Psychoanalysis, Scientific Method, and Philosophy
Psychoanalysis, Scientific Method, and Philosophy
Psychoanalysis, Scientific Method, and Philosophy
PSYCHOANALYSIS,
AND PHILOSOPHY
A Symposium on this subject was held at New York University under the
chairmanship of Sidney Hook, on Rfarch 28-29, 1958, and the proceedings are
now available in book form. Most of the participants in the Symposium were
philosophers, while a few came from psychology, sociology, and other dis-
ciplines. Psychoanalysis was represented by Heinz Hartmann, Lawrence
Kubie, Abram Kardiner, and Jacob Arlow.
T h e Symposium was opened with a paper by Hartmann on Psycho-
analysis As a Scientific Theory in which the subject was treated in general
terms and special attention was given to metapsychology. Hartmanns paper
deserves careful discussion by psychoanalysts, but most of the participants
in the Symposium could neither know nor appreciate the nature of the experi-
ence upon which his remarks were based.
Kubie enumerated the difficulties which stand in the way of exact formu-
lations in psychoanalysis; these range from exclusive dependence on auditory
data to the questionable justification for inevitable quantitative pictures of
mental life, or to the difficulty of measuring these alleged quantities. Against
these liabilities Kubie placed the assets of the analytic situation and of the
rule of free associations.
Arlow, whose contribution came later in the proceedings, had by that
time discovered that familiarity with the elements of the psychoanalytic
method could not be taken for granted; his approach was therefore simpler
and more didactic. He tried to show that psychoanalysis is not an esoteric
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PSYCHOANALYSIS, SCIENTIFIC AIETIIOD, PHILOSOPHY 619
T h e Essentials of Ps)'choanalysis
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PSYCIIOANALYSIS, SCIENTIFIC METHOD, PHILOSOPIIY 62 1
Freud's philosophy is largely a matter of his time and has little bearing
on psychoanalysis. Interpretations and theories can be accepted by men who
hold entirely different philosophies; at most, they might request an occasional
change in the choice of words.
I do not see what difference it makes for the understanding or the skill
of a psychoanalyst whether he is an atheist like Freud and believes that the
reality which is accessible to our senses is the only reality that exists, or at
least the only reality that matters for us, or believes that beyond the world
with which we are in contact through our senses there are other realities
which may yet be important for our destiny. Neither position can be proved;
which one we hold is largely a matter of temperament. T h e first position is
taken by those who feel that one should not believe what one cannot prove
and should be resigned to living with ignorance; the latter position is pre-
ferred by those who feel that a decision about absolute values is implicit i n
the conduct of our lives, that anything absolute points toward transcending
realities, and that we may as well recognize in thinking what we cannot help
taking for granted i n our actions. I n Kantian language, the first group follows
the counsel of pure, the second that of practical, Reason.
Similarly, I do not see why it should make much difference whether or
not a psychoanalyst believes in progress-its possibility or its inevitability-
through Reason. Those who do will still have to acknowledge the fact that
the enlargement of consciousness through psychoanalysis is not therapeutically
effectivein all pathological conditions, and in certain instances may even be
harmful, and those who do not believe in it will have to acknowledge that
enlargement of consciousness is the royal road of treatment in the classical
psychoneuroses.
T h e degree to which these various layers in psychoanalytic writings are
known to the outside world are in inverse ratio to their relevance for psycho-
analysis. Outsiders often know something about Freud's philosophical writ-
ings-his ideas about religion, about the scientific view of the world, or about
civilization and morality in general. This is due to the fact that Freud's
philosophical writings deal with matters that are familiar to the general
reader and do not require for their understanding any experience to which
the outsider is not privy.
Next, the outsider will often know something about the speculative con-
cepts on the fringes of psychoanalytic theory-about Eros and Thanatos,
about psychic energies, about the difference between free and bound energy.
These concepts, different from Freud's philosophical thought. do refer to
psychoanalytic experience and derive from it their claims for acceptance: they
can therefore not be properly judged without a knowledge of this basis. But
i t is possible to take them as merely referring to common experience. and
in this sense they can be discussed, albeit inadequately, without special psy-
choanalytic knowledge.
There is much less general knowledge of clinical theory. Some of its terms
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ever the object of our study lies in the past-of the universe as in cosmology,
of the earth as in geology, of animal life as in palaeontology, of human events
as in archaeology and history, of a n individual life as in the rules of evidence
in a case of law-the direct evidence cannot be supplied. All that we have
is some form of indirect, or circumstantial, evidence.
I n the natural sciences, the theory of evolution through natural selection
is a case in point. It is generally looked upon as a scientific theory, and as
one of the major scientific achievements of modern time. Yet, direct evidence
can only be said to exist for very small evolutionary changes due to the dif-
ferential survival of micromutations; eg., the change from a strain of rabbits
that is almost always killed by myxomatosis to a strain that is fairly resistant
to it; or the daily dianges of micro-organisms in response to the introduction
of antibiotics. But there is, of course, no such evidence for macromutations
and megamutations with which the theory of evolution stands and falls.
Charles Singer, the great historian of science, once commented on this
situation as follows: Evolution is perhaps unique among major scientific
theories in that the appeal for its acceptance is not that there is any evidence
for it but that any other proposed interpretation of the data is wholly in-
credible (10, p. 487).
But is evolution really unique in this respect? On what else do we base
our belief that there lived, in the late fifteenth and early sixteenth centuries,
a seafarer named Christopher Columbus who wanted to find a IVestern sea
route to the Jndies, was commissioned for his journey by Ferdinand of Ara-
gon and Isabella of Castile, and discovered America in the process? All this
rests on reports of various kinds, and reports can be mistaken or mendacious;
no reproduction of the events is possible. But we accept these reports as true
in their main outline-after having subjected them to exacting criticism
according to what the historians call the historic method-because it is
enormously unlikely that so many reports from different and apparently
independent sources should fit so well together unless they all derived from
the same real events; i n short, we accept the story of Columbus because any
other proposed interpretation of the data is wholly incredible. T h e same is
true when the criminal investigator tries to reconstruct a crime on the basis
of confessions, testimony of witnesses, o r circumstantial evidence, o r a com-
bination of them; we are satisfied that this reconstruction is correct when
any alternate interpretation is utterly incredible.
This consideration is also the basis for the deciphering of a x r i p t - o r
indeed for the very assumption that certain frequently recurrent designs on
stone, or clay, or parchment are characters of a script and not, eg., mere
decorations-for the deciphering of an enemy code, or the reconstruction of
an ancient, forgotten language. These are all historical interpretations be-
cause what is reconstructed is the meaning of a sign for those who put i t
there, or how an andent people spoke. There is no complete evidence that
this was so; we cannot conjure it up and listen. I t might all be a delusion,
a vast edifice of interlocking errors-except for the fact that the reconstruc-
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PSYCHOANALYSIS, SCIENTIFIC AIETIIOD, PIIILOSOPIIY 625
tions fit a n enormous mass of data from many sources and that the proba-
bility of this all being a matter of coincidence is so infinitesimal as to be
negligible.
This was the consideration on which Bleuler, nearly half a century ago,
based his defense of psychoanalysis, and it is not without interest to note fiat
not one speaker in this Symposium referred to Bleulers book (1). I t was also
in view of this consideration that Alfred Stanton said, in the Panel on this
subject, held at the American Psychoanalytic Association meeting in 1934,
that the psychoanalytic method is closer to the deciphering of the hieroglyphs
than to laboratory investigations.
T o sum it up: what Singer considered a unique feature of the theory
of evolution-viz., that the appeal for its acceptance rests on the fact that
any othcr explanation of the data is wholly incredible-is true of all histori-
cal statements, and the thcory of evolution falls into this category because it
is an attempt to reconstruct the past of living organisms, hence a historical
theory.
Yet, we cannot do without statements about the past: it is unimaginable
what our lives would be like if we would no longer consider any statements
about the past as trustworthy. Our lives would become wholly unlivable, and
I have tried on another occasion to shorr that all statements in the exact
sciences depend at some point on the possibility of making accurate assump-
tions about the past (14, p. 16ff.).
2. I n order to be able to make esact statements about cause-effect rela-
tionships, it is necessary that the variables of a subject be loosely coupled
(15, p. 1256), so that it is possible to study the effect of a single variable
alone, o r at least to study.not more than two or three variables at a time.
JVhere the variables are very Closely coupled, so that whenever one variable
changes, a host of others change simultaneously, conclusive evidence as to
cause and effect is very difficult to come by, as is the case in all biological
sciences.
3. Then there is a special case of this factor which deserves special
attention. It must be possible to assume that the subject matter under study
does not significantly change during the investigation, i.e., that nature is
holding still long enough for the examination to be finished. If this is not
the case, we are faced with a new unknown in our material.
This condition is not always mct in the study of living organisms; e.g.. a
virus may change its virulence quickly. I n our own field, the living patient
before us is changing constantly. The psychoneuroses seem to have changed
since the early days of psychoanalysis, with simple and rather transparent
cases of grande hystirie retreating from sophisticated urban quarters and
being reported from backwaters only; and, in general, with repression, the
simple form of defense, giving way to more complicated mechanisms.
This point is of particular importance whenever evidence would re-
quire very time-consuming research. Not only may programs of this kind
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PSYCHOANALYSIS, SCIENTIFIC METHOD, PHILOSOPHY 627
perhaps it would not think much of physics as a science. And if, on the other
hand, we do not ask about individual human beings and their prognosis but
merely about the destiny of large populations-as is actually the case, e.g., in
epidemiology or insurance medicine-the answers that can be given are often
quite exact.
It is, of course, different with the matters with which psychoanalysis
deals. Our subject matter lies partly in the past-the life history of a person.
Even when we deal with contemporary events it is often a matter of deal-
ing with the recent past-e.g., an anxiety attack just before the hour, a dream
of last night, a family quarrel over the week end-and in this sense historical.
All variables are closely interrelated; we have no chance of observing the
change of one without the simultaneous change of many others. Our subject
is clianging while we are working with him, is maturing or declining, and is
assimilating experience in the process of living. We are definitely interested
in an individual and his destiny and not content with statistical answers.
For all these reasons, the prospects of exactness are not too good.
I n their efforts to justify psychoanalysis in terms of the standards of the
exact sciences, psychoanalysts often make claims for the possibility of pre-
diction in psychoanalysis which do not seem well founded to me. For example,
Arloiv gave as an instance of prediction his experience with a patient whose
meticulously detailed answers to questions in the initial interview permitted
him to predict that certain other characteristics, such as monetary acquisi-
tiveness and a particular emphasis on cleanliness, would also be present. This
is certainly true, but it is not the kind of prediction that those who consider
prediction the touchstone of science have in mind. For what Arlow has done
was to infer from the observation of certain symptoms of the obsessive-com-
pulsivc character the existence of other traits of this type. I t is the same as
if a doctor made a diagnosis on the basis of some symptoms and now felt
certain that other, as yet unobserved, symptoms of the disease would be there,
too. Ex zrngue leonern-you can tell the lion from the claw; if the hunter
in the jungle sees a lions paw through the foliage, he can predict that the
lions body will be there, too. But what we mean by prediction in science
is more than that: it is not only that certain features always occur together,
so that from the existence of some we can infer the existence of others, but
that we are able to foresee future changes of the situation: or, in medical
language, that we have prognosis and not merely diagnosis.
The power of prediction, in this sense, is actually not very great in
psychoanalysis and is not likely ever to become very great, for reasons which
were pointed out by Freud (3, p. 167):G our ignorance of the quantitative
factor which makes it impossiblc to predict the outcome in the case of conflict.
I suggested on an earlier occasion (12) that behavior can bc predicted in
either of the following extreme conditions: if it is wholly or predominantly
determined by unconscious drives and primitive mechanisms, with little or
GSee also Anna Freud (3), and my discussion of her paper (13).
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no influence from reality factors (as. eg., the possibility of predicting that a
paranoiac who has been hospitalized will soon include the hospital staff in
his paranoid system); or, on the contrary, if behavior is wholly or predomi-
nantly determined by the requirements of the situation with little or no
influence from other sources (as, c.g., the possibility of predicting that a man
will endorse his pay check before, or when, presenting it to his bank for
deposit). In both cases, there has been a diminution in the number of
effective variables. TVithout such diminution, it is alleged, prediction is not
feasible. This formulation is equivalent with the implications of Freuds above-
mentioned views.
I have discussed at some length the advantages that are enjoyed by
physics and chemistry. But not all the advantages are on one side, nor all
the disadvantages on the other. There is another aspect of the matter, which
has not yet been touched upon. T h e kind of evidence that I have so far
considered and that psychoanalysis has been asked by its critics to supply is
exclusively outside evidence, i.e., evidence of the kind required for statements
about atoms and molecules and physical matters in general. It overlooks the
fact that we have one source of knowledge about psychic events that is com-
pletely lacking in matters of the physical world, viz., introspection and its
equivalent in the observation of other human beings, which, for the pur-
poses of this discussion, I propose to call ernpathy.7
It is very difficult, perhaps impossible, to prove by mere outside evidence
even so simple a statement as this: John is deeply in love with hlary. I t is
desperately difficult to find clear criteria to distinguish deep love from more
shallow relationships, or from make-believe, or self-deception. But is it really
necessary? Are introspection and empathy not sources of information too,
not infallible, to be sure, but not negligible either? And if the very tight
coupling of many variables and the fact that we are vitally interested not
only in the statistical behavior of large aggregates but in the behavior of
individual entities-if these conditions are disadvantages in our discipline
as compared with physics and chemistry, one must hold against them the great
advantage, not enjoyed by the latter sciences, that we know much about our
subject through introspection and empathy, a source not open to the physi-
cist or the chemist.
T h e story of the ugly duckling is well known. Other ducks called him
ugly and looked down on him until it turned out that .he was not a misfit
of a duckling but a specimen of another. beautiful kind of bird, a swan.
Psychoanalysis, largely, though by no means entirely, a matter of introspec-
tion and empathy, is treated as though it were a purely physicalistic dis-
7 1 am, of course, aware of the fact that there are various theories about the
nature and origin of o u r knowledge about the inner life of another person: it would
lead far afield to try to discuss the merits of these various theories at this point,
and I am using the term emputhy merely to indicate the insight into the thou,
without prejudice with regard to any theory of how it is brought about.
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PSYCHOANALYSIS, SCIENTIFIC AIETIIOD, PHILOSOPHY 629
cipline, and scolded and berated for its deficiencies as such. It is time to
understand that the ugly duckling is not a duckling at all.
T h e interpretations offered by the psychoanalyst to his patient point
out inner connections that can be fully experienced. Of course, any indi-
vidual interpretation that is suggested in the course of an analysis may or
may not be correct; the paticnt may or may not accept it, and his acceptance
or rejection may be caused by realistic estimates or by emotional prejudices.
But as analysis proceeds, mistaken interpretations will gradually wither aivay,
inaccurate or incomplete interpretations will gradually be amended or com-
pleted, and emotional prejudices of the patient will gradually be overcome.
I n a successful analysis, the pzitient eventually becomes aware of the pre-
viously unconscious elements in his neurosis: he can fully feel and experi-
ence how his neurotic symptoms grew out of the conflicts of which he is now
conscious; and he can fully feel and experience how facing u p to these con-
flicts dispels the symptoms and, as Freud put it, transforms neurotic suffering
into everyday misery; and how flinching will bring the symptoms back again.
There are patients who, at a late stage of their analysis or after its termina-
tion, can virtually make and unmake their previous symptoms a t will.
These conditions are obviously dificult to envisage for those who have
never experienced them, either in themselves or in the close observation of
others; hence the clamor for a proof that would be convincing for fhern,
too, without experience of this kind.
T h e speakers in the Symposium, as laymen in general, talked of cure
of a neurosis in the sense in which a n attack of common cold is cured: all
symptoms of the disease disappear. There are cures of this kind in psycho-
analysis, particularly in the case of those who can work out a completely
satisfactory solution of their conflicts. But in many instances, cure is not
a completely stable equilibrium; it needs eternal vigilance, like freedom. T h e
new equilibrium is more like that of a high Gothic structure, needing con-
stant repair, than like that of a Roman basilica. T h e symptoms will recur or
threaten to recur, but the patient has learned to deal with them through
self-analysis.
A person of great intelligence and sound judgment, with little formal
schooling, who had undergone analytic treatment for a psychoneurosis (anx-
iety hysteria) m o t e about eight months after termination of his analysis:
.
It is not easy adjusting to independence. . . However, with a great deal
of effort, I have been able to arrive at a degree of self-honesty that eliminates
the anxiety I occasionally feel threatened by. This is a beautiful account
of the situation; symptoms threaten again. but this graduate of analysis is
able each time to solve them by self-analysis, so that the threatening symptoms
are dissipated again.
IVhenever a psychoanalyst is satisfied that he has untied the Gordian
knot of a neurosis and has correctly understood its dynamics and its psycho-
genesis, his confidence is based on two kinds of data. one of outside observa-
tion of events, the other of the patients self-observation. T h e first is the experi-
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and who reports that no signs of genital impulses or fantasies directed toward
those taking care of the child could be detected. I would, of course, attach
less weight to the report that something has not been found than to reports
that it has been; the fact that no organic cause of a pathological condition
can be detected in extensive clinical and laboratory investigations is significant
but not conclusive proof that such organic causes do not exist. One would
therefore have to have the report on more than one case before wondering
too much about it.
Two Gems
IVhat has been reported so far is not entirely new in the history of the aca-
demic reactions to psychoanalysis. But some views were put forth in the
Symposium that were new to me.
I n the past, psychoanalytic ideas have been denounced as untrue or un-
proved; they have even been called a clear case of a paranoid system. But in
all such criticism, the existence of a psychoanalytic theory, however unfounded,
erroneous, or abstruse, was nevertheless recognized. However, in the present
Symposium, one speaker declared that there was no content a t all in psycho-
analytic theory but that its statements were meaningless verbiage, a mere
matter of linguistic redundancy. It was Donald C . IVilliams who made this
discovery:
T h e fault [of psychoanalysis] is not that its terms are metaphorical,
nor that they are abstract, nor that their objects are unobservable, nor
even that, like phlogiston, they happen to have no object-all these
may be healthy traits of live science and philosophy. T h e fault is that
they are not intended to sfand for any actual entities at all, but for such
powers, potentialities, principles, virtues, essences, or entelechies as IVil-
liam James called contentless entities and as Comte relegated to the
.
metaphysical stage of thought. . . T h e psychoanalytic explanation
either of behavior or of consciousness by impulses. repressions, traumas,
complexes, compulsions, ids, libidos, and the play of mental forces,
rather than by imaginable neural or spiritual realities, is like the apocry-
phal Scholastics e x p h a t i o n of a clocks behauior by an essence of
horadicify rather than by wheels and springs. Since the sole real content
of this sort of theoretic conception is exhausted in the evidence that
provoked its formulation. it explains the behavioral or conscious events
only, a t best, by summarizing them .. .
[italics mine].
Critical examination of the content and the implications of scientific con-
cepts is an important thing and the investigation of linguistic pitfalls is a
part of it. If Professor IVilliams had aimed his criticism at some concepts of
ego psychology-those of ego functions-he may have scored a point because
these concepts of functions are at least potentially teleological, like homeo-
phasize the obvious were it not for the fact that one of the members of this Sym-
posium boldly declared that an unprejudiced observation of the behavior of chil-
dren who are not judged idiotic ..
. will show that the oedipal phase is far from
being universal.
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PSYCHOANALYSIS, SCIENTIFIC METHOD. PHILOSOPHY 635
stasis. If one were to take them as explanatory rather than desaiptive and
were. for example, to think that creativity can be explained by attributing it
to the ego, or that delusions can be explained as being due to the breakdown
of the function of reality testing, he would do something analogous to
Aristotles explanation of maturation of animal and plant as the realization of
an inherent form, or entelechy. and would thus take a tautological formula-
tion for a n explanation (14, p. 171). But neither Freud nor any of his major
disciples have, to my knowledge, ever been guilty of such a practice.10
But Professor IVilliams does not just aim a t the pitfalls of teleological
concepts in ego psychology. H e seems to think that all psychoanalytic concepts,
such as libido and repression, have no content and are purely scholastic, and
he includes in his condemnation even an old medical term (trauma) and a n
old psychiatric term (compulsion), apparently assuming that they are psycho-
analytic inventions. Thus, the interpretation of a slip as expression of an
inner tendency that interfered with the conscious intent, or the interpretation
of a neurotic symptom as the outcome of a dilemma, are, for IVilliams, not
the suggestion, correct or incorrect, of seal connections, but have merely
explained the behavioral or conscious events by summarizing them. . ..
Since the school of logical positivism-the so-called Vienna Circle-has
long specialized in debunking scientific theories as tautological, it is interest-
ing to note that the representative of this school of thought in the Symposium,
Philipp Frank (Institute for the Unity of Science), originally a physicist, felt
that he could give psychoanalysis a clean bill of health on this account. IVliile
he did not attempt to pass jud,mcnt on the substantive correctness of psycho-
analytic theories-an attitude of restraint not universal at this meeting-lie
emphasized that he saw no reason why they should not be recognized as
examples of legitimate scientific conceptualization.
Any attempt to deal with all the misunderstandings and distortions of
psychoanalysis shown by some of the speakers a t this Symposium would need
a volume in itself. But one more example may be permitted.
Ernest Nagel pointed out that psychoanalysis sees all behavior as moti-
vated, and since not all behavior is consciously motivated, the theory intro-
duces unconscious motives: these unconscious motives, wishes, drives, urges
and intentions must be regarded as psychic or mental processes. On the
other hand, Nagel points out, these unconscious mental processes are really
different from conscious motives; e.g., unconscious wishes may be directed
toward a dead person while conscious wishes are not. Here Professor Nagel
finds a contradiction in the theory; on the one hand, unconscious wishes are
10 Tautological statements of this kind can, however, occasionally be found in
the psychoanalytic literature when ego functions are discussed. \Ve read in a recent
article on scientific creativity: Decompensation occurred when the ego was unable
to subject id impulses to binding by higher ego systems (9, p. 423). Since com-
pensation, in the sense in which the word is here used, would presumably have to
be defined as the binding oE id impulses by higher ego systems, or in similar
terms, it is difficult to see how the statement could be anything but tautological.
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636 BOOK SECTION
believed to be psychic forces, hence like conscious ones; on tlie otlier hand,
they are not like them because they may desire what we consciously do not:
. .. there is an important failure of analogy between conscious motives and
unconscious mental processes, so that it is only by a radical shift in the
customary meanings of such words as motive and wish that Freudian theory
can be said to offer a n explanation of human conduct in terms of motivations
and wisli-fulfillments. I n short, since psychoanalysis claims that one can
unconsciously wish things that a sane mind recognizes as impossible of ful-
fillment, it follows, according to Nagel, that Freuds unconscious is not a
psychic thing at all.
T h e problem that proved so disturbing to Professor Nagel seems easy
enough to solve. T h e unconscious as seen by Freud is a psychic phenomenon;
true, our concept of what is psychic does stem from our conscious experience,
but it need not simply be identical with it; not evety characteiisfic of adult
conscious life need necessarily enter into our concept of what is psychic.
Some of these characteristics may be considered to be accidental rather than
essential, and the high degree of integration and reality adjustment of our
adult thinking is one of those accidentals. The definition which I have sug-
gested on another occasion (14, p. 75) might take c x e of this difficulty:
Freuds basic discovery was that of a n effective unconscious psychic life, the
contents of which are not fundamentally different from those of consciousness,
though closer to the infantile than the adult mind-not fundarnenfully dif-
ferent, but not necessarily identical.
By his difficulty of accepting the unconscious as something psychic be-
cause it does not show all the characteristics of the conscious mind of an
adult at its most highly integrated, Professor Nagel has deprived himself of
the possibility of understanding the fundamental point of psychoanalytic
therapy, namely, the fact that psychoanalytic therapy is based on this very
difference between the conscious and the unconscious mind-the contents
of the former being in contact with each other, including the perceptions of
the outside world, while the contents of the latter are isolated. Repression,
which makes psychic content unconscious, thereby also protects it from the
wear and tear of life. and the forces of adjustment begin to work again as
soon as repression has been lifted and the unconscious content has entered
consciousness.
T o me, experiences such as these highlight the greatness of Freud. For,
if it is so immeasurably difficult for men of wide learning to understand
Freuds ideas sixty years after he presented them to the world, how difficult
must it have been to conceive them for the first time?
BIBLIOGRAPHY
1. Bleuler, E. Die Psychoanalyse Freuds. Verteidigung und kritkche Llemerkungen.
Vienna: Deuticke, 1911.
2. Brosin. H. W. Report on Panel: Validation of psycho3nalytic theory. This
3:489-495, 1955.
JOUT~IUI,
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