ABSTRACT

I first met Freud in the year 1910. At that time psychoanalysis and the name of its founder were practically unknown beyond the borders of Austria. Before I report on how I came into analysis with Freud, however, I should like to recall to you the desolate situation in which a neurotic found himself at that period before psychoanalysis. A sufferer from neurosis is trying to find his way back into normal life, as he has come into conflict with his environment and then lost contact with it. His emotional life has become “inadequate,’ ‘ inappropriate to outer reality. His goal is not a real known object, but rather some other object, hidden in his unconscious, unknown to himself. His affect by-passes the real object, accessible to his consciousness. As long as nothing was known of this state of affairs, only two explanations were possible: one, that of the layman, concerned itself with the increase in intensity of affect, which was out of proportion to the real situation; it was said that the neurotic exaggerated everything. The other explanation, that of the neurologist or psychiatrist, derived the mental and emotional from the physical, and sought to persuade the patient that his trouble was due to a functional disorder of the nervous system. The neurotic went to a physician with the wish to pour out his heart to him, and was bitterly disappointed when the physician would scarcely listen to the problems which so troubled him, much less try to understand them. But that which to the doctor 136was only an unimportant by-product of a serious objective condition was for the neurotic himself a profound inner experience. So there could be no real contact between patient and physician. The treatment of emotional illness seemed to have got into a dead-end street.