Ida Bauer is an Austrian known for having been one of Dr. Freud's first patients. For confidentiality reasons, Freud alters certain data and uses the pseudonym Dora instead of your patient's real name. When going through Dora's clinical history, already in the preliminary words, Freud mentions the short duration of the treatment, while in the epilogue he explains the abrupt way in which Dora abandons him, alluding to the concept of transference and acknowledging that he was unable to dominate her. weather.
It has also caught my attention, hysterical symptoms present in the patient from such an early age and discover that the clarification of the case occurs from the interpretation of two dreams in the framework of the analysis.
The objective of these lines is to establish a analogy between recurring dreams and repeatability in hysterical symptoms from Dora's medical history.
Specifically, the first dream that Dora brings to the analysis is of the utmost importance since it is a recurring dream. The patient claims to have had the same dream three consecutive nights during her stay at L. and then to have dreamed it a fourth time in Vienna days before her session. This captures Freud's attention and together with the patient he sets out to interpret it. Freud well knows that a recurring dream should not be ignored because it is a unconscious desire that persists until it is carried out.
On the other hand, the patient expresses through recurring symptoms what cannot be said in other ways. Such is the case with his aphonia and his nervous cough. The symptom asks to be listened to and the repetition of the same shows an insistence, a return that requires its processing. In addition, it should be noted that for the symptom to recur it must have a meaning or value.
Then, it is concluded that there is something common between the patient's first recurring dream and the repetition of her hysterical symptoms, which tries to manifest itself over and over again. It is about the return of the repressed that is externalized in these two ways or it is about the unconscious that insists.
Freud explains that “His dream was repeated every night precisely because it responded to a design. And a design persists until it is executed. " (FREUD, 1905, p. 60). Already in his book "The Interpretation of Dreams", Freud (1900) maintains that every dream is a wish fulfillment, since the force that drives it is a wish to be fulfilled from the unconscious. In Dora's medical record, Freud notes that "A good dream rests, so to speak, on two legs, one of which is in contact with the essential current occasion, and the other with a relevant childhood episode." (FREUD, 1905, p. 63).
That is to say, that the desire that creates the dream has its origin in childhood. So much so that the patient, faced with her current situation, turns to her childhood story and summons her father "savior". Dora has that recurring dream in L., the place where that scene at the lake with Mr. K. had occurred and when she realizes that she can no longer lock her room, she creates the design of not staying alone in the house anymore and leaving with his dad. Freud concludes that "The dream mutes the design of taking refuge in the father, deep in the unconscious, in a situation that shows fulfilled the wish that the father save her from danger." (FREUD, 1905, p. 78). So far, it is demonstrated through this first dream of Dora how the dream is constituted with diurnal remains but also with an unconscious desire from childhood that in this case insists on being executed.
Freud (1905) finds a symbolic interpretation of his patient's aphonia, since, every time Mr. K. was away, she gave up talking; because doing it had lost value since I could not talk to him. Like Cäcilie, Dora, through her aphonia, gives Freud an example of symbolization. Another recurring symptom is the patient's nervous cough. We know that a symptom occurs as a formation of commitment after repression has acted there. That is, in hysteria through conversion, that amount of affection that comes from irreconcilable representation goes to the body. Repression is a mechanism that when it fails brings into play the return of the repressed that returns as hallucination, or as symptoms.
In the case of Dora's nervous cough, Freud finds a link between his patient's nervous cough and the father's relationship with Mrs. K. Dora argued that there was a loving relationship between Mrs. K. and her father, but at the same time he admitted the impotence of the latter. Then, Dora creates an unconscious sexual fantasy (felatio) expressed through coughing. Freud (1905) affirms that a symptom means the figuration -realization- of a fantasy with sexual content, that is, of a sexual situation.
After having analyzed the hidden design in Dora's first dream and the fantasy that generated the cough symptom, it is possible to establish the analogy raised in the first lines, being able to then say that repetition is the repetition of the traumatic (fixation on trauma) through a timeless unconscious that insists on surfacing through recurring dreams or the repetition of hysterical symptoms.
Finally, we will return to the concept of transfer. Let us not forget that Dora abruptly abandons her short treatment and thus Freud assumes that the transference had taken him by surprise. The transference is nothing other than the repetition in act. Already in On the Psychotherapy of Hysteria, Freud (1895) argues that the transference to the doctor occurs by false connection, this being one of the obstacles that can arise when the patient is frightened by transferring to the person of the doctor the painful representations that emerge from the content of the analysis. This is what happened to Dora and what led her to drop out of therapy.
In this way, what is excluded from the field of consciousness as a consequence of the censorship, insists on being revealed to the subject through the dream, the symptom and the transference itself, as we have been able to verify in Dora's clinical history. It is a knowledge of which the patient knows nothing at a conscious level but that insists all the time to be listened to.
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