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Getting in on the act: the hysterical solution.

The International Journal of Psycho-Analysis

|April 27, 1999

Summary

This summary is machine-generated.

This psychoanalytic review of the Anna O case reveals hysterical pregnancy as a manifestation of projective identification. The concurrent pregnancy of Mrs. Breuer likely influenced the treatment

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Area of Science:

Psychoanalysis and Psychotherapy
Psychological Case Studies
Hysteria and Trauma Research

Background:

Re-evaluation of the historical Anna O (Bertha Pappenheim) case using contemporary psychoanalytic perspectives.
Incorporation of newly available information regarding Josef Breuer's treatment of Anna O.
Addressing historical inaccuracies in Freudian biographical accounts, specifically Ernest Jones's dating of Mrs. Breuer's pregnancy.

Observation:

The case highlights erotic transference and Anna O's 'oedipal illusion', culminating in a hysterical pregnancy and labor.
Mrs. Breuer's pregnancy occurred concurrently with Anna O's treatment, suggesting a significant influence on the therapeutic process.
The author posits that projective identification is a key feature of hysteria, enabling patients to assume roles within the primal couple fantasy.

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Findings:

Anna O's hysterical symptoms, including pregnancy, are reinterpreted through the lens of projective identification and transference dynamics.
The concurrent pregnancy of Mrs. Breuer is presented as a crucial, yet previously overlooked, factor impacting the treatment's trajectory.
A symbolic enactment of the primal scene between patient and analyst is proposed as occurring within the erotic transference-countertransference.

Implications:

This analysis deepens the understanding of hysteria, particularly the role of projective identification in symptom formation.
It offers a revised psychoanalytic interpretation of the Anna O case, emphasizing the interplay of transference and countertransference.
The findings suggest the importance of considering the analyst's personal life and its potential impact on the therapeutic relationship in complex cases.