are therefore subject to its peculiar processes, especially elaboration and displacement. Conditions are set up here which are entirely comparable to those of dream formation. Just as the latent dream, the fulfillment of a wish-phantasy, is first built up in the unconsciousness, but must then pass through conscious processes before, censored and approved, it can enter into the compromise construction of the manifest dream, so the ideas representing the libido in the unconscious must still contend against the power of the fore-conscious ego. The opposition that has arisen against it in the ego follows it down by a “counter-siege” and forces it to choose such an expression as will serve at the same time to express itself. Thus, then, the symptom comes into being as a much distorted offshoot from the unconscious libidinous wish-fulfillment, an artificially selected ambiguity — with two entirely contradictory meanings. In this last point alone do we realize a difference between dream and symptom development, for the only fore-conscious purpose in dream formation is the maintenance of sleep, the exclusion from consciousness of anything which may disturb sleep; but it does not necessarily oppose the unconscious wish impulse with an insistent “No.” Quite the contrary; the purpose of the dream may be more tolerant, because the situation of the sleeper is a less dangerous one. The exit to reality is closed only through the condition of sleep.
You see, this evasion which the libido finds under the conditions of the conflict is possible only by virtue of the existing fixations. When these fixations are taken in hand by the regression, the suppression is side-tracked and the libido, which must maintain itself under the conditions of the compromise, is led off or gratified. By means of such a detour by way of the unconscious and the old fixations, the libido has at last succeeded in breaking its way through to some sort of gratification, however extraordinarily limited this may seem and however unrecognizable any longer as a genuine satisfaction. Now allow me to add two further remarks concerning this final result. In the first place, I should like you to take note of the intimate connection between the libido and the unconscious on the one hand, and on the other of the ego, consciousness, and reality. The connection that is evidenced here, however, does not indicate that originally they in any way belong together. I should like you to bear continually in mind that everything I have said here, and all that will follow, pertains only to the symptom development of hysterical neurosis.
Where, now, can the libido find the fixations which it must have in order to force its way through the suppressions? In the activities and experiences of infantile sexuality, in its abandoned component-impulses, its childish objects which have been given up. The libido again returns to them. The significance of this period of childhood is a double one; on the one hand, the instinctive tendencies which were congenital in the child first showed themselves at this time; secondly, at the same time, environmental influences and chance experiences were first awakening his other instincts. I believe our right to establish this bipartite division cannot be questioned. The assertion that the innate disposition plays a part is hardly open to criticism, but analytic experience actually makes it necessary for us to assume that purely accidental experiences of childhood are capable of leaving fixations of the libido. I do not see any theoretical difficulties here. Congenital tendencies undoubtedly represent the after-effects of the experiences of an earlier ancestry; they must also have once been acquired; without such acquired characters there could be no heredity. And is it conceivable that the inheritance of such acquired characters comes to a standstill in the very generation that we have under observation? The significance of infantile experience, however, should not, as is so often done, be completely ignored as compared with ancestral experiences or those of our adult years; on the contrary, they should meet with an especial appreciation. They have such important results because they occur in the period of uncompleted development, and because of this very fact are in a position to cause a traumatic effect. The researches on the mechanics of development by Roux and others have shown us that a needle prick into an embryonic cell mass which is undergoing division results in most serious developmental disturbances. The same injury to a larva or a completed animal can be borne without injury.
The libido fixation of adults, which we have referred to as representative of the constitutional factor in the etiological comparison of the neuroses, can be thought of, so far as we are concerned, as divisible into two separate factors, the inherited disposition and the tendency acquired in early childhood. We know that a schematic representation is most acceptable to the student. Let us combine these relations as follows:
| Cause of the neurosis | = | Disposition as determined by libido fixation | + | accidental experiences (traumatic element) |
| ┏━━━━━━━━━━┻━━━━━━━━━┓ | ||||
| Sexual constitution (prehistoric experience) | Infantile experience | |||
The hereditary sexual constitution provides us with manifold tendencies, varying with the special emphasis given one or the other component of the instinct, either individually or in combination. With the factor of infantile experience, there is again built up a complementary series within the sexual constitution which is perfectly comparable with our first series, namely, the gradations between disposition and the chance experiences of the adult. Here again we find the same extreme cases and similar relations in the matter of substitution. At this point the question becomes pertinent as to whether the most striking regressions of the libido, those which hark back to very early stages in sexual organization, are not essentially conditioned by the hereditary constitutional factor. The answer to this question, however, may best be put off until we are in a position to consider a wider range in the forms of neurotic disease.
Let us devote a little time to the consideration of the fact that analytic investigation of neurotics shows the libido to be bound up with the infantile sexual experiences of these persons. In this light they seem of enormous importance for both the life and health of mankind. With respect to therapeutic work their importance remains undiminished. But when we do not take this into account we can herein readily recognize the danger of being misled by the situation as it exists in neurotics into adopting a mistaken and one-sided orientation toward life. In figuring the importance of the infantile experiences we must also subtract the influences arising from the fact that the libido has returned to them by regression, after having been forced out of its later positions. Thus we approach the opposite conclusion, that experiences of the libido had no importance whatever in their own time, but rather acquired it at the time of regression. You will remember that we were led to a similar alternative in the discussion of the Oedipus-complex.
A decision on this matter will hardly be difficult for us. The statement is undoubtedly correct that the hold which the infantile experiences have on the libido — with the pathogenic influences this involves — is greatly augmented by the regression; still, to allow them to become definitive would nevertheless be misleading. Other considerations must be taken into account as well. In the first place, observation shows, in a way that leaves no room for doubt, that infantile experiences have their particular significance which is evidenced already during childhood. There are, furthermore, neuroses in children in which the factor of displacement in time is necessarily greatly minimized or is entirely lacking, since the illness follows as an immediate consequence of the traumatic experience. The study of these infantile neuroses keeps us from many dangerous misunderstandings of adult neuroses, just as the dreams of children similarly serve as the key to the understanding of the dreams of adults. As a matter of fact, the neuroses of children are very frequent, far more frequent than is generally believed. They are often overlooked, dismissed as signs of badness or naughtiness, and often suppressed by the authority of the nursery; in retrospect, however, they may be easily recognized later. They occur most frequently in the form of anxiety hysteria. What this implies we shall learn upon another occasion. When a neurosis breaks out in later life, analysis regularly shows that it is a direct continuation of that infantile malady which had perhaps developed only obscurely and incipiently. However, there are cases, as already stated, in which this childish nervousness continues, without any interruption, as a lifelong affliction. We have been able to analyze a very few examples of such neuroses during childhood, while they were actually going on; much