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Freud identified repression as one of the key elements establishing psychoanalysis as unique from the cathartic method he had been working on thanks to the contributions of Josef Breuer (Freud, 1914/1995). Indeed, according to Freud, his own contributions that transformed Breuer’s cathartic method into psychoanalysis were repression, resistance , infantile sexuality, and dream analysis for the understanding of the unconscious mind. The value of repression cannot be underestimated:
The theory of repression is the pillar upon which the edifice of psychoanalysis rests. It is really the most essential part of it, and yet, it is nothing but the theoretical expression of an experience which can be repeatedly observed whenever one analyses a neurotic without the aid of hypnosis. One is then confronted with a resistance which opposes and blocks the analytic work by causing failures of memory. This resistance was always covered by the use of hypnosis; the history of psychoanalysis proper, therefore, starts with the technical innovation of the rejections of hypnosis. (pg. 907; Freud, 1914/1995)
The resistance Freud is referring to here is the defense mechanism of repression, which is the means by which the ego refuses to associate itself with an unacceptable instinctual impulse generated by the id. The ego is able to keep the “reprehensible” impulse from entering into the conscious mind (Freud, 1926/1959). But an important question arises: What then happens to this impulse seeking satisfaction? There are several possibilities, and Freud himself considered the answer to be rather complex. One thing that might happen is that the ego attempts to shift the libido cathexed to the impulse toward release as anxiety (Freud, 1926/1959). However, anxiety is unpleasant, and the id demands satisfaction in accordance with its pleasure principle. Therefore, this procedure is doomed to failure (and, therefore, the development of neurosis). There are, of course, alternatives that can occur prior to the failure of this initial defense. The ego may find some acceptable alternative to the impulse through the other defense mechanisms, such as sublimation or reaction-formation.
Regression can be seen when an individual engages in behavior typical of an earlier stage of development. As Freud and Breuer tried to work out the causes of their patient’s neuroses by using the cathartic method, they repeatedly found that they could not help their patients by focusing on the actual event that had led to a crisis. Instead, their patients inevitably made associations between the traumatic event and earlier experiences. Initially, these earlier experiences went back to puberty, and ultimately they went back to early childhood. Although Breuer favored some physiological explanation of this phenomenon, Freud insisted that it was psychological, and he termed the process regression (Freud, 1914/1995). According to Freud:
This regressive direction became an important characteristic of the analysis. It was proved that psychoanalysis could not clear up anything actual, except by going back to something in the past. (pg. 903)
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