Anna O,21 yrs old, was Joseph Breuer's patient from 1880 through 1882., Anna spent most of her time nursing her ailing father. She developed a bad cough, then she developed some speech difficulties, then became mute, and then began speaking only in English, rather than her usual German. All these difficulties seemed to have no physical basis.
After the death of her father she started to refuse food, and developed an unusual set of problems. She lost the feeling in her hands and feet, developed some paralysis, began to have involuntary spasms, visual hallucinations and tunnel vision. Specialists could find no physical causes for these problems.
If all this weren't enough, she had fairy-tale fantasies, dramatic mood swings, and made several suicide attempts. Breuer's diagnosis was that she was suffering from what was then called hysteria (now called conversion disorder), which meant she had symptoms that appeared to be physical, but were not.
In the evenings, Anna would sink into states of what Breuer called "spontaneous hypnosis,"she could explain her day-time fantasies and other experiences, and she felt better afterwards. Anna called these episodes "chimney sweeping" and "the talking cure." Here some emotional event was recalled that gave meaning to some particular symptom. The first example came soon after she had refused to drink for a while: She recalled seeing a woman drink from a glass that a dog had just drunk from. While recalling this, she experienced strong feelings of disgust...and then had a drink of water! In other words, her symptom -- an avoidance of water -- disappeared as soon as she remembered its root event, and experienced the strong emotion that would be appropriate to that event. BREUER CALLED THIS CATHARSIS, from the Greek word for cleansing. or what Anna herself called "clouds." Breuer found that, during these trance-like states,
Breuer and Freud, 11 years later, wrote a book on hysteria. In it they explained their theory: Every hysteria is the result of a traumatic experience, one that cannot be integrated into the person's understanding of the world. The emotions appropriate to the trauma are not expressed in any direct fashion, but do not simply evaporate: They express themselves in behaviors that in a weak, vague way offer a response to the trauma. These symptoms are, in other words, meaningful. When the client can be made aware of the meanings of his or her symptoms (through hypnosis, for example) then the unexpressed emotions are released and so no longer need to express themselves as symptoms.
In this way, Anna got rid of symptom after symptom. But it must be noted that she needed Breuer to do this: Whenever she was in one of her hypnotic states, she had to feel his hands to make sure it was him before talking! And sadly, new problems continued to arise.
According to Freud, Breuer recognized that she had fallen in love with him, and that he was falling in love with her. Plus, she was telling everyone she was pregnant with his child. You might say she wanted it so badly that her mind told her body it was true, and she developed an hysterical pregnancy. Breuer, a married man in a Victorian era, abruptly ended their sessions together, and lost all interest in hysteria.
It was Freud who would later add what Breuer did not acknowledge publicly -- that secret sexual desires lay at the bottom of all these hysterical neuroses.
TO FINISH HER STORY, ANNA SPENT TIME IN A SANATORIUM. LATER, SHE BECAME A WELL-RESPECTED AND ACTIVE FIGURE -- THE FIRST SOCIAL WORKER IN GERMANY -- UNDER HER TRUE NAME, BERTHA PAPPENHEIM. She died in 1936. She will be remembered, not only for her own accomplishments, but as the inspiration for the most influential personality theory we have ever had.
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