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Freud Review Life of Freud treatment of nervous disorders (Berggasse)

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Freud Review Life of Freud treatment of nervous disorders (Berggasse)
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Freud Review Life of Freud treatment of nervous disorders (Berggasse)

Shared by: Imtiaz Ahmed
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Freud



Life of Freud

Oldest of 8 children born in Moravia (Czech Republic); Jewish family

Medical school in Vienna; neurology

Showed male eels had testes

New characteristics of neurons in fish

First gold-chloride technique of staining nerve tissue

Cocaine could be used as anesthetic

Private practice in Vienna for treatment of nervous disorders

(Berggasse)

Had 3 girls and 3 boys

Persuaded to leave Vienna after Nazi invasion-1938 b/c of Jewish

oppression

Considered all religion an illusion used by civilization to cope w/

feelings of infantile helplessness

Died from cancer of mouth and jaw (from cigar smoking) on Sept. 23, 1939



View of the Person

Human nature dominated by instinctual, unconscious, and irrational

forces

Human is selfish; at war w/ self both internally and externally;

aggressive and sexual

No free will; therefore incapable of dealing with own psychological

problems

People turn to religion in hope of gaining control over their urges

Used self-analysis in order to understand others behavior in terms of

himself

Most important book = The Interpretation of Dreams

Another book = Psychopathology of Everyday Life

Dreams allow people to experience wish fulfillments

Psychological Determinism = a belief that nothing about human behavior

occurs by accident or chance

Personality is "determined"

Didn’t promote biological determinism. Emphasized psychological

determinism

Explored his own childhood as the origins of his behavior

Belief that boys want to "kill" their fathers in order to "marry" their

mothers

This feeling of his may have created guilt when his dad died. Freud was

40.



Personality Structure

3 basic components of personality; 1st is biological side, 2nd is

psychological side, 3rd is societies contribution

Id, Ego, Superego are processes of the mind w/ "job" to organize mental

life and interact w/ one another

All powered by Libido (energy described as psychical desire, erotic

tendencies, sexual desire, and motive forces for sexual life)

Always struggling with each other to dominate personality

Id = origin of personality

Operates according to the Pleasure Principle (achievement of pleasurable

feelings as quickly as possible through the reduction of discomfort,

pain, or tension)

Satisfies it’s needs through the Primary Process (continual flow of

events involving images and wishes that demand immediate satisfaction)

Id is the reservoir of instincts

2 basic instincts

Eros = represents energy for preserving love for self and love of

others.

Thanatos = towards destructiveness and death aimed at returning living

things to original lifeless state. Promotion of aggressiveness is most

important function.

Preoccupation w/ self and needs "I want"

Ego = coherent organization of mental processes that develops out of Id

energy, has access to consciousness, and devoted to contacting reality to

satisfy Id’s needs



Adapt to outside world

Guided by the Secondary Process (includes intellectual operations like

thinking, evaluating, planning, and decision-making that determine

whether certain behaviors are beneficial)

Bridge to reality but not totally conscious

Ego’s reaction to threatening instincts is stress/anxiety

So, Ego calls upon Defense Mechanisms (internal, unconscious, and

automatic psychological strategies for coping and regaining control over

id instincts)

Repression — threatening material is unavailable for recall b/c it’s

been pressed down into the unconscious

Projection — protects individuals from threat by allowing them to

literally project their own traits to other people

Rationalization — excuse for threatening and unacceptable behavior and

thoughts

Intellectualize — talk and think at intellectual level rather than

emotional about what is threatening them

Undoing bad behavior by displaying behavior designed to reverse the

effects of the undesirable acts



Exaggerated use of defense mechanisms results in Neuroses (anxiety

driven patterns of abnormal behavior from over control of instincts)

Hysterical Neurosis = person develops symptoms of physical disorder to

avoid threatening experiences. Pretends.

Superego = representation of society in personality that incorporates

norms and standards of culture

Kid adopts society’s rules, regulations, and codes of right and wrong

Introjection = process where personality incorporates norms and

standards of its culture through identification w/ parents or role models

of society

Operates according to Morality Principle (code concerning society’s

values)

Conscience (internal agent punishing people when they do wrong; guilt)

To help control Id impulses by directing energy toward inhibiting id’s

expression of sexual and aggressive instincts

Seeks to suppress needs of Id rather than satisfy them

Illogically striving for 100% perfection

Superego can result in feelings of pride and self-respect through the

influence of the Ego Ideal (positive standards in form of internal

representations of idealized parental figures)

Five Stages of Personality (Psychosexual Stages)

4 of stages associated w/ erogenous zones (sensitive areas of body)

Sexual as defined by Freud = any pleasurable feeling associated w/

stimulation of erogenous zones.

Libido substituted as term for sexual cravings (reflections of Eros the

life instinct)

Everyone’s basic personality is established by age 5

May become fixated upon a stage; satisfaction frustrated; fixated people

likely to show regression

Every decision you display results from influences present in the

unconscious

Oral (narcissistic) Stage

-birth to 1 year -focus upon satisfying needs of mouth and digestive

tract; incl. Tongue and lips -Aim of Eros for self-preservation is made

possible by nourishment through mouth -Thumbsucking -Oral Receptive =

personality type derived from childhood pleasures of receiving food and

digesting it. Form relationships dependent upon others. Gullible.

Interested in getting info and knowledge and material goods "will swallow

anything" -Oral Aggressive = derived from childhood pleasures of mouth,

food, eating, but w/ more chewing, biting, and use of teeth. Sarcastic

and argumentative. Seek to hold firmly to others. Aggressive in

relationships w/ others

Anal Stage (2-3 yrs)

-sexual gratification occurs w/ relieving tension of full bowel and

stimulating anus -toilet training (issue of interpersonal interaction and

conflict b/t parent & kid) -Anal Retentive = delay of final satisfactions

to last possible moment. Always "save" for the future whether relating to

$ or need. Orderliness, stingy and stubborn. -Anal Expulsive =

inclination to disregard accepted rules of cleanliness, orderliness, and

appropriate behavior. React against others attempts to restrict them by

doing what they want whenever and wherever. Messiness, sloppiness,

aggressive destructiveness, temper tantrums, emotional outbursts and

cruelty.

Phallic Stage (4-5 yrs)





-satisfaction through masturbation

-central to Freud’s theory b/c



last infantile stage

provides context where 2 important complexes develop and critical issues

of anxiety and envy become relevant

basis of psychological and social identification for children

results in psychological and sex-role differences

determines development of superego





-difference b/t boys and girls

-boys have possessive love for mothers and see fathers as rivals (this

thinking influenced by Greek myth

-Oedipus complex = feelings, desires, and strivings revolving around a

boys desire for mom and hate toward dad. -Electra complex = love of dad

and hate of mom for girls -Boys experience Castration Anxiety = fear that

they might lose "boy parts"-vital organ of pleasure -Girls display penis-

envy = the wish to obtain one of their own. Girls might blame mothers. -

final step of Oedipal complex is formation of superego -Fixated male may

devote life to sexual promiscuity in quest for sexual gratification not

gotten as a child. Or he might get attracted to men. -girls have more

difficult time of identification w/ mothers. Why? Girls have ambivilance

for mothers and blame for not giving/taking away her the "boy part" Girls

Electra complex also turns to dad in hope of getting "missing part" from

him. -Freud believes that female superego develops less completely than

males



4) Latency Stage (6-12) -notable for absence of dominant erogenous zone

-children lay aside attraction to parents and become sexually

disinterested





-Libidinous instincts transformed through sublimation (process

reorienting instinctual aims that are more personally and culturally

acceptable) (Ex) teen fixed in anal stage might be interested in clay

substituting earlier desires to play w/ feces





5) Genital Stage (puberty +)





-phase of mature sexual love; directing feelings of lust and affection

towards others -1st 3 stages revolved around Cathexes (attachments of

libidinous energy to external world objects or fantasized internal

images). Pregenital stage cathexes typified by self-centered images.

Genital stage Cathexes directed less towards bodily pleasure but more to

emotional -final resolution of Phallic stage identification difficulties

for women. Accept themselves.







Freud view of Females

Girls more dependent on defense mechanism of repression

Weaker superego development

Women function at lower morality level than men

Elizabeth Young-Bruehl (1990) reasoned Freud’s view on women that they

are innately bisexual. Females first masculine b/c of wish to have "boy

part" then female b/c they accept themselves by Genital stage

so…bisexual.



Free Association

Freud’s primary technique for getting to unconscious

Person adopts a mental orientation allowing ideas, images, memories, and

feelings to be expressed spontaneously

One can experience Catharsis (process by which inner feelings are openly

expressed in words or behaviors)

Allow expression of anything and everything that comes to mind

Provides therapists clues about unconscious



Dream Interpretation

Manifest content of dreams (what is remembered) is deceptive and

shouldn’t be taken literally

Dreams are processes of the Id

Ego deals w/ conscious suppression of dream material by modifying Id

instinctual impulses and images represented by dreaming using censorship

and symbolic substitution. So, true content of dreams is disguised.

Latent content = underlying meaning of dreams

Dream symbol = something in dream representing some person, thing, or

activity involved in the unconscious processes.

Symbols are personal rather than universal

Each dream analyzed separately. Result is to discover some wish-

fulfillment for the dreamer (the primary purpose of dreaming)



Psychoanalysis

Systematic procedures for providing systematic procedures for providing

a patient with the insight necessary to rid the personality of it’s

neurotic conflicts.

Through insight, personally unacceptable and socially taboo experiences

buried in unconscious can be made conscious.

Freud tried hypnosis but was discouraged b/c afterwards symptoms didn’t

go away

Free association allowed patients to consciously comprehend everything

they said while saying it.

Couch used helps patients relax for effective free association

Sat behind patients to minimize therapist influence upon psychological

explorations

Transference = patients relate to psychoanalyst as if he were from their

past w/ whom they continued conflict with.

Countertransference = when analysts project their own unconscious needs

to the patient





Supporting and Qualifying Evidence



McVicker Hunt (1979) assessed evidence of lines of investigation from

Freud’s ideas. Found the studies "lent support" to Freud’s proposition

about "importance of childhood" but not to his psychosexual experiences.

Salvatore Maddi (1968) concluded that there’s qualified support for 2

Freudian concepts. Although Not all behavior is defensive, ego defense is

supported by studies relating to repression and there’s more evidence of

castration anxiety among men than women.

Lloyd Silvermam (1976) summarized 2 10-yr research programs. These

independent lab studies support relationship b/t certain types of

abnormal behavior and and types of unconscious conflict.

Psychoanalytic Theory predicts that info relevant to a certain fixation

or inner conflict would affect persons w/ that fixation/conflict, but

info related to other kinds of fixations would have no effect on them.

Blum (1949,1950,1962) assessed psychosexual fantasies in college

students asked to tell stories of series of cartoon pictures of a dog.

Study on castration anxiety in men and "envy" in women

Hall and Van de Castle (1965) to determine presence of castration

anxiety, wishes, and envy. Study severely criticized b/c used

explanations of results provided by non-Freudian theories.

Raskin and Shaw (1988) research for evidence on Freud’s oral stage.

Gabriel, Critelli, and Ee (1994) examined positive illusions of

intelligence and physical attractiveness among people administered a

narcissism test

DeAngelis (1994) 1st convincing experimental evidence for Freud’s

transference. Reported research by Anderson where subjects described sig.

Other and exposed to characterizations of fictional others including one

like the descriptions. Memory test where they falsely remembered features

of a significant other as belonging to the partially similar fictional

other, even if the feature was not part of what they said. Show we have

mental images of sig. Others from earlier that we may project as a whole

onto people we encounter later in life that resemble the sig.other. Freud

would agree that we tend to see the partial replica as totally like the

original. Emotional reactions may also be consistent w/ memory image and

persons resembling.

Slips of the Tongue have evidence of unconscious.

Michael Motley (1985;1987) slips are due to misfiring of brain and

verbal mechanisms. Motley believes traditional notions of unconscious may

not be entirely w/o merit. Can be embarrassing. When environment contains

clues relating to certain motivations we tend to have in unconscious

mind, words representing the forbidden motivation may pop out.

Greenwald (1992) says unconscious may be simple, straightforward and

unanalytical compared to consciousness



Limitations on Psychoanalytic Theory (PT)

Cannot be considered a fully scientific theory

Concepts are not open to direct observation; hard to test significantly

Little ability to predict behavior

Concepts work well when applied backwards, accounting for the past after

facts have been gathered (Stanovich, 1989)

Primary setting for gathering data has been the clinic, not laboratory.

In clinic, events that are irrelevant to diagnosis and treatment act on

patients and analysts but can’t be controlled.

Analysts, as observers, influence what they observe (Joseph 1980) Maybe

requiring analysts to undergo psychoanalysis may lessen their influence

by allowing them to see from patients’ perspective.

Clinic subject samples are unrepresentative of people in general



Freud’s major case studies were of Venetian women w/ abnormal behaviors,

upper class and single.



Ideas relied heavily on childhood. He had few child patients

Assumptions about children may be questioned

2 studies show 50% of kids 4-6 have knowledge of differences b/t girls

and boys and these children showed little emotional trauma over it. (Conn

and Kanner 1947, Katcher 1955)

Kohlberg (1966) says a better alternative to castration anxiety is

general childhood fear of bodily injury, not fear of losing a sex organ.

Foundation of Psychoanalytic theory has been questioned.

Freud’s Seduction thesis = belief that early patients were actually

sexually molested in childhood and repressed memories of these traumas

were source of their adult hysterical neuroses.

Freud changed his "real abuse" to "fantasy abuse" in later letters to

Masson. Changed not for objective, scientific purposes but for personal

reasons.

Masson’s reliability has even been questioned. Some believe Freud had

honest change of heart.

Early patients never claimed they were seduced (Esterson 1993)

Freud may have just suggested their seduction. Patients were under

pressure to report memories of seduction so they may have falsely

admitted (Powell and Boer 1994)

Patients may have also shown "false memory syndrome" (Loftus 1993)

Freud reported different findings at different times. Could’ve been a

liar or collected false evidence, blah, blah, blah



In summary of Masson guy: Masson accused that Freud, for personal

reasons, abandoned an earlier seduction theory in favor of fantasy

position. In addition, Powell and Boer charge that Freud suggested

seduction scenarios to patients who incorporated them into memory.

Esterson asserted that patients’ reports to Freud contained nothing

regarding to seduction; rather Freud consciously or unconsciously

invented the seduction scenarios.


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