Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: PEP-Web Archive subscribers can access past articles and books…

PEP-Web Tip of the Day

If you are a PEP-Web Archive subscriber, you have access to all journal articles and books, except for articles published within the last three years, with a few exceptions.

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

Papernik, D.S. (2000). Freud, Surgery and the Surgeons: Paul E. Stepansky. Hillsdale, NJ: Analytic Press, 1999. 260 pp.. Psychoanal Q., 69(4):798-799.

(2000). Psychoanalytic Quarterly, 69(4):798-799

Freud, Surgery and the Surgeons: Paul E. Stepansky. Hillsdale, NJ: Analytic Press, 1999. 260 pp.

Review by:
Daniel S. Papernik

The psychoanalytic historian Paul Stepansky has created a thoughtful and scholarly work in which he explores the rise and fall of Freud's surgical metaphor. By “surgical metaphor,” the author refers to the description of “psychoanalysis as a surgical procedure with the psychoanalyst in the role of a surgical operator” (p. xiii). Stepansky, managing director of The Analytic Press, has written or edited eight previous volumes on the history of psychoanalysis. In this book, he begins his narrative with a quotation from Freud's 1912 paper, “Recommendations to Physicians Practicing Psychoanalysis.” Freud advised colleagues to “model themselves … on the surgeon,” who puts aside all feelings, including “sympathy,” in order to perform “the operation as skillfully as possible” (p. 1).

As the author traces the ascent and decline of this analogy, he examines the history of surgery, as well as Freud's exposure to surgery as a medical student, as a physician, and ultimately as a patient. A fine historian and narrator, Stepansky uses the book's themes to underscore the intertwining of psychoanalysis and surgery from past to present.

In Part I, “The Metaphor Ascendant,” Stepansky chronicles the history of surgery, beginning in the twelfth century. He notes that “medieval and Renaissance surgery was anathema to the metaphor of deep penetration” (p. 23). It was only after “the discovery of the anesthetizing properties of nitrous oxide, ether, and chloroform in the 1840s [that] surgeons envisioned an era of deep and painless surgical penetration as a godsend to suffering humanity” (p. 27). But it was to be four more decades before there was acceptance of Lister's antiseptic methods, and surgery became safer for the patient. As part of his wide-ringing exploration, Stepansky discusses Freud's troubled relationship with the surgeon Wilhelm Fliess during the 1890s, including Irma's injection dream and the treatment of Emma Eckstein.

In Part II, “The Metaphor in Retreat,” Stepansky observes that Freud moved away from surgical thinking and the surgical metaphor after World War I.

[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 © 2020, 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.