It is well recognized that in the last analysis nature is the real physician, the healer of wounds; but prior to the development of our modern asepsis and surgical technique the healing produced by nature was most often of a very faulty and imperfect type—hideous scars, distorted and crippled limbs, with functions impaired or incapacitated, resulted from the wounds, or else nature was unable to cope with the hurt and the injured one succumbed.
Science has been steadily working for centuries with the aim of understanding nature and finding means to aid and co-operate with her so that healing could take place with the least possible loss of function or permanent injury to the individual. Marvelous results have rewarded these persistent efforts, as the brilliant achievements of surgery plainly indicate.
Meantime, however, little thought was given to the possibility of any scientific method being available to help man overcome the wounds and conflicts taking place in his soul, hurts which retarded his development and progress as a personality, and which frequently in the struggle resulted in physical pains and symptoms of the most varied character. That was left solely to religion and metaphysics. Now, however, this same assistance that surgery has given to the physical body, psychoanalysis attempts to give to the personality. That it cannot always succeed is as much to be expected, and more, than that surgery does not always succeed, for the analytic work requires much of the individual. No real result can be attained if he has not already developed a certain quality of character and intelligence which makes it possible for him to submit himself to a facing of his naked soul, and to the pain and suffering which this often entails. Here, as in no other relation in life, an absolute truth and an absolute honesty are the only basis of action, since deception of any kind deceives no one but the individual himself and acts as a boomerang, defeating his own aims.
Such deep searching and penetrating into the soul is not something to be undertaken lightly nor to be considered a trivial or simple matter, and the fact is that where a strong compulsion is lacking, such as sickness or a situation too difficult to meet, much courage is required to undertake it.
In order to understand this psychology which is pervading all realms of thought and seems destined to be a new psychological-philosophical system for the understanding and practical advancement of human life, it will be necessary to go somewhat into detail regarding its development and present status. For in this new direction lies its greatest value and its greatest danger.
The beginnings of this work were first published in 1895 in a book entitled “Studien über Hysterie,” and contained the joint investigations into hysteria of Dr. Breuer of Vienna and his pupil Dr. Sigmund Freud. The results of their investigations seemed to show that the various symptoms grouped under the title of hysteria were the result of emotionally colored reminiscences which, all unknown to the conscious waking self, were really actively expressing themselves through the surrogate form of symptoms and that these experiences, although forgotten by the patient, could be reproduced and the emotional content discharged.
Hypnosis was the means used to enable the physician to penetrate deeply into the forgotten memories, for it was found through hypnosis that these lost incidents and circumstances were not really lost at all but only dropped from consciousness, and were capable of being revived when given the proper stimuli. The astonishing part about it was that with the revival of these memories and their accompanying painful and disturbing emotions, the symptoms disappeared. This led naturally to the conclusion that these symptoms were dependent upon some emotional disturbance or psychic trauma which had been inadequately expressed, and that in order to cure the patient one merely had to establish the connection between the memory and the emotions which properly belonged to it, letting the emotion work itself out through a reproduction of the forgotten scene.
With further investigation Freud found that hypnosis was unnecessary for the revival of the forgotten experiences, and that it was possible to obtain the lost emotional material in the conscious and normal state. For this purpose the patient was encouraged to assume a passive, non-critical attitude and simply let his thoughts flow, speaking of whatever came into his mind, holding nothing back. During this free and easy discussion of his life and conditions, directed by the law of association of ideas, reference was invariably made to the experiences or thoughts which were the most affective and disturbing elements. It was seen to be quite impossible to avoid this indirect revelation because of the strength of the emotions surrounding these ideas and the effect of the conscious wish to repress unpleasant feelings. This important group of ideas or impressions, with the feelings and emotions clustered around them which are betrayed through this process, was called by Jung a complex.
However, with the touching of the complex which always contains feelings and emotions so painful or unpleasant as to be unacceptable to consciousness, and which are therefore repressed and hidden, great difficulties appeared, for very often the patient came to a sudden stop and could apparently recall nothing more. Memory gaps were frequent, relations twisted, etc. Evidently some force banished these memories so that the person was quite honest in saying that he could remember nothing or that there was nothing to tell. This kind of forgetfulness was called repression, and is the normal mechanism by which nature protects the individual from such painful feelings as are caused by unpleasant and unacceptable experiences and thoughts, the recognition of his egoistic nature, and the often quite unbearable conflict of his weaknesses with his feelings of idealism.
At this early time great attention was given towards developing a technique which would render more easy the reproduction of these forgotten memories, for with the abandonment of hypnosis it was seen that some unknown active force was at work which not only banished painful memories and feelings, but also prevented their return; this was called resistance. This resistance was found to be the important mechanism which interfered with a free flow of thought and produced the greatest difficulty in the further conduct of the analysis. It appeared under various guises and frequently manifested itself in intellectual objections based on reasoning ground, in criticism directed towards the analyst, or in criticism of the method itself, and finally, often in a complete blocking of expression, so that until the resistance was broken nothing more could be produced.