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Updated: August 23, 2024


Every possible case of detention from consciousness, as well as of penetration to consciousness, under restriction is found included within the picture of the psychoneurotic phenomena; every case points to the intimate and twofold connection between the censor and consciousness. I shall conclude these psychological discussions with the report of two such occurrences.

The second point that I should bring out in this connection is as follows: That which is of fundamental importance and of basic significance in the life of the psychoneurotic or the stutterer, that which is the fundamental and essential motive force which controls the psychoneurotic and the stutterer is also true, but in greater or less degree, for all of those who are not within the confines of this group.

Moreover, psychoneurotic patients get well without treatment, as do all other classes of the sick, and the Christian Scientist, the osteopath and the chiropractic also have records of "cures." The leading follower of Freud, Jung, has already broken away from the parent church, and there is an amusing cry of heresy raised.

"If you don't like the facts, you ignore them, and if you need facts, dream up some you do like," she said. "That's typical rejection of reality. Not psychotic, not even psychoneurotic. But certainly not sane." She had finished her first drink and was sipping slowly at her second. "You know, this is interesting. Does he have some theory that would disqualify yours?" "Not that I know of.

The neurosis is, so to say, the negative of the perversion. The sexual impulse of the psychoneurotic shows all the aberrations which we have studied as variations of the normal and as manifestations of morbid sexual life.

As a result of sexual rejection there remains in the unconscious of the psychoneurotic a great part or the whole of the psychosexual activity for object finding.

If, however, preference is given to the assumption that an especially formed tendency to perversions is characteristic of the psychoneurotic constitution, there is a prospect of being able to distinguish a multiformity of such constitutions in accordance with the congenital preponderance of this or that erogenous zone, or of this or that partial impulse.

Now, since stuttering is a psychoneurotic disorder of a certain special type, it is understood that they must believe that stuttering, as a matter of course, comes within the rubric of their generalization.

But I deem this unnecessary and inadvisable in this paper, as mentioned previously. Here, then, we have a definite case in which by the analysis of a single and incidentally the first dream we have arrived at the genesis of the psychoneurotic disorder. This case I studied for upwards of four months, with almost daily visits to the hospital where she was being cared for.

Indeed, the theory of all psychoneurotic symptoms culminates in the proposition that they too must be taken as wish-fulfillments of the unconscious. Our explanation makes the dream only the first member of a group most important for the psychiatrist, an understanding of which means the solution of the purely psychological part of the psychiatric problem.

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