of the infantile experiences upon which the libido is fixated and out of which the symptoms are formed. Well, the surprising thing is this, that these infantile scenes are not always true. Indeed, in the majority of cases they are untrue, and in some instances they are directly contrary to historical truth. You see that this discovery, as no other, serves either to discredit the a.n.a.lysis which has led to such a result, or to discredit the patients upon whose testimony the a.n.a.lysis, as well as the whole understanding of neuroses, is built up. In addition there is something else utterly confusing about it. If the infantile experiences, revealed by a.n.a.lysis, were in every case real, we should have the feeling of walking on sure ground; if they were regularly falsified, disclosed themselves as inventions or phantasies of the patients, we should have to leave this uncertain ground and find a surer footing elsewhere. But it is neither the one nor the other, for when we look into the matter we find that the childhood experiences which are recalled or reconstructed in the course of the a.n.a.lysis may in some in some instances be false, in others undeniably true, and in the majority of cases a mixture of truth and fiction. The symptoms then are either the representation of actual experiences to which we may ascribe an influence in the fixation of the libido, or the representation of phantasies of the patient which, of course, can be of no etiological significance. It is hard to find one's way here. The first foothold is given perhaps by an a.n.a.logous discovery, namely, that the same scattered childhood memories that individuals always have had and have been conscious of prior to an a.n.a.lysis may be falsified as well, or at least may contain a generous mixture of true and false. Evidence of error very seldom offers difficulties, and we at least gain the satisfaction of knowing that the blame for this unexpected disappointment is not to be laid at the door of a.n.a.lysis, but in some way upon the patients.

After reflecting a bit we can easily understand what is so confusing in this matter. It is the slight regard for reality, the neglect to keep fact distinct from phantasy. We are apt to feel insulted that the patient has wasted our time with invented tales. There is an enormous gap in our thinking between reality and invention and we accord an entirely different valuation to reality. The patient, too, takes this same viewpoint in his normal thinking. When he offers the material which, by way of the symptom, leads back to the wish situations which are modeled upon the childhood experiences, we are at first, to be sure, in doubt whether we are dealing with reality or with phantasy. Later certain traits determine this decision; we are confronted with the task of acquainting the patient with them. This can never be accomplished without difficulty. If at the outset we tell him that he is going to reveal phantasies with which he has veiled his childhood history, just as every people weaves myths around its antiquity, we notice (to our comfort) that his interest in the further pursuit of the subject suddenly diminishes. He, too, wants to discover realities, and despises all "notions." But if until this is accomplished we allow him to believe that we are investigating the actual occurrences of his childhood, we run the risk of later being charged with error and with our apparent gullibility. For a long time he is unable to reconcile himself to the idea of considering phantasy and reality on equal terms and he tends, with reference to the childish experiences to be explained, to neglect for the time being the difference between the real and the imaginary.

And yet this is obviously the only correct att.i.tude toward these psychological products because they are, in a sense, real. It is a fact that the patient is able to create such phantasies for himself, and this is of scarcely less importance for his neurosis than if he had really undergone the experience which he imagines. These phantasies possess _psychological_ reality in contrast to _physical_ reality, and so we gradually come to understand that _in the realm of neuroses the psychological reality is the determining factor_.

Among the experiences which recur continually in the early history of neurotics and, in fact, are never lacking, some are of particular significance and accordingly I consider them worthy of special treatment. I shall enumerate a few examples of this species: observation of the parental intercourse, seduction by an adult, and the threat of castration. It would be a grievous error to a.s.sume that physical reality can never be accorded them; this may often be proved beyond doubt by the testimony of adult relatives. So, for example, it is not at all unusual if the little boy who begins to play with his p.e.n.i.s, and does not yet know that one must conceal this, is threatened by his parents or nurse with the cutting off of the organ or the guilty hand. Parents often admit upon questioning that they thought they had done the right thing by this intimidation; many individuals retain a correct, conscious memory of these threats, especially if it has occurred in later childhood. When the mother or some other woman makes the threat she usually delegates the responsibility of executing it to the father or to the doctor. In the famous _Struwelpeter_ by the pediatrist Hoffman, of Frankfort, rhymes which owe their popularity to his very fine understanding of the s.e.xual and other complexes of childhood, you find a milder subst.i.tute for castration in the cutting off of the thumbs as a punishment for insistent sucking. But it is highly improbable that the threat of castration is actually made as often as it occurs in the a.n.a.lyses of neurotics. We are content to understand that the child imaginatively constructs this threat for himself from suggestions, from the knowledge that auto-erotic satisfaction is forbidden, and from the impression of castration he has received in discovering the female genital. It is, moreover, in no way impossible that the little child, so long as he is not credited with any understanding or memory, will, even in families outside the proletariat, become a witness to the s.e.xual act between his parents or some other group-ups, and it cannot be disproved that the child _subsequently_ understands this impression, and may react upon it. But when this intercourse is described with minute details which could hardly have been observed, or if it turns out to be, as it so frequently does, an intercourse which was not face to face, _more ferarum_, there is no longer any doubt that this phantasy is derived from the observation of the intercourse of animals (dogs) and the unsatisfied curiosity of the child in his period of p.u.b.erty. The greatest feat of the imagination is the phantasy of having witnessed the coitus of the parents while still unborn in the mother's womb. Of especial interest is the phantasy of having been seduced, because so often it is not a phantasy at all, but a real memory. But luckily it is not real so often as first appears from the results of a.n.a.lysis.

Seduction by older children, or children of the same age, is much more frequent than seduction by adults, and if, in the case of little girls, the father quite regularly appears as the seducer in the occurrences which they relate, neither the fantastic nature of this accusation nor its motive can be doubted. The child as a rule covers the autoerotic period of his s.e.xual activity, where there has been no actual seduction, with the seduction-phantasy. He spares himself the shame of onanism by imagining the presence of an object for his desires in that early period. As a matter of fact, you must not be misled in attributing s.e.xual misuse of the child by its nearest male relatives solely and always to phantasy. Most a.n.a.lysts have probably treated cases in which such relations were real and could be proved beyond doubt, with the qualification that in such cases they belong to the later years of childhood and were transposed to an earlier time.

We cannot avoid the impression that such experiences of childhood are in some way necessary to the neurosis, that they are claimed by its iron rule. If they exist in reality, then well and good, but if reality has withheld them they are constructed from suggestions and supplemented by the imagination. The result is the same, and to this day we have been unable to trace any difference in the results, whether fancy or fact played the larger part in these childish occurrences. Here again we encounter one of the complementary relations.h.i.+ps so frequently met with; it is, to be sure, the most estranging of all those we have become acquainted with. Whence comes the need for these phantasies, and the material for them? There can be no doubt as to the sources of the impulse, but we must explain why the same phantasies are always created with the same content. I have an answer in readiness which I know you will think very far-fetched. I am of the opinion that these _primal phantasies_--so I should like to term these, and certainly some others also--are a phylogenetic possession. In them the individual reaches out beyond his own life, into the experiences of antiquity, where his own experience has become all too rudimentary. It seems very possible to me that everything which is obtained during an a.n.a.lysis in the guise of phantasy, the seduction of children, the release of s.e.xual excitement by watching parental intercourse, the threat of castration--or rather castration itself--were once realities in the primeval existence of mankind and that the imaginative child is merely filling in the gaps of individual truth with prehistoric truth. We have again and again suspected that the psychology of neuroses stores up more of the antiquities of human development than all other sources.

What we have just discussed makes it necessary for us to enter further into the origin and significance of that mental activity that is called imagination. As you well know, it enjoys universal esteem, although we have never clearly understood its place in the psychic life. I have this much to say about it. As you know, the ego of man is slowly educated by the influence of external necessity to an appreciation of reality and a pursuit of the principle of reality, and must therefore renounce temporarily or permanently various objects and goals of its strivings for satisfaction, s.e.xual and otherwise. But renunciation of gratification has always been difficult for man. He cannot accomplish it without something in the nature of compensation. Accordingly he has reserved for himself a psychological activity wherein all these abandoned sources of pleasures and means of pleasurable gratification are granted a further existence, a form of existence in which they are freed from the requirements of reality and what we like to call the test of reality. Every impulse is soon transformed into the form of its own fulfillment. There is no doubt that dwelling on the imagined fulfillment of a given wish affords some satisfaction, although the realization that it is unreal is un.o.bscured. In the activity of the imagination, man enjoys that freedom from external compulsion that he has long since renounced. He has made it possible to be alternately a pleasure-seeking animal and a reasoning human being. He finds that the scant satisfaction that he can force out of reality is not enough. "There is no getting along without auxiliary-constructions," Th. Fontaine once said. The creation of the psychic realm of fancy has its complete counterpart in the establishment of "preserves" and "conservation projects" in those places where the demands of husbandry, traffic and industry threaten quickly to change the original face of the earth into something unrecognizable. The national reserves maintain this old condition of things, which otherwise has everywhere been regretfully sacrificed to necessity. Everything may grow and spread there as it will, even that which is useless and harmful. The psychic realm of phantasy is such a reservation withdrawn from the principles of reality.

The best known productions of phantasy are the so-called "day dreams,"

which we already know, pictured satisfactions of ambitious, of covetous and erotic wishes, which flourish the more grandly the more reality admonishes them to modesty and patience. There is unmistakably shown in them the nature of imaginative happiness, the restoration of the independence of pleasurable gratification from the acquiescence of reality. We know such day dreams are nuclei and models for the dreams of night. The night dream is essentially nothing but a day dream, distorted by the nocturnal forms of psychological activity, and made available by the freedom which the night gives to instinctive impulses. We have already become acquainted with the idea that a day dream is not necessarily conscious, that there are also unconscious day dreams. Such unconscious day dreams are as much the source of night dreams as of neurotic symptoms.

The significance of phantasy for the development of symptoms will become clear to you by the following: We have said that in a case of renunciation, the libido occupies regressively the positions once abandoned by it, to which, nevertheless, it has clung in certain ways.

We shall neither retract this statement nor correct it, but we shall insert a missing link. How does the libido find its way to these points of fixation? Well, every object and tendency of the libido that has been abandoned, is not abandoned in every sense of the word. They, or their derivatives, are still held in presentations of the phantasy, with a certain degree of intensity. The libido need only retire to the imagination in order to find from them the open road to all suppressed fixations. These phantasies were happy under a sort of tolerance, there was no conflict between them and the ego, no matter how acute the contrast, so long as a certain condition was observed--a condition _quant.i.tative_ in nature that is now disturbed by the flowing back of the libido to the phantasies. By this addition the acc.u.mulation of energy in the phantasies is heightened to such a degree that they become a.s.sertive and develop a pressure in the direction of realization. But that makes a conflict between them and the ego inevitable. Whether formerly conscious or unconscious, they now are subject to suppression by the ego and are victims to the attraction of the unconscious. The libido wanders from phantasies now unconscious to their sources in unconsciousness, and back to its own points of fixation.

The return of the libido to phantasy is an intermediate step on the road to symptom development and well deserves a special designation. C. G.

Jung coined for it the very appropriate name of _introversion_, but inappropriately he also lets it stand for other things. Let us therefore retain the idea that introversion signifies the turning aside of the libido from the possibilities of actual satisfaction and the excessive acc.u.mulation of the phantasies. .h.i.therto tolerated as harmless. An introvert is not yet a neurotic, but he finds himself in a labile situation; he must develop symptoms at the next dislocation of forces, if he does not find other outlets for his pent-up libido. The intangible nature of neurotic satisfaction and the neglect of the difference between imagination and reality are already determined by arrest in the phase of introversion.

You have certainly noticed that in the last discussions I have introduced a new factor into the structure of the etiological chain, namely, the quant.i.ty, the amount of energy that comes under consideration. We must always take this factor into account. Purely qualitative a.n.a.lysis of the etiological conditions is not sufficient.

Or, to put it in another way, a _dynamic_ conception alone of these psychic processes is not enough; there is need of an _economic_ viewpoint. We must say to ourselves that the conflict between two impulses is not released before certain occupation-intensities have been reached, even though the qualitative conditions have long been potent.

Similarly, the pathogenic significance of the const.i.tutional factors is guided by how much _more_ of a given component impulse is present in the predisposition over and above that of another; one can even conceive the predispositions of all men to be qualitatively the same and to be differentiated only by these quant.i.tative conditions. The quant.i.tative factor is no less important for the power of resistance against neurotic ailments. It depends upon _what amount_ of unused libido a person can hold freely suspended, and upon _how large a fraction_ of the libido he is able to direct from the s.e.xual path to the goal of sublimation. The final goal of psychological activity, which may be described qualitatively as striving towards pleasure-acquisition and avoidance of unpleasantness, presents itself in the light of economic considerations as the task of overcoming the gigantic stimuli at work in the psychological apparatus, and to prevent those obstructions which cause unpleasantness.