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.     

Inventing Freud

Written to commemorate the 150th anniversary of Freud's birth, this paper construes Nina Coltart's statement that "if Freud did not exist it would be necessary to invent him," with its implicit comparison of Freud to God, to refer to (a) the things that Freud taught that are incontrovertibly true; (b) the unavoidable subjectivity in all judgments of Freud; and (c) the resemblances between psychoanalysis and religion. This last comparison is likewise seen to have both positive and negative aspects. Freud's ideas have inspired many people, yet he unscientifically arrogated sovereign authority over psychoanalysis. Freud's admirers are reminded of his extreme difficulty in admitting he was wrong and changing his mind when he should have known better, while his detractors are encouraged to consider the evidence supporting many of Freud's core tenets and to recognize that his discovery of psychoanalysis is indeed one of the supreme achievements in human history.     

Recent reformulations of Freud's development and abandonment of his seduction theory: historical/scientific clarification or a continued assault on truth?

It is well known that, as part of Freud's early work with "hysteria," he reported making discoveries of sexual abuse that he interpreted first as genuine but subsequently as fantasy. Several writers now argue that Freud never made such discoveries; rather that he lied about them, only inferred abuse from his patients' symptoms, or suggested false memories to his clients. The present authors evaluate Freud's original work and these recent claims and conclude that (a) they are not new and are similar to the original reaction that Freud received; (b) the assertion that Freud did not make discoveries of abuse is unwarranted; and (c) these recent writers frequently have supported their positions by misrepresenting what Freud actually wrote, ignoring evidence that contradicted their position, failing to consider obvious and more plausible explanations for Freud's behavior, and going beyond the available data and stating with certainty what cannot be determined.     

Freud and Gilles de la Tourette. Speculations regarding the diagnosis of Mrs. Emmy von N

The author reviews the case of Emmy von N. and provides a historical overview of the Gilles-de-la-Tourette syndrome (tic convulsif) referring also to recent studies of this illness. She revises Freud's diagnosis of hysteria in favour of the Gilles-de-la-Tourette syndrome.     

Some sources for a slip in a translation by Freud

Among Freud's papers, we find instances in which Freud describes the "psychopathology of everyday life" as he found it in himself and in others. "A Religious Experience" (Freud, 1928) contains examples of both kinds. In addition, this paper contains a slip of which Freud appears to have been unaware. Freud's paper interprets a religious conversion described in a letter written to him in English. In the translation of this letter into German, Freud inserted material that was not present in the original. He mentions another slip he made in speaking about the letter. These slips and some associated details in the paper indicate persisting unconscious conflict. The content of these slips and details points to an association with Freud's childhood anxiety dream reported in The Interpretation of Dreams (Freud, 1900). Freud's associations and discussion of that dream lead to the Philippson Bible of his childhood, which provides additional connections to the paper of 1928.     

SHIFTING BETWEEN ALTERNATIVE MODES OF COGNITION: CAN FREE ASSOCIATION,IN AND OF ITSELF,PROVE THERAPEUTIC?

From early on in his career, at the time of his treatment of Frau Emmy von N., Freud (Breuer and Freud 1895) recognized the value of listening to the patient's material without attempting to steer it along a particular course. His focus on the method of freie Einfalle (free association), to be presented to the patient as the fundamental rule of analytic treatment, led to his recommendation that the analyst listen with evenly suspended attention (Freud 1912 ). But is free association therapeutic in and of itself? The author proposes an affirmative reply to this question based on the contribution of free association to the patient's nascent ability to shift between active and passive modes of cognition.     

ON THE DATING OF FREUD'S ALIQUIS SLIP

In a recent article in this journal, Philip Kuhn (1999) criticised Peter Swales's 1982 thesis that Minna Bernays, Freud's sister-in-law, aborted the child that she had conceived by Freud during their summer travels together in 1900, and proposed instead that the aliquis slip of around this time reveals a momentary fear of Freud's that his wife was once again pregnant. This author contests Kuhn's argument by demonstrating that key speculations underpinning his paper cannot be sustained, that the aliquis slip did not occur at the time he presumed, that the woman referred to in the aliquis slip could hardly have been Freud's wife and that there is no reason to suppose that Freud fabricated part of his analysis in the way that Kuhn suggests. On the basis of new empirical evidence the timing of the aliquis slip is established and the likelihood of it concerning Freud's anxiety about the possible pregnancy of his sister-in-law is reasserted.     

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 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.     

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.     

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.     

Paranoia or Persecution: The Case of Schreber

Many psychoanalysts base their understanding of paranoia upon Freud's analysis of Schreber. Freud thought Schreber became paranoid as a "defense" against homosexual love. Freud, and those who analyzed Schreber after him, neglected an important source of data — the writings of Schreber's father about child-rearing. The father had been an eminent German pedagogue.
I show some striking similarities between the father's methods of rearing children and some of the son's strange experiences for which he was considered paranoid.I infer from reading the father's writings that he persecuted Schreber. Schreber did not imagine he was persecuted; he was persecuted.
I propose a transactional theory of paranoia to explain Schreber's experiences. I link his experiences with his father's behavior. I part company here with all previous analyses of Schreber's paranoia. If my theory also explains other cases of paranoia, its effects could, and should be widespread.     

Pierre Janet and Auguste Forel: Two Historical Contributions

This paper discusses two 19th century French-speaking authors, Pierre Janet and Auguste Forel, who both employed hypnosis and in various ways were early influences on psychoanalysis. To acquaint the reader with the clinical works of these pioneers, a long case history by Janet, and a case history by Forel are presented. The connections between these two authors and modern developments are discussed. Both historical figures were contemporaries of Freud and their at times contentious relationships became part of their legacy.     

Leonardo's phantasy and the importance of Freud's slip: The role of the analyst's phantasies in applied psychoanalysis and in the analytic relation

In his paper on Leonardo, Freud made a slip. Referring to the bird which, according to one of Leonardo's memories, tossed its tail into the painter's mouth many times when he was a child, Freud replaced 'kite' with 'vulture'. It is widely accepted that this slip doesn't signifi cantly damage the whole of Freud's constructions on the paper, nevertheless, the part of his considerations relating to the meaning of 'vulture' should be discounted. In the author's view, this part of the Leonardo paper is necessary. Thanks to the slip Freud was able to reach a comprehension which otherwise would have been unattainable. Interpretation based on the vulture made possible the confi guration of a mother as 'daughter of the wind', as was the case not only with Leonardo's mother but also with Freud's. Interpretation of Leonardo's phantasy was achieved through Freud's unconscious identifi cation with Leonardo and the slip adequately interpreted becomes the evidence of this. Through identifi cation, Freud succeeded in making sense of Leonardo's memory but also in realising an indirect virile possession of his own 'winged' mother. Freud's position as interpreting subject in his paper on Leonardo also has more general value: the analyst's knowledge about the 'other' has a very important basis in the indirect expression of his unconscious wishes within the fi eld of sense. The author uses clinical material in order to show how the analyst's phantasies play an important role in analytical interpretive work.     

Art and emotion in psychoanalysis

Freud's view that art satisfi es psychic needs has been taken to mean that art has its source in the unconscious and that it unifi es pleasure and reality. The author argues that there is a third point that Freud repeatedly emphasizes, which should not be overlooked, that art infl uences our emotions. The author examines what Freud means by this claim, in particular, his reading of Michelangelo's Moses. Freud's focus here on emotions as fundamental to subjective experience, as subject to regulation and as potentially healthy forms of communication serves to supplement and even challenge what he says in his theory of affect. The author concludes by making inferences about a contemporary psychoanalytic theory of affects: that it ought to be inclusive of science (more receptive to neurobiology and less bound to Freud) as well as art (preserving the focus on subjective experience, especially the processing of complex emotions), which is illustrated with the concept of mentalized affectivity.     

The Freudian Antecedents of Cognitive–Behavioral Therapy

The writings of Sigmund Freud are reviewed, showing the similarities of many of his concepts with those of cognitive–behavioral therapy (CBT). Automatic thoughts, core beliefs, and the desire to please the therapist are shown to have parallels in Freud's ideas about involuntary thoughts, the preconsdous, the unconscious, and transference. Similarities in technique are noted, especially in light of Freud's original ideas about suggestion and influence as well as latter-day discoveries regarding Freud's actual practices. In certain ways, CBT is closer to Freud than is classical psychoanalysis. A brief history of the attempts to integrate behaviorism with Freud is given, showing how Freud's objectifying of dream reports presaged the viewing of verbal reports as behavior. Other developments in cognitive psychology are also discussed with regards to Freud's ideas about information processing and the production of memories.     

Freud's ego ideals: a study of admired modern historical and political personages

It is appropriate to conclude this study with a statement that characterizes Freud and his search for particular models, and this is: "A genius chooses his family from among heroes." His historical heroes were Cromwell, Napoleon, Masséna, Garibaldi, Bismarck, Adler, Lasalle, Lasker, and Wilson. Of course, toward many of these figures, Freud was also ambivalent. Yet these leaders have certain common denominators. In various degrees, they may be characterized as progressive, secular, and anti-Catholic. Moreover, they all had spectacular careers, stood up against great odds, and in many instances had serious conflicts with their fathers or men in authority. These leaders had a special significance for Freud, and their selection is representative not only of his own personal dynamics, but also of his historical milieu. His ego ideals demonstrate that Freud was ambitious and had partisan political feelings and concerns. In some cases the choice of the ego ideals stemmed from his ambivalent feelings toward his father and his particular resolution of the oedipal situation. Also very significant is the fact of Freud's Jewish heritage and the anti-Semitism he experienced as a citizen of the Hapsburg Empire. Moreover, Freud was always sensitive about the power and the influence of the Catholic church. Still another reason for his selection of widely scattered figures with whom to identify is the broadening influence of his classical education. In addition, being gifted linguistically, he was able to transcend a parochial environment. In general then, Freud's ego ideals reveal that he was informed politically and historically and that he regarded these men as promoting policies that were liberating.     

A further footnote to Freud's "fragment of an analysis of a case of hysteria".

While ther is no evidence that Freud ever had in analysis a leading political figure, he did analyze the sister of one, and made her the basis of an important case study. Dora's brother, Otto Bauer, was an influential Marxist theoretician and leader of the Austrian Socialist Party from 1918 to 1934. Freud's Dora case illuminates the psychodynamics of Otto Bauer's life and career, and a re-examination of the case together with recent research also provides us with new information about Freud's analysis of Dora and the milieu in which they both lived.