Healing Psychiatry Ch. 5: Sigmund Freud
Healing Psychiatry Ch. 5: Sigmund Freud PHI 3453
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This 2 page Class Notes was uploaded by Sarah Parker on Friday September 23, 2016. The Class Notes belongs to PHI 3453 at Florida Atlantic University taught by Carol S Gould in Fall 2016. Since its upload, it has received 39 views. For similar materials see Philosophy of Psychiatry in Political Science, Philosophy, & Religion at Florida Atlantic University.
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Date Created: 09/23/16
HealingPsychiatry Sigmund Freud: Scientist and Pragmatist The Scientific/Humanism Divide Scientific: The study of the brain and its processes to better understand the origin and composition of human behavior, and therefore be able to treat patients in a clinical fashion that influences the brain Humanism: The study of the mind in a broad social and cultural context, aiming to address the meanings and effects of the patient’s subjective experiences and existential concerns The psychiatric community is conflicted by practitioners who stand by one of these two approaches and believe it is the best way to treat patients. Many believe, though, that a proper balance between the two would be most effective, but where that balance lies has yet to be agreed upon Freud and the Divide According to Brendel, Freud falls on the scientific side of this debate Freud was surrounded by scientists and mentors that held the belief that mental events were epiphenomenal on brain events Brendel labels Freud and his colleagues as “proto-eliminative materialists” Even at the end of his career, Freud proclaimed his faith in the scientific community to prove that the mind and consciousness were in fact physical processes that could be viewed Psychophysical parallelism The idea that mental events are correlated to events in the brain, but the mind cannot impact the brain. o Brain -> Mind o Mind -> Nothing Does not allow for Cartesian mind/body interaction o Cartesian mind/body interaction maintains that the mind is a separate entity from matter (the brain), but the mind can influence matter. Organically based paralyses VS Hysterically based paralyses Freud argues that hysterical paralyses did not cohere with any known neuroanatomical patterns Explained hysterical paralysis as a “change in the action of the mind on the body”, meaning the origin of the disorder comes from the mind Ribot’s Law The idea that recent memories are more likely to be forgotten before distant memories are affected This was defied by Anna O, who forgot her native German language but would be able to speak in another learned language The case with Anna O led Freud to form the idea of the unconscious as something that governs all human actions, whether we are aware of it or not Chimney Sweeping and the Talking Cure The process by which the patient talks about the circumstances surrounding the onset of their symptoms with a psychiatrist Breuer discovered this process while working with Anna O Somatic Compliance Freud’s observation that physical ailments may be adapted by patients in order to serve a psychological purpose. He states that different body parts tend to have psychodynamic meanings ascribed to them Somatic compliance is still accepted today—contemporary theorist Graham Macdonald believes involuntary symptoms may be used to express emotions or desires Freud’s criticism of Breuer Freud stated that Breuer did not realize that Anna O was conveying a transference of feelings for her father onto Breuer, which resulted in a failure to treat her Freud pointed out that Breuer could not be successful in treating Anna O without an understanding of unconscious fantasy Ratman 29-year-old patient of Freud in 1909 Suffered from obsessional neurosis and constantly feared that his father and a “lady friend” were enduring a torture through rats boring into their anuses Freud concluded that Ratman’s intrusive thoughts and strange behavior were due to primitive unconscious fantasies that reflected his unacknowledged feelings of love and hatred for important people in his life. Through his understanding of transference, Freud determined that patients like Ratman needed treatment that “trances their unconscious thoughts and translates them into conscious ones.”
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