Introductory lectures on psycho-analysis · Sigmund Freud
SIXTEENTH LECTURE PSYCHO-ANALYSIS AND PSYCHIATRY
Neither is it unimportant, moreover, that the object of this abnormal infatuation should be her daughter’s young husband. A strong erotic attachment to the daughter, with its roots in the individual sexual constitution of the mother, often manages to maintain itself in such a transformation. I may perhaps remind you in this connection that the relation between mother-in-law and son-in-law has from time immemorial been regarded by mankind as a particularly sensitive one, which among primitive races has given rise to very powerful taboos and precautions.[44] On the positive as well as on the negative side it frequently exceeds the limits regarded as desirable in civilized society. Of these three possible factors, whether one of them has been at work in the case before us, or two of them, or whether all three together have taken part, I cannot tell you; though only because the analysis of the case could not be continued beyond the second hour.
I perceive now that I have been speaking entirely of things which you were not yet prepared to understand. I did so in order to carry out the comparison between psychiatry and psycho-analysis. But I may ask you one thing at this point: Have you observed anything in the nature of a contradiction between the two? Psychiatry does not employ the technical methods of psycho-analysis, neglects any consideration of the content of the delusion, and in pointing to heredity gives us but a general and remote ætiology instead of first disclosing the more specific and immediate one. But is any contradiction or opposition contained in this? Is not the one rather a supplement to the other? Is the hereditary factor inconsistent with the importance of experience and would they not both work together most effectively? You will admit that there is nothing essential in the work of psychiatry which could oppose psycho-analytic researches. It is therefore the psychiatrists who oppose it, and not psychiatry itself. Psycho-Analysis stands to psychiatry more or less as histology does to anatomy; in one, the outer forms of organs are studied, in the other, the construction of these out of the tissues and constituent elements. It is not easy to conceive of any contradiction between these two fields of study, in which the work of the one is continued in the other. You know that nowadays anatomy is the basis of the scientific study of medicine; but time was when dissecting human corpses in order to discover the internal structure of the body was as much a matter for severe prohibition as practising psycho-analysis in order to discover the internal workings of the human mind seems to-day to be a matter for condemnation. And, presumably at a not too distant date, we shall have perceived that there can be no psychiatry which is scientifically radical without a thorough knowledge of the deep-seated unconscious processes in mental life.
There may be some of you who perhaps are friendly enough towards psycho-analysis, often attacked as it is, to wish that it would justify itself in another direction also, that is, therapeutically. You know that psychiatric therapy has hitherto been unable to influence delusions. Can psycho-analysis do so perhaps, by reason of its insight into the mechanism of these symptoms? No, I have to tell you that it cannot; for the present, at any rate, it is just as powerless as any other therapy to heal these sufferers. It is true that we can understand what has happened to the patient; but we have no means by which we can make him understand it himself. You have heard that I could not continue the analysis of this delusion beyond the first preliminaries. Would you then maintain that analysis of such cases is undesirable because it remains fruitless? I do not think so. It is our right, yes, and our duty, to pursue our researches without respect to the immediate gain effected. The day will come, where and when we know not, when every little piece of knowledge will be converted into power, and into therapeutic power. Even if psycho-analysis showed itself as unsuccessful with all other forms of nervous and mental diseases as with delusions, it would still remain justified as an irreplaceable instrument of scientific research. It is true that we should not be in a position to practise it; the human material on which we learn lives, and has its own will, and must have its own motives in order to participate in the work; and it would then refuse to do so. I will therefore close my lecture for to-day by telling you that there are large groups of nervous disturbances for which this conversion of our own advance in knowledge into therapeutic power has actually been carried out; and that with these diseases, otherwise so refractory, our measures yield, under certain conditions, results which give place to none in the domain of medical therapy.
Ideas discussed in this chapter
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