Customer Service | Help | FAQ | Report a Data Error | About
:
Login
Tip: To zoom in or out on PEP-Web…

PEP-Web Tip of the Day

Are you having difficulty reading an article due its font size?  In order to make the content on PEP-Web larger (zoom in), press Ctrl (on Windows) or ⌘Command (on the Mac) and the plus sign (+).  Press Ctrl (on Windows) or ⌘Command (on the Mac) and the minus sign (-) to make the content smaller (zoom out).   To go back to 100% size (normal size), press Ctrl (⌘Command  on the Mac) + 0 (the number 0).

Another way on Windows: Hold the Ctrl key and scroll the mouse wheel up or down to zoom in and out (respectively) of the webpage. Laptop users may use two fingers and separate them or bring them together while pressing the mouse track pad.

Safari users: You can also improve the readability of you browser when using Safari, with the Reader Mode: Go to PEP-Web. Right-click the URL box and select Settings for This Website, or go to Safari > Settings for This Website. A large pop-up will appear underneath the URL box. Look for the header that reads, “When visiting this website.” If you want Reader mode to always work on this site, check the box for “Use Reader when available.”

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Eissler, K.R. (1997). Preliminary Remarks On Emma Eckstein's Case History. J. Amer. Psychoanal. Assn., 45:1303-1305.

(1997). Journal of the American Psychoanalytic Association, 45:1303-1305

Preliminary Remarks On Emma Eckstein's Case History

K. R. Eissler

In a book I am preparing, Freud's Love Affair with the Seduction Theory, a chapter is devoted to Emma Eckstein. In the following I wish to present preliminary corrections of errors in the literature that surround her case history and treatment.

As is well known, Emma Eckstein was a patient of Freud's. Her symptomatology has not been precisely identified, but it is not unreasonable to assume that dysmenorrhea was one of her reasons for being in treatment. Freud was criticized for having agreed in 1895 with his friend Fliess, who, believing in a pathophysiological connection between the nose and the female genitalia, suggested as treatment the removal of the frontal third of the left middle turbinate bone, a small protuberance in the nasal septum. This sounds like an irrational decision, but it should be noted that dysmenorrhea is an extremely painful disorder that completely incapacitates the patient for days. Physicians at that time were unable to do anything but prescribe painkillers. Inasmuch as ovariectomy as an intended cure for hysteria was performed with some frequency in late-nineteenth-century Vienna, the removal of a little bone must have appeared to Freud as innocuous, particularly since he was assured that the surgical intervention was harmless and easily performed.

Indeed, the operation is harmless, but Fliess made a mistake that could not be have been anticipated: he failed to remove a half-meter long piece of iodoform gauze from the nasal cavity. When this foreign body was taken out thirteen days later, a profuse hemorrhage resulted. It was instantly stopped and a tampon inserted. The latter was removed in due course without ill effect, and no injury was observed in the nasal cavity. The patient appeared cured, but seemingly spontaneous profuse hemorrhages occurred thereafter. No one could explain their etiology; the greatest Viennese surgeon was called in as a consultant but could

- 1303 -

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2017, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.