Cinco Conferencias De Freud

About Psychoanalysis
5 Lectures given at the 20th Anniversary Celebration of the founding of Clark University in Worcester, Mass., September 1909 by Prof. Dr. Sigmund Freud, LL.D. Dedicated in gratitude to G. Stanley Hall, Ph.D., LL.D., President of Clark University, Professor of Psychology and Education I Meine Damen und Herren! [given in German, Ladies and Gentlemen:] It is a new and somewhatembarrassing experience for me to appear as lecturer before students of the New World. I assume that I owe this honor to the association of my name with the theme of psychoanalysis, and consequently it is of psychoanalysis that I shall aim to speak. I shall attempt to give you, in very brief form, an historical survey of the origin and further development of this new method of research and cure.Granted that it is a merit to have created psychoanalysis, it is not my merit. I was a student, busy with the passing of my last examinations, when another physician of Vienna, Dr. Joseph Breuer (1842-), made the first application of this method to the case of an hysterical girl (1880-82) . We must now examine the history of this case and its treatment, which can be found in detail in "Studien überHysterie," ("Studies about Hysteria") later published by Dr. Breuer and myself (1895). But first one word. I have noticed, with considerable satisfaction, that the majority of my hearers do not belong to the medical profession. Now do not fear that a medical education is necessary to follow what I shall have to say. We shall now accompany the doctors a little way, but soon we shall take leave ofthem and follow Dr. Breuer on a way which is quite his own. Dr. Breuer's patient was a girl of twenty-one, of a high degree of intelligence. She had developed in the course of her two years' illness a series of physical and mental disturbances which well deserved to be taken seriously. She had a severe paralysis of both right extremities, with loss of feeling, and at times the same affliction ofthe members of the left side of the body; disturbance of eye-movements, and much impairment of vision; difficulty in maintaining the position of the head, an intense nervous cough, nausea when she attempted to take nourishment, and at one time for several weeks a loss of the power to drink, in spite of tormenting thirst. Her power of speech was also diminished, and this progressed so far that shecould neither speak nor understand her mother tongue; and, finally, she was subject to states of "absence," of confusion, delirium, alteration of her whole personality. These states will later claim our attention. When one hears of such a case, one does not need to be a physician to incline to the opinion that we are concerned here with a serious injury, probably of the brain, for which there islittle hope of cure and which will probably lead to the early death of the patient. The doctors will tell us, however, that in one type of case with just as unfavorable symptoms, another, far more favorable, opinion is justified. When one finds such a series of symptoms in the case of a young girl whose vital organs (heart, kidneys) are shown by objective tests to be normal, but who has sufferedfrom strong emotional disturbances, and when the symptoms differ in certain finer characteristics from what one might logically expect, in a case like this, the doctors are not too much disturbed. They consider that there is present no organic lesion of the brain, but that enigmatical state, known since the time of the Greek physicians as hysteria, which can simulate a whole series of symptoms ofvarious diseases. They consider in such a case that the life of the patient is not in danger and that a restoration to health will probably come about of itself. The differentiation of such an hysteria from a severe organic lesion is not always very easy. But we do not need to know

how a differential diagnosis of this kind is made; you may be sure that the case of Breuer's patient was such that...