In 1893 we published our experiences concerning a new method of investigation and treatment of hysterical phenomena, 1 and added to it in the briefest way possible the theoretical views at which we arrived. This preliminary communication is herewith reprinted as an illustrative and demonstrative thesis. We are also adding here a series of case histories, the selection of which was unfortunately not determined merely by scientific con siderations. Our experience was obtained in private practice from an educated and well read social class, and its contents repeatedly touch upon the most intimate life and destiny of our patients. It would be a serious breach of confidence to publish such information, and a danger lest the patients be recognized and the facts, which were confided solely to the physician, spread in their circle. We have, therefore, been constrained to dispense with some of the most instruc tive and most convincing observations. This naturally concerned in the first place those cases in which sexual and marital relations were of etiological significance. It is for this reason that we can adduce only very incomplete evidence for our view that sexuality plays the principal role in the pathogenesis of hysteria as a source of psychic traumas, and as a motive of defense of the repression of ideas from consciousness. We just had to refrain from publishing those observations which savored strongly of sex. The case histories are followed by a series of theoretical explana tions, and in the last chapter on therapy, the technique of the cathartic method is discussed as it has developed in the hands of the neurologist. If different or even contradictory views are occasionally repre sented, let this not be considered as a vacillation of the conception. It arises from the natural and justified differences of opinion of two observers, who agree concerning the facts and principal views, but whose interpretations and assumptions do not always coincide. J. BREUER. S. FREUD. April, 1895. 1 Ueber den psychischen Mechanismus hysterischer Phanomene. Neurol.-Centralblatt, 1893, Nos, 1 and 2. INTRODUCTION In 1907 when I became Freuds translator, the present volume was the standard work for those who aspired to become specialists in the virgin field of psychoanalysis. The cases and theories in the Studien iiber Hysterie were read, studied and discussed in the psychoanalytic circle of Zurich, where I first saw the crepuscular light of psychoanalysis...
J. BREUER, S. FREUD
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- PREFACE
- ON THE PSYCHICAL MECHANISM OF HYSTERICAL PHENOMENA: PRELIMINARY COMMUNICATION
- CASE HISTORIES – CASE 1
- CASE HISTORIES – CASE 2
- CASE HISTORIES – CASE 2: DISCUSSION
- CASE HISTORIES – CASE 3
- CASE HISTORIES – CASE 4
- CASE HISTORIES – CASE 5
- THEORETICAL
- THE PSYCHOTHERAPY OF HYSTERIA 1
- THE PSYCHOTHERAPY OF HYSTERIA 2
- THE PSYCHOTHERAPY OF HYSTERIA 3