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THE PSYCHOLOGY OF DEMENTIA PRÆCOX.

associations, so that it is now possible to see from all sides the automatic workings of the unconscious complexes. What the patient and we see are only the complicated, distorted and displaced products of complex-ideations which are analogous to our dreams, wherein we only see the dream-picture but not the complex-thought hidden beneath it. Thus the patient takes her dream productions also as substantial and claims that they are realities. She acts just as we do in dreams, when we are no longer able to distinguish the connection between the logical and analogical. It is therefore the same to her whether she says "I am the double polytechnic" or "I am the best tailoress." When we speak about our dreams we speak as it were of something apart, we speak from the point of view of the waking state; when the patient talks about her dreams she speaks as if still in the dream. She is involved in the automatic machinery in which naturally all logically adjusted reproduction ceases. She is then thrown entirely upon her sudden fancies and is wholly dependent on the complex for any new reproductions. Accordingly, her stream of thought is burdened, constantly reiterating (perseverations), and is frequently interrupted by thought-deprivation which the patient considers very trying. If an explanation is asked the patient is able to reproduce only new dream fragments, so that no one is the wiser for it. She is unable to dominate the complex material and to reproduce it as if it were indifferent material.

From this analysis we see that the pathological dream has fulfilled the wishes and hopes of the patient in a most splendid manner. Where there is so much light there must also be shadow. Large estates of happiness must psychologically be bought dearly. We therefore come to another group of neologisms or delusions, which have to do with the contrasts, with the injuries or derogations.


B. The Ideas of Injury.


1. Paralysis (stereotype: "That is paralysis"): bad victuals—overwork—sleep deprivation—telephone—these are the natural causes—consumption—backbone—from there comes the paralysis—rolling chairs, only these do they mention as paralysis—tortured—expresses itself in certain pains—that is the way it is with me—woe is not far away—I belong to the monopoly, to the pay-