injured in the acute stages where the patients often are in a real dream,[1] that is, in a "complex-delirium."[2]
The hallucinatory delirious phases may, as we have said, be placed parallel to hysteria (of course it must always be kept in mind that we deal with two different diseases). The content of the hysterical delirium, as we readily discover when we use Freud's method of analysis, is always a clear complex-delirium; that is, the pathogenic complex appears as self-acting and spends its vitality usually in the form of wish-realization.[3]
In the corresponding acute phases of dementia praecox we do not have to look long in order to find similar things. Every psychiatrist knows the deliria of unmarried women who pass through betrothals, marriages, coitus, pregnancies and births. I content myself here with this allusion, reserving everything till later, when I shall return to these questions. They are of extra- ordinary importance for the determination of the symptoms.[4]
- ↑ See E. Meyer: Beitrag zur Kenntnis der akut entstandenen Psychosen. Berlin, 1899.
- ↑ I recall the fact that a normal dream is always a "complex-delirium"; i. e., its content is determined by one or more complexes which are actual. Freud as we know has shown this. If one analyses his dreams by the Freud method he immediately sees the justification for the expression "complex-delirium." A great many dreams are wish fulfilments. Endogenous dreams exclusively concern complexes while exogenous ones; i. e., those influenced or produced during sleep by physical stimuli are as far as I have observed until now, blendings of complex constellations with more or less symbolic elaboration of bodily sensations.
- ↑ Ganser's dreamy states and the deliria of somnambulists furnish good examples. Comp. Riklin: Psych.-Neur. Wochenschr., 1904. Jung, Jour. f. Psych, u. Neur., 1902 u. 1903. A fine example of complex-delirium with misinterpretations is given by Weiskorn: A twenty-one year old primipara refers to her labor pains as follows; grasping her abdomen she asks: "Who presses me here?" The descent of the caput she refers to as a hard passage of the bowels. Transitorische Geistesstörungen beim Geburtsakt., Diss., Bonn, 1897. v. Krafft-Ebing reports transparent deliria, Lehbr. and C. Meyer in Jahrb. f. Psych., XI, p. 236. Clear complex-deliria are the semi or unconscious fanciful creations of the hysterics described by Pick (Jahrb. f. Psych, u. Neur., XIV, p. 280) as well as the romances of Helene Smith described by Flournoy and the somnambulists observed by me. Another clear case is found by Bohn (Ein Fall von doppeltem Bewusstsein, Dissert., Breslau, 1898).
- ↑ Riklin in his works on Versetsungsbesserungen has already given some contributions worth mentioning (Psych. Neur. Wochenschr., 1905). As
