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Updated: June 22, 2025
A psychoneurosis very often associates itself with a manifest inversion in which the heterosexual feeling becomes subjected to complete repression. It is but just to state that the necessity of a general recognition of the tendency to inversion in psychoneurotics was first imparted to me personally by Wilh. Fliess, of Berlin, after I had myself discovered it in some cases.
Most certainly a treatment does not need to be carried so far. One may be satisfied with the practical cure of the patient, with the restoration of his power for work, and with the abolition of the most difficult functional disturbances. It is applicable in cases of chronic psychoneurosis which exhibit no difficult or dangerous phenomena.
In children, the organization of a psychoneurosis is usually very simple, almost monosymptomatic, and in children too, we often discover these neuroses in the actual process of making. When adult life is reached, the individual has left behind him all the factors of his childhood life and all the repressed experiences and desires which tend to produce his adult characteristics.
It is a well known fact that in a malignant psychosis, self-knowledge does not exist, and this in part is responsible for its malignancy. On the other hand the benignant nature of a psychoneurosis may be in part attributed to the patient's appreciation of his affliction.
This passed away, but now she was sleepless, had no appetite, complained of headache and great fatigue. That she was suffering from a psychoneurosis was evident; what remained was to bring about treatment. This was done by enlisting a development of recent days, the Social Service agencies.
Bernheim inquires, and once more I agree that all forms of psychotherapeutics do, but there is a difference in analysis. Superficial analysis can bring us a long way toward the goal. In many cases it may suffice. But the profound, the Freudian analysis, is what we need if we wish to attain the radical cure of psychoneurosis, as far as we can ever speak of a radical cure.
Hall are found in our patients during analysis and I believe that almost all of them belong to the love and hate principles. This may not seem so on superficial examination, thus, I have on record nine cases of women who were suffering from various forms of psychoneurosis, one of whose symptoms was screaming. Every once in a while they had to scream. It was an obsessive screaming.
It is, in other words, a psychoneurosis. The characteristic mental state is one of doubt, of indecision, of inadequacy, of restlessness, of tension, of discomfort and of dissatisfaction, which is more or less unappeasable and irrepressible and uncontrollable until it finds vent in a rather explosive series of motor expressions which, as it were, are the safety valve for the peculiar feeling of tension and discomfort which the individual has been experiencing and which is accompanied by a sense of relief, satisfaction and a relative degree of comfort and mental rest.
"A temporary unfaithfulness, a yielding to sudden temptation" she could understand, but a determined plan of duplicity shattered her whole scheme of values. A very severe psychoneurosis followed, and her children and she were taken over by her parents and cared for.
In the picture of the disease, however, the preponderant rôle is played by either one or the other of the opposing tendencies. Gamma. In a pronounced case of psychoneurosis we seldom find the development of one single perverted impulse; usually there are many and regularly there are traces of all perversions.
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