further contributions to the theory and technique of psycho-analysis
further contributions to the theory and technique of psycho-analysis further contributions to the theory and technique of psycho-analysis
414 THEORY AND TECHNIQUE OF PSYCHO-ANALYSIS LXXX physician, concluding that this * might well be a case of hysteria of the Freudian type ', called me in to see her. On the days following my arrival, I was able to take a kind of rough psycho-analytic history of the case. The patient was an attractive girl of nineteen. Her rather tender-hearted father had pampered her; her mother, on the other hand, although attentive and affectionate, treated her a shade more strictly. She had already a strong transference to the doctor who about eight days before had put the limb in plaster; her attitude towards myself was much more reserved. Still, with the assistance of my colleague and of her parents, I was able to piece together the following details. The patient had always behaved in a curious fashion; whenever she possible escaped from the private quarters of the castle down to the servants' hall. Her special friend here was a nurse, whom since earliest childhood she had treated as a confidante. When the countess was sixteen this nurse left the castle and went to live on a distant part of the estate; nevertheless, till she was eighteen our patient continued to visit her crony there; indeed, often spent whole days at a time with her, helped her in her housework, scrubbed floors, fed the cattle, cleaned out stalls, etc., all in opposition to her parents' wishes. She detested the society of people of her own class ; and only with the greatest difficulty could she be induced to indeed when these social pay calls or receive visitors, only activities were quite unavoidable. Aristocratic suitors, no matter how were sent eligible, brusquely about their business. Some years before she had suffered from a neurosis which her mother described to me as follows : The patient became suddenly depressed and tearful but would confide to no one the cause of her In the grief. hope that social amusement would cheer her up, the took her to mother^ Vienna, but in spite of this the emotional condition remained unaltered. One night she came to her mother's bedroom in tears, crept into her bed, and made a clean breast of her trouble. She was weighed down by a terrible fear: she feared that she had been raped by some one whilst in a state of unconsciousness. The attack had probably been made
ROMANCE OF A LOWERED SOCIAL POSITION 415 on an occasion when, after accompanying her mother to the railway station, she had driven back to the castle in the family carriage, a journey lasting not more than five minutes. On the way back she felt ill and probably, she thought, lost consciousness: the coachman had taken advantage of her condition to assault her. She couldn't actually remember whether the latter had really done anything to her; she knew that when she revived the coachman said some- only thing or other to her, exactly what she didn't know. Her mother tried to reassure her that her anxiety could have no basis in reality, pointing out that an attack of this kind could not possibly have been made on her by daylight in an open carriage on a busy high-road. Nevertheless, the until her mother had taken girl's anxiety was not allayed her to a number of eminent all gynaecologists, of whom were able to assure her after examination that she was virgo intacta. During my two days' stay vinced that the case was one of hysteria with traumatic exacerbation, that there was a definite relation between the coarse obscenity of the patient, her infatuation for the peasant-woman, and the defloration-phantasy, and that psycho-analysis alone could explain the condition. Without in the district I became con- going further, I was able to hazard a guess, which was confirmed by witnesses of the accident, viz. that the accident was really deliberate, due perhaps to some tendency towards self-punishment. I learned subsequently that instead of psycho-therapeutic treatment, as I suggested, the patient underwent convalescent surgical treatment in a sanatorium, showed increasing interest in surgery, worked as a nurse during the war, and in spite of parental opposition married a young surgeon of Jewish extraction. I had no opportunity of filling the gaps in this case- history by analytic observation, but there can be no doubt that the case exemplified a reverse of the neurotic Family- Romance: one of sinking in the social scale. The usual forms of the neurotic romance represent a phantasy of are raised from modest parental ennoblement: the parents or even poor surroundings to aristocratic and sometimes to
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414 THEORY AND TECHNIQUE OF PSYCHO-ANALYSIS LXXX<br />
physician, concluding that this *<br />
might well be a case <strong>of</strong><br />
hysteria <strong>of</strong> <strong>the</strong> Freudian type ', called me in <strong>to</strong> see her.<br />
On <strong>the</strong> days following my arrival, I was able <strong>to</strong> take a<br />
kind <strong>of</strong> rough <strong>psycho</strong>-analytic his<strong>to</strong>ry <strong>of</strong> <strong>the</strong> case. The<br />
patient was an attractive girl <strong>of</strong> nineteen. Her ra<strong>the</strong>r<br />
tender-hearted fa<strong>the</strong>r had pampered her; her mo<strong>the</strong>r, on<br />
<strong>the</strong> o<strong>the</strong>r h<strong>and</strong>, although attentive <strong>and</strong> affectionate, treated<br />
her a shade more strictly. She had already a strong<br />
transference <strong>to</strong> <strong>the</strong> doc<strong>to</strong>r who about eight days before had<br />
put <strong>the</strong> limb in plaster; her attitude <strong>to</strong>wards myself was<br />
much more reserved. Still, with <strong>the</strong> assistance <strong>of</strong> my<br />
colleague <strong>and</strong> <strong>of</strong> her parents, I was able <strong>to</strong> piece <strong>to</strong>ge<strong>the</strong>r<br />
<strong>the</strong> following details. The patient had always behaved in<br />
a curious fashion; whenever she<br />
possible escaped from <strong>the</strong><br />
private quarters<br />
<strong>of</strong> <strong>the</strong> castle down <strong>to</strong> <strong>the</strong> servants' hall.<br />
Her special<br />
friend here was a nurse, whom since earliest<br />
childhood she had treated as a confidante. When <strong>the</strong><br />
countess was sixteen this nurse left <strong>the</strong> castle <strong>and</strong> went <strong>to</strong><br />
live on a distant part <strong>of</strong> <strong>the</strong> estate; never<strong>the</strong>less,<br />
till she<br />
was eighteen our patient continued <strong>to</strong> visit her crony <strong>the</strong>re;<br />
indeed, <strong>of</strong>ten spent whole days at a time with her, helped<br />
her in her housework, scrubbed floors, fed <strong>the</strong> cattle,<br />
cleaned out stalls, etc., all in opposition <strong>to</strong> her parents'<br />
wishes. She detested <strong>the</strong> society <strong>of</strong> people <strong>of</strong> her own class ;<br />
<strong>and</strong> only with <strong>the</strong> greatest difficulty could she be induced <strong>to</strong><br />
indeed when <strong>the</strong>se social<br />
pay calls or receive visi<strong>to</strong>rs, only<br />
activities were quite<br />
unavoidable. Aris<strong>to</strong>cratic sui<strong>to</strong>rs, no<br />
matter how were sent<br />
eligible, brusquely about <strong>the</strong>ir business.<br />
Some years<br />
before she had suffered from a neurosis<br />
which her mo<strong>the</strong>r described <strong>to</strong> me as follows : The patient<br />
became suddenly depressed <strong>and</strong> tearful but would confide<br />
<strong>to</strong> no one <strong>the</strong> cause <strong>of</strong> her In <strong>the</strong><br />
grief.<br />
hope that social<br />
amusement would cheer her up,<br />
<strong>the</strong> <strong>to</strong>ok her <strong>to</strong><br />
mo<strong>the</strong>r^<br />
Vienna, but in spite <strong>of</strong> this <strong>the</strong> emotional condition remained<br />
unaltered. One night she came <strong>to</strong> her mo<strong>the</strong>r's bedroom<br />
in tears, crept<br />
in<strong>to</strong> her bed, <strong>and</strong> made a clean breast <strong>of</strong> her<br />
trouble. She was weighed down by a terrible fear: she<br />
feared that she had been raped by some one whilst in a state<br />
<strong>of</strong> unconsciousness. The attack had probably<br />
been made