In Charcot's third stage of the
hysterical convulsion, that of "_attitudes passionnelles_," Breuer and
Freud see the hallucinatory reproduction of a recollection which is full
of significance for the origin of the hysterical manifestations.
The final result reached by these workers is clearly stated by each
writer. "The main observation of our predecessors," states Breuer,[277]
"still preserved in the word 'hysteria,' is nearer to the truth than the
more recent view which puts sexuality almost in the last line, with the
object of protecting the patient from moral reproaches. Certainly the
sexual needs of the hysterical are just as individual and as various in
force as those of the healthy. But they suffer from them, and in large
measure, indeed, they suffer precisely through the struggle with them,
through the effort to thrust sexuality aside." "The weightiest fact,"
concludes Freud,[278] "on which we strike in a thorough pursuit of the
analysis is this: From whatever side and from whatever symptoms we start,
we always unfailingly reach the region of the sexual life. Here, first of
all, an etiological condition of hysterical states is revealed.... At the
bottom of every case of hysteria--and reproducible by an analytical effort
after even an interval of long years--may be found one or more facts of
precocious sexual experience belonging to earliest youth. I regard this as
an important result, as the discovery of a _caput Nili_ of
neuropathology.
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