“‘Oh!’ she answered, ‘perhaps it was only a punishment for that episode which I confided to you!’

“‘Has this episode still bothered you?’

“‘Yes, later I regretted it very much; I considered myself wicked, criminal, and immoral, but at the time I was almost crazy with nervousness.’

“She referred to an abortion which was started by a quack and had to be brought to completion by a gynecologist. This abortion was initiated with the consent of her husband, as both wished, on account of their pecuniary circumstances, to be spared from being additionally blessed with children.

“She said: ‘I had often reproached myself with the words, “You really had your child killed,” and I feared that such a crime could not remain unpunished. Now that you have assured me that there is nothing seriously wrong with my eyes I am quite assured I have already been sufficiently punished.’

“This accident, therefore, was, on the one hand, a retribution for her sin, but, on the other hand, it may have served as an escape from a more dire punishment which she had feared for many months. In the moment that she ran to the shop to buy the picture the memory of this whole history, with its fears (already quite active in her unconscious at the time she warned her husband), became overwhelming and could perhaps find expression in words like these: ‘But why do you want an ornament for the nursery?—you who had your child killed! You are a murderer! The great punishment is surely approaching!’

“This thought did not become conscious, but instead of it she made use of the situation—I might say of the psychologic moment—to utilize in a commonplace manner the heap of stones to inflict upon herself this punishment. It was for this reason that she did not even attempt to put out her arms while falling and was not much frightened. The second, and probably lesser, determinant of her accident was obviously the self-punishment for her unconscious wish to be rid of her husband, who was an accessory to the crime in this affair. This was betrayed by her absolutely superfluous warning to be very careful in the street on account of the stones. For, just because her husband had a weak leg, he was very careful in walking.”

If such a rage against one’s own integrity and one’s own life can be hidden behind apparently accidental awkwardness and motor insufficiency, then it is not a big step forward to grasp the possibility of transferring the same conception to mistakes which seriously endanger the life and health of others. What I can put forward as evidence for the validity of this conception was taken from my experience with neurotics, and hence does not fully meet the demands of this situation. I will report a case in which it was not an erroneously carried-out action, but what may be more aptly termed a symbolic or chance action that gave me the clue which later made possible the solution of the patient’s conflict.

I once undertook to improve the marriage relations of a very intelligent man, whose differences with his tenderly attached young wife could surely be traced to real causes, but as he himself admitted could not be altogether explained through them. He continually occupied himself with the thought of a separation, which he repeatedly rejected because he dearly loved his two small children. In spite of this he always returned to that resolution and sought no means to make the situation bearable to himself. Such an unsettlement of a conflict served to prove to me that there were unconscious and repressed motives which enforced the conflicting conscious thoughts, and in such cases I always undertake to end the conflict by psychic analysis. One day the man related to me a slight occurrence which had extremely frightened him. He was sporting with the older child, by far his favourite. He tossed it high in the air and repeated this tossing till finally he thrust it so high that its head almost struck the massive gas chandelier. Almost, but not quite, or say “just about!” Nothing happened to the child except that it became dizzy from fright. The father stood transfixed with the child in his arms, while the mother merged into an hysterical attack. The particular facility of this careless movement, with the violent reaction in the parents, suggested to me to look upon this accident as a symbolic action which gave expression to an evil intention toward the beloved child.

I could remove the contradiction of the actual tenderness of this father for his child by referring the impulse to injure it to the time when it was the only one, and so small that as yet the father had no occasion for tender interest in it. Then it was easy to assume that this man, so little pleased with his wife at that time, might have thought: “If this small being for whom I have no regard whatever should die, I would be free and could separate from my wife.” The wish for the death of this much loved being must therefore have continued unconsciously. From here it was easy to find the way to the unconscious fixation of this wish.