functionates in dreams. The hallucinations of hysteria, just as those of dreams, contain symbolically disfigured complex fragments. This also holds true[1] of most of the hallucinations of dementia præcox, only that here they are pushed still further and are of a more dreamlike disfigurement. Disfigurements of speech, after the example of dream-paraphasias (comp. Freud, Stransky and Kraepelin), are extraordinarily frequent; most of them are contaminations. A patient who entertained delusions of sin, noticing a Japanese in the clinic, heard the voices call out "Japansinner" (Japansünder). It is remarkable that not a few patients who tend to form numerous neologisms and peculiar delusions, that is, who are under the complete domination of the complex, are often corrected by the voices. One of my patients, for example, was twitted by the voices about her grandiose delusions, or the voices commanded the patient to tell the physician who was occupying himself with her delusions that "he should not bother himself with these things." Another patient who has been in the hospital for a number of years and always speaks in a disdainful manner about his own family is told by the voices that "he is homesick." From this and numerous other examples I received the impression that the correcting voices are perhaps invasions of the repressed normal remnant of the ego-complex. That the normal ego-complex does not entirely perish, but is prevented from reproduction by the disease-complex, seems to me to be shown by the fact that during severe physical diseases or any other deep-going changes, the patients suddenly begin to react in a tolerably normal manner.[2] Sleep disturb-
- ↑ During the absence of her fiancé a girl was seduced. She concealed it from her fiancé. More than ten years later she was afflicted with dementia præcox. The disease began by feeling that people entertained suspicions against her morality, and that she heard voices talking about her secret, which finally compelled her to make a confession to her husband.
Many patients state directly that the "sin register" is read for them with all its details and that voices "know everything" and take it up with them. It would therefore seem very strange that most of the patients are unable to give satisfactory information about their hallucinations. It is due here to the reproduction of the complexes which, as we have seen, are under special inhibitions.
- ↑ A patient who was quite inaccessible and who always greeted the doctors in the most scurrilous manner fell ill with a grave gastro-
