from the wall and approach the sick man, prepared to bite. (It is very probable that some real snakes had been seen in the fields behind the house, and that she had been frightened by them; this would furnish the material for her hallucination.) She wanted to drive the creature away, but felt paralysed; her right arm, hanging over the chair, had “gone to sleep,” was anaesthetic and paretic, and as she looked her fingers turned into little snakes with death’s heads (the nails). Probably she tried to drive the snake away with her paralysed right hand, and thereby the anaesthesia and paralysis became associated with the snake-hallucination. Even after the snake had disappeared, her terror remained great. She tried to pray, but found she had no words in any language, until at length she managed to remember some English nursery rhymes, and then she could go on thinking and praying in that language.
This was the actual scene in which the paralysis and speech-disturbance arose; the describing it served to remove the speech-trouble, and in this same fashion the case was finally completely cured.
I must restrict myself to this one instance. In Breuer and Freud’s book there is a wealth of similar examples. It is easy to understand that scenes such as these make a very strong impression, and accordingly there is an inclination to attribute a causal significance to them in the genesis of the symptoms. The then current conception of hysteria, arising from the English “nervous shock” theory, which Charcot strongly supported, came in conveniently to elucidate Breuer’s discovery, hence arose the trauma-theory maintaining that the hysterical symptom and, in so far as the symptoms comprise the disease, hysteria itself, arises from some psyschic injury (or trauma), the effect of which is retained in the unconscious indefinitely. Freud, working as Breuer’s colleague, amply confirmed this discovery. It was fully demonstrated that not one out of the many hundred hysterical symptoms came down ready made from heaven; they had already been conditioned by past psychic experiences. To some extent, therefore, this new conception opened up a field
