Freud's Irma dream and the origins of psychoanalysis

This paper investigates Freud's Irma dream as a response, in part, to the publication of Studies on Hysteria (Breuer & Freud, 1893-1895). As such, Freud's dream and associations reveal a great deal regarding the origins of psychoanalysis. The preamble to the dream reflects Freud's concern with the ground rules and boundaries of the psychotherapeutic technique that he was in the process of developing. This paper cites evidence for Freud's concerns regarding the consequences of alterations in these basic tenets. The Irma dream and Freud's associations also convey a deep and apparently unconscious concern within Freud in respect to the concept of transference, which he may have realized on some level had been used to defensively deny disturbing inputs by the therapist into the treatment situation and patient. The dream may be understood also as reflecting a deep sense of concern regarding unrecognized harmful effects of psychoanalytic psychotherapy and Freud's concern that the treatment process might be more destructive than helpful. The curative aspects of psychotherapy are viewed in terms of action-discharge rather than insight. In all, this reanalysis of the Irma dream focuses on Freud's unconscious conflicts, fantasies, and anxieties at a time when he, along with Breuer, presented a burgeoning psychoanalytic treatment modality to the professional world.     

Freud's struggle with misogyny: homosexuality and guilt in the dream of Irma's injection.

The highly condensed dream element trimethylamin is central to the dream of Irma's injection. After a brief review of the medical literature on timethylamine (TMA), it is suggested that two important meanings of this chemical and its properties lie in its disguised reference to disparaging views of women, as well as to Freud's homosexual connection to Wilhelm Fliess. Freud's misogynistic and homosexual impulses were stimulated by Fliess's recent surgical error committed while operating on Freud's patient Emma Eckstein. Evidence is presented that the collaboration between Freud and Fliess in performing an aggressive act toward a woman was for Freud an enactment of a childhood situation in which he and his nephew John had ganged up on John's sister Pauline. The later relationship between Freud, Jung, and Sabina Spielrein is seen as an additional reenactment of this childhood triangle. An examination of Freud's associations to and analysis of the Irma dream, as well as some of his later relationships with women, indicates that guilt and the wish to make reparation were also prominent themes in Freud's inner life.     

Freud and the Hammerschlag family: a formative relationship

From his obituary of Samuel Hammerschlag, we know of Freud's great veneration for his teacher of Jewish religion. However, not only Hammerschlag himself but his whole family had a formative influence on young Freud, who was deeply impressed by their humanity. This paper describes Freud's relationships with all the family members. In particular, it shows how warmly he felt towards the only daughter, Anna Hammerschlag, who was his patient for a while and whom he chose as a godmother for his youngest daughter Anna. By virtue of the crucial role she played in Freud's 'specimen dream' of July 1895 ('Irma's injection'), she also became as it were the godmother of Freud's magnum opus, The Interpretation of Dreams. All the known extant letters from Freud to members of the Hammerschlag family are published here for the first time in English translation.     

The puzzle of Freud's puzzle analogy: Reviving a struggle with doubt and conviction in Freud's Moses and monotheism

In this paper the author points to a puzzle raised by Freud's contradictory use of an analogy of a jigsaw puzzle. She shows how, through the attempt to resolve this puzzle, meanings and implications of Freud's difficult struggle with his search for truth in Moses and monotheism come alive, both in Freud's writing and in the author herself. Central to this struggle is an encounter with the sources of doubt and conviction that ultimately allows one to embrace ideas experienced as true, although they are not demonstrable evidentially. The paper sheds light on the importance of Moses and monotheism as a theoretical text that reflects on developments in Freud's thinking on truth, and the possibility, dangers and inherent difficulties of grasping it.     

A reappraisal of the Emma episode and the specimen dream

Schur's (1966, 1972) speculations that the "specimen dream" exculpates Fliess rather than Freud and that Freud was unaware of this are challenged. Schur's assertion that Freud was not aware of "current conflict" when writing The Interpretation of Dreams is countered with the previously unpublished "Completion of the Analysis" of the dream of "Running up the Stairs," which illustrates Freud's withholding of "current conflict" from his published associations. The view is advanced that Freud's and Fliess's treatment of Emma Eckstein might have been an important element in Freud's self-analysis because it was a repetition of his childhood conflicts. The identities of Emma Eckstein (operated on by Fliess) and Anna Hammerschlag Lichtheim, together with the previously unnoticed, published exchange between Abraham and Freud, are used to add further insight into Freud's interpretation of the dream. In addition, new material concerning Freud's father's terminal illness, beginning in July, 1985, casts further light on the specimen dream as well as others. It is argued that concerns about Martha Freud's sixth pregnancy and wishes for improved contraception were important determinants of the dream and part of the undisclosed associations. It is also argued that rivalrous elements of the associations are elaborated in the later non vixit dream.     

FREUD'S PRIVATE MINI-MONOGRAPH ON HIS OWN DREAMS: A CONTRIBUTION TO THE CELEBRATION OF THE CENTENARY OF THE INTERPRETATION OF DREAMS

A virtually unknown brief commentary by Freud on the characteristics of his own dreams is described and discussed. Freud's mini-monograph, discovered after some 80 years, has autobiographical, theoretical and organisational significance in the enigmatic context of the early development of psychoanalysis. Found among papers of Alfred Adler, this extraordinary document adds to our knowledge of psychoanalytic history, including the significance of dreams in the evolution of psychoanalytic thought. Freud's commentary permitted the identification of a particular dream as his own. This dream had been presented in anonymity to the fledgling Vienna Psychoanalytic Society for interpretation. The dream was later inserted, again anonymously, into The Interpretation of Dreams with Freud's own remarkable pre-oedipal interpretation. Freud's conflicted relationships with Adler and Jung are considered in historical context.     

Little Hans and Freud's self-analysis: a biographical view of clinical theory in the making

For nearly a century, Freud's "Analysis of a Phobia in a Five-year-old Boy" has been read mainly--if often critically--with Freud's conscious aim in mind: providing evidence for the central importance of oedipal conflict. Material recently released by the Freud Archives casts new light on Freud's treatment of Hans's mother, Olga Graf (nee H?nig)--which began at the height of his self-analysis in 1897--and of Hans himself. Read in the enriched context of new information from Eissler's interviews with Max Graf and Herbert Graf, two texts--Freud's 1897 letters to Fliess and the 1909 case history--illuminate possible personal motives for Freud's insistence on the primacy of oedipal conflict.     

Discussion of Sigmund Freud.

Between the years 1928 and 1932, Sigmund Freud occasionally assembled a small group of members of the Vienna Psychoanalytic Society for scientific discussions. These informal meetings took place on Wednesday evenings at Freud's home. The author reports what he was able to preserve of Freud's remarks on some of these occasions.     

Freud's "bad conscience": The case of Nietzsche's Genealogy

This article develops the argument that Friedrich Nietzsche influenced several aspects of Freud's later writings by illustrating, in particular, the impact of Nietzsche's On the Genealogy of Morals on Freud's Civilization and its Discontents. The theoretical and conceptual schemes represented in Freud's Discontents are found to bear a remarkable similarity to Nietzsche's Genealogy on a number of highly specific points. It is suggested that "DAS ES," "Uber-ich," and "bad conscience," concepts central to Freud's moral theory of mind, are at least partly derived from Nietzsche. Moreover, Freud's phylogenetic theory of guilt is based upon premises found in Nietzsche, as are specific details relating to ideas on human prehistory and the ancestral family. Based on this evidence, a re-examination of the moral and social dimensions of Freud's "structural" model may be in order.     

From Psychical treatment to psychoanalysis: considerations on the misdating of an early Freud text and on a hitherto overlooked addition to it (here reproduced)

Freud's early paper Psychical (or mental) treatment, first published in a family reference book for educated lay persons, was reproduced in the Gesammelte Werke with a stated publication date of 1905. This date was subsequently called into question owing to certain parts of the subject-matter (the use of hypnosis and suggestion in 'mental treatment'), and the contribution was erroneously assigned, for instance by James Strachey, to the year 1890. This error is corrected in the present paper. Furthermore, the existence of a second edition of this reference book, which contains an addition to Freud's text and appeared in 1918-19, has previously gone unnoticed. The first edition had been published in 1905-6. Freud's contribution must, however, have been written at an appreciably earlier date. The probable time of its genesis is discussed. Freud's new text is reproduced (in English translation) for the first time in an appendix to this paper.     

Father and Son: Freud Revisits his Oedipus Complex in <Emphasis Type="Italic">Moses and Monotheism</Emphasis>

In this paper, I propose to understand Freud on his own terms and within his social, intellectual and psychological context. It is my hope that such an understanding will contribute in turn to our understanding of some of the sources of the creative process. Were it not for his fame, Freud's views on religion, history and art, would at best be but a footnote to these subjects. My contention is that Freud's writings on these subjects can contribute more to our understanding of Freud, the person, than they do to some of the subjects he is writing about. Toward this end I will focus on two of Freud's works, written more than 30 years apart, his early Moses of Michelangelo and his late-life work Moses and Monotheism, which reflect the considerable changes in Freud's thinking.     

"Worthless female material": nursemaids and governesses in Freud's cases

The figure of the governess, central in Freud's own history, is present in most of his cases. Freud described his nursemaid as "the prime originator" of his neuroses. Well after Freud's abandonment of the seduction theory, female servants were consistently portrayed as seducing boys, while their relationship with girls consisted of identification and rivalry. The role of Freud's own surrogate mother in his life and writing is examined, and two cases, Lucy R. and Dora, are looked at through the lens of female caretaking. A review and integration of relevant literature is followed by an exploration of the perplexing adherence in Freud's writing to the reality of seduction by a governess, even after he had abandoned the seduction theory. It is argued that it is in the figure of the female maid that the "shadowy" early history of Freud's mothering experiences may actually be engaged, however indirectly and unconsciously. This figure, and Freud's powerful, problematic identification with her, is a thread that when pulled helps unravel struggles in Freud's early theoretical development around issues of female sexuality and analytic authority. Revisiting Lucy R. and Dora provides a new perspective on Freud's difficulty with maternal transferences, and restores to their original importance his "worthless" governesses, those first analysts.     

Freud's baby: Beyond autoerotism and narcissism

The prevailing notion in the psychoanalytic literature is that Freud's thinking on neonatal object relations is completely captured in terms of his concepts of autoerotism and primary narcissism. Indeed, for Freud, autoerotism and primary narcissism conceptualize the earliest libido distributions, but these concepts do not exhaust Freud's model of early mental life. In this paper, the author endeavors to show that Freud's hypothetical infant arrives at autoerotism and narcissism at the expense of, and secondary to, primitive object-relatedness. More specifically, an appreciation of Freud's views on primitive object relations in light of the self-preservative instinct demonstrates his view that the infant is born into a state of mutual adaptation with the mother. The author makes detailed use of Freud's writings to show his conception of an infant who, from the inception of neonatal life, has the mental sophistication to maintain complex relations with instinctual objects, the sources of gratification or frustration, part-objects confusedly perceived because of cognitive immaturity and/or fantasy distortion. Such complexity includes the infant's capacity for primitive forms of perception, boundary formation, reality testing, and defensive, splitting-based projections and introjections.     

The choice of a name: "Dora" and Freud's relationship with Breuer

I have suggested that Freud's choice of the pseudonym Dora for his eighteen-year-old hysterical patient, Ida Bauer, was over-determined. Dora, it seems likely, was named not only after Freud's sister's nursemaid, as Freud himself explained, but also after Dora Breuer, Josef Breuer's youngest daughter. This theory is based on an examination of the similarities in the lives and symptoms of Anna O. (Breuer's famous hysterical patient of 1880-1882) and Dora; on an analysis of the transferences and countertransferences in the cases of these two young women; and on evidences of the persistent significance of Josef Breuer in Freud's life after 1895. These specific inquiries also call attention to the nature of hysteria at the end of the nineteenth century and to the ever-present complexities of the physician-patient relationship.     

Freud, Dora, and the maid: a study of countertransference

Early advances in psychoanalytic knowledge, profound though they were, were incomplete structures to be built upon, modified, and partially discarded. In addition to errors due to insufficient knowledge, Freud's difficulties with Dora stemmed from countertransference. Dora's transference included an identification with a governess/maid. Important oedipal role played by a nursemaid in Freud's life made him vulnerable to being left by Dora. The maid, Monika, "the prime originator" of Freud's neurosis, seduced him, chastised him, and taught him of hell. In his self-analysis she was associated with Freud's mother who left him when she gave birth to his sister. When he was two and a half years old, Monika was discharged and jailed for stealing. I suggest that Freud's attraction to Dora revealed itself in his libidinal imagery of the treatment and his premature sexual interpretations, the effects of which he misjudged. Defending against his attraction, he pushed her away from him, did not act to keep her in analysis or allow her to reenter analysis later. In addition, since Dora had left him as he must have felt his childhood nursemaid had, he reacted as if she were that maid. Hurt, saddened, and angered, he used reversal and deserted her, thus damping his feelings.     

The mind: psychoanalytic understanding then and now

The author discusses the evolution of psychoanalytic understanding from Freud's time to the present, citing the influence of various sociocultural changes. He addresses Freud's proper place in history and notes ways in which Freud's contributions cast him as belonging to Romanticism. Freud's shift from the topographic model of the mind to the structural one, and the influence of this on psychoanalysis, is discussed, as well as important developments in the field since Freud. The author focuses particularly on difficulties encountered in psychoanalytic practice today, and he describes what he has termed organizing interpretations as uniquely valuable in the treatment setting.     

Corrective Emotional Experience Remembered

The paper examines on the one hand the influence of the Berlin Institute in the 1920s on Franz Alexander's training and on his later work, as it was a workshop aiming to test the possibilities of a large utilization of psychoanalytic therapy in an institutional framework. On the other hand, the spirit of experimentation of Sándor Ferenczi and the endeavor to enhance the effectiveness and efficiency of psychoanalysis by the use of countertransference and emotional exchange also became important for Alexander. A glimpse of recent researches on Freud's timetable gives background information with possible comparisons between Freud's technique and that of Alexander.     

Freud's "Project": a theory for Studies on Hysteria

The controversy about the place of Sigmund Freud's unfinished draft of 1895, "Project for a Scientific Psychology," in the history of his thought, is addressed. It is argued that the "Project" may be understood as a suppressed response to the theory of hysteria presented by Josef Breuer in his and Freud's joint work, Studies on Hysteria. It is suggested that the "Project" may be read, in part, as a substitute for Breuer's theory. The timing and circumstances of the "Project's" composition are discussed. Its substantive and formal congruence with Studies on Hysteria is brought out. Freud's comments on scientific hypotheses are discussed, and it is shown that they constitute an implicit criticism of Breuer's theory.     

Technique and countertransference in Freud's analysis of the Rat Man

Freud's records of his treatment of the Rat Man constitute a unique document in the history of psychoanalysis. Through the years different analysts have used these records to support different theories about analytic technique. Certain non-interpretive interventions of Freud's have especially aroused their interest, and many reasons have been put forward to "explain" Freud's behavior. One reason never yet advanced and documented is that a countertransference tension may have been involved in one of these instances. This is surprising, since countertransference is a necessary part of every analysis. Evidence is presented that Freud's behavior may indeed have been under the sway of countertransference. Some recently discovered details concerning his early life are discussed as constituting a plausible background for ths countertransference enactment.     

On the vicissitudes of Freud's early mothering. I: Early environment and loss

Utilizing case examples and published accounts of Freud's infancy, I attempt to demonstrate that an upheaval in Freud's life, with a desperate turning to his mother and to oedipal issues, was the result of the loss of his nurse.