• S.

    502

    SIGMUND FREUD

    IX

    What now remains is the treatment of the relations between symp-
    tom formation and fear development. Two opinions on this point
    seem widely diffused. The first calls the fear itself a symptom of
    the neurosis, the other believes in a much more intimate relation-
    between the two. According to this, all symptom formation is under-
    taken in order to escape fear; the symptoms bind the psychic energy
    that otherwise would be led off as fear, so that fear is the basic phe-
    nomenon and chief problem of the neurosis.

    The at least partial justification of this second view is shown by
    striking examples. When one has accompanied an agoraphobe into
    the street and then leaves him to himself he produces in him an
    attack of fear. If one hinder a compulsive neurotic from washing
    his hands after a contact, he becomes the prey of an almost unbear-
    able fear. It is therefore clear that the conditions of being accom-
    panied and of washing had the intention and also the result of
    preventing fear.

    In this sense every inhibition which the ego lays on itself may be
    called a symptom. As we have referred the fear development to
    the danger situation we would prefer to say that the symptoms have
    been formed to withdraw the ego from the danger situation. If
    symptom formation is prevented the danger actually appears, that
    is, a situation results which is analogous to birth, in which the ego
    finds itself helpless against the constantly growing claim of the
    impulse—the earliest and most primitive of the fear conditions. For
    our view the relationship between fear and symptom is less close
    than has been assumed because we have interpolated between the
    two elements the danger situation. We might add supplementarily
    that fear development introduces symptom formation, yes, that it
    is a necessary presupposition of the same; for if the ego would not
    arouse the pleasure-pain factor by fear development, then it would
    not obtain the power of holding back the danger threatening process
    prepared in the It. Here the tendency is unmistakable of limiting
    itself to the smallest mass of fear development, to use fear only to
    give the signal; otherwise one would obtain the pain which is threat-
    ened by the impulse process but would feel it only where there would
    be no result according to the intention of the pleasure principle,
    which, however, happens often enough in the neuroses.

    The symptom formation, then, has the actual result of abolishing
    the danger situation. It has two sides, one which is hidden from
    us and prepares in the It that alteration by means of which the ego
    is withdrawn from danger, while the other, turned toward us, shows

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    503

    what is created at the place of the influenced impulse process–the
    formation of the substitute.

    We should, however, express ourselves more correctly if we
    ascribed to the defensive process what we have just said of the
    symptom formation and apply the term symptom formation as a
    synonym of substitute formation. It now seems clear that the
    defensive process is analogous to flight, through which the ego with-
    draws itself from danger which threatens from without, that it
    represents an attempt at flight from an impulse danger. The criti-
    cisms against this comparison will aid us in a further explanation.
    First let it be objected that loss of the object (loss of love in con-
    nection with the object) and the threat of castration are likewise
    dangers which threaten from without, like a beast of prey, hence
    not danger from impulses. But the case is not the same. The wolf
    will probably attack us wherever we may happen to encounter him;
    but the beloved person will not withdraw love and castration will not
    menace us if we do not nourish within us definite feelings and inten-
    tions. So if these instinct stimuli become conditions of external
    danger and thereby themselves dangerous we can combat the
    external danger by measures against internal dangers. In the
    zoöphobias the danger seems to be felt as a purely external danger
    and also in the symptom there is experienced a displacement exter-
    nally. In the compulsive neurosis the danger is far more interior-
    ized, the share of the fear of the super-ego, the social fear, is repre-
    sented by an internal substitution for an external danger, while the
    other share, the fear of conscience, is throughout endopsychic.

    A second objection is that in attempt at flight from a threatened
    external danger we do nothing more than increase the space between
    us and the danger. We do not place ourselves in defense against
    the danger, do not seek to change anything in the same, as in the
    other cases, when we charge on the wolf with a cudgel or shoot at
    him with a gun. The defense process, however, seems to do more
    than what corresponds to flight. It attacks the threatening course
    of the process, somehow represses it, diverts its aim and thereby
    renders it powerless. This objection seems absolute, we must take
    it into account. We think it would be as if there were defense
    processes which one could with justice compare to an effort at flight,
    because the ego defends itself much more actively in others and
    undertakes energetic counter-efforts. If the comparison of the
    defense with flight is not disturbed through the circumstance that
    not detached instances like the wolf and the child, every kind of behavior
    of the ego must influence the impulse process to change it.

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    504

    Through the study of fear conditions we must look at the behavior
    of the ego in defense in a so-
    to-
    speak rational clarification. Every
    danger situation corresponds to a certain period of life or phase of
    development of the psychic apparatus and seems justified for it.
    The early child nature is actually not equipped to master psychically
    the large quantities of excitation which reach it from without. At
    a certain period of life it is actually of the most importance that the
    persons on which it depends do not withdraw their tender care.
    When the boy feels the powerful father as his rival for the mother,
    becomes aware of his aggressive inclinations against him and his
    sexual intentions toward the mother, he has the right to fear him
    and the fear of punishment can through phylogenetic strengthening
    be expressed as castration fear. With his entry into social relations
    fear of the super-
    ego, conscience, necessity, the omission of these
    factors, become the source of severe conflicts and dangers. But
    just here a new problem is added. Suppose we attempt to replace
    for a time the fear affect through another, the pain affect. We hold
    it as normal throughout that the girl of four years cries painfully
    when she breaks her doll, at six years when her teacher rebukes
    her, at sixteen when her sweetheart loses interest in her, at twenty-
    five when she buries her child. All of these pain conditions have
    their time relationship and afterwards become void, except the last
    which persist through life. It would startle us if the girl as wife and
    mother would weep over damage to some trifle, although the neurotic
    behaves in just this way. In their psychic apparatus all instances
    for the mastery of irritation have long been completed within wide
    limits; they are sufficiently grown up to be able to satisfy most of
    their needs; they have long known that castration is no longer utilized
    as a punishment, nevertheless they behave as if the old danger situa-
    tions still persist, and hold fast to all former fear conditions.
    The answer to this will turn out to be somewhat prolix. It will
    above all have to sift the facts. In a large number of cases the old fear
    conditions will actually fall out after they have caused neurotic reac-
    tions. The phobias of little children-
    of being alone, darkness and
    strangers, which may be termed almost normal-
    mostly pass off in
    later years and are outgrown, as we say of many other disturbances
    of childhood. The so numerous animal phobias have the same fate,
    and many of the conversion hysterias of childhood years find no
    later continuity. Ceremonial in the latent period is an uncommonly
    frequent occurrence; only a very slight percentage of these cases
    develop later into a full compulsion neurosis. The child neuroses-
    as far as our experience extends among the city children of the white
    race which is subjected to the high requirements of culture-
    are

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    505

    regular episodes of development although there is still too little
    attention granted them. One misses the signs of childhood neurosis
    not at all in an adult neurotic, while by no means do all of the chil-
    dren who show them become neurotics later. Hence in the course of
    ripening, fear conditions must be given up and danger situations
    have lost their significance. Moreover, it happens that some of these
    danger situations preserve themselves in later times so that their
    fear condition is modified with time. In this way castration fear is
    preserved under the mask of syphiliphobia after one has experienced
    that castration is no longer the punishment for allowing full play to
    sexual lusts although freedom of impulse threatens severe affections.
    Other fear conditions are not especially doomed to perish but accom-
    pany man through life, as fear of the super-ego. The neurotic is
    differentiated from the normal by the fact that he immoderately
    heightens the reaction to these dangers. Again, no sufficient protec-
    tion is offered even to adulthood that the original traumatic situations
    may not return; there should be a limit for every man beyond which
    his psychic apparatus fails to master the disposal of the importunate
    amounts of excitation.

    These small corrections cannot possibly have the determination to
    shake the fact that is here discussed, the fact that so many individ-
    uals remain infantile in their behavior to danger and do not overcome
    ancient fear conditions. To dispute this would be to deny the fact
    of neurosis, for such persons are called neurotics. But how is this
    possible? Why are not all neuroses episodes of development which
    are concluded with the attainment of the next phase? Whence the
    element of permanence in these reactions to danger? Whence the
    fear affect seems to enjoy over all other affects
    that it alone calls forth reactions which separate themselves as abnor-
    mal from the others and oppose themselves as unsuitable to the stream
    of life? In other words we unexpectedly find ourselves once more
    in the presence of the so often put vexed question, whence comes
    the neurosis, what it its final, its special motif? After decades of
    analytical investigation this problem looms before us, as unsolved
    as in the beginning.

    X

    Fear is the reaction to danger. However, one can not reject the
    idea that it is connected with the nature of danger if the fear affect
    can force an exceptional situation in the psychic economy. But
    dangers are in general human and the same for all individuals; what
    we need and do not have at our disposal is a factor which makes
    intelligible to us the selection of the individual who can subject the