ychical disease in the waking
state have been rightly insisted upon by a number of medical observers.
It seemed, therefore, _a priori_, hopeful to apply to the interpretation
of dreams methods of investigation which had been tested in
psychopathological processes. Obsessions and those peculiar sensations
of haunting dread remain as strange to normal consciousness as do
dreams to our waking consciousness; their origin is as unknown to
consciousness as is that of dreams. It was practical ends that impelled
us, in these diseases, to fathom their origin and formation. Experience
had shown us that a cure and a consequent mastery of the obsessing ideas
did result when once those thoughts, the connecting links between the
morbid ideas and the rest of the psychical content, were revealed which
were heretofore veiled from consciousness. The procedure I employed for
the interpretation of dreams thus arose from psychotherapy.
This procedure is readily described, although its practice demands
instruction and experience. Suppose the patient is suffering from
intense morbid dread. He is requested to direct his attention to the
idea in question, without, however, as he has so frequently done,
meditating upon it. Every impression about it, without any exception,
which occurs to him should be imparted to the doctor. The statement
which will be perhaps then made, that he cannot concentrate his
attention upon anything at all, is to be countered by assuring him most
positively that such a blank state of mind is utterly impossible. As a
matter of fact, a great number of impressions will soon occur, with
which others will associate themselves. These will be invariably
accompanied by the expression of the observer's opinion that they have
no meaning or are unimportant. It will be at once noticed that it is
this self-criticism which prevented the patient from imparting the
ideas, which had indeed already excluded them from consciousness. If the
patient can be induced to abandon this self-criticism and to pursue the
trains of thought which are yielded by concentrating the attention, most
significant matter will be obtained, matter which will be presently seen
to be clearly linked to the morbid idea in question. Its connection with
other ideas will be manifest, and later on will permit the replacement
of the morbid idea by a fresh one, which is perfectly adapted to
psychical continuity.
This is not the place to examine thoroughly the hypothes
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