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A note on psycho-analytic publications and prizes 11 страница




 

A psychology which will not or cannot penetrate the depths of what is repressed regards affectionate emotional ties as being invariably the expression of impulsions which have no sexual aim, even though they are derived from impulsions which have such an aim.¹

 

¹ Hostile feelings are doubtless a little more complicated in their construction.0

 

We are justified in saying that they have been diverted from these sexual aims, even though there is some difficulty in giving a description of such a diversion of aim which will conform to the requirements of metapsychology. Moreover, those instincts which are inhibited in their aims always preserve some few of their original sexual aims; even an affectionate devotee, even a friend or an admirer, desires the physical proximity and the sight of the person who is now loved only in the ‘Pauline’ sense. If we choose, we may recognize in this diversion of aim a beginning of the sublimation of the sexual instincts, or on the other hand we may fix the limits of sublimation at some more distant point. Those sexual instincts which are inhibited in their aims have a great functional advantage over those which are uninhibited. Since they are not capable of really complete satisfaction, they are especially adapted to create permanent ties; while those instincts which are directly sexual incur a loss of energy each time they are satisfied, and must wait to be renewed by a fresh accumulation of sexual libido, so that meanwhile the object may have been changed. The inhibited instincts are capable of any degree of admixture with the uninhibited; they can be transformed back into them, just as they arose out of them. It is well known how easily erotic wishes develop out of emotional relations of a friendly character, based upon appreciation and admiration (compare Molière’s ‘Kiss me for the love of Greek’), between a master and a pupil, between a performer and a delighted listener, and especially in the case of women. In fact the growth of emotional ties of this kind, with their purposeless beginnings, provides a much frequented pathway to sexual object-choice. Pfister, in his Frömmigkeit des Grafen von Zinzendorf (1910), has given an extremely clear and certainly not an isolated example of how easily even an intense religious tie can revert to ardent sexual excitement. On the other hand it is also very usual for directly sexual impulsions, short-lived in themselves, to be transformed into a lasting and purely affectionate tie; and the consolidation of a passionate love marriage rests to a large extent upon this process.

 

We shall naturally not be surprised to hear that the sexual impulsions that are inhibited in their aims arise out of the directly sexual ones when internal or external obstacles make the sexual aims unattainable. The repression during the period of latency is an internal obstacle of this kind - or rather one which has become internal. We have assumed that the father of the primal horde owing to his sexual intolerance compelled all his sons to be abstinent, and thus forced them into ties that were inhibited in their aims, while he reserved for himself freedom of sexual enjoyment and in this way remained without ties. All the ties upon which a group depends are of the character of instincts that are inhibited in their aims. But here we have approached the discussion of a new subject, which deals with the relation between directly sexual instincts and the formation of groups.

1 D. The last two remarks will have prepared us for finding that directly sexual impulsions are unfavourable to the formation of groups. In the history of the development of the family there have also, it is true, been group relations of sexual love (group marriages); but the more important sexual love became for the ego, and the more it developed the characteristics of being in love, the more urgently it required to be limited to two people - una cum uno - as is prescribed by the nature of the genital aim. Polygamous inclinations had to be content to find satisfaction in a succession of changing objects.

 

Two people coming together for the purpose of sexual satisfaction, in so far as they seek for solitude, are making a demonstration against the herd instinct, the group feeling. The more they are in love, the more completely they suffice for each other. Their rejection of the group’s influence is expressed in the shape of a sense of shame. Feelings of jealousy of the most extreme violence are summoned up in order to protect the choice of a sexual object from being encroached upon by a group tie. It is only when the affectionate, that is, personal, factor of a love relation gives place entirely to the sensual one, that it is possible for two people to have sexual intercourse in the presence of others or for there to be simultaneous sexual acts in a group, as occurs at an orgy. But at that point a regression has taken place to an early stage in sexual relations, at which being in love as yet played no part, and all sexual objects were judged to be of equal value, somewhat in the sense of Bernard Shaw’s malicious aphorism to the effect that being in love means greatly exaggerating the difference between one woman and another.

 

There are abundant indications that being in love only made its appearance late on in the sexual relations between men and women; so that the opposition between sexual love and group ties is also a late development. Now it may seem as though this assumption were incompatible with our myth of the primal family. For it was after all by their love for their mothers and sisters that the mob of brothers was, as we have supposed, driven to parricide; and it is difficult to imagine this love as being anything but undivided and primitive - that is, as an intimate union of the affectionate and sensual. But further consideration resolves this objection to our theory into a confirmation of it. One of the reactions to the parricide was after all the institution of totemic exogamy, the prohibition of any sexual relation with those women of the family who had been tenderly loved since childhood. In this way a wedge was driven in between a man’s affectionate and sensual feelings, one still firmly fixed in his erotic life to-day.¹ As a result of this exogamy the sensual needs of men had to be satisfied with strange and unloved women.

 

¹ See Freud, (1912d).2

 

In the great artificial groups, the Church and the army, there is no room for woman as a sexual object. The love relation between men and women remains outside these organizations. Even where groups are formed which are composed of both men and women the distinction between the sexes plays no part. There is scarcely any sense in asking whether the libido which keeps groups together is of a homosexual or of a heterosexual nature, for it is not differentiated according to the sexes, and particularly shows a complete disregard for the aims of the genital organization of the libido.

 

Even in a person who has in other respects become absorbed in a group, the directly sexual impulsions preserve a little of his individual activity. If they become too strong they disintegrate every group formation. The Catholic Church had the best of motives for recommending its followers to remain unmarried and for imposing celibacy upon its priests; but falling in love has often driven even priests to leave the Church. In the same way love for women breaks through the group ties of race, of national divisions, and of the social class system, and it thus produces important effects as a factor in civilization. It seems certain that homosexual love is far more compatible with group ties, even when it takes the shape of uninhibited sexual impulsions - a remarkable fact, the explanation of which might carry us far.

 

The psycho-analytic investigation of the psychoneuroses has taught us that their symptoms are to be traced back to directly sexual impulsions which are repressed but still remain active. We can complete this formula by adding - ‘or, to aim-inhibited impulsions, whose inhibition has not been entirely successful or has made room for a return to the repressed sexual aim’. It is in accordance with this that a neurosis should make its victim asocial and should remove him from the usual group formations. It may be said that a neurosis has the same disintegrating effect upon a group as being in love. On the other hand it appears that where a powerful impetus has been given to group formation neuroses may diminish and, at all events temporarily, disappear. Justifiable attempts have also been made to turn this antagonism between neuroses and group formation to therapeutic account. Even those who do not regret the disappearance of religious illusions from the civilized world of to-day will admit that so long as they were in force they offered those who were bound by them the most powerful protection against the danger of neurosis. Nor is it hard to discern that all the ties that bind people to mystico-religious or philosophico-religious sects and communities are expressions of crooked cures of all kinds of neuroses. All of this is correlated with the contrast between directly sexual impulsions and those which are inhibited in their aims.

 

If he is left to himself, a neurotic is obliged to replace by his own symptom formations the great group formations from which he is excluded. He creates his own world of imagination for himself, his own religion, his own system of delusions, and thus recapitulates the institutions of humanity in a distorted way which is clear evidence of the dominating part played by the directly sexual impulsions.¹

 

¹ See Totem and Taboo, towards the end of the second essay.

 

E. In conclusion, we will add a comparative estimate, from the standpoint of the libido theory, of the states with which we have been concerned, of being in love, of hypnosis, of group formation, and of neurosis.

Being in love is based on the simultaneous presence of directly sexual impulsions and of sexual impulsions that are inhibited in their aims, while the object draws a part of the subject’s narcissistic ego-libido to itself. It is a condition in which there is only room for the ego and the object.

 

Hypnosis resembles being in love in being limited to these two persons, but it is based entirely on sexual impulsions that are inhibited in their aims and puts the object in the place of the ego ideal.

The group multiplies this process; it agrees with hypnosis in the nature of the instincts which hold it together, and in the replacement of the ego ideal by the object; but to this it adds identification with other individuals, which was perhaps originally made possible by their having the same relation to the object.

 

Both states, hypnosis and group formation, are an inherited deposit from the phylogenesis of the human libido - hypnosis in the form of a predisposition, and the group, besides this, as a direct survival. The replacement of the directly sexual impulsions by those that are inhibited in their aims promotes in both states a separation between the ego and the ego ideal, a separation with which a beginning has already been made in the state of being in love.

Neurosis stands outside this series. It also is based upon a peculiarity in the development of the human libido - the twice repeated start made by the directly sexual function, with an intervening period of latency.¹ To this extent it resembles hypnosis and group formation in having the character of a regression, which is absent from being in love. It makes its appearance wherever the advance from directly sexual instincts to those that are inhibited in their aims has not been wholly successful; and it represents a conflict between those portions of the instincts which have been received into the ego after having passed through this development and those portions of them which, springing from the repressed unconscious, strive - as do other, completely repressed, instinctual impulses - to attain direct satisfaction. Neuroses are extraordinarily rich in content, for they embrace all possible relations between the ego and the object - both those in which the object is retained and others in which it is abandoned or erected inside the ego itself - and also the conflicting relations between the ego and its ego ideal.

 

¹ See my Three Essays (1905d). 5

 


THE PSYCHOGENESIS OF A CASE OF HOMOSEXUALITY IN A WOMAN (1920)

 

 

Homosexuality in women, which is certainly not less common than in men, although much less glaring, has not only been ignored by the law, but has also been neglected by psycho-analytic research. The narration of a single case, not too pronounced in type, in which it was possible to trace its origin and development in the mind with complete certainty and almost without a gap may, therefore, have a certain claim to attention. If this presentation of it furnishes only the most general outlines of the various events concerned and of the conclusions reached from a study of the case, while suppressing all the characteristic details on which the interpretation is founded, this limitation is easily to be explained by the medical discretion necessary in discussing a recent case.

 

A beautiful and clever girl of eighteen, belonging to a family of good standing, had aroused displeasure and concern in her parents by the devoted adoration with which she pursued a certain ‘society lady’ who was about ten years older than herself. The parents asserted that, in spite of her distinguished name, this lady was nothing but a cocotte. It was well known, they said, that she lived with a friend, a married woman, and had intimate relations with her, while at the same time she carried on promiscuous affairs with a number of men. The girl did not contradict these evil reports, but neither did she allow them to interfere with her worship of the lady, although she herself was by no means lacking in a sense of decency and propriety. No prohibitions and no supervision hindered the girl from seizing every one of her rare opportunities of being together with her beloved, of ascertaining all her habits, of waiting for her for hours outside her door or at a tram-halt, of sending her gifts of flowers, and so on. It was evident that this one interest had swallowed up all others in the girl’s mind. She did not trouble herself any further with educational studies, thought nothing of social functions or girlish pleasures, and kept up relations only with a few girl friends who could help her in the matter or serve as confidantes. The parents could not say to what lengths their daughter had gone in her relations with the questionable lady, whether the limits of devoted admiration had already been exceeded or not. They had never remarked in their daughter any interest in young men, nor pleasure in their attentions, while, on the other hand, they were sure that her present attachment to a woman was only a continuation, in a more marked degree, of a feeling she had displayed of recent years for other members of her own sex which had already aroused her father’s suspicion and anger.

 

There were two details of her behaviour, in apparent contrast with each other, that most especially vexed her parents. On the one hand, she did not scruple to appear in the most frequented streets in the company of her undesirable friend, being thus quite neglectful of her own reputation; while, on the other hand, she disdained no means of deception, no excuses and no lies that would make meetings with her possible and cover them. She thus showed herself too open in one respect and full of deceitfulness in the other. One day it happened, indeed, as was sooner or later inevitable in the circumstances, that the father met his daughter in the company of the lady, about whom he had come to know. He passed them by with an angry glance which boded no good. Immediately afterwards the girl rushed off and flung herself over a wall down the side of a cutting on to the suburban railway line which ran close by. She paid for this undoubtedly serious attempt at suicide with a considerable time on her back in bed, though fortunately little permanent damage was done. After her recovery she found it easier to get her own way than before. The parents did not dare to oppose her with so much determination, and the lady, who up till then had received her advances coldly, was moved by such an unmistakable proof of serious passion and began to treat her in a more friendly manner.9

 

About six months after this episode the parents sought medical advice and entrusted the physician with the task of bringing their daughter back to a normal state of mind. The girl’s attempted suicide had evidently shown them that strong disciplinary measures at home were powerless to overcome her disorder. Before going further, however, it will be desirable to deal separately with the attitudes of her father and of her mother to the matter. The father was an earnest, worthy man, at bottom very tender-hearted, but he had to some extent estranged his children by the sternness he had adopted towards them. His treatment of his only daughter was too much influenced by consideration for his wife. When he first came to know of his daughter’s homosexual tendencies he flew into a rage and tried to suppress them by threats. At that time perhaps he hesitated between different, though equally distressing, views - regarding her either as vicious, as degenerate, or as mentally afflicted. Even after the attempted suicide he did not achieve the lofty resignation shown by one of our medical colleagues who remarked of a similar irregularity in his own family: ‘Well, it’s just a misfortune like any other.’ There was something about his daughter’s homosexuality that aroused the deepest bitterness in him, and he was determined to combat it with all the means in his power. The low estimation in which psycho-analysis is so generally held in Vienna did not prevent him from turning to it for help. If this way failed he still had in reserve his strongest counter-measure: a speedy marriage was to awaken the natural instincts of the girl and stifle her unnatural tendencies.

 

The mother’s attitude towards the girl was not so easy to grasp. She was still a youngish woman, who was evidently unwilling to give up her own claims to attractiveness. All that was clear was that she did not take her daughter’s infatuation so tragically as did the father, nor was she so incensed at it. She had even for some time enjoyed her daughter’s confidence concerning her passion. Her opposition to it seemed to have been aroused mainly by the harmful publicity with which the girl displayed her feelings. She had herself suffered for some years from neurotic troubles and enjoyed a great deal of consideration from her husband; she treated her children in quite different ways, being decidedly harsh towards her daughter and over-indulgent to her three sons, the youngest of whom had been born after a long interval and was then not yet three years old. It was not easy to ascertain anything more definite about her character, for, owing to motives that will only later become intelligible, the patient was always reserved in what she said about her mother, whereas in regard to her father there was no question of this.

 

To a physician who was to undertake psycho-analytic treatment of the girl there were many grounds for misgiving. The situation he had to deal with was not the one that analysis demands, in which alone it can demonstrate its effectiveness. As is well known, the ideal situation for analysis is when someone who is otherwise his own master is suffering from an inner conflict which he is unable to resolve alone, so that he brings his trouble to the analyst and begs for his help. The physician then works hand in hand with one portion of the pathologically divided personality, against the other party in the conflict. Any situation which differs from this is to a greater or lesser degree unfavourable for psycho-analysis and adds fresh difficulties to the internal ones already present. Situations like that of a prospective house-owner who orders an architect to build him a villa to his own tastes and requirements, or of a pious donor who commissions an artist to paint a sacred picture in the corner of which is to be a portrait of himself in adoration, are at bottom incompatible with the conditions necessary for psycho-analysis. Thus, it constantly happens that a husband instructs the physician as follows: ‘My wife suffers from nerves, and for that reason gets on badly with me; please cure her, so that we may lead a happy married life again.’ But often enough it turns out that such a request is impossible to fulfil - that is to say, the physician cannot bring about the result for which the husband sought the treatment. As soon as the wife is freed from her neurotic inhibitions she sets about getting a separation, for her neurosis was the sole condition under which the marriage could be maintained. Or else parents expect one to cure their nervous and unruly child. By a healthy child they mean one who never causes his parents trouble, and gives them nothing but pleasure. The physician may succeed in curing the child, but after that it goes its own way all the more decidedly, and the parents are now far more dissatisfied than before. In short, it is not a matter of indifference whether someone comes to analysis of his own accord or because he is brought to it - whether it is he himself who desires to be changed, or only his relatives, who love him (or who might be expected to love him).

 

Further unfavourable features in the present case were the facts that the girl was not in any way ill (she did not suffer from anything in herself, nor did she complain of her condition) and that the task to be carried out did not consist in resolving a neurotic conflict but in converting one variety of the genital organization of sexuality into the other. Such an achievement - the removal of genital inversion or homosexuality - is in my experience never an easy matter. On the contrary, I have found success possible only in specially favourable circumstances, and even then the success essentially consisted in making access to the opposite sex (which had hitherto been barred) possible to a person restricted to homosexuality, thus restoring his full bisexual functions. After that it lay with him to choose whether he wished to abandon the path that is banned by society, and in some cases he has done so. One must remember that normal sexuality too depends upon a restriction in the choice of object. In general, to undertake to convert a fully developed homosexual into a heterosexual does not offer much more prospect of success than the reverse, except that for good practical reasons the latter is never attempted.

 

The number of successes achieved by psycho-analytic treatment of the various forms of homosexuality, which incidentally are manifold, is indeed not very striking. As a rule the homosexual is not able to give up the object which provides him with pleasure, and one cannot convince him that if he made the change he would rediscover in the other object the pleasure that he has renounced, and such components of the instinct of self-preservation prove themselves too weak in the struggle against the sexual impulsions. One then soon discovers his secret plan, namely, to obtain from the striking failure of his attempt a feeling of satisfaction that he has done everything possible against his abnormality, to which he can now resign himself with an easy conscience. The case is somewhat different when consideration for beloved parents and relatives has been the motive for his attempt to be cured. Here there really are libidinal impulsions present which may put forth energies opposed themselves to the homosexual choice of object; but their strength is rarely sufficient. It is only where the homosexual fixation has not yet become strong enough, or where there are considerable rudiments and vestiges of a heterosexual choice of object, i.e. in a still oscillating or in a definitely bisexual organization, that one may make a more favourable prognosis for psycho-analytic therapy.

 

For these reasons I refrained altogether from holding out to the parents any prospect of their wish being fulfilled. I merely said I was prepared to study the girl carefully for a few weeks or months, so as then to be able to pronounce how far a continuation of the analysis would be likely to influence her. In quite a number of cases, indeed, an analysis falls into two clearly distinguishable phases. In the first, the physician procures from the patient the necessary information, makes him familiar with the premises and postulates of psycho-analysis, and unfolds to him the reconstruction of the genesis of his disorder as deduced from the material brought up in the analysis. In the second phase the patient himself gets hold of the material put before him; he works on it, recollects what he can of the apparently repressed memories, and tries to repeat the rest as if he were in some way living it over again. In this way he can confirm, supplement, and correct the inferences made by the physician. It is only during this work that he experiences, through overcoming resistances, the inner change aimed at, and acquires for himself the convictions that make him independent of the physician’s authority. These two phases in the course of the analytic treatment are not always sharply divided from each other; this can only happen when the resistance obeys certain conditions. But when this is so, one may bring up as an analogy the two stages of a journey. The first comprises all the necessary preparations, to-day so complicated and hard to effect, before, ticket in hand, one can at last go on to the platform and secure a seat in the train. One then has the right, and the possibility, of travelling into a distant country; but after all these preliminary exertions one is not yet there - indeed, one is not a single mile nearer to one’s goal. For this to happen one has to make the journey itself from one station to the other, and this part of the performance may well be compared with the second phase of the analysis.

 

The course of the present patient’s analysis followed this two-phased pattern, but it was not continued beyond the beginning of the second phase. A special constellation of the resistance made it possible, nevertheless, to gain full confirmation of my constructions, and to obtain an adequate insight on broad lines into the way in which her inversion had developed. But before relating the findings of the analysis I must deal with a few points which have either been touched upon already by myself or which will have roused special interest in the reader.3

 

I had made the prognosis partly dependent on how far the girl had succeeded in satisfying her passion. The information I obtained during the analysis seemed favourable in this respect. With none of the objects of her adoration had the patient enjoyed anything beyond a few kisses and embraces; her genital chastity, if one may use such a phrase, had remained intact. As for the demi-mondaine who had roused her most recent and by far her strongest emotions, she had always been treated coldly by her and never been allowed any greater favour than to kiss her hand. She was probably making a virtue of necessity when she kept insisting on the purity of her love and her physical repulsion against the idea of any sexual intercourse. But perhaps she was not altogether wrong when she boasted of her wonderful beloved that, being of good birth as she was, and forced into her present position only by adverse family circumstances, she had preserved, in spite of her situation, much nobility of character. For the lady used to recommend the girl every time they met to withdraw her affection from herself and from women in general, and she had persistently rejected the girl’s advances up to the time of the attempted suicide.

 

A second point, which I at once tried to investigate, concerned any possible motives in the girl herself which might serve as a support for psycho-analytic treatment. She did not try to deceive me by saying that she felt any urgent need to be freed from her homosexuality. On the contrary, she said she could not conceive of any other way of being in love, but she added that for her parents’ sake she would honestly help in the therapeutic attempt, for it pained her very much to be the cause of so much grief to them. To begin with, I could not but take this, too, as a propitious sign; for I could not guess the unconscious affective attitude that lay concealed behind it. What came to light later in this connection decisively influenced the course taken by the analysis and determined its premature conclusion.

 

Readers unversed in psycho-analysis will long have been awaiting an answer to two other questions. Did this homosexual girl show physical characteristics plainly belonging to the opposite sex, and did the case prove to be one of congenital or acquired (later-developed) homosexuality? 4

 

I am aware of the importance attaching to the first of these questions. But one should not exaggerate it and allow it to overshadow the fact that sporadic secondary characteristics of the opposite sex are very often present in normal individuals, and that well-marked physical characteristics of the opposite sex may be found in persons whose choice of object has undergone no change in the direction of inversion; in other words, that in both sexes the degree of physical hermaphroditism is to a great extent independent of psychical hermaphroditism. In modification of these statements it must be added that this independence is more evident in men than women, where bodily and mental traits belonging to the opposite sex are apt to coincide. Still I am not in a position to give a satisfactory answer to the first of our questions about my patient. The psycho-analyst customarily forgoes a thorough physical examination of his patients in certain cases. Certainly there was no obvious deviation from the feminine physical type, nor any menstrual disturbance. The beautiful and well-made girl had, it is true, her father’s tall figure, and her facial features were sharp rather than soft and girlish, traits which might be regarded as indicating a physical masculinity. Some of her intellectual attributes also could be connected with masculinity: for instance, her acuteness of comprehension and her lucid objectivity, in so far as she was not dominated by her passion. But these distinctions are conventional rather than scientific. What is certainly of greater importance is that in her behaviour towards her love-object she had throughout assumed the masculine part: that is to say, she displayed the humility and the sublime overvaluation of the sexual object so characteristic of the male lover, the renunciation of all narcissistic satisfaction, and the preference for being the lover rather than the beloved. She had thus not only chosen a feminine love-object, but had also developed a masculine attitude towards that object.




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