Sigmund Freud

Sigmund Freud (German pronunciation: [zikmnt ft]; 6 May 1856 23 September 1939), born Sigismund Schlomo Freud, was an Austrian neurologist who became known as the founding father of psychoanalysis. Freud's parents were poor, but they ensured his education. Freud chose medicine as a career and qualified as a doctor at the University of Vienna, subsequently undertaking research into cerebral palsy, aphasia and microscopic neuroanatomy at the Vienna General Hospital. This led in turn to the award of a University lectureship in neuropathology, a post he resigned once he had decided to go into private practice. On the basis of his clinical practice Freud went on to develop theories about the unconscious mind and the mechanism of repression, and created psychoanalysis, a clinical method for treating psychopathology through dialogue between a patient (or "analysand") and a psychoanalyst. Though psychoanalysis has declined as a therapeutic practice, it has helped inspire the development of many other forms of psychotherapy, some diverging from Freud's original ideas and approach. Freud postulated the existence of libido (an energy with which mental process and structures are invested), developed therapeutic techniques such as the use of free association (in which patients report their thoughts without reservation and in whichever order they spontaneously occur), discovered transference (the process by which patients displace on to their analysts feelings based on their experience of earlier figures in their lives) and established its central role in the analytic process, and proposed that dreams help to preserve sleep by representing sensory stimulii as fulfilled wishes that would otherwise awake the dreamer. He was also a prolific essayist, drawing on psychoanalysis to contribute to the interpretation and critique of culture. Psychoanalysis remains influential within psychiatry and across the humanities. As such it continues to generate extensive debate, notably over its scientific status and as to whether it advances or is detrimental to the feminist cause. Regardless of the scientific content of his theories, Freud's work has suffused intellectual thought and popular culture to the extent that in 1939 W. H. Auden wrote, in a poem dedicated to him: "to us he is no more a person / now but a whole climate of opinion / under whom we conduct our different lives".

Development of psychoanalysis
Charcot demonstrates hypnosis on a "hysterical" patient, "Blanche" (Blanche Wittmann). Charcot questioned his own work on hysteria towards the end of his life. In October 1885, Freud went to Paris on a fellowship to study with Jean-Martin Charcot, a renowned neurologist who was conducting scientific research into hypnosis. He was later to recall the experience of this stay as catalytic in turning him toward the practice of medical psychopathology and away from a less financially promising career in neurology research. Charcot specialized in the study of hysteria and susceptibility to hypnosis, which he frequently demonstrated with patients on stage in front of an audience. Once he had set up in private practice in 1886, Freud began using hypnosis in his clinical work. He adopted the approach of his friend and collaborator, Josef Breuer, in a use of hypnosis which was different from the French methods he had studied in that it did not use suggestion. The treatment of one particular patient of Breuer's proved to be transformative for Freud's clinical practice. Described as Anna O she was invited to talk about her symptoms whilst under hypnosis (she would coin the phrase "talking cure" for her treatment). In the course of talking in this way these symptoms became reduced in severity as she retrieved memories of early traumatic incidents in her life. This led Freud to eventually establish in the course of his clinical practice that a more consistent and effective pattern of symptom relief could be achieved, without recourse to hypnosis, by encouraging patients to talk freely about whatever ideas or memories occurred to them. In addition to this procedure, which he called "free association", Freud found that patient's dreams could be fruitfully analysed to reveal the complex structuring of unconscious material and to demonstrate the psychic action of repression which underlay symptom formation. By 1896 Freud had abandoned hypnosis and was using the term "psychoanalysis" to refer to his new clinical method and the theories on which it was based. On the basis of his early clinical work Freud postulated that unconscious memories of sexual molestation in early childhood were a necessary precondition for the psychoneuroses (hysteria and obsessional neurosis), a formulation now known as Freud's seduction theory. By 1897, however,

Freud had abandoned this theory, now arguing that the repressed sexual thoughts and fantasies of early childhood were the key causative factors in neuroses, whether or not derived from real events in the child's history. This would lead to the emergence of Freud's new theory of infantile sexuality, and eventually to the Oedipus complex. Freud's development of these new theories took place during a period in which he experienced several medical problems, including depression and heart irregularities, which became particularly acute after the death of his father in 1896. Suspecting them to be psychosomatic in origin and disturbed by a superstitious belief that he would die at the age of 51, Freud began exploring his own dreams and childhood memories. During this self-analysis, he became aware of the hostility he felt towards his father and also became convinced that he had developed sexual feelings towards his mother in infancy ("between two and two and a half years"), citing a memory of seeing her naked on a train journey. Richard Webster argues that Freud's account of his self-analysis shows that he "had remembered only a long train journey, from whose duration he deduced that he might have seen his mother undressing", and that Freud's memory was an artificial reconstruction. After the publication of The Interpretation of Dreams in November 1899, interest in his theories began to grow, and a circle of supporters developed. However, Freud often clashed with those supporters who criticized his theories, the most famous of whom was Jung. Part of the disagreement between them was due to Jung's interest in and commitment to spirituality and occultism, which Freud saw as unscientific. Karen Horney, a pupil of Karl Abraham and Freud's most outspoken critic, opposed Freud's theory of femininity, leading him to defend it against her. The disagreement was over how to interpret penis envy, rather than whether it existed. Horney understood Freud's conception of the castration complex as a theory about the biological nature of women, one in which women were biologically castrated men, and rejected it as scientifically unsatisfying. Horney's opposition, along with that of Melanie Klein, produced the first psychoanalytic debate on femininity. British neurologist, Ernest Jones, although usually an "ultra-orthodox" Freudian, sided with Horney and Klein. Jacques Lacan attempted to attract Freud's attention by sending him his thesis. Freud replied to Lacan by sending him a postcard in January 1933; it read, "Thank you for sending your thesis."

Psychosexual development
Freud hoped to prove that his model was universally valid and thus turned to ancient mythology and contemporary ethnography for comparative material. Freud named his new theory the Oedipus complex after the famous Greek tragedy Oedipus Rex by Sophocles. "I found in myself a constant love for my mother, and jealousy of my father. I now consider this to be a universal event in childhood," Freud said. Freud sought to anchor this pattern of development in the dynamics of the mind. Each stage is a progression into adult sexual maturity, characterized by a strong ego and the ability to delay gratification (cf. Three Essays on the Theory of Sexuality). He used the Oedipus conflict to point out how much he believed that people desire incest and must repress that desire. The Oedipus conflict was described as a state of psychosexual development and awareness. He also turned to anthropological studies of totemism and argued that totemism reflected a ritualized enactment of a tribal Oedipal conflict. Freud also believed that the Oedipus complex was bisexual, involving an attraction to both parents. Traditional accounts have held that, as a result of frequent reports from his patients, in the mid-1890s Freud posited that psychoneuroses were a consequence of early childhood sexual abuse. More specifically, in three papers published in 1896 he contended that unconscious memories of sexual abuse in infancy are a necessary precondition for the development of adult psychoneuroses. However, examination of Freud's original papers has revealed that his clinical claims were not based on patients' reports but were findings deriving from his analytical clinical methodology, which at that time included coercive procedures. He privately expressed his loss of faith in the theory to his friend Fliess in September 1897, giving several reasons, including that he had not been able to bring a single case to a successful conclusion. In 1906, while still maintaining that his earlier claims to have uncovered early childhood sexual abuse events remained valid, he postulated a new theory of the occurrence of unconscious infantile fantasies. He had incorporated his notions of unconscious fantasies in The Interpretation of Dreams (1899), but did not explicitly relate his seduction theory claims to the Oedipus theory until 1925. Notwithstanding his abandonment of the seduction theory, Freud always recognized that some neurotics had experienced childhood sexual abuse.

Freud also believed that the libido developed in individuals by changing its object, a process codified by the concept of sublimation. He argued that humans are born "polymorphously perverse", meaning that any number of objects could be a source of pleasure. He further argued that, as humans develop, they become fixated on different and specific objects through their stages of development first in the oral stage (exemplified by an infant's pleasure in nursing), then in the anal stage (exemplified by a toddler's pleasure in evacuating his or her bowels), then in the phallic stage. In the latter stage, Freud contended, male infants become fixated on the mother as a sexual object (known as the Oedipus Complex), a phase brought to an end by threats of castration, resulting in the castration complex, the severest trauma in his young life. (In his later writings Freud postulated an equivalent Oedipus situation for infant girls, the sexual fixation being on the father. Though not advocated by Freud himself, the term 'Electra complex' is sometimes used in this context.) The repressive or dormant latency stage of psychosexual development preceded the sexually mature genital stage of psychosexual development. The child needs to receive the proper amount of satisfaction at any given stage in order to move on easily to the next stage of development; under or over gratification can lead to a fixation at that stage, which could cause a regression back to that stage later in life. Freud felt that masturbation was unwise and harmful. He and his colleague Fliess wrote about the topic during a period in which views on the topic were becoming more liberal due to the influence of doctors such as Havelock Ellis. Freud remained an opponent of masturbation, seeing it as having partially caused the neuroses. He stated "a priori one is forced to oppose the assertion that masturbation has to be harmless; on the contrary there must be cases in which masturbation is harmful. Since the aetiology of the neuroses is given by way of the conflict between infantile sexuality and the opposition of the ego (repression) masturbation, which is only an executive of infantile sexuality, cannot a priori be presented as harmless".

Id, ego and super-ego

In his later work, Freud proposed that the human psyche could be divided into three parts: Id, ego and super-ego. Freud discussed this model in the 1920 essay Beyond the Pleasure Principle, and fully elaborated upon it in The Ego and the Id (1923), in which he developed it as an alternative to his previous topographic schema (i.e., conscious, unconscious and preconscious). The id is the completely unconscious, impulsive, childlike portion of the psyche that operates on the "pleasure principle" and is the source of basic impulses and drives; it seeks immediate pleasure and gratification. Freud acknowledged that his use of the term Id (das Es, "the It") derives from the writings of Georg Groddeck. The super-ego is the moral component of the psyche, which takes into account no special circumstances in which the morally right thing may not be right for a given situation. The rational ego attempts to exact a balance between the impractical hedonism of the id and the equally impractical moralism of the super-ego; it is the part of the psyche that is usually reflected most directly in a person's actions. When overburdened or threatened by its tasks, it may employ defense mechanisms including denial, repression, and displacement. This concept is usually represented by the "Iceberg Model". This model represents the roles the Id, Ego, and Super Ego play in relation to conscious and unconscious thought. Freud compared the relationship between the ego and the id to that between a charioteer and his horses: the horses provide the energy and drive, while the charioteer provides direction.