repetitions of an evolution which mankind has, in the course of long periods of time, traversed from primeval ages. The libido shows its phylogenetic origin most readily, I should say. Recall, if you please, that in one class of animals the genital apparatus is closely connected with the mouth, that in another it cannot be separated from the excretory apparatus, and in others it is attached to organs of locomotion. Of all these things you will find a most fascinating description in the valuable book of W. Bölsche. Animals portray, so to speak, all kinds of perversions which have become set as their permanent sexual organizations. In man this phylogenetic aspect is partly clouded by the circumstance that these activities, although fundamentally inherited, are achieved anew in individual development, presumably because the same conditions still prevail and still continue to exert their influence on each personality. I should say that originally they served to call forth an activity, where they now serve only as a stimulus for recollection. There is no doubt that in addition the course of development in each individual, which has been innately determined, may be disturbed or altered from without by recent influences. That power which has forced this development upon mankind, and which today maintains the identical pressure, is indeed known to us: it is the same self-denial enforced by the realities — or, given its big and actual name, Necessity, the struggle for existence, the [Greek] ‘Ananchê. This has been a severe teacher, but under him we have become potent. The neurotics are those children upon whom this severity has had a bad effect — but there is risk in all education. This appreciation of the struggle of life as the moving force of development need not prejudice us against the importance of “innate tendencies in evolution” if their existence can be proved.
It is worth noting that sexual instincts and instincts of self-preservation do not behave similarly when they are confronted with the necessities of actuality. It is easier to educate the instincts of self-preservation and everything that is connected with them; they speedily learn to adapt themselves to necessity and to arrange their development in accordance with the mandates of fact. That is easy to understand, for they cannot procure the objects they require in any other way; without these objects the individual must perish. The sex instincts are more difficult to educate because at the outset they do not suffer from the need of an object. As they are related almost parasitically to the other functions of the body and gratify themselves auto-erotically by way of their own body, they are at first withdrawn from the educational influence of real necessity. In most people, they maintain themselves in some way or other during the entire course of life as those characteristics of obstinacy and inaccessibility to influence which are generally collectively called unreasonableness. The education of youth generally comes to an end when the sexual demands are aroused to their full strength. Educators know this and act accordingly; but perhaps the results of psychoanalysis will influence them to transfer the greatest emphasis to the education of the early years, of childhood, beginning with the suckling. The little human being is frequently a finished product in his fourth or fifth year, and only reveals gradually in later years what has long been ready within him.
To appreciate the full significance of the aforementioned difference between the two groups of instincts, we must digress considerably and introduce a consideration which we must needs call economic. Thereby we enter upon one of the most important but unfortunately one of the most obscure domains of psychoanalysis. We ask ourselves whether a fundamental purpose is recognizable in the workings of our psychological apparatus, and answer immediately that this purpose is the pursuit of pleasurable excitement. It seems as if our entire psychological activity were directed toward gaining pleasurable stimulation, toward avoiding painful ones; that it is regulated automatically by the principle of pleasure. Now we should like to know, above all, what conditions cause the creation of pleasure and pain, but here we fall short. We may only venture to say that pleasurable excitation in some way involves lessening, lowering or obliterating the amount of stimuli present in the psychic apparatus. This amount, on the other hand, is increased by pain. Examination of the most intense pleasurable excitement accessible to man, the pleasure which accompanies the performance of the sexual act, leaves small doubt on this point. Since such processes of pleasure are concerned with the destinies of quantities of psychic excitation or energy, we call considerations of this sort economic. It thus appears that we can describe the tasks and performances of the psychic apparatus in different and more generalized terms than by the emphasis of the pursuit of pleasure. We may say that the psychic apparatus serves the purpose of mastering and bringing to rest the mass of stimuli and the stimulating forces which approach it. The sexual instincts obviously show their aim of pleasurable excitement from the beginning to the end of their development; they retain this original function without much change. The ego instincts strive at first for the same thing. But through the influence of their teacher, necessity, the ego instincts soon learn to adduce some qualification to the principle of pleasure. The task of avoiding pain becomes an objective almost comparable to the gain of pleasure; the ego learns that its direct gratification is unavoidably withheld, the gain of pleasurable excitement postponed, that always a certain amount of pain must be borne and certain sources of pleasure entirely relinquished. This educated ego has become “reasonable.” It is no longer controlled by the principle of pleasure, but by the principle of fact, which at bottom also aims at pleasure, but pleasure which is postponed and lessened by considerations of fact.
The transition from the pleasure principle to that of fact is the most important advance in the development of the ego. We already know that the sexual instincts pass through this stage unwillingly and late. We shall presently learn the consequence to man of the fact that his sexuality admits of such a loose relation to the external realities of his life. Yet one more observation belongs here. Since the ego of man has, like the libido, its history of evolution, you will not be surprised to hear that there are “ego-regressions,” and you will want to know what role this return of the ego to former phases of development plays in neurotic disease.
TWENTY-THIRD LECTURE
GENERAL THEORY OF THE NEUROSES
THE DEVELOPMENT OF THE SYMPTOMS
In the layman’s eyes the symptom shows the nature of the disease, and cure means removal of symptoms. The physician, however, finds it important to distinguish the symptoms from the disease and recognizes that doing away with the symptoms is not necessarily curing the disease. Of course, the only tangible thing left over after the removal of the symptoms is the capacity to build new symptoms. Accordingly, for the time being, let us accept the layman’s viewpoint and consider the understanding of the symptoms as equivalent to the understanding of the sickness.
The symptoms — of course, we are dealing here with psychic (or psychogenic) symptoms, and psychic illness — are acts which are detrimental to life as a whole, or which are at least useless; frequently they are obnoxious to the individual who performs them and are accompanied by distaste and suffering. The principal injury lies in the psychic exertion which they cost, and in the further exertion needed to combat them. The price these efforts exact may, when there is an extensive development of the symptoms, bring about an extraordinary impoverishment of the personality of the patient with respect to his available psychic energy, and consequently cripple him in all the important tasks of life. Since such an outcome is dependent on the amount of energy so utilized, you will readily understand that “being sick” is essentially a practical concept. But if you take a theoretical standpoint and disregard these quantitative relations, you can readily say that we are all sick, or rather neurotic, since the conditions favorable to the development of symptoms are demonstrable also among normal persons.
As to the neurotic symptoms, we already know that they are the result of a conflict aroused by a new form of gratifying the libido. The two forces that have contended against each other meet once more in the symptom; they become reconciled through the compromise of a symptom development. That is why the symptom is capable of such resistance; it is sustained from both sides. We also know that one of the
