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Updated: May 29, 2025
This necessity appears only when we follow closely the part played by the unconscious wish, and then seek information in the psychology of the neuroses.
As a method of treatment for neuroses of childhood, psycho-analysis is not only unsuccessful, it has dangers and produces ill effects which far outweigh any advantage which may be gained from it. There can be no doubt that Freud has exaggerated the part which sexual impulses play in causing neurosis.
Thou determinest the mother to sell her daughter, to give her son; thou aidest sterile and reprobate loves; Guardian of strident Neuroses, Leaden Tower of Hysteria, bloody Vase of Rape!
In its place the humoral theory held sway, with its good humors and its bad humors, and their bilious, lymphatic, nervous and sanguine admixtures. But that, too, went the way of all flesh. During the first half of the nineteenth century, a popular phrase, "nerves," paraphrased by practitioners of medicine as neuroses, then came into vogue as the efficient cause of these troubles.
We might add from knowledge of the neuroses that the fear that some one might be hiding in the room signifies the wish that this might be so in order that the subject might be sexually gratified. There was one circumstance most convincing in regard to this, which I will now add.
Freud says that as soon as you enter the intimate life of a patient you begin to find sex in some form. In fact, the best indication of abnormality would be its absence. Sex is one of the strongest of human impulses, yet the one subjected to the greatest repression. For that reason it is the weakest point in our cultural development. In a normal life, he says, there are no neuroses.
You'll be mixing in socialism next! You're as bad as Carrie, with your 'psychoses. Why, Good Lord, Maud, I could talk about neuroses and psychoses and inhibitions and repressions and complexes just as well as any damn specialist, if I got paid for it, if I was in the city and had the nerve to charge the fees that those fellows do.
One day it's going to break, and I'll be flooded with it. It's a most uncanny feeling, old girl. One of the chaps here a rather mad American says that there are people who've broken that dyke down Shakespeare, for instance. He says they're being used a lot by some German and American alienists in curing all sorts of neuroses. I want you to understand them, and if you don't I'll explain as I go on.
The fact that the wish-fulfillment, which is the essence of the dream, disguises itself in such an unpleasant form, has perhaps more than one reason. From my essay on the etiology of anxiety neuroses, you will see that I note interrupted coitus as one of the factors which cause the development of neurotic fear.
Incomparably small, on the other hand, is the aid which psychotherapy can offer in cases of real destructions in the brain, as in the case of tumors, hemorrhage, paresis or the degeneration by senility. More effective may be its work in concussion of the brain and especially with traumatic neuroses, as in the case when a railroad accident has put the mind-brain system out of gear.
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