3. A group of sensory phenomena is conspicuous in hysteria, sometimes combined with the paralyses and attacks but often existing alone. A part of the body will become curiously insensitive to stimulation. Thus one may thrust a pin into any part without evoking any pain and APPARENTLY without being felt; one may rub the cornea of the eye, that exquisitely sensitive part, without arousing a reaction; one may push a throat stick against the uvula as it hangs from the palate without arousing the normal and very lively reflex of "gagging." These insensitive areas, known as stigmata, played a very important role in the epidemic of witchcraft hunting of the sixteenth and seventeenth centuries, when the witch was so diagnosed if she felt no pain when a needle was thrust into her. Mankind has often enough worshiped the insane and mentally aberrant and has as often been diabolically cruel to them.
What has been stated of the paralyses is true of the insensitive areas; they correspond to an idea of a part and not to an anatomical unit. Thus a loss of sensation will reach up to the wrist (glove type) all around, front and back, or to the elbow or the shoulder, etc. No organically caused anaesthetic area ever does this, and so the neurologist is able, usually, to separate the two conditions. And the anaesthesias yield as do the hysteric paralyses to a variety of agents, from prayer and persuasion to a bitter tonic or a blow. I confess to a weird feeling in the presence of a hysteric whose arm can be thrust through and through with a needle without apparently suffering any pain, and it seems to me that this may be the explanation of the fortitude of those martyrs who have astonished and sometimes converted their persecutors by their sublime resistance to torture.
There has been described as part of hysteria the hysteric temperament. The characteristics of this temperament are the emotional instability, the strong desire for sympathy, the effort to obtain one's desire through weakness, through the appeal to the sympathy of others, an irritable egoism never satisfied and without firm purpose. It is true that the majority of peace-time hysterics show this peculiar temperament, but it is also true that the war-time hysterics often enough were of "normal" character, without prior evidence of weakness.
As I before mentioned, Freud became greatly interested in this group of patients and especially in the female patients, since in ordinary neurological practice the male hysteric is not common.
Out of his experience and effort he built up a system of beliefs and treatment, the evolution of which is interesting, but which is not here important.
At the present time the Freudian doctrine hangs on the following beliefs:
1. That from the beginning to the end of life everything in the mental activities of man has a cause and a meaning, and that these causes and meanings may be traced back to infancy. No slip of the tongue is accidental; it has purpose and this purpose can be traced by psychoanalysis. So with hysteric phenomena: the paralyses, the sensory changes, all the queer and startling things represent something of importance and of value to the subconscious.
2. There is in man a subconscious mentality, having wills, purposes, strivings, desires, passions. These trends are the raw, native, uninhibited desires of man; they are our lusts, our crude unsocialized desires, arising out of a metaphysical, undifferentiated yearning called libido. In the Freudian "psychology" the libido is mainly sex desire and takes the form of homosexual feelings, incest feelings (desire for the father or for the mother--the oedipus complex), desire for the sister or brother.[1] (The human being, according to Freud, goes through three stages in his sex life: first, a sex attachment to himself marked by thumb sucking, masturbation, etc., second, an attachment to the same sex--homosexuality--and, finally, the attachment or desire for the opposite sex.) In the practical application of the Freudian psychology to the patients the sex conflicts (of which we shall speak shortly) are all important; the subconsciousness is largely taken up with sex and with efforts to obtain gratification for these sex desires.
[1] The Freudians would protest against this. Libido is the life energy,--but all the Freudian analyses of actual cases published make libido sex, and usually "perverse." (I put the perverse in quotations because I fear to be called prudish by Freudians.)
3. But, the theory continues, the conscious personality is the socialized personality, having aims and ends not consistent with desire for mother, homosexual cravings, lust for a married man or woman. So there ensues a battle between desire and inhibition.
