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Abraham, K. (1920). Special Pathology and Therapy of the Neuroses and Psychoses. Int. J. Psycho-Anal., 1:280-281.

(1920). International Journal of Psycho-Analysis, 1:280-281

Special Pathology and Therapy of the Neuroses and Psychoses

Karl Abraham

A. Conversion and Anxiety Hysteria

Stärcke(22) demonstrates the combined action of opposite repressed impulses in the symptoms of a rare hysterical case, and discusses the relation of the symptoms to narcissism and to different erotogenic zones.

Wuff(27) points out that simulated symptoms in a hysterical patient of his were determined by unconscious factors similar to those in genuine cases.

Sadger(19) in a case of sleep-walking and "moonstruckness" traces back this condition to the longing of the son for the mother, the son having frequently observed sexual intercourse between the parents. (The moon serves as a symbol for the mother, just as the sun commonly represents the father.)

Ferenczi(8) describes a difference observed in two young men between higher and lower voice pitch according to the homosexual (female) or heterosexual attitude of the impulse.

Ferenczi(10) has noted temporary neuroses or exacerbations of existing nervous troubles which regularly took place on Sundays or holidays. He traces back the phenomenon to the cessation of the pressure of work carried out on other days. The neurotic cannot deal with the free libido which periodically accumulates and which is one of the reasons for the institution of "holidays", it becomes repressed and converted into nervous symptoms (Cyclothymia).

Abraham(4) supplements Ferenczi's views by alluding to the frequent cases in which those disposed to neuroses, or neurotics, can only keep well while at their daily work, this signifying to them a substitute-gratification. As soon as this activity is interrupted they are at the mercy of the neurosis.

Eisler(6) points out the connection between morbid blushing and onanism. He looks upon the blushing as a conversion symptom (displacement from below upwards). There originally existed with the masturbation a tendency to exhibit which was transferred from the genitals to that part of the body that is permanently uncovered.

Abraham(1) shows that the recognised factors, fixation on definite persons, evading of temptation, etc.,

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