Wednesday, April 1, 2020

What is psychoanalysis?

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When Sigmund Freud first developed his psychoanalytical theory as treatment for those people who had mental dysfunctions, he was one of the first analysts to attempt to tackle patients' head on by developing a series of therapeutic sessions directly with the patients. These sessions are largely based on talking to patients and discovering their repressed feelings that he believes are the causes of the mental disorder. His theory is solely based on the fact that he believes human behavior develops through a series of stages in childhood that largely rely upon the satisfaction of needs in the individual which are mostly sexual. He thinks that if the unconscious mind is unable to control the interpretation of the needs and how to understand them in relation to the real world, then behavioral problems will arise. Once these problems are uncovered with the help of a therapist, then behavior can change.


Sigmund Freud is known for his unique ways of curing people with cases of hysteria by psychoanalysis. By definition hysteria is an "excessive or uncontrollable emotion" and can also be classified as a disease or an ailment (dictionary, 41). Once hysteria has taken over a person, the next step to cure him or her is to undergo psychoanalysis, which is "a method of psychiatric therapy in which free association, dream interpretation, and analysis of feelings and behavior are used to investigate mental and emotional disorders" (dictionary, 677). Freud's first step in his psychoanalytical treatment is talking to his patients in order to get to the origin of the patients problem. Freud shows that the foundation of the basic principal of psychoanalysis is that "human beings are driven by unconscious forces" (11). For many patients, including Dora, from "The Clinical Picture", Freud shows that the etiologies of the hysterical outcries are those from repressed ideas in the unconscious mind. Once therapy has started, the therapist, such as Sigmund Freud, is able to analyze, interpret, and understand the patients' dreams, thoughts, symptoms, and unconscious ideas. Some of Freud's procedures that he practices are the "talking method", bringing the unconscious to consciousness, completing the patients' story, and transference. Theses methods are used to try to cure some of Freud's patients that have cases of hysteria.


Freud's "talking method" makes it easier to understand the human mind and helps cure Dora in "The Clinical Picture." It proves that interaction between Freud and Dora helps Freud come up with a conclusion and gives Dora a cure that no one else or no other treatment is able to do. "The Clinical Picture" is basically the story of how Freud puts the pieces of Dora's life together like a puzzle. He shares stories about her life that Dora shares with him while under Freud's care as a therapist. These stories help Freud analyze, interpret, and understand where Dora is coming from and also give him "physical manipulation of the patient's body gave way to psychological engagement with the patients mind" (1). A simple, yet hard to achieve cure for hysteria becomes "a matter of talking and analyzing" (1).


While Freud talks to his patients he often asks them to repeat a certain part of a story or even asks them to tell the entire story again. This part of the treatment is critical because many people with a case of hysteria leave out important information in their stories either consciously or unconsciously. In "The Clinical Picture" Dora will repeat parts of or a whole story and either the part or whole is slightly changed. In one therapy session with Dora, Freud comes up with some conclusions from her "Second Dream" that he discusses with her. From the conclusions Dora was able to remember "a piece of the dream which had been forgotten" (4). The changing of the story is defined as the patients repressed ideas coming out. Usually the patient is not aware of this and it helps Freud to understand the story more comprehensively. This is Freud's way of putting pieces of different stories together to complete a bigger one that can be used to cure the patient. Dora's case proves that talking about the same things over and over again will enhance the brain and bring out more details to a story or dream that have not been stated yet.


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Freud also demonstrates that the unconscious can be used to cure a case of hysteria, which he proves though Dora. It is verified that many people, including Dora, have unconscious symptoms and actions. These are "repressed ideas and experiences that the hysteria patient pushes into parts of the brain that are inaccessible to the conscious mind" (11). Freud figures out that Dora has these repressed ideas and experiences and that it is his job to bring the unconscious ideas to consciousness and then to untangle and to understand Dora on a psychoanalytical level. In "The Clinical Picture" Freud comes to the conclusion that one of Dora's major unconscious actions is her coughing uncontrollably. He concludes that, "her illness [is] therefore a demonstration of her love for [Herr] K." (Freud 1). This conclusion is evaluated many times throughout Dora and Freud's discussions to help bring out more details and cure her case of hysteria. This is Freud's demonstration on "how the theory of the unconscious [can] be used to cure hysteria" (1).


Transference is one more helpful tool that Freud makes use of in his psychoanalysis treatment.


In order for Freud to fill gaps of stories, answer questions, and figure out unconscious, repressed ideas, he must talk to his patient a numerous amount of times to better understand her. The conclusion takes time and "it is only towards the end of the treatment that [Freud] has an intelligible, consistent, and unbroken case history" (Freud 17). Freud proves these cures to work through the life of Dora in "The Clinical Picture."


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