The theories of resistance and of repression, of the unconscious, of the
ætiological significance of sexual life and of the importance of
infantile experiences—these form the principal constituents of the
theoretical structure of psychoanalysis. In these pages, unfortunately,
I have been able to describe only the separate elements and not their
inter-connections and their bearing upon one another. But I am obliged
now to turn to the alterations which gradually took place in the
technique of the analytic method.
The means which I first adopted for overcoming the patient’s resistance,
by pressing and encouraging him, had been indispensable for the purpose
of giving me a first general survey of what was to be expected. But in
the long run it proved to be too much of a strain upon both sides and,
further, it seemed open to certain obvious criticisms. It therefore gave
place to another method which was in one sense its opposite. Instead of
urging the patient to say something upon some particular subject, I now
asked him to abandon himself to a process of _free association_, i. e.
to say whatever came into his head, while ceasing to give any conscious
direction to his thoughts. It was essential, however, that he should
bind himself to report literally everything that occurred to his
self-perception and not to give way to critical objections which sought
to put certain associations on one side on the ground that they were not
sufficiently important or that they were irrelevant or that they were
altogether meaningless. There was no necessity to repeat explicitly the
insistence upon the need for candor on the patient’s part in reporting
his thoughts, for it was the precondition of the whole analytic
treatment.
It may seem surprising that this method of free association, carried out
subject to the observation of _the fundamental rule of psychoanalysis_,
should have achieved what was expected of it, namely the bringing into
consciousness of the repressed material which was held back by
resistances. We must, however, bear in mind that free association is not
really free. The patient remains under the influence of the analytic
situation even though he is not directing his mental activities onto a
particular subject. We shall be justified in assuming that nothing will
occur to him that has not some reference to that situation. His
resistance against reproducing the repressed material will now be
expressed in two ways. Firstly, it will be shown by critical objections;
and it was to deal with these that the fundamental rule of
psychoanalysis was invented. But if the patient observes that rule and
so overcomes his reticences, the resistance will find another means of
expression. It will so arrange it that the repressed material itself
will never occur to the patient but only something which approximates to
it in an allusive way; and the greater the resistance, the more remote
will be the substitutive association which the patient has to report
from the actual idea that the analyst is in search of. The analyst, who
listens composedly, but without any constrained effort, to the stream of
associations and who, from his experience, has a general notion of what
to expect can make use of the material brought to light by the patient
according to two possibilities. If the resistance is slight, he will be
able, from the patient’s allusions, to infer the unconscious material
itself; or if the resistance is stronger, he will be able to recognize
from the associations, as they seem to become more remote from the
subject, the character of the resistance itself and will explain it to
the patient. Uncovering the resistance, however, is the first step
towards overcoming it. Thus the work of analysis involves an _art of
interpretation_, the successful handling of which may require tact and
practice, but which is not hard to acquire. But it is not only in the
saving of labour that the method of free association has an advantage
over the earlier method. It exposes the patient to the least possible
amount of compulsion, it never allows of contact being lost with the
actual current situation, it guarantees to a great extent that no factor
in the structure of the neurosis will be overlooked and that nothing
will be introduced into it by the expectations of the analyst. It is
left to the patient in all essentials to determine the course of the
analysis and the arrangement of the material; any systematic handling of
particular symptoms or complexes thus becomes impossible. In complete
contrast to what happened with hypnosis and with the urging method,
inter-related material makes its appearance at different times and at
different points in the treatment. To a spectator, therefore—though, in
fact, there can be none—an analytic treatment would seem completely
obscure.
Another advantage of the method is that it need never break down. It
must theoretically always be possible to have an association, provided
that no conditions are made as to its character. Yet there is one case
in which, in fact, a break down occurs with absolute regularity; from
its very uniqueness, however, this case, too can be interpreted.
I now come to the description of a factor which adds an essential
feature to my picture of analysis and which can claim alike technically
and theoretically, to be regarded as of the first importance. In every
analytic treatment, there arises, without the physician’s agency, an
intense emotional relationship between the patient and the analyst which
is not to be accounted for by the actual situation. It can be of a
positive or of a negative character, and can vary between the extremes
of a passionate, completely sensual love and the unbridled expression of
an embittered defiance and hatred. This _transference_—to give it its
shortened name—soon replaces, in the patient’s mind, the desire to be
cured, and, so long as it is affectionate and moderate becomes the agent
of the physician’s influence and neither more nor less than the
main-spring of the joint work of analysis. Later on, when it has become
passionate or has been converted into hostility, it becomes the
principal tool of the resistance. It may then happen that it will
paralyse the patient’s powers of associating and endanger the success of
the treatment. Yet it would be senseless to try to evade it; for an
analysis without transference is an impossibility. It must not be
supposed, however, that the transference is created by analysis and does
not occur apart from it. The transference is merely uncovered and
isolated by analysis. It is a universal phenomenon of the human mind, it
decides the success of all medical influence and, in fact, dominates the
whole of each person’s relations to his human environment. We can easily
recognize it as the same dynamic factor that the hypnotists have named
“suggestibility,” which is the agent of hypnotic _rapport_ and the
incalculable behavior of which led to such difficulties with the
cathartic method. When there is no inclination to a transference of
emotion such as this, or when it has become entirely negative, as
happens in dementia præcox or paranoia, then there is also no
possibility of influencing the patient by psychological means.
It is perfectly true that psychoanalysis, like other psycho-therapeutic
methods, employs the instrument of suggestion (or transference). But the
difference is this: that in analysis it is not allowed to play the
decisive part in determining the therapeutic results. It is used instead
to induce the patient to perform a piece of mental work—the overcoming
of his transference-resistances—which involves a permanent alteration in
his mental economy. The transference is made conscious to the patient by
the analyst, and it is resolved by convincing him that in his
transference-attitude he is _re-experiencing_ emotional relations which
had their origin in his earliest object-relationships during the
repressed period of his childhood. In this way the transference is
changed from the strongest weapon of the resistance into the best
instrument of the analytic treatment. Nevertheless, its handling remains
the most difficult as well as the most important part of the technique
of analysis.
With the help of the method of free association and of the closely
related art of interpretation, psychoanalysis succeeded in achieving
something which appeared to be of no practical importance but which, in
fact, necessarily led to a fresh attitude and a fresh scale of values in
scientific thought. It became possible to prove that dreams have a
meaning and to discover it. In classical antiquity great importance was
attached to dreams as foretelling the future; but modern science would
have nothing to do with them, it handed them over to superstition,
declaring them to be purely “somatic” processes—a kind of spasm
occurring in a mind that is otherwise asleep. It seemed quite
inconceivable that anyone who had done serious scientific work could
make his appearance as an “interpreter of dreams.” But by disregarding
the excommunication pronounced upon dreams, by treating them as
unexplained neurotic symptoms, as delusional or obsessional ideas, by
neglecting their apparent content and by making their separate component
images into subjects for free association, a different conclusion was
reached. The numerous associations produced by the dreamer led to the
discovery of a mental structure which could no longer be described as
absurd or confused, which was on an equality with any other product of
the mind, and of which the _manifest_ dream was no more than a
distorted, abbreviated and misunderstood translation and usually a
translation into visual images. These _latent dream-thoughts_ contained
the meaning of the dream, while its manifest content was simply a
make-believe, a façade, which could serve as a starting-point for the
associations but not for the interpretation.
There were now a whole series of questions to be answered, among the
most important of them being whether there was a motive for the
formation of dreams, under what conditions it took place, by what
methods the dream-thoughts (which are invariably full of sense) became
converted into the dream (which is often senseless), and others besides.
I attempted to solve all of these problems in _The Interpretation of
Dreams_,[11] which I published in the year 1900. I can only find space
here for the briefest abstract of my investigation. When the latent
dream-thoughts that are revealed by the analysis of a dream are
examined, one of them is found to stand out from among the rest, which
are intelligible and well known to the dreamer. These latter thoughts
are residues of waking life (the _day’s residues_, as they are called
technically); but the isolated thought is found to be an impulse in the
form of a wish, often of a very repellent kind, which is foreign to the
waking life of the dreamer and is consequently disavowed by him with
surprise or indignation. This impulse is the actual constructor of the
dream: it provides the energy for its production and makes use of the
day’s residues as material; the dream which thus originates represents a
situation in which the impulse is satisfied, it is the fulfilment of the
wish which the impulse contains. It would not be possible for this
process to take place without being favored by the presence of something
in the nature of a state of sleep. The necessary mental precondition of
sleep is the concentration of the ego upon the wish to sleep and the
withdrawal of psychical energy from all the interests of life; since at
the same time all the paths of approach to motility are blocked, the ego
is also able to reduce the expenditure of energy by which at other times
it maintains the repressions. The unconscious impulse makes use of this
nocturnal relaxation of repression in order to push its way into
consciousness with the dream. But the repressive resistance of the ego
is not abolished in sleep, but merely reduced. Some of it remains in the
shape of a _censorship of dreams_ and forbids the unconscious impulse to
express itself in the forms which it would properly assume. In
consequence of the severity of the censorship of dreams, the latent
dream-thoughts are obliged to submit to being altered and softened so as
to make the forbidden meaning of the dream unrecognizable. This is the
explanation of _dream-distortion_, which accounts for the most striking
characteristic of the manifest dream. We are therefore justified in
asserting that _a dream is the (disguised) fulfilment of a (repressed)
wish_. It will now be seen that dreams are constructed like neurotic
symptoms: they are compromises between the demands of a repressed
impulse and the resistance of a censoring force in the ego. Since they
have a similar origin they are equally unintelligible and stand in equal
need of interpretation.
There is no difficulty in discovering the general function of dreaming.
It serves the purpose of warding off, by a kind of soothing action,
external or internal stimuli which would tend to arouse the sleeper, and
thus of securing sleep against interruption. External stimuli are warded
off by being given a new interpretation and by being woven into some
harmless situation; internal stimuli, caused by the pressure of
instincts, are given free play by the sleeper and allowed to find
satisfaction in the formation of dreams, so long as the latent
dream-thoughts submit to the control of the censorship. But if they
threaten to break free and the meaning of the dream becomes too plain,
the sleeper cuts short the dream and awakens in terror. (Dreams of this
class are known as _anxiety-dreams_). A similar failure in the function
of dreaming occurs if an external stimulus becomes too strong to be
warded off. (This is the class of _awakening-dreams_). I have given the
name of _dream-work_ to the process which, with the co-operation of the
censorship, converts the latent thoughts into the manifest content of
the dream. It consists in a peculiar way of treating the preconscious
material of thought, so that its component parts become _condensed_, its
mental emphasis becomes _displaced_, and the whole of it is translated
into visual images or _dramatized_, and filled out by a deceptive
secondary elaboration. The dream-work is an excellent example of the
processes occurring in the deeper, unconscious layers of the mind, which
differ considerably from the familiar normal processes of thought. It
also displays a number of archaic characteristics, such as the use of a
_symbolism_ (in this case of a predominantly sexual kind) which it has
since also been possible to discover in other spheres of mental
activity.
We have explained that the unconscious impulse which causes the dream
connects itself with part of the day’s residues, with some unexhausted
interest of waking life; this lends the dream which is thus brought into
being a double value for the work of analysis. It is true that, on the
one hand, a dream that has been analysed reveals itself as the
fulfilment of a repressed wish; but, on the other hand, it will be a
continuation of some preconscious activity of the day before and will
contain subject-matter of some kind or other, giving expression, for
instance, to a determination, a warning, a reflection or once more to
the fulfilment of a wish. Analysis exploits the dream in both directions
as a means of obtaining knowledge alike of the patient’s conscious and
of his unconscious processes. It also profits from the fact that dreams
have access to the forgotten material of childhood, and so it happens
that infantile amnesia is for the most part overcome in connection with
the interpretation of dreams. In this respect dreams achieve a part of
what was previously the task of hypnosis. On the other hand, I have
never maintained the assertion which has so often been ascribed to me,
that dream-interpretation shows that all dreams have a sexual content or
are derived from sexual motive forces. It is easy to see that hunger,
thirst, or the need to excrete, can produce dreams of satisfaction just
as well as any repressed sexual or egoistic impulse. The case of young
children affords us a convenient test of the validity of our theory of
dreams. In them the various psychical systems are not yet sharply
divided and the repressions have not yet grown deep, so that we often
come upon dreams which are nothing more than undisguised fulfilments of
impulses left over from waking life. Under the influence of imperative
needs, adults may also produce dreams of this infantile type.
In the same way that psychoanalysis makes use of dream-interpretation,
it also profits by the study of the numerous little slips and mistakes
which people make—symptomatic actions, as they are called. I
investigated this subject in a series of papers which were published for
the first time in book-form in 1904 under the title of _The
Psychopathology of Everyday Life_.[12] In this widely circulated work I
have pointed out that these phenomena are not accidental, that they
require more than physiological explanations, that they have a meaning
and can be interpreted, and that one is justified in inferring from them
the presence of restrained or repressed impulses and intentions. But
what constitutes the enormous importance of dream-interpretation, as
well as of this latter study, is not the assistance they give to the
work of analysis but another of their qualities. Previously
psychoanalysis had only been concerned with solving pathological
phenomena and in order to explain them it had often been driven into
making assumptions whose comprehensiveness was out of all proportion to
the importance of the actual material under consideration. But when it
came to dreams, it was no longer dealing with a pathological symptom,
but with a phenomenon of normal mental life which might occur in any
healthy person. If dreams turned out to be constructed like symptoms, if
their explanation required the same assumptions—the repression of
impulses, substitute-formation, compromise-formation, the dividing of
the conscious and the unconscious into various psychical systems—then
psychoanalysis was no longer a subsidiary science in the field of
psycho-pathology, it was rather the foundation for a new and deeper
science of the mind which would be equally indispensable for the
understanding of the normal. Its postulates and findings could be
carried over to other regions of mental happening; a path lay open to it
that led far afield, into spheres of universal interest.
V
I must interrupt my account of the internal growth of psychoanalysis and
turn to its external history. What I have so far described of its
discoveries has related for the most part to the results of my own work;
but I have filled in my account with material from later dates and have
not distinguished between my own contributions and those of my pupils
and followers.
For more than ten years after my separation from Breuer, I had no
followers. I was completely isolated. In Vienna I was shunned, abroad no
notice was taken of me. My _Interpretation of Dreams_, published in
1900, was scarcely reviewed in the technical journals. In my essay “On
the History of the Psycho-Analytic Movement” I mentioned, as an instance
of the attitude adopted by psychiatric circles in Vienna, a conversation
with an assistant at the Clinic, who had written a book against my
theories, but had never read my _Interpretation of Dreams_. He had been
told at the Clinic that it was not worth while. The man in question, who
has since become a professor, has gone so far as to repudiate my report
of the conversation and to throw doubts in general upon the accuracy of
my recollection. I can only say that I stand by every word of the
account I then gave.
As soon as I realized the inevitable nature of what I had come up
against, my sensitiveness greatly diminished. Moreover, my isolation
gradually came to an end. To begin with, a small circle of pupils
gathered round me in Vienna; and then, after 1906, came the news that
the psychiatrists at Zurich, E. Bleuler, his assistant C. G. Jung, and
others, were taking a lively interest in psychoanalysis. We got into
personal touch with one another, and at Easter 1908, the friends of the
young science met at Salzburg, agreed upon the regular repetition of
similar informal congresses and arranged for the publication of a
periodical which was edited by Jung and was given the title of _Jahrbuch
für psychopathologische und psychoanalytische Forschungen_. It was
brought out under the direction of Bleuler and myself and ceased
publication at the beginning of the Great War. At the same time that the
Swiss psychiatrists joined the movement, interest in psychoanalysis
began to be aroused all over Germany, it became the subject of a large
number of written comments as well as of lively discussions at
scientific congresses. But its reception was nowhere friendly or even
benevolently impartial. After the briefest acquaintance with
psychoanalysis, German science was united in rejecting it.
Even today it is, of course, impossible for me to foresee the final
judgment of posterity upon the value of psychoanalysis for psychiatry,
psychology and the mental sciences in general. But I fancy that, when
the history of the phase we have lived through comes to be written,
German science will not have cause to be proud of those who represented
it. I am not thinking of the fact that they rejected psychoanalysis or
of the decisive way in which they did so; both of these things were
easily intelligible, they were only to be expected and at any rate they
threw no discredit upon the character of the opponents of analysis. But
for the degree of arrogance which they displayed, for their
conscienceless contempt of logic, and for the coarseness and bad taste
of their attacks, there could be no excuse. It may be said that it is
childish of me to give free rein to such feelings as these now, after
fifteen years have passed; nor would I do so unless I had something more
to add. Years later, during the Great War, when a chorus of enemies were
bringing against the German nation the charge of barbarism, a charge
which sums up all that I have written above, it none the less hurt
deeply to feel that my own experience would not allow me to contradict
it.
One of my opponents boasted of silencing his patients as soon as they
began to talk of anything sexual and evidently thought that this
technique gave him a right to judge the part played by sexuality in the
neuroses. Apart from emotional resistances, which were so easily
explicable by the psychoanalytical theory that it was impossible to be
misled by them, it seemed to me that the main obstacle to agreement lay
in the fact that my opponents regarded psychoanalysis as a product of my
speculative imagination and were unwilling to believe in the long,
patient and unbiased work which had gone to its making. Since, in their
opinion, analysis had nothing to do with observation or experience, they
believed that they themselves were justified in rejecting it without
experience. Others again, who did not feel so strongly convinced of
this, repeated in their resistance the classical manœuvre of not looking
through the microscope so as to avoid seeing what they had denied. It is
remarkable, indeed, how incorrectly most people act when they are
obliged to form a judgment of their own upon some new subject. I have
heard for years from “benevolent” critics—and I am told the same thing
even today—that psychoanalysis is right up to such-and-such a point, but
that there it begins to exaggerate and to generalize without
justification. But I know that, while nothing is more difficult than to
draw such a line, only a few weeks or days earlier the critic has been
completely ignorant of the whole subject.
The result of the official anathema against psychoanalysis was that the
analysts began to come closer together. At the second Congress, held at
Nuremberg in 1910, they formed themselves, on the proposal of S.
Ferenczi, into an “International Psycho-Analytical Association,” divided
into a number of local societies, but under a common president. The
Association survived the Great War and still exists, consisting today of
branch societies in Austria, Germany, Hungary, Switzerland, Great
Britain, Holland, Russia and India as well as two in the United
States.[13] I arranged that C. G. Jung should be appointed as the first
President, which turned out later to have been a most unfortunate step.
At the same time a second journal devoted to psychoanalysis was started,
the _Zentralblatt für Psychoanalyse_, edited by Adler and Stekel, and a
little later a third, _Imago_, edited by two non-medical analysts, H.
Sachs and O. Rank, and intended to deal with the application of analysis
to the mental sciences. Soon afterwards Bleuler published a paper in
defence of psychoanalysis.[14] Though it was a relief to find honesty
and straight-forward logic for once taking part in the dispute yet I
could not feel completely satisfied by Bleuler’s essay. He strove too
eagerly after an appearance of impartiality; nor is it a matter of
chance that it is to him that our science owes the valuable concept of
_ambivalence_. In later papers Bleuler adopted such a critical attitude
towards the theoretical structure of analysis and rejected or threw
doubts upon such essential parts of it, that I could not help asking
myself in astonishment what could be left of it for him to admire. Yet
not only has he subsequently uttered the strongest pleas in favor of
“depth psychology,” but he based his comprehensive study of
schizophrenia upon it. Nevertheless Bleuler did not for long remain a
member of the International Psycho-Analytical Association; he resigned
from it as a result of misunderstandings with Jung, and the
Burghölzli[15] was lost to analysis.
Official disapproval could not hinder the spread of psychoanalysis
either in Germany or in other countries. I have elsewhere[16] followed
the stages of its growth and given the names of those who were its first
representatives. In 1909 G. Stanley Hall invited Jung and me to America
to go to the Clark University, Worcester, Mass., of which he was
President, and to spend a week giving lectures (in German) at the
celebration of the twentieth anniversary of that body’s foundation. Hall
was justly esteemed as a psychologist and educationalist, and had
introduced psychoanalysis into his courses some years before; there was
a touch of the “king-maker” about him, a pleasure in setting up
authorities and in then deposing them. We also met James J. Putnam
there, the Harvard neurologist, who, in spite of his age, was an
enthusiastic supporter of psychoanalysis and threw the whole weight of a
personality that was universally respected into the defence of the
cultural value of analysis and the purity of its aims. He was an
estimable man, in whom, as a reaction against a predisposition to
obsessional neurosis, an ethical bias predominated; and the only thing
in him that we could regret was his inclination to attach psychoanalysis
to a particular philosophical system and to make it the servant of moral
aims. Another event of this time, which made a lasting impression upon
me, was a meeting with William James, the philosopher. I shall never
forget one little scene that occurred as we were on a walk together. He
stopped suddenly, handed me a bag he was carrying and asked me to walk
on, saying that he would catch me up as soon as he had got through an
attack of angina pectoris which was just coming on. He died of that
disease a year later; and I have always wished that I might be as
fearless as he was in the face of approaching death.
At that time I was only 53, I felt young and healthy, and my short visit
to the new world encouraged my self-respect in every way. In Europe I
felt as though I were despised; but over there I found myself received
by the foremost men as an equal. As I stepped onto the platform at
Worcester to deliver my _Five Lectures upon Psycho-Analysis_, it seemed
like the realization of some incredible day-dream: psychoanalysis was no
longer a product of delusion, it had become a valuable part of reality.
It has not lost ground in America since our visit; it is extremely
popular among the lay public and is recognized by a number of official
psychiatrists as an important element in medical training.
Unfortunately, however, it has suffered a great deal from being watered
down. Moreover, many abuses which have no relation to it find a cover
under its name, and there are few opportunities for any thorough
training in technique or theory. In America, too, it has come in
conflict with Behaviorism, a theory which is naïve enough to boast that
it has put the whole problem of psychology completely out of court.
In Europe, during the years 1911–1913, two secessionist movements from
psychoanalysis took place, led by men who had previously played a
considerable part in the young science, Alfred Adler and C. G. Jung.
Both movements seemed most threatening and quickly obtained a large
following. But their strength lay, not in their own content, but in the
temptation which they offered of being freed from what were felt as the
repellent findings of psychoanalysis without the necessity of rejecting
its actual material. Jung attempted to give to the facts of analysis a
fresh interpretation of an abstract, impersonal and non-historical
character, and thus hoped to escape the need for recognizing the
importance of infantile sexuality and of the Œdipus complex, as well as
the necessity for any analysis of childhood. Adler seemed to depart
still further from psychoanalysis; he entirely repudiated the importance
of sexuality, traced back the formation both of character and of the
neuroses solely to men’s desire for power and to their need to
compensate for their constitutional inferiority, and threw all the
psychological discoveries of psychoanalysis to the winds. But what he
had rejected forced its way back into his closed system under other
names; his “masculine protest” is nothing else than repression
unjustifiably sexualized. The criticism with which the two heretics were
met was a mild one; I only insisted that both Adler and Jung should
cease to describe their theories as “psychoanalysis.” After a lapse of
ten years, it can be asserted that both of these attempts against
psychoanalysis have blown over without doing any harm.
If a community is based on agreement upon a few cardinal points, it is
obvious that people who have abandoned that common ground will cease to
belong to it. Yet the secession of former pupils has often been brought
up against me as a sign of my intolerance or has been regarded as
evidence of some special fatality that hangs over me. It is a sufficient
answer to point out that, in contrast to those who have left me, like
Jung, Adler, Stekel and a few besides, there are a great number of men,
like Abraham, Eitingon, Ferenczi, Rank, Jones, Brill, Sachs, Pfister,
van Emden, Reik and others who have worked with me for some fifteen
years in loyal collaboration and for the most part in uninterrupted
friendship. I have only mentioned the oldest of my pupils who have
already made a distinguished name for themselves in the literature of
psychoanalysis; if I have passed over others, that is not to be taken as
a slight, and indeed among those who are young and have joined me
lately, talents are to be found on which great hopes may be set. But I
think I can say in my defence that an intolerant man, dominated by an
arrogant belief in his own infallibility, would never have been able to
maintain his hold upon so large a number of intelligent people,
especially if he had at his command as few practical attractions as I
had.
The Great War, which broke up so many other organizations, could do
nothing against our “International.” The first meeting after the war
took place in 1920 at the Hague on neutral ground. It was moving to see
how hospitably the Dutch welcomed the starving and impoverished subjects
of the Central European states; and I believe this was the first
occasion in a ruined world on which Englishmen and Germans sat at the
same table for the friendly discussion of scientific interests. Both in
Germany and in the countries of Western Europe, the war had actually
stimulated interest in psychoanalysis. The observation of war neuroses
had at last opened the eyes of the medical profession to the importance
of psycho-genesis in neurotic disturbances, and some of our
psychological conceptions, such as the “advantage of being ill” and the
“flight into illness,” suddenly became popular. The last Congress before
the German collapse, which was held at Budapest in 1918, was attended by
official representatives of the allied governments of the Central
European powers, and they agreed to the establishment of psychoanalytic
stations for the treatment of war neuroses. But this point was never
reached. Similarly, too, the comprehensive plans made by one of our
leading members, Dr. Anton von Freund, for establishing in Budapest a
centre for analytic study and treatment came to grief as a result of the
political disorders of the time and of the premature death of their
generous author. At a later date some of his ideas were put into
execution by Max Eitingon, who, in 1920, founded a psychoanalytical
clinic in Berlin. During the brief period of Bolshevist rule in Hungary,
Ferenczi was able to carry on a successful course of instruction as the
official representative of psychoanalysis at the University of Budapest.
After the war, our opponents announced with great joy that events had
produced a conclusive argument against the validity of the theses of
analysis. The war neuroses, they said, had proved that sexual factors
were unnecessary to the ætiology of neurotic disorders. But their
triumph was frivolous and premature. For, on the one hand, no one had
been able to carry out a thorough analysis of a case of war neurosis, so
that, in fact, nothing whatever was known for certain as to their
motivation and no conclusions could be drawn from this uncertainty.
While, on the other hand, psychoanalysis had long before arrived at the
concept of narcissism and of narcissistic neuroses, in which the
subject’s libido is attached to his own ego instead of to an object.
Though, on other occasions, therefore, the charge was brought against
psychoanalysis of having made an unjustifiable extension of the concept
of sexuality, yet, when it became convenient for polemical ends, this
crime was forgotten and we were once more held down to the narrowest
meaning of the word.
If the preliminary cathartic period is left on one side, the history of
psychoanalysis falls, from my point of view, into two phases. In the
first of these, I stood alone and had to do all the work myself: this
was from 1895–96 until 1906 or 1907. In the second phase, lasting from
then until the present time, the contributions of my pupils and
collaborators have been growing more and more in importance, so that
today, when a grave illness warns me of the approaching end, I can think
with a quiet mind of the cessation of my own labors. For that very
reason, however, it is impossible for me in this _Autobiographical
Study_ to deal as fully with the progress of psychoanalysis during the
second phase as I did with its gradual rise during the first phase,
which was concerned with my own activity alone. I feel that I should
only be justified in mentioning here those new discoveries in which I
still played a prominent part—in particular, therefore, those made in
the sphere of narcissism, of the theory of the instincts, and of the
application of psychoanalysis to the psychoses.
I must begin by saying that increasing experience showed more and more
plainly that the Œdipus complex was the nucleus of the neuroses. It was
at once the climax of infantile sexual life and the point of junction
from which all of its later developments proceeded. But if so, it was no
longer possible to expect analysis to discover a factor that was
specific in the ætiology of the neuroses. It must be true, as Jung
expressed it so well in the early days when he was still an analyst,
that neuroses have no peculiar content which belongs exclusively to
them, but that neurotics break down at the same difficulties that are
successfully overcome by normal people. This discovery was very far from
being a disappointment. It was in complete harmony with another one:
that the depth psychology revealed by psychoanalysis was in fact the
psychology of the normal mind. Our path had been like that of chemistry:
the great qualitative differences between substances were traced back to
quantitative variations in the proportions in which the same elements
were combined.
In the Œdipus complex, the libido is attached to the image of the
parents. But earlier there has been a period in which there were no such
objects. There followed from this fact the concept (of fundamental
importance for the libido theory) of a state in which the subject’s
libido fills his own ego and has that for its object. This state could
be called _narcissism_ or self-love. A moment’s reflection showed that
this state never completely ceases. All through the subject’s life his
ego remains the great reservoir of his libido, from which the
attachments to objects (the _objectcathexes_[17]) radiate out and into
which the libido can stream back again from the objects. Thus
narcissistic libido is constantly being converted into object-libido,
and _vice versa_. An excellent instance of the length to which this
conversion can go is afforded by the sexual or sublimated devotion which
involves a sacrifice of the self. Whereas, hitherto, in considering the
process of repression, attention had only been paid to what was
repressed, these ideas made it also possible to form a correct estimate
of the repressing forces. It had been said that repression was set in
action by the instincts of self-preservation operating in the ego (the
“ego-instincts”), and that it was brought to bear upon the libidinal
instincts. But since the instincts of self-preservation were now
recognized as also being of a libidinal nature, as being narcissistic
libido, the process of repression was seen to be a process occurring
within the libido itself; narcissistic libido was opposed to
object-libido, the interests of self-preservation defended themselves
against the demands of object-love, that is, against the demands of
sexuality in the narrower sense.
There is no more urgent need in psychology than for a securely founded
theory of the instincts on which it might then be possible to build
further. Nothing of the sort exists, however, and psychoanalysis is
driven to making tentative efforts towards some such theory. It began by
drawing a contrast between the ego-instincts (the instinct of
self-preservation, hunger) and the libidinal instincts (love), but later
replaced it by a new contrast between narcissistic and object-libido.
This was clearly not the last word on the subject; biological
considerations seemed to make it impossible to remain content with
assuming the existence of only a single class of instincts.
In the works of my later years (_Beyond the Pleasure Principle_, _Group
Psychology and the Analysis of the Ego_, and _The Ego and the Id_)[18] I
have given free rein to the inclination to speculation which I kept down
for so long and I have also taken stock of a new solution of the problem
of the instincts. I have combined the instincts for self-preservation
and for the preservation of the species under the concept of _Eros_ and
have contrasted with it an instinct of death or destruction which works
in silence. Instinct, in general, is regarded as a kind of elasticity of
living things, an impulsion towards the restoration of a situation which
once existed but was brought to an end by some external disturbance.
This essentially conservative character of instincts is exemplified by
the phenomena of the _compulsion to repeat_. The picture which life
presents to us is the result of the working of Eros and the
death-instinct together and against each other.
It remains to be seen whether this construction will turn out to be
serviceable. Although it arose from a desire to fix some of the most
important theoretical ideas of psychoanalysis, it goes far beyond
psychoanalysis. I have repeatedly heard it said contemptuously that it
is impossible to take a science seriously whose most general concepts
are as lacking in precision as those of libido and of instinct in
psychoanalysis. But this reproach is based upon a complete misconception
of the facts. Clear fundamental concepts and sharply drawn definitions
are only possible in the mental sciences in so far as the latter seek to
fit a department of facts into the frame of a logical system. In the
natural sciences, of which psychology is one, such clearcut general
concepts are superfluous and indeed impossible. Zoology and Botany did
not start from correct and adequate definitions of an animal and a
plant; to this very day Biology has been unable to give any certain
meaning to the concept of life. Physics itself, indeed, would never have
made any advance if it had had to wait until its concepts of matter,
force, gravitation, and so on, had reached the desirable degree of
clarity and precision. The fundamental concepts or most general ideas in
any of the disciplines of science are always left indeterminate at first
and are only explained to begin with by reference to the realm of
phenomena from which they were derived; it is only by means of a
progressive analysis of the material of observation that they can be
made clear and can find a significant and consistent meaning.
I had already made attempts at earlier stages of my work to arrive at
some more general points of view, starting from the observations of
psychoanalysis. In a short essay, “Formulations regarding the Two
Principles of Mental Functioning,”[19] published in 1911, I drew
attention (and there was, of course, nothing original in this), to the
domination of the “pleasure-pain principle” in mental life and to its
displacement by the so-called “reality principle.” Later on (1915–17), I
made an attempt to produce a “Metapsychology.” By this I meant a method
of approach according to which every mental process is considered in
relation to three coördinates, which I described as _dynamic_,
_topographical_, and _economic_ respectively; and this seemed to me to
represent the farthest goal that psychology could attain. The attempt
remained no more than a torso; after writing two or three
papers—“Instincts and their Vicissitudes,” “Repression,” “The
Unconscious,” “Mourning and Melancholia,” etc[20]—I broke off, wisely
perhaps, since the time for theoretical predictions of this kind had not
yet come. In my latest speculative works I have set about the task of
dissecting our mental apparatus on the basis of the analytic view of
pathological facts and have divided it into an _ego_, and _id_, and a
_super-ego_.[21] The super-ego is the heir of the Œdipus complex and
represents the ethical standards of mankind.
I should not like to create an impression that during this last period
of my work I have turned my back upon patient observation and have
abandoned myself entirely to speculation. I have, on the contrary,
always remained in the closest touch with the analytic material and have
never ceased working at detailed points of clinical or technical
importance. Even when I have moved away from observation, I have
carefully avoided any contact with philosophy proper. This avoidance has
been greatly facilitated by constitutional incapacity. I was always open
to the ideas of G. T. Fechner and have followed that thinker upon many
important points. The large extent to which psychoanalysis coincides
with the philosophy of Schopenhauer—not only did he assert the dominance
of the emotions and the supreme importance of sexuality, but he was even
aware of the mechanism of repression—is not to be traced to my
acquaintance with his teaching. I read Schopenhauer very late in my
life. Nietzsche, another philosopher whose guesses and intuitions often
agree in the most astonishing way with the laborious findings of
psychoanalysis, was, for a long time, avoided by me on that very
account; I was less concerned with the question of priority than with
keeping my mind unembarrassed.
The neuroses were the first subject of analysis and for a long time they
were the only one. No analyst could doubt that medical practice was
wrong in separating those disorders from the psychoses and in attaching
them to the organic nervous diseases. The theory of the neuroses belongs
to psychiatry and is indispensable as an introduction to it. It would
seem, however, that the analytical study of the psychoses is
impracticable owing to its lack of therapeutic results. Mental patients
are, as a rule, without the capacity for forming a positive
transference, so that the principal instrument of analytic technique is
inapplicable to them. There are, nevertheless, a number of methods of
approach to be found. Transference is often not so completely absent but
that it can be used to a certain extent; and analysis has achieved
undoubted successes with cyclical depressions, light paranoic
modifications and partial schizophrenias. It has at least been a benefit
to science that in many cases the diagnosis can oscillate for quite a
long time between assuming the presence of a psychoneurosis or of a
dementia præcox; for therapeutic attempts initiated in such cases have
resulted in valuable discoveries before they have had to be broken off.
But the chief consideration in this connection is that so many things
that, in the neuroses, have to be laboriously fetched up from the
depths, are found in the psychoses upon the surface, visible to every
eye. So that the best subjects for the demonstration of many of the
assertions of analysis are provided by the psychiatric clinic. It was
thus bound to happen before long that analysis would find its way to the
objects of psychiatric observation. At a very early date (1896) I was
able to establish, in a case of paranoid dementia, the presence of the
same ætiological factors and the same emotional complexes as in the
neuroses. Jung explained some most puzzling stereotypes in dements by
bringing them into relation with the patients’ life histories; Bleuler
demonstrated the existence in various psychoses of mechanisms like those
which analysis had discovered in neurotics. Since then analysts have
never relaxed their efforts to come to an understanding of the
psychoses. Especially since it has been possible to work with the
concept of narcissism, they have managed, now in this place and now in
that, to get a glimpse beyond the wall. Most of all, no doubt, was
achieved by Abraham in his elucidation of melancholia. It is true that
in this sphere all our knowledge is not yet converted into therapeutic
power; but the mere theoretical gain is not to be despised, and we may
be content to wait for its practical application. In the long run even
the psychiatrists have been unable to resist the convincing force of
their own clinical material. At the present time German psychiatry is
undergoing a kind of “peaceful penetration” by analytic views. While
they continually declare that they will never be psychoanalysts, that
they do not belong to the “orthodox” school or agree with its
exaggerations, and in particular that they do not believe in the
predominance of the sexual factor, nevertheless the majority of the
younger workers take over one piece or another of analytic theory and
apply it in their own fashion to the material. All the signs point to
the proximity of further developments in the same direction.