ABSTRACT
Freud distinguished between hysterical blindness as a psychoneurotic symptom and other conditions of the eye caused by hypererotization or libidinization of the eye, which may actually damage the physiological functioning of that organ. Freud applied the concept of "libidinal imbalance" not only to anxiety neurosis but also to neurasthenia. Here again he postulated that undischarged quantities of excitation produce symptoms directly, not by structural-topographic conflict. It deals with those traumatic situations in which an old dynamic equilibrium is replaced by a new, permanent one. The genetic point of view goes beyond the recognition of certain dynamic patterns that repeat themselves in the patient's life and therapeutic process. A formulation becomes genetic when the reliving involves not only the repetitive pattern but also the specific inner mental and external environmental events that occurred at the time of the childhood trauma.
