Page:Freud - The interpretation of dreams.djvu/467

Rh far-reaching psychological speculations, we are in duty bound to demonstrate that we are thereby bringing the dream into a relationship which may also comprise other psychic structures. If there exists a system of the Unc.—or something sufficiently analogous to it for the purpose of our discussion—the dream cannot be its sole manifestation; every dream may be a wish-fulfilment, but there must be other forms of abnormal wish-fulfilment besides this of dreams. Indeed, the theory of all psychoneurotic symptoms culminates in the proposition that they too must be taken as wish-fulfilments of the unconscious. Our explanation makes the dream only the first member of a group most important for the psychiatrist, an understanding of which means the solution of the purely psychological part of the psychiatric problem. But other members of this group of wish-fulfilments, e.g., the hysterical symptoms, evince one essential quality which I have so far failed to find in the dream. Thus, from the investigations frequently referred to in this treatise, I know that the formation of an hysterical symptom necessitates the combination of both streams of our psychic life. The symptom is not merely the expression of a realised unconscious wish, but it must be joined by another wish from the foreconscious which is fulfilled by the same symptom; so that the symptom is at least doubly determined, once by each one of the conflicting systems. Just as in the dream, there is no limit to further over-determination. The determination not derived from the Unc. is, as far as I can see, invariably a stream of thought in reaction against the unconscious wish, e.g., a self-punishment. Hence I may say, in general, that an hysterical symptom originates only where two contrasting wish-fulfilments, having their source in different psychic systems, are able to combine in one expression. (Compare my latest formulation of the origin of the hysterical symptoms in a treatise published by the Zeitschrift für Sexualwissenschaft, by Hirschfeld and others, 1908). Examples on this point would prove of little value, as nothing but a complete unveiling of the complication in question would carry conviction. I therefore content myself with the mere assertion, and will cite an example, not for conviction but for explication. The hysterical vomiting of a female patient proved, on the one hand, to be the realisation of an 2 F