Gmail kac attac Horney—New Ways kac attac Fri, Nov 10, 2023 at 3:28 PM To: Stefan Kac IO INTRODUCTION potentially menacing. Because of his dread of potential dangers the child must develop certain "neurotic trends" permitting him to cope with the world with some measure of safety. Narcissistic, masochistic, per- fectionistic trends seen in this light are not derivatives of instinctual forces, but represent primarily an indi vidual's attempt to find paths through a wilderness full of unknown dangers. The manifest anxiety in neuroses is then not the expression of the "ego's" fear of being overwhelmed by the onslaught of instinctual drives or of being punished by a hypothetical "super-ego," but is the result of the specific safety devices' failure to operate. The influence these basic changes in viewpoint have on individual psychoanalytical concepts will be dis- cussed in successive chapters. It suffices here to point out a few general implications: Sexual problems, although they may sometimes pre- vail in the symptomatic picture, are no longer consid- ered to be in the dynamic center of neuroses. Sexual difficulties are the effect rather than the cause of the neurotic character structure. Moral problems on the other hand gain in impor- tance. To take at their face value those moral problems with which the patient is ostensibly struggling ("super. ego," neurotic guilt feelings) appears to lead to a blind alley. They are pseudo-moral problems and have to be uncovered as such. But it also becomes necessary to help the patient to face squarely the true moral problems involved in every neurosis and to take a stand toward them. Finally, when the "ego" is no longer regarded as an INTRODUCTION 11 organ merely executing or checking instinctual drives, such human faculties as will power, judgment, decisions are reinstated in their dignity. The "ego" Freud de- scribes then appears to be not a universal but a neurotic phenomenon. The warping of the spontaneous indi- vidual self must then be recognized as a paramount factor in the genesis and maintenance of neuroses. Neuroses thus represent a peculiar kind of struggle for life under difficult conditions. Their very essence consists of disturbances in the relations to self and others, and conflicts arising on these grounds. The shift in emphasis as to the factors considered relevant in neuroses enlarges considerably the tasks of psychoanalyt- ical therapy. The aim of therapy is then not to help the patient to gain mastery over his instincts but to lessen his anxiety to such an extent that he can dispense with his "neurotic trends." Beyond this aim there looms an entirely new therapeutic goal, which is to restore the individual to himself, to help him regain his sponta- neity and find his center of gravity in himself. It is said that the writer himself profits most through writing a book. I know that I have benefited through writing this one. The necessity to formulate thoughts has greatly helped me to clarify them. Whether others will profit, no one knows in advance. I suppose there are many analysts and psychiatrists who have experi enced my uncertainties as to the validity of many theo retical contentions. I do not expect them to accept my formulations in their entirety, for these are neither complete nor final. Nor are they meant to be the beginning of a new psychoanalytical "school." I hope, however, that they are sufficiently clearly presented to 18 NEW WAYS IN PSYCHOANALYSIS What then are the constructive and-if I may venture to predict further development-the imperishable values Freud has given to psychology and psychiatry? To make a sweeping statement: nothing of importance in the field of psychology and psychotherapy has been done since Freud's fundamental findings without those find. ings being used as a directive for observation and think- ing; when they have been discarded the value of new findings has been decreased. One of the difficulties in presenting the basic con- cepts is that they are often entangled in doctrines which are debatable. In order to point out the essential con- tent of these concepts it is necessary to divest them of certain theoretical implications. Hence what may look like a popular presentation is a purposeful attempt to elucidate the elementary principles. I regard as the most fundamental and most significant 'of Freud's findings his doctrines that psychic processes are strictly determined, that actions and feelings may be determined by unconscious motivations and that the motivations driving us are emotional forces. As these doctrines are interrelated, one may start more or less arbitrarily with any one of them. Still, it seems to me that the doctrine of unconscious motivations, if taken seriously, deserves first place. It belongs among those concepts which are generally accepted but which, in their implications, are often not fully understood. Prob ably to anyone who has not had the experience of dis- covering within himself attitudes or goals whose power he was unaware of, this concept is difficult to grasp. It is contended by critics of psychoanalysis that in reality we never uncover material which was entirely 20 NEW WAYS IN PSYCHOANALYSIS arity. He was also unaware that certain of his important reactions and inhibitions were in some way connected with it; nor, of course, did he know why he had to be always right. This means that the patient was not aware of all that was important on that score. Objections to the concept of unconscious motivations are made from a much too formalistic standpoint. Awareness of an attitude comprises not only the knowl- edge of its existence but also the knowledge of its forcefulness and influence and the knowledge of its consequences and the functions which it serves. If this is missing it means that the attitude was unconscious, even though at times glimpses of knowledge may have reached awareness. The further objection that we never discover any truly unconscious trends is in numerous instances contradicted by fact. Consider, for instance, a patient whose conscious attitude to others is that of liking them indiscriminately. Our assertion that he does not like them but that he only feels obliged to do so may strike home at once; his feeling is that he was al- ways dimly aware of this, but did not dare recognize it. Even our further suggestion that his prevailing feel- ing for others is contempt may not impress him as an entirely new revelation; he knew that occasionally he despised others, without realizing, however, the depth and extent of such feelings. But our added assertion that the contempt was the result of tendencies to dis- parage others may strike him as entirely alien. The importance of Freud's concept of unconscious motivations lies not in the statement that unconscious processes exist, but in two particular aspects of it. The first is that to thrust strivings out of awareness, or not FUNDAMENTALS 21 to admit them into awareness, does not prevent them from existing and from being effective. This means, for example, that we may be disgruntled or depressed with- out knowing why; that we may make our most impor- tant decisions without knowing the real motivations; that our interests, our convictions, our attachments may be determined by forces which we do not know. The other aspect, if divested of certain theoretical implica- tions, is that unconscious motivations remain uncon- scious because we are interested in not becoming aware of them. Compressed into this general formula, the latter doctrine contains the key to both a practical and a theoretical understanding of psychic phenomena. It implies that if an attempt is made to unearth uncon- scious motivations we will have to put up a struggle because some interest of ours is at stake. This, in suc- cinct terms, is the concept of "resistance" which is of paramount value for therapy. Differences in viewpoint as to the nature of those interests which bar drives from consciousness are of comparatively lesser importance. It was only after Freud had recognized unconscious processes and their effects that he was able to arrive at another basic conviction which has since proved to be most constructive: the working hypothesis that psychic processes are as strictly determined as physical processes. It permitted the tackling of psychic manifestations which had hitherto been regarded as incidental, mean- ingless or mysterious, such as dreams, fantasies, errors of everyday life. It encouraged the venture into a psy- chological understanding of phenomena which hitherto had been ascribed to organic stimuli, for example, the FUNDAMENTALS 23 an escape into fantasy and a thorough devaluation of an unbearable reality situation. When keeping in mind, however, the doctrine that psychic processes are deter- mined, we are able to recognize that some specific factor or combination of factors must be lacking in our under- standing, as we see other patients with a generally simi- lar structure who do not develop feelings of unreality. The same applies to the evaluation of quantitative factors. If, for example, an insignificant provocation, such as a slightly impatient tone in our voice, leads to a considerable increase in the patient's anxiety, then the disproportion between cause and effect will raise in the analyst's mind questions like these: if a slight and momentary impatience on our part can elicit such intense anxiety, then it may be that the patient feels basically uncertain about our attitude toward him; what accounts for this degree of uncertainty? Why is our atti- tude toward him of such paramount importance? Does he perhaps feel utterly dependent on us and if so, why? Is as great an uncertainty present in all his relationships or are there particular factors which have enhanced it in his relation to us? In short, the working hypothesis that psychic processes are strictly determined gives us a definite lead and encourages us to penetrate more deeply into psychological connections. The third basic principle of psychoanalytical think- ing, implied in part in the two already mentioned, has been called the dynamic concept of personality. More accurately, it is the general assumption that the moti- vations for our attitudes and behavior lie in emotional forces, and the specific assumption that in order to 24 NEW WAYS IN PSYCHOANALYSIS understand any personality structure we must recognize emotional drives of conflicting character. As to the general assumption, it is scarcely necessary to point out its constructive value and its infinite superi- ority over psychologies dealing with rational motiva- tions, conditioned reflexes and habit formations. Ac- cording to Freud, these driving forces are instinctual in nature: sexual or destructive. If, however, we discard these theoretical aspects, and for "libido" substitute emotional drives, impulses, needs or passions, we see the essential kernel of the assumption and can appreciate its value in creating an understanding of personality. The more specific assumption of the importance of inner conflicts has become the key to an understanding of neuroses. The debatable part of this finding concerns the nature of the conflicts involved. For Freud the con- flicts are between the "instincts" and the "ego." He has entangled his theory of instincts with his concept of conflicts, and this combination has been subject to vio- lent attacks. I too consider Freud's instinctivistic orien- tation as one of the greatest handicaps to psychoana- lytical development. What has happened under the stress of these polemics, however, is that the emphasis has been shifted from the essential part of the concept- the central role of conflicts--to the debatable part, the theory of instincts. It is not expedient now to explain at length why I ascribe fundamental importance to this concept, but it will be elaborated throughout the book that even when dropping the whole theory of instincts the fact still remains that neuroses are essentially the result of conflicts. To have seen this in spite of the FEMININE PSYCHOLOGY 107 relation to others is merely a radiation from their rela- tion to men. Finally, as to dream symbols, any expression of wishes for masculinity is taken at its face value instead of being regarded skeptically for a possible deeper meaning. This procedure is contrary to the customary analytical attitude and can be ascribed only to the determining power of theoretical preconceptions. Another source feeding the analyst's conviction of the significance of penis-envy lies not in himself but in his women patients. While some women patients are not impressed by interpretations which point to penis-envy as the origin of their troubles, others take them up readily and quickly learn to talk about their difficulties in terms of femininity and masculinity, or even to dream in symbols fitting this kind of thinking. These are not necessarily patients who are particularly gullible. Every experienced analyst will notice whether a patient is docile and suggestible and by analyzing these trends will diminish errors springing from that source. And some patients view their problems in terms of mascu- linity and femininity without any suggestion from the analyst, for naturally one cannot exclude the influence of literature. But there is a deeper reason why many patients gladly seize upon explanations offered in terms of penis-envy: these explanations present comparatively harmless and simple solutions. It is so much easier for a woman to think that she is nasty to her husband because, unfortunately, she was born without a penis and envies him for having one than to think, for in- stance, that she has developed an attitude of righteous- ness and infallibility which makes it impossible to toler d 108 NEW WAYS IN PSYCHOANALYSIS ate any questioning or disagreement. It is so much easier for a patient to think that nature has given her an unfair deal than to realize that she actually makes ex- cessive demands on the environment and is furious whenever they are not complied with. It seems thus that the theoretical bias of the analyst may coincide with the patient's tendency to leave her real problems un- touched. If wishes for masculinity may screen repressed drives, what then renders them fit to serve in this way? Here we come to see cultural factors. The wish to be a man, as Alfred Adler has pointed out, may be the expression of a wish for all those qualities or privi- leges which in our culture are regarded as masculine, such as strength, courage, independence, success, sexual freedom, right to choose a partner. To avoid misunder- standing let me state explicitly that I do not mean to say that penis-envy is nothing but a symbolic expression of the wish to have the qualities regarded as masculine in our culture. This would not be plausible, because wishes to have these qualities need not be repressed and hence do not require a symbolic expression. A symbolic expression is necessary only for tendencies or feelings shoved out of awareness. What then are the repressed strivings which are cov- ered up by the wish for masculinity? The answer is not an all-embracing formula but must be discovered from an analysis of each patient and each situation. In order to discover the repressed strivings it is necessary not to take at face value a woman's tendency in one way or another to base her inferiority feelings on the fact that she is a woman; rather it must be pointed out to her FEMININE PSYCHOLOGY 109 that every person belonging to a minority group or to a less privileged group tends to use that status as a cover for inferiority feelings of various sources, and that the important thing is to try to find out these sources. According to my experience, one of the most frequent and effective sources is a failure to live up to certain inflated notions about the self, notions which in turn are necessary because various unrecognized pretenses have to be covered up. Furthermore, it is necessary to bear in mind the possibility that the wish to be a man may be a screen for repressed ambition. In neurotic persons ambition may be so destructive that it becomes loaded with anxiety and hence has to be repressed. This is true of men as well as of women but as a result of the cultural situation a repressed destructive ambition in a woman may express itself in the comparatively harmless symbol of a wish to be a man. What is required of psychoanaly- sis is to uncover the egocentric and destructive elements in the ambition and to analyze not only what led up to this kind of ambition but also what consequences it has for the personality in the way of inhibitions to love, inhibitions to work, envy of competitors, self-belittling tendencies, fear of failure and of success.* The wish to be a man drops out of the patient's associations as soon as we tackle the underlying problems of her ambition and exalted opinion about what she is or should be. It is then no longer possible for her to hide behind the symbolic screen of masculinity wishes. In short, interpretations in terms of penis-envy bar * Cf. Karen Horney, The Neurotic Personality of Our Time (1937) chs. 10-12. DEATH INSTINCT 131 motivation for hostility or destructiveness lies in the impulse to destroy. Thus he turns into its opposite our belief that we destroy in order to live: we live in order to destroy. We should not shrink from recognizing error even in an age-old conviction if new insight teaches us to see it differently, but this is not the case here. If we want to injure or to kill, we do so because we are or feel endangered, humiliated, abused; because we are or feel rejected and treated unjustly; because we are or feel interfered with in wishes which are of vital impor- tance to us. That is, if we wish to destroy, it is in order to defend our safety or our happiness or what appears to us as such. Generally speaking, it is for the sake of life and not for the sake of destruction. The theory of a destruction instinct is not only un- substantiated, not only contradictory to facts, but is positively harmful in its implications. In regard to psychoanalytical therapy it implies that making a pa- tient free to express his hostility is an aim in itself, be- cause, in Freud's contention, a person does not feel at ease if the destruction instinct is not satisfied. It is true that to the patient who has repressed his accusations, his egocentric demands, his impulses of revenge, it is a relief if he can express these impulses. But if analysts took Freud's theory seriously, a wrong emphasis would have to ensue. The main task is not to free these im- pulses for expression but to understand their reasons and, by removing the underlying anxiety, remove the necessity of having them. Furthermore, the theory helps to maintain the confusion that exists between what is essentially destructive and what essentially pertains to "EGO" AND "'ID'' 187 Since he is less anxiety-ridden and hence less subject to the power of unconscious drives than the neurotic, Freud's conclusions for him are all the less warranted. Thus in his concept of the "'ego" Freud denies-and on the basis of the libido theory must deny-_that there are any judgments or feelings which are not dissolvable into more elemental "'instinctual" units. In general his concept means that on theoretical grounds any judg- ments about people or causes must be regarded as ra- tionalizations of "deeper" emotional motivations, that any critical stand toward a theory must be viewed as an ultimately emotional resistance. It means that theoreti cally there is no liking or disliking of people, no sym- pathy, no generosity," no feeling of justice, no devotion to a cause, which is not in the last analysis essentially determined by libidinal or destructive drives. The denial that mental faculties may exist in their own right fosters insecurity of judgment; for example, it may lead analyzed people not to take a stand toward anything without making the reservation that probably their judgment is merely an expression of unconscious preferences or dislikes. It may also encourage the illu- sion that a superior knowledge of human nature con- sists in detecting ulterior motives in every judgment or feeling-of others!-and thereby contribute to a smug know-it-all attitude. Another consequence is that it promotes uncertainty about feelings and thus involves the danger of render- " In the paper mentioned above Freud declares, when speaking of observations that generous people may surprise us by some isolated trend of miserliness, "they show that every praiseworthy and valuable quality is based on compensation and overcompensation" (italics mine) 188 NEW WAYS IN PSYCHOANALYSIS ing them shallow. A more or less conscious awareness of "it is only because" will easily jeopardize the sponta- neity and the depth of emotional experiences. Hence the frequent impression that although an analyzed indi- vidual is better adapted he has become "less of a real person," or as one might say, less alive. The observations of such effects as these is sometimes used to perpetuate the time-honored fallacy that too much awareness makes a person futilely "'introspective." What accounts for such "introspectiveness," however, is not the greater awareness as such, but the implicit be- lief in the omnipresence of motivations which are gen- erally regarded as inferior. Freud himself regards them as inferior in value, though he wishes to consider them from the viewpoint of science and emphasize that they are as far beyond moral evaluation as is the instinct compelling a salmon to swim upstream during the time of ovulation. As often happens, the zest in pursuing a new finding which is valid may lead to carrying it to a point where it loses its validity. Freud has taught us to make a skeptical scrutiny of our motivations; he has demonstrated the far-reaching influence of unconscious egocentric and anti-social drives. But it is merely dog- matic to assert, for instance, that a judgment cannot be simply the expression of what one holds to be right or wrong, that one cannot be devoted to a cause because one is convinced of its value, that friendliness cannot be a direct expression of good human relationships. It is often regretted in psychoanalytical literature that we know little about the "ego" in comparison with our extensive knowledge concerning the "id." This defi- ciency is attributed to the historical development of CONCEPT OF "'SUPER-EGO" 213 themselves with self-recriminations. But this observa- tion, apart from the fact that it too can be interpreted differently, does not warrant generalization. There are many contradictory data: neurotics who even on the surface are just as exacting toward others as toward themselves, just as contemptuous of others as they are of themselves, just as ready to condemn others as they are to condemn themselves. What about all the cruel- ties, for example, which are committed in the name of moral or religious demands? If the neurotic need for perfection is not the result of a postulated forbidding agency, then what is its mean- ing? Freud's interpretations, although debatable, never- theless entail a constructive lead; this is their implica- tion that the strivings for perfection lack genuineness. If I may use a slang expression, there is something fishy about the moral pursuits. Alexander has elaborated this aspect in pointing out that the neurotic's pursuit of moral goals is too formalistic and that it has a pharisaic, hypocritical character. Those who seem to be driven by a relentless need for perfection only go through the motions of exercising the virtues they pretend to have.* When anyone who 8 Franz Alexander, Psychoanalysis of the Total Personality (1935). 4 The most famous expression of the difference between a formalistic fulfillment of the law and a wholehearted one is in the first letter of Paul to the Corinthians: Though I speak with the tongues of men and of angels, and have not charity, I am become as sounding brass, or a tinkling cymbal. And though I have the gift of prophecy, and under- stand all mysteries, and all knowledge; and though I have all faith, so that I could remove mountains, and have not charity, I am nothing. And though I bestow all my goods to feed the poor, and though 1 give my body to be burned, and have not charity, it profiteth me nothing" (I Corinthians XIII 1-3). 214 NEW WAYS IN PSYCHOANALYSIS seriously wants to achieve something notices within him- self obstacles to his goal he is willing to go to the root of the evil so that he may eventually overcome it; for instance, if he finds himself irritable at times, without any good reason, he will first try to control his irritabil- ity, and if that is ineffectual he will make constructive efforts to find out what trends within his personality are responsible for it and will try to change them if possible. Not so the neurotic type we are speaking of. He will start by minimizing his irritability or by putting it on a justified basis. These ways failing, he will scold him- self mercilessly for his attitude. He will try hard to con- trol it. Not succeeding in controlling it, he will scold himself for his insufficient self-control. But there his ef- forts stop. It will never occur to him that something can be wrong with him which engenders irritability. Hence nothing ever changes, and this play repeats itself end. lessly. When he is analyzed he will realize the futility of his efforts, though reluctantly. He may politely and intel- lectually follow the analyst's suggestions that the irrita- tions are only bubbles coming to the surface. But as soon as the analyst puts his finger on one of the deeper disturbances he will react with a mixture of concealed irritation and diffuse anxiety, and soon will argue most cleverly that the analyst is wrong, that at least he is exaggerating grossly; and he may end by again con- demning his failure to control his irritations. This re- action may repeat itself for each deeper problem that is touched upon, and no matter how gingerly it is done. Thus not only do these types lack the incentive to probe, to go to the roots of a disturbance, to really CONCEPT OF "'SUPER-EGO" 215 change, but they are positively opposed to it. They have no wish to be analyzed, but loathe it. If it were not for certain gross symptoms such as phobias, hypochondriac fears and the like, they would never come to analysis, no matter how great their character difficulties actually are. When they do come for treatment they want to have their symptoms removed without their personality being touched. The conclusion I draw from these observations is that the type in question is driven not by a need for an "ever-increasing perfection, as Freud assumes, but by a need to maintain the appearance of perfection. Ap- pearance in whose eyes? The first impression is that this type must primarily appear right to himself. He may castigate himself indeed for shortcomings, regardless of whether or not they are noticed by others. He is osten- sibly comparatively independent of people. It is this "super-ego," though originally arising from infantile love, hatred and fear, eventually became an autono. mous intrapsychic representation of moral prohibitions. It is true that these types show a marked trend toward independence as appears clearly when they are com- pared with types having prevailingly masochistic trends. But it is an independence born of defiance rather than of inner strength, and for this very reason it is largely spurious. Actually they are extremely dependent on others-in their own specific way. Their feelings, thoughts and actions are determined by what they feel is expected of them, whether they react to such expec- tations with compliance or defiance. Also they are de- pendent on others' opinion about them. Here again the 216 NEW WAYS IN PSYCHOANALYSIS dependency is specific; it is imperative for them that their infallibility be recognized. Any dissension makes them feel uneasy because it implies for them that their righteousness is not beyond doubt. The façade of right- ness which they are anxious to present is hence a pre- -tense for the benefit of others as well as themselves. When in the following I speak of the need to appear perfect, it is a simplified expression for the need to ap- pear perfect in one's own eyes as well as in those of others. This characteristic of pretense appears also, and often more blatantly, in those compulsory needs for perfec- tion which concern not moral issues but merely egocen- tric goals, such as having to know everything, a phe- nomenon which is frequent among intellectuals of our time and can be observed easily. When such a type is confronted with a question he cannot answer, he will pretend to know it at any price, even though an admis- sion of ignorance would in no way reflect on his intel- lectual prestige. Or he will juggle merely formalistically with scientific terms, methods and theories. The whole concept of the "super-ego" is fundamen- tally changed if we regard the individual's efforts as di- rected toward a 66 pretense" of perfection and infallibil- ity, which for some reason it is necessary to maintain. The "super-ego" is then no longer a special agency within the "ego" but it is a special need of the indi- vidual. It is not the advocate of moral perfection, but expresses the neurotic's need to keep up appearances of perfection. To some extent everyone living in an organized com- munity must keep up appearances. To some extent CONCEPT OF "'SUPER-EGO" 217 every one of us has imbibed the standards of the en- vironment. To some extent we are all dependent on the regard others have for us.5 What happens, however, in the type we are considering is-allowing a little ex- aggeration-that a human being turns altogether into a façade. It simply does not matter what he himself wants, likes, dislikes, values. The only thing which matters is to measure up to expectations and standards and to ful- fill duties. The compulsion to appear perfect may pertain to whatever is valued in a given culture: orderliness, clean- lines, punctuality, conscientiousness, efficiency, intel- lectual or artistic achievements, rationality, generosity, tolerance, unselfishness. The kind of perfection which a particular individual will emphasize depends on vari- ous factors, such as: his inherent capacities; the persons or qualities which have impressed him favorably in childhood; the environmental inadequacies which he suffered as a child and which made him determined to do better; his actual possibilities to excel; the kind of anxieties against which he has to protect himself by being perfect. How are we to understand such a stringent need to appear perfect? As to its genesis, Freud has given us a general lead in pointing out that the tendency starts in childhood and that it has something to do with the prohibitions of 5 Among others, W. James and C. G. Jung have emphasized this fact when pointing out that everyone has a '"social self" James) or a "'per- sona" (Jung). 228 NEW WAYS IN PSYCHOANALYSIS safety, the individual must hang on to others in a mas- ochistic way. The "super-ego, 99 however it be under- stood, is thus relevant in provoking repression but ac- cording to my views it is but one important factor among others.' As to the power of the "super-ego" which enables it to engender repressions, Freud ascribes it mainly to the self-destruction instinct. In my opinion the phenom- enon is as powerful as it is mainly for the reason that it constitutes a mighty bulwark against underlying anxi- ety. Therefore, like other neurotic trends, it has to be maintained at any price. Freud believes that it is instinctual drives which, be- cause of their anti-social character, succumb to repres- sion by the "super-ego." If for the sake of clarity I may express it in naïve moral terms, it is in Freud's opinion the bad, the evil in man that is repressed. This doctrine undoubtedly contains one of Freud's striking discov- eries. But I should like to suggest a more flexible formu- lation: what is repressed depends on the kind of façade an individual feels forced to present; everything is re- pressed which does not fit into the façade. A person, for instance, may feel free to indulge in obscene thoughts and actions or to have death wishes against many peo- ple, but may repress any wish for personal gain. The difference I suggest in formulation has no great prac- tical importance, however. The façade will roughly co- incide with what is regarded as "good," and hence what is repressed on its behalf will mostly coincide with what is regarded as "'bad" or "inferior." • Cf. Franz Alexander's significant paper on "The Relation of Struc tural and Instinctual Conflicts" in Psychoanalytic Quarterly (1933). CONCEPT OF "'SUPER-EGO" 229 There is, however, another more significant differ- ence concerning the factors which are repressed. Briefly, the necessity to maintain a certain façade leads not only to repressing "'bad." " anti-social, egocentric, "instinctual" drives, but also to repressing the most valuable, the most alive factors in a human being, such as spontaneous wishes, spontaneous feelings, individual judgment and the like. Freud has seen this fact but not its significance. He has seen, for example, that people may repress not only greediness but also their legitimate wishes. But he has explained this by pointing out that it is not in our power to delineate the extent of a repression: while what was meant to be repressed' was only greediness, legitimate wishes are carried away with it. To be sure, this may happen; but there also exists a repression of valuable qualities as such. They must be repressed be- cause they would endanger the façade. Thus, in summary, the neurotic's need to appear per- fect leads to repressing, first, everything that does not fit into his particular façade and, second, everything that would render it impossible for him to maintain that façade. In view of the painful consequences engendered by the need to appear perfect it is understandable why Freud contended that the "super-ego" is an essentially anti-self agency. But according to my point of view what seems to be aggression against the self is an unavoidable result, as long as an individual feels it imperative to be infallible. Freud regards the "super-ego" as the inner represent- ative of moral demands and particularly of moral pro CONCEPT OF "'SUPER-EGO" 231 his standards under the stress of fear for the sake of peace. He complies with them formalistically but with inner opposition. For example, he is superficially friendly to people but feels this attitude-unconsciously -as a burdensome imposition. Only after his friendli- ness has lost its compulsory character can he start to consider whether perhaps he himself would like to be friendly to others. There are indeed moral problems involved in the neurotic need for perfection, but they are not the ones with which the patient is apparently struggling nor those which he pretends to have. The real moral issues lie in the insincerity, the haughtiness and the refined cruelty which are inseparable from the structure that has been described. The patient is not responsible for these traits; he could not help their developing. But in analysis he has to face them, not because it is the an- alyst's business to improve his morals, but because he suffers from them: they interfere with a good relation- ship with others and with himself and they prevent his best possible development. Though this part of the analysis is particularly painful and upsetting to the pa- tient, it is also the one which may give the most intense relief. William James has said that to give up preten- sions is as blessed a relief as to have them gratified; judging from observations in analysis the relief result- ing from giving them up seems to be the greater of the two. 244 NEW WAYS IN PSYCHOANALYSIS taken for a feeling of unworthiness born of a feeling of guilt. But it is not so much my intention to give an exhaustive presentation of the underlying dynamics as to illustrate the one point that not all manifestations suggestive of guilt feelings are actually to be interpreted in that way: there may be a counterfeit feeling of guilt, and no guilt; and there may be a response-such as fear, humiliation, anger, determination to ward off criticism, inability to reproach others, need to fix somewhere the blame for adverse happenings--which has nothing to do with remorse and is interpreted in that way only because of theoretical preconceptions. My difference from Freud in regard to the "super- ego" and guilt feelings entails a different approach to therapy. Freud regards unconscious guilt feelings as an obstacle to a cure of severe neuroses, as elaborated in his theory of the negative therapeutic reaction.« Accord- ing to my interpretation the difficulty in leading the patient to acquire a real insight into his problems lies in the seemingly impenetrable front he offers because of his compulsory need to appear perfect. He comes to psychoanalysis as a last resort, but he comes with the conviction that at bottom he is all right, that he is normal, that he is not really ill. He resents any kind of interpretation which questions his motivations or which shows him that there are problems, and at best he follows only intellectually. He is so bound to appear infallible that he has to deny any deficiency or even • Sigmund Freud, New Introductory Lectures on Psychoanalysis (1933), "The Economic Problem in Masochism" in Collected Papers, Vol. I (1924), Beyond the Pleasure Principle (1920), and The Ego and the Id (1935). NEUROTIC GUILT FEELINGS 245 any problem existing in himself. With a certainty ap proximating that of a real instinct his neurotic self- recriminations avoid what are actually the weak points. In fact their very function is to prevent him from facing any real deficiencies. They are a perfunctory concession to the existing goals, a mere means of reassurance that he is not so bad after all and that his very qualms of conscience make him better than others. They are a face-saving device, for if a person really wishes to im- prove and sees a possibility of doing so, he will not waste time on self-recriminations; at any rate, he will not feel that enough is accomplished by accusing him- self; he will make constructive efforts toward under- standing and changing. The neurotic, however, does nothing but scold himself. Thus what is necessary is first to show him that he demands the impossible of himself, then to make him realize the formalistic nature of his aims and his achieve- ments. The disparity between his façade of perfection and his actual trends has to be revealed. He has to acquire a feeling that there is a problem in the strin. gency of his perfectionistic needs. All the consequences of these needs have to be worked through carefully. His actual reactions to the analyst's questioning him, wanting to find out something about him, have to be analyzed. He has to understand the factors which cre- ated the need and those which maintain it. He has to understand the function it serves. He has to see, finally, the real moral issue involved. This approach is more difficult than the usual one but it allows a less pessi- mistic view than Freud's concerning the possibilities of therapy. PSYCHOANALYTIG THERAPY 287 bility, however, rests on the analyst anyhow, and the risk of making wrong suggestions and thereby losing time is, according to experience, less than the risk en- tailed in non-interference. When I feel uncertain about a suggestion made to the patient I point out its tenta- tive character. If then my suggestion is not to the point, the fact that the patient feels that I too am searching for a solution may elicit his active collaboration in cor- recting or qualifying my suggestion. The analyst should exercise a more deliberate influ- ence not only on the direction of the patient's associa- tions but also on those psychic forces which may help him eventually to overcome his neurosis. The work the patient has to accomplish is most strenuous and most painful. It implies no less than relinquishing or greatly modifying all the strivings for safety and satisfaction which have hitherto prevailed. It implies relinquishing illusions about himself which in his eyes have made him significant. It implies putting his entire relations to others and to himself on a different basis. What drives the patient to do this hard work? Patients come for analytical help because of different motivations and with different expectations. Most frequently they want to get rid of manifest neurotic disturbances. Sometimes they wish to be better able to cope with certain situa- tions. Sometimes they feel arrested in their development and wish to overcome a dead point. Very rarely do they come with the outright hope for more happiness. The strength and constructive value of these motivations vary in each patient, but all of them can be actively used in effecting a cure. One has to realize, however, that these driving forces 288 NEW WAYS IN PSYCHOANALYSIS are not entirely what they seem." The patient wants to achieve his ends on his own terms. He may wish to be freed of suffering without his personality being touched. His wish for greater efficiency or for a better develop- ment of his talents is almost always determined largely by an expectation that analysis will help to maintain more perfectly his appearance of infallibility and su- periority. Even his quest for happiness, in itself the most effective of all motivations, cannot be taken at its face value, because the happiness the patient has in mind secretly entails the fulfillment of all his contra- dictory neurotic wishes. During the analysis, however, all of these motivations are reinforced. This occurs in a very successful analysis without the analyst paying spe- cial attention to it. But since their reinforcement, or we might say their mobilization, is of paramount impor. tance for effecting a cure, it is desirable for the analyst to know what factors bring this about, and to conduct the analysis in such a way as to make these factors op erative. In analysis the wish to become free from suffering gains in strength, because, even though the patient's symptoms may decrease, he gradually realizes how much intangible suffering and how many handicaps his neu- rosis entails. A painstaking elaboration of all the conse- quences of the neurotic trends helps the patient to rec- ognize them and to acquire a constructive discontent- ment with himself. Also, his desire to improve his personality is put on a more solid basis as soon as his pretenses are removed. 5 Cf. H. Nunberg, "Über den Genesungswunsch" in Internationale Zeitschrift für Psychoanalyse (1925). 296 NEW WAYS IN PSYCHOANALYSIS appointment, and the more he can direct his efforts into rewarding channels. Freud's doctrine is that moral problems, or value judgments, are beyond the interest and competence of psychoanalysis. Applied to therapy, this means that the analyst has to practice tolerance. This attitude is in ac- cordance with the claim of psychoanalysis that it is a science, and also it reflects the principle of laissez-faire which characterized a certain phase of the liberal era. As a matter of fact, refraining from value judgments, not daring to take the responsibility for making them, is a widely spread characteristic of modern liberal man.° The analyst's imperturbable tolerance is regarded as one of the indispensable conditions which enable the pa- tient to become aware of and eventually express re- pressed impulses and reactions. The first question which arises on this score is whether it is possible to attain such tolerance. Is it pos- sible for the analyst to be a mirror to the extent of excluding his own valuations? We have seen, in discuss- ing the cultural implications of neuroses, that this is an ideal which cannot be carried through in reality. Since neuroses involve questions of human behavior and hu- man motivations, social and traditional evaluations in- advertently determine the problems tackled and the goal aimed at. Freud himself does not adhere strictly to his ideal. He leaves no doubt in the patient's mind as to his own position concerning, for instance, the value • The sociological foundation of the psychoanalytical concept of tolerance has been presented by Erich Fromm in "Die gesellschaftliche Bedingtheit der psychoanalytischen Therapie," Zeitschrift für Sozial. forschung(1935). PSYCHOANALYTIC THERAPY 297 of the sexual morality which is current in present so- city, or as to his belief that sincerity toward oneself is a valuable goal. As a matter of fact, when he calls psy- choanalysis a re-education Freud contradicts his own ideal, succumbing to the illusion that education is con- ceivable without at least implicit moral measuring rods and goals. Since the analyst has value judgments, even though he may not be aware of having them, his professed tol- erance does not convince the patient; the patient senses the analyst's real attitude without its being explicitly stated. He knows it from the way the analyst expresses something, from the traits he does and does not regard as undesirable. When, for instance, the analyst asserts that guilt feelings concerning masturbation have to be analyzed, he implies that he does not consider mastur. bation as "'bad" and hence that it does not warrant guilt feelings. An analyst who calls a patient's trend "'spong- ing, " instead of referring to it simply as a tendency to be "receptive," implicitly conveys to the patient his judgment about it. Tolerance is thus an ideal which can be only approxi- mated, not realized. The more careful the analyst is in his choice of words, the more he will approximate it. But is tolerance, in the sense of refraining from value judgments, an ideal to be aimed at? The answer is ulti- mately a matter of personal philosophy and personal decision. My own opinion is that an absence of value judgments belongs among those ideals we should try rather to overcome than to cultivate. A limitless willing. ness to understand the inner necessities forcing the neu- rotic to develop and to maintain moral pretenses, para- 298 NEW WAYS IN PSYCHOANALYSIS sitic desires, power drives and the like, does not prevent my considering these attitudes as negative values inter. fering with real happiness. I rather suspect that for me the conviction that attitudes like these are something to be overcome is one of the incentives to understand them fully. Concerning the value of this ideal for therapy, I ques- tion whether it fulfills the expectations set on it.1 The expectation is that the analyst's tolerance will allay the patient's fear of condemnation and thereby elicit a greater freedom of thought and expression. Despite its apparent plausibility this expectation is invalid because it does not consider the exact nature of the patient's fear of condemnation. The patient is afraid not that an objectionable trend in him will be consid- ered inferior, but that his personality as a whole will be condemned because of such a trend. Also he fears that this condemnation will be merciless and without con- sideration for what made him develop the undesirable trend. Furthermore, while he may fear condemnation for various special traits, his fear on the whole is indis- criminate. His anticipation of being condemned for everything he does is due partly to the intensity of his fear of people, and partly to the fact that his own sys- tem of values is unbalanced. He knows neither his real values nor his real deficiencies, the former being repre- sented in his mind by his illusory claims of perfection and uniqueness, the latter being repressed. Hence he is entirely insecure as to what he might be condemned for; he does not know, for instance, whether it might be for legitimate wishes concerning himself, for a critical 10 Cf. Erich Fromm, "Die gesellschaftliche Bedingtheit der psycho analytischen Therapie, ," Zeitschrift für Sozialforschung (1935). PSYCHOANALYTIC THERAPY 299 attitude, for a sexual fantasy. In view of the fact that the neurotic's fear is of this character there can scarcely be any doubt that the analyst's pretense of objectivity is not only incapable of allaying the fear but is on the contrary bound to increase it. When the patient can never be certain about the analyst's attitude, when, in addition, he occasionally senses objections without their being admitted, his fear of potential condemnation is bound to be intensified. Naturally, if these fears are to be banished they have to be analyzed. What helps to allay them is the patient's knowledge that the analyst, though considering certain traits undesirable, does not condemn him as a whole. Instead of tolerance, or rather pseudo-tolerance, there should be a constructive friendliness, in which recogni tion of certain deficiencies does not detract from the capacity to admire good qualities and potentialities. In therapy this does not mean a general patting the patient on the back, but rather a willingness to give credit to whatever good and genuine elements there are in a trend, at the same time that its dubitable aspects are pointed out. It is important, for instance, to distinguish explicitly between a patient's good critical faculties and the destructive use he makes of them, between his sense of dignity and his haughtiness, between his genuine friendliness-_if there is any_and his pretense of being a particularly loving and generous person. It might be objected here that all this does not matter much because the patient sees the analyst only through the spectacles of the emotions he has at a given time. It must not be forgotten, however, that it is only one part of the patient which sees the analyst as a dangerous 300 NEW WAYS IN PSYCHOANALYSIS monster or a superior being. Certainly these feelings may prevail at times, but there is another part always present, though not always noticeable, which preserves a clear feeling for reality. In later phases of the analysis a patient may realize explicitly that he feels in two ways about the analyst. He may say, for instance, "I know for certain that you like me and yet I feel as if you loathe me." Hence the patient's familiarity with the analyst's attitude is important not only for allaying his fear of condemnation but also in order that he may recognize his projections as such. The history of psychiatry shows that as far back as ancient Egypt or Greece there have been two concepts of psychic disturbances: a medical scientific one and a moral one. If we may make a broad statement the moral concept has usually prevailed. It is to the merit of Freud, and also of his contemporaries, to have gained such a signal victory for the medical concept that-as it seems to me--it can never be eradicated. Nevertheless, our knowledge of cause and effect in psychic ailments should not blind us to the fact that they do involve moral problems. The neurotic often develops particularly fine qualities, such as sympathy for the suffering of others, understanding of their con- flicts, detachment from traditional standards, refined sensitivity to aesthetic and moral values, but he also de- velops certain traits of dubitable value. As a result of the fears, hostilities, feelings of weakness which are at the bottom of neurotic processes and are reinforced by them, he unavoidably becomes to some extent insincere, supercilious, cowardly, egocentric. The fact that he is not aware of these trends does not prevent them from PSYCHOANALYTIG THERAPY 301 existing nor does it-and this is what matters to the therapist-keep him from suffering from them. The difference between our present attitude and that which prevailed before psychoanalysis is that we regard these problems now from another viewpoint. We have learned that the neurotic is inherently as little lazy, mendacious, grabbing, conceited, as anyone else, that the adverse circumstances of his childhood have forced him to build up an elaborate system of defenses and gratifications resulting in the development of certain unfavorable trends. Hence we do not consider him re- sponsible for them. In other words, the contradiction between the medical and the moral concepts of psychic disturbances is less irreconcilable than it appeared to be: the moral problems are an integral part of the ill- ness. As a consequence we should regard as belonging to our medical task the function of helping the patient in the clarification of these problems. That the role they factually play in neuroses is not seen clearly in psychoanalysis is the result of certain theoretical presuppositions, mainly those implicit in the libido theory and the "super-ego" concept. The moral problems actually presented are as a rule pseudo-moral, for they belong to the patient's need to appear perfect and superior in his own eyes. Hence the first step is to uncover the moral pretenses and to recog. nize their real functions for the patient. His true moral problems, on the other hand, the pa- tient is most anxious to hide. It is scarcely an exaggera- tion to say that he hides them more anxiously than any. thing else. The perfectionistic and narcissistic façade is indispensable for the very reason that it serves as a