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Identifying neurotic patterns

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Our Inner Conflicts: A Constructive Theory of Neurosis

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    Ken Gemes - - Journal of Nietzsche Studies 38 1 Sue-Ellen Brown - - Society and Animals 19 2 The Standing of Psychoanalysis. MacDonald - - Archive for the Psychology of Religion 33 1 Dora's father was having a love affair with Frau K. In turn, Herr K. Meanwhile Dora and Frau K.

    Our Inner Conflicts: A Constructive Theory of Neurosis | JAMA | JAMA Network

    The facts, which Freud did not dispute, might have seemed to indict Dora's pathogenic environment as the cause of her headaches, fever, loss of voice and coughing spells. Freud had in fact begun with such an environmental theory of neurosis, although it postulated a sexual trauma in infancy, which was apparently not the case with Dora. But in a momentous turnabout, Freud wrote Fliess on Sept.

    I no longer believe in my neurotica,'' or seduction theory. The reason, he explained, was that in every case ''blame was laid on perverse acts by the father'' - his own included, Freud noted in a mysterious phrase that was excised from the published letters. But Freud added, ''it was hardly credible that perverted acts against children were so general.

    Still, he wavered, not publishing his doubts for at least six more years, and never totally repudiating the reality of seductions, which, it has been noted, do not necessarily preclude the instinctual infantile drives. On Dec. Further evidence that Freud remained torn over the seduction theory comes in another unpublished passage of a letter of Dec. In it Freud provided Fliess a stark case history that Freud wrote ''speaks for the intrinsic authenticity of infantile trauma'': A patient Freud said had been raped at the age of 2 by her father claimed to remember, as a 3-year-old, seeing her sadistic father anally raping her mother.

    The graphic details convinced Freud that the account could not have been made up and he concluded the letter, borrowing from Goethe: ''A new motto: What has one done to you, poor child?

    The Psychoanalytic Theory of Neurosis

    But now enough of my filthy stories. The last two sentences were excised from the published version without even the customary elipses showing an editorial cut. Freud's Turnabout. But by , when the Dora case was published, Freud had made an about face. Dora's hysteria, Freud concluded, stemmed not from any external reality but an innate Oedipal drive, a daughter's instinctive sexual love for the father.

    Nor was this an exceptional conclusion for Freud.


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    Milton Klein and Dr. David Tribich, reviewed Freud's five major case studies, including Dora, and concluded that Freud repeatedly described destructive behavior by the parents without recognizing it as such. In another of the cases reviewed, Freud analyzed Daniel Paul Schreber, a German jurist who, it has since become evident, was driven insane by his brutal and fanatical father.

    The father, hailed in by his own biographer as a spiritual precursor of Nazism, had devised iron braces and rigid behavorial rules to ''crush the child's crude nature. Morton Schatzman Random House, Klein and Dr.

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    Tribich, who are writing a book on Freud's seduction theory. Klein, in another paper accepted for publication shortly in the Bulletin of the Menninger Clinic, discounted Freud's own description of the seduction theory as an early ''error'' which Freud said he recognized and corrected.

    Significantly, Dr. Klein and other scholars have noted, Freud downgraded the seduction theory and commenced a ''retreat to isolation'' after a hostile response from the renowned sex-pathologist Richard von Krafft-Ebing and the rest of the Vienna Psychiatric Society in - ''an icy reception from the jackasses,'' was the way Freud described it later to Fliess.

    Retreat Under Fire.