SIGMUND FREUD: Psychoanalyst

SIGMUND FREUD He opened a window on the unconscious--where, he said, lust, rage and repression battle for supremacy--and changed the way we view ourselves

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The book that made his reputation in the profession--although it sold poorly--was The Interpretation of Dreams (1900), an indefinable masterpiece--part dream analysis, part autobiography, part theory of the mind, part history of contemporary Vienna. The principle that underlay this work was that mental experiences and entities, like physical ones, are part of nature. This meant that Freud could admit no mere accidents in mental procedures. The most nonsensical notion, the most casual slip of the tongue, the most fantastic dream, must have a meaning and can be used to unriddle the often incomprehensible maneuvers we call thinking.

Although the second pillar of Freud's psychoanalytic structure, Three Essays on the Theory of Sexuality (1905), further alienated him from the mainstream of contemporary psychiatry, he soon found loyal recruits. They met weekly to hash out interesting case histories, converting themselves into the Vienna Psychoanalytic Society in 1908. Working on the frontiers of mental science, these often eccentric pioneers had their quarrels. The two best known "defectors" were Alfred Adler and Carl Jung. Adler, a Viennese physician and socialist, developed his own psychology, which stressed the aggression with which those people lacking in some quality they desire--say, manliness--express their discontent by acting out. "Inferiority complex," a much abused term, is Adlerian. Freud did not regret losing Adler, but Jung was something else. Freud was aware that most of his acolytes were Jews, and he did not want to turn psychoanalysis into a "Jewish science." Jung, a Swiss from a pious Protestant background, struck Freud as his logical successor, his "crown prince." The two men were close for several years, but Jung's ambition, and his growing commitment to religion and mysticism--most unwelcome to Freud, an aggressive atheist--finally drove them apart.

Freud was intent not merely on originating a sweeping theory of mental functioning and malfunctioning. He also wanted to develop the rules of psychoanalytic therapy and expand his picture of human nature to encompass not just the couch but the whole culture. As to the first, he created the largely silent listener who encourages the analysand to say whatever comes to mind, no matter how foolish, repetitive or outrageous, and who intervenes occasionally to interpret what the patient on the couch is struggling to say. While some adventurous early psychoanalysts thought they could quantify just what proportion of their analysands went away cured, improved or untouched by analytic therapy, such confident enumerations have more recently shown themselves untenable. The efficacy of analysis remains a matter of controversy, though the possibility of mixing psychoanalysis and drug therapy is gaining support.

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