which, however, certain other forces or conditions are opposed, so that the ultimate issue cannot always be in accordance with the pleasure-tendency. Compare the comment of Fechner in a similar connection.1 ‘Therewithal it is to be noted that the tendency towards the goal does not imply the attainment of it and that in general the goal is only approximately attainable….” If we now address ourselves to the question of what circumstances have the power to frustrate the successful carrying out of the pleasure-principle we shall be treading on safer and better-known ground, and we can draw in abundant measure on our analytical experiences for the answer.
The first case of such a check on the pleasure-principle is perfectly familiar to us in the regularity of its occurrence. We know that the pleasure-principle is adjusted to a primary mode of operation on the part of the psychic apparatus, and that for the preservation of the organism amid the difficulties of the external world it is ab initio useless and indeed extremely dangerous. Under the influence of the instinct of the ego for self-preservation it is replaced by the ‘reality-principle’, which without giving up the intention of ultimately attaining pleasure yet demands and enforces the postponement of satisfaction, the renunciation of manifold possibilities of it, and the temporary endurance of ‘pain’ on the long and circuitous road to pleasure. The pleasure-principle however remains for a long time the method of operation of the sex impulses, which are not so easily educable, and it happens over and over again that whether acting through these impulses or operating in the ego itself it prevails over the reality-principle to the detriment of the whole organism.
It is at the same time indubitable that the replacement of the pleasure-principle by the reality-principle can account only for a small part, and that not the most intense, of painful experiences. Another and no less regular source of ‘pain’ proceeds from the conflicts and dissociations in the psychic apparatus during the development of the ego towards a more highly co-ordinated organisation. Nearly all the energy with which the apparatus is charged comes from the inborn instincts, but not all of these are allowed to develop to the same stage. On the way it over and again happens that particular instincts, or portions of them, prove irreconcilable in their aims or demands with others which can be welded into the comprehensive unity of the ego. They are thereupon split off from this unity by the process of repression, retained on lower stages of psychic development, and for the time being cut off from all possibility of gratification. If they then succeed, as so easily happens with the repressed sex-impulses, in fighting their way through—along circuitous routes—to a direct or a substitutive gratification, this success, which might otherwise have brought pleasure, is experienced by the ego as ‘pain’. In consequence of the old conflict which ended in repression the pleasure-principle has been violated anew, just at the moment when certain impulses were at work on the achievement of fresh pleasure in pursuance of the principle. The details of the process by which repression changes a possibility of pleasure into a source of ‘pain’ are not yet fully understood, or are not yet capable of clear presentation, but it is certain that all neurotic ‘pain’ is of this kind, is pleasure which cannot be experienced as such.
The two sources of ‘pain’ here indicated still do not nearly cover the majority of our painful experiences, but as to the rest one may say with a fair show of reason that their presence does not impugn the supremacy of the pleasure-principle. Most of the ‘pain’ we experience is of a perceptual order, perception either of the urge of unsatisfied instincts or of something in the external world which may be painful in itself or may arouse painful anticipations in the psychic apparatus and is recognised by it as ‘danger’. The reaction to these claims of impulse and these threats of danger, a reaction in which the real activity of the psychic apparatus is manifested, may be guided correctly by the pleasure-principle or by the reality-principle which modifies this. It seems thus unnecessary to recognise a still more far-reaching limitation of the pleasure-principle, and nevertheless it is precisely the investigation of the psychic reaction to external danger that may supply new material and new questions in regard to the problem here treated.
1. op. cit., p. 90.
II
AFTER severe shock of a mechanical nature, railway collision or other accident in which danger to life is involved, a condition may arise which has long been recognised and to which the name ‘traumatic neurosis’ is attached. The terrible war that is just over has been responsible for an immense number of such maladies and at least has put an end to the inclination to explain them on the basis of organic injury to the nervous system due to the operation of mechanical force.1 The clinical picture of traumatic neurosis approaches that of hysteria in its wealth of similar motor symptoms, but usually surpasses it in its strongly marked signs of subjective suffering—in this resembling rather hypochondria or melancholia—and in the evidences of a far more comprehensive general weakening and shattering of the mental functions. Neither the war neuroses nor the traumatic neuroses of peace are as yet fully understood. With the war neuroses some light was contributed, but also on the other hand a certain confusion introduced, by the fact that the same type of malady could occasionally occur without the interposition of gross mechanical force. In the traumatic neuroses there are two outstanding features which might serve as clues for further reflection: first that the chief causal factor seemed to lie in the element of surprise, in the fright; and secondly that an injury or wound sustained at the same time generally tended to prevent the occurrence of the neurosis. Fright, fear, apprehension are incorrectly used as synonymous expressions: in their relation to danger they admit of quite clear distinction. Apprehension (Angst) denotes a certain condition as of expectation of danger and preparation for it, even though it be an unknown one; fear (Furcht) requires a definite object of which one is afraid; fright (Schreck) is the name of the condition to which one is reduced if one encounters a danger without being prepared for it; it lays stress on the element of surprise. In my opinion apprehension cannot produce a traumatic neurosis; in apprehension there is something which protects against fright and therefore against the fright-neurosis. We shall return later to this dictum.
The study of dreams may be regarded as the most trustworthy approach to the exploration of the deeper psychic processes. Now in the traumatic neuroses the dream life has this peculiarity: it continually takes the patient back to the situation of his disaster, from which he awakens in renewed terror. This fact has caused less surprise than it merits. The obtrusion on the patient over and again, even in sleep, of the impression made by the traumatic experience is taken as being merely a proof of its strength. The patient has so to speak undergone a psychical fixation as to the trauma. Fixations of this kind on the experience which has brought about the malady have long been known to us in connection with hysteria. Breuer and Freud stated in 1893 that hysterics suffer for the most part from reminiscences. In the war neuroses, observers, such as Ferenczi and Simmel, have been able to explain a number of motor symptoms as fixation on the factor of the trauma.
But I am not aware that the patients suffering from traumatic neuroses are much occupied in waking life with the recollection of what happened to them. They perhaps strive rather not to think of it. To regard it as self-evident that the dream at night takes them back to the situation which has caused the trouble is to misunderstand the nature of dreams. It would be more in correspondence with that nature if the patient were presented (in sleep) with images from the time of his normal health or of his hoped-for recovery. If we are not to go thoroughly astray as to the wish-fulfilment tendency of the dream in consequence of these dreams of the shock neuroses, perhaps the expedient is left us of supposing that in this condition the dream function suffers dislocation along with the others and is diverted from its usual ends, or else we should have to think of the enigmatic masochistic tendencies of the ego.
I propose now to leave the obscure and gloomy theme of the traumatic neuroses and to study the way in which the psychic apparatus works in one of its earliest normal activities. I refer to the play of children.