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Updated: June 6, 2025
But at least the causal principle is now fully recognized and the scientific man of today no longer doubts that this whole play of psychotherapeutic processes goes on as a causal process in the psychophysical system of the individual without any mysteriousness, without any magnetic influences, without any miraculous interference, without any agencies except those which are working in our ordinary mental life in attention and reaction, in memory and sleep.
He had gone through three different morphine cures in three sanitariums and none had helped him, and every physician whom he had consulted had declared his case as beyond any physical cure. I decided to make the somewhat disproportionate sacrifice of time in order to study whether even such an extreme case of morphinism is accessible to psychotherapeutic treatment.
And psychotherapeutic effort will often demand such a training for work rather than a reduction of work and rest. The most alarming product of the neglect in training is found in many of those retarded children who at fifteen show the intelligence of a boy of eight.
This relativity of the mental reaction on the demands of life must always be in the foreground of the psychotherapeutic régime. Even the best physicians too often sin against this principle and accuse the life which a man or woman leads as too exhausting and overstraining simply because it would be overstraining and exhausting to others who are not adjusted to that special standard.
Practically every popular treatise on psychotherapeutic subjects in recent years belongs to the one or the other group; and yet both are fundamentally wrong. And while, of course, this mistake is one of theoretical interpretation, it evidently has its practical consequences.
Every element of a man's life history, impressions of early childhood, his love and his successes, his diseases and his distresses, his acquaintances and his reading, his talent, his character, his sincerity, his energy, his intelligence everything ought to determine the choice of the psychotherapeutic steps.
Even in slight psychasthenic disturbances, the psychotherapeutic influence is not always successful, especially if there is no time for full treatment. But it is very interesting to see how even in such cases the symptom is somehow changing, almost breaking to pieces. It becomes clear that a protracted effort in the same direction would destroy the trouble completely.
Not a few disturbances of the equilibrium which appeared irreparable to an earlier time yield to the treatment of to-day, and no one can determine whether much which appears irreparable today may not be accessible either to psychotherapeutic or to physical therapeutic means to-morrow.
The man who in certain surroundings may appear a crank has to be treated as a patient in a different set of life conditions. Wherever psychotherapeutic work is in question, perhaps nothing is more important than to keep steadily in mind this continuity between normal and abnormal mental features.
The psychotherapeutic treatment must carefully analyze which element would be fit to supply the last link in the circular chain. Sometimes we need the suggestion of fatigue, sometimes the inhibition of ideas, sometimes the suppression of impulses, sometimes the suggestion of rest, and so on.
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