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[Freud, Meynert, and Mathilde: hypnosis in question].

A Hirschmüller¹

¹Institut für Geschichte der Medizin, Tübingen.

Revue Internationale D'Histoire De La Psychanalyse

|January 1, 1993

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Sigmund Freud's early ambivalence towards hypnosis stemmed from a difficult patient case involving melancholia and untreatable psychosis. This unresolved trauma, detailed in his Irma dream, highlights the lasting impact of this patient's death.

Area of Science:

Psychiatry
Psychoanalysis
History of Medicine

Background:

Sigmund Freud's attendance at the 1889 Paris Congress revealed an unexpected disinterest in hypnosis.
This attitude was influenced by professional rivalries and a challenging patient case.

Discussion:

Newly uncovered documents detail Freud's prolonged hypnotic treatment of a melancholic patient, Mathilde, who later developed a severe, untreatable psychosis with sexualized transference.
Freud's decision to commit Mathilde to a private clinic and her subsequent death from sulfonal intoxication are discussed.
The case provides insight into Freud's early therapeutic struggles and the limitations of psychiatric treatments in the late 19th century.

Key Insights:

Freud's personal experiences, particularly the unresolved case of Mathilde, significantly shaped his views on hypnosis and psychoanalytic theory.

Related Experiment Videos

The patient's death and its connection to Freud's "Irma dream" suggest a profound and lasting psychological impact on Freud.

Untreatable psychosis and sexualized transference presented significant challenges for early psychoanalytic practice.

Outlook:

Further examination of archival materials may illuminate other formative experiences in Freud's career.
This case study offers a nuanced understanding of the development of psychoanalytic concepts.
The historical context of psychiatric care and treatment failures informs contemporary clinical practice.