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During the formative period of his work, Freud valued and came to rely on the intellectual and emotional support of his friend [[Wilhelm Fliess]], a Berlin-based ear, nose, and throat specialist whom he had first met in 1887. Both men saw themselves as isolated from the prevailing clinical and theoretical mainstream because of their ambitions to develop radical new theories of sexuality. Fliess developed highly eccentric theories of human [[Biorhythm (pseudoscience)|biorhythm]]s and a nasogenital connection which are today considered pseudoscientific. He shared Freud's views on the importance of certain aspects of sexuality – [[masturbation]], [[coitus interruptus]], and the use of [[condoms]] – in the etiology of what was then called the "actual neuroses," primarily [[neurasthenia]] and certain physically manifested anxiety symptoms.<ref name="massonee">{{Cite book |last=Masson |first=Jeffrey Moussaieff |url=https://books.google.com/books?id=jDkkSLkjdJ8C |title=The Assault on Truth |publisher=Untreed Reads |year=2012 |isbn=978-1-61187-280-4 |page=[https://books.google.com/books?id=jDkkSLkjdJ8C&pg=PT18 18] |author-link=Jeffrey Moussaieff Masson |orig-year=1984}}</ref> They maintained an extensive correspondence from which Freud drew on Fliess's speculations on infantile sexuality and bisexuality to elaborate and revise his own ideas. His first attempt at a systematic theory of the mind, his ''Project for a Scientific Psychology'', was developed as a [[metapsychology]] with Fliess as interlocutor.<ref>Kris, Ernst, Introduction to ''Sigmund Freud The Origins of Psychoanalysis. Letters to Wilhelm Fliess, Drafts and Notes 1887–1902''. Eds. Marie Bonaparte, Anna Freud, Ernst Kris, E. London: Imago 1954.</ref> However, Freud's efforts to build a bridge between neurology and psychology were eventually abandoned after they had reached an impasse, as his letters to Fliess reveal,<ref>{{Cite book |last=Reeder |first=Jurgen |url=https://books.google.com/books?id=38_kz3n4bbEC |title=Reflecting Psychoanalysis. Narrative and Resolve in the Psychoanalytic Experience |publisher=Karnac Books |year=2002 |isbn=978-1-78049-710-5 |location=London |page=[https://books.google.com/books?id=38_kz3n4bbEC&pg=PA10 10]}}</ref> though some ideas of the ''Project'' were to be taken up again in the concluding chapter of ''The Interpretation of Dreams''.<ref>Mannoni, Octave, ''Freud: The Theory of the Unconscious'', London: Verso 2015, pp. 40–41.</ref>
During the formative period of his work, Freud valued and came to rely on the intellectual and emotional support of his friend [[Wilhelm Fliess]], a Berlin-based ear, nose, and throat specialist whom he had first met in 1887. Both men saw themselves as isolated from the prevailing clinical and theoretical mainstream because of their ambitions to develop radical new theories of sexuality. Fliess developed highly eccentric theories of human [[Biorhythm (pseudoscience)|biorhythm]]s and a nasogenital connection which are today considered pseudoscientific. He shared Freud's views on the importance of certain aspects of sexuality – [[masturbation]], [[coitus interruptus]], and the use of [[condoms]] – in the etiology of what was then called the "actual neuroses," primarily [[neurasthenia]] and certain physically manifested anxiety symptoms.<ref name="massonee">{{Cite book |last=Masson |first=Jeffrey Moussaieff |url=https://books.google.com/books?id=jDkkSLkjdJ8C |title=The Assault on Truth |publisher=Untreed Reads |year=2012 |isbn=978-1-61187-280-4 |page=[https://books.google.com/books?id=jDkkSLkjdJ8C&pg=PT18 18] |author-link=Jeffrey Moussaieff Masson |orig-year=1984}}</ref> They maintained an extensive correspondence from which Freud drew on Fliess's speculations on infantile sexuality and bisexuality to elaborate and revise his own ideas. His first attempt at a systematic theory of the mind, his ''Project for a Scientific Psychology'', was developed as a [[metapsychology]] with Fliess as interlocutor.<ref>Kris, Ernst, Introduction to ''Sigmund Freud The Origins of Psychoanalysis. Letters to Wilhelm Fliess, Drafts and Notes 1887–1902''. Eds. Marie Bonaparte, Anna Freud, Ernst Kris, E. London: Imago 1954.</ref> However, Freud's efforts to build a bridge between neurology and psychology were eventually abandoned after they had reached an impasse, as his letters to Fliess reveal,<ref>{{Cite book |last=Reeder |first=Jurgen |url=https://books.google.com/books?id=38_kz3n4bbEC |title=Reflecting Psychoanalysis. Narrative and Resolve in the Psychoanalytic Experience |publisher=Karnac Books |year=2002 |isbn=978-1-78049-710-5 |location=London |page=[https://books.google.com/books?id=38_kz3n4bbEC&pg=PA10 10]}}</ref> though some ideas of the ''Project'' were to be taken up again in the concluding chapter of ''The Interpretation of Dreams''.<ref>Mannoni, Octave, ''Freud: The Theory of the Unconscious'', London: Verso 2015, pp. 40–41.</ref>


Freud had Fliess repeatedly operate on his nose and sinuses to treat "nasal reflex neurosis",<ref name="Sulloway1992">Sulloway 1992 [1979], pp. 142ff.</ref> and subsequently referred his patient [[Emma Eckstein]] to him. According to Freud, her history of symptoms included severe leg pains with consequent restricted mobility, as well as stomach and menstrual pains. These pains were, according to Fliess's theories, caused by habitual masturbation which, as the tissue of the nose and genitalia were linked, was curable by removal of part of the [[Middle nasal concha|middle turbinate]].<ref name="Masson">Masson, Jeffrey M. (1984) ''The Assault on Truth. Freud's Suppression of the Seduction Theory''. New York City: Farrar, Straus and Giroux,</ref><ref>Bonomi, Carlos (2015) ''The Cut and the Building of Psychoanalysis, Volume I: Sigmund Freud and Emma Eckstein''. London: Routledge, p. 80.</ref> Fliess's surgery proved disastrous, resulting in profuse, recurrent nasal bleeding; he had left a half-metre of gauze in Eckstein's nasal cavity whose subsequent removal left her permanently disfigured. At first, though aware of Fliess's culpability and regarding the remedial surgery in horror, Freud could bring himself only to intimate delicately in his correspondence with Fliess the nature of his disastrous role, and in subsequent letters maintained a tactful silence on the matter or else returned to the face-saving topic of Eckstein's hysteria. Freud ultimately, in light of Eckstein's history of adolescent self-cutting and irregular nasal (and menstrual) bleeding, concluded that Fliess was "completely without blame", as Eckstein's post-operative haemorrhages were hysterical "wish-bleedings" linked to "an old wish to be loved in her illness" and triggered as a means of "rearousing [Freud's] affection". Eckstein nonetheless continued her analysis with Freud. She was restored to full mobility and went on to practice psychoanalysis herself.<ref>Gay 2006, pp. 84–87, 154–56.</ref><ref>Schur, Max. "Some Additional 'Day Residues' of the Specimen Dream of Psychoanalysis." In ''Psychoanalysis, A General Psychology'', ed. R.M. Loewenstein et al. New York: International Universities Press, 1966, pp. 45–95.</ref><ref name=Masson/>
Freud had Fliess repeatedly operate on his nose and sinuses to treat "nasal reflex neurosis",<ref name="Sulloway1992">Sulloway 1992 [1979], pp. 142ff.</ref> and subsequently referred his patient [[Emma Eckstein]] to him. According to Freud, her history of symptoms included severe leg pains with consequent restricted mobility, as well as stomach and menstrual pains. These pains were, according to Fliess's theories, caused by habitual masturbation which, as the tissue of the nose and genitalia were linked, was curable by removal of part of the [[Middle nasal concha|middle turbinate]].<ref name="Masson">Masson, Jeffrey M. (1984) ''The Assault on Truth. Freud's Suppression of the Seduction Theory''. New York City: Farrar, Straus and Giroux,</ref><ref>Bonomi, Carlos (2015) ''The Cut and the Building of Psychoanalysis, Volume I: Sigmund Freud and Emma Eckstein''. London: Routledge, p. 80.</ref> Wilhelm Fliess's surgery on Emma Eckstein resulted in severe complications and permanent disfigurement. Initially, Sigmund Freud was hesitant to confront Fliess about his role in the disaster, but later attributed Eckstein's post-operative bleeding to her hysterical tendencies. Despite this, Eckstein continued her analysis with Freud and eventually became a psychoanalyst herself.<ref>Gay 2006, pp. 84–87, 154–56.</ref><ref>Schur, Max. "Some Additional 'Day Residues' of the Specimen Dream of Psychoanalysis." In ''Psychoanalysis, A General Psychology'', ed. R.M. Loewenstein et al. New York: International Universities Press, 1966, pp. 45–95.</ref><ref name=Masson/>


Freud, who had called Fliess "the [[Kepler]] of biology", later concluded that a combination of a homoerotic attachment and the residue of his "specifically Jewish mysticism" lay behind his loyalty to his Jewish friend and his consequent overestimation of both his theoretical and clinical work. Their friendship came to an acrimonious end with Fliess angry at Freud's unwillingness to endorse his general theory of sexual periodicity and accusing him of collusion in the plagiarism of his work. After Fliess failed to respond to Freud's offer of collaboration over the publication of his ''Three Essays on the Theory of Sexuality'' in 1906, their relationship came to an end.<ref>Gay 2006, pp. 154–56.</ref>
Freud, who had called Fliess "the [[Kepler]] of biology", later concluded that a combination of a homoerotic attachment and the residue of his "specifically Jewish mysticism" lay behind his loyalty to his Jewish friend and his consequent overestimation of both his theoretical and clinical work. Their friendship came to an acrimonious end with Fliess angry at Freud's unwillingness to endorse his general theory of sexual periodicity and accusing him of collusion in the plagiarism of his work. After Fliess failed to respond to Freud's offer of collaboration over the publication of his ''Three Essays on the Theory of Sexuality'' in 1906, their relationship came to an end.<ref>Gay 2006, pp. 154–56.</ref>
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In October 1885, Freud went to Paris on a three-month fellowship to study with [[Jean-Martin Charcot]], a renowned neurologist who was conducting scientific research into [[hypnosis]]. He was later to recall the experience of this stay as catalytic in turning him toward the practice of medical psychopathology and away from a less financially promising career in neurology research.<ref>{{Cite journal |author=<!-- field: -->Joseph Aguayo<!-- field: --> |url=http://www.pep-web.org/document.php?id=pct.009.0223a |title=Joseph Aguayo ''Charcot and Freud: Some Implications of Late 19th-century French Psychiatry and Politics for the Origins of Psychoanalysis'' (1986). Psychoanalysis and Contemporary Thought |journal=Psychoanal. Contemp. Thought |pages=223–60 |access-date=6 February 2011 |url-status=live |archive-url=https://web.archive.org/web/20110719091239/http://www.pep-web.org/document.php?id=pct.009.0223a |archive-date=19 July 2011|year=1986 }}</ref> Charcot specialized in the study of hysteria and susceptibility to hypnosis, which he frequently demonstrated with patients on stage in front of an audience.
In October 1885, Freud went to Paris on a three-month fellowship to study with [[Jean-Martin Charcot]], a renowned neurologist who was conducting scientific research into [[hypnosis]]. He was later to recall the experience of this stay as catalytic in turning him toward the practice of medical psychopathology and away from a less financially promising career in neurology research.<ref>{{Cite journal |author=<!-- field: -->Joseph Aguayo<!-- field: --> |url=http://www.pep-web.org/document.php?id=pct.009.0223a |title=Joseph Aguayo ''Charcot and Freud: Some Implications of Late 19th-century French Psychiatry and Politics for the Origins of Psychoanalysis'' (1986). Psychoanalysis and Contemporary Thought |journal=Psychoanal. Contemp. Thought |pages=223–60 |access-date=6 February 2011 |url-status=live |archive-url=https://web.archive.org/web/20110719091239/http://www.pep-web.org/document.php?id=pct.009.0223a |archive-date=19 July 2011|year=1986 }}</ref> Charcot specialized in the study of hysteria and susceptibility to hypnosis, which he frequently demonstrated with patients on stage in front of an audience.


In 1886, Sigmund Freud began using a non-suggestive form of hypnosis in his Viennese practice, influenced by Josef Breuer's work. A pivotal case involved "[[Anna O.]]", who experienced symptom relief while discussing her trauma under hypnosis, coining the term "[[talking cure]]". This experience significantly shaped Freud's clinical approach. Due to inconsistent results with hypnosis, Freud developed "[[free association]]", encouraging patients to speak openly about their thoughts and memories. He also found dream analysis valuable in understanding the unconscious mind and the role of repression in symptom formation. By 1896, he termed his method and theories "[[psychoanalysis]]".<ref>Gay 2006, pp. 64–71.</ref><ref>{{Cite book |last=Capuzzi |first=David |url=https://www.google.com.vn/books/edition/Counseling_and_Psychotherapy/XDHYCwAAQBAJ?hl=vi&gbpv=1&dq=By+1896+he+was+using+the+term+%22psychoanalysis%22+to+refer+to+his+new+clinical+method+and+the+theories+on+which+it+was+based&pg=PA75&printsec=frontcover |title=Counseling and Psychotherapy: Theories and Interventions |last2=Stauffer |first2=Mark D. |date=2016-03-24 |publisher=John Wiley & Sons |isbn=978-1-119-29201-2 |pages=75 |language=en}}</ref><ref>{{Cite book |last=Freud |first=Sigmund |url=https://www.google.com.vn/books/edition/Leonardo_da_Vinci/2k5WAgAAQBAJ?hl=vi&gbpv=1&dq=By+1896+he+was+using+the+term+%22psychoanalysis%22+to+refer+to+his+new+clinical+method+and+the+theories+on+which+it+was+based&pg=PR1&printsec=frontcover |title=Leonardo da Vinci |date=2013-12-13 |publisher=Routledge |isbn=978-1-317-91454-9 |language=en}}</ref>
Once he had set up in private practice in Vienna in 1886, Freud began using hypnosis in his clinical work. He adopted the approach of his friend and collaborator, [[Josef Breuer]], in a type of hypnosis that was different from the French methods he had studied, in that it did not use suggestion. The treatment of one particular patient of Breuer's proved to be transformative for Freud's clinical practice. Described as [[Anna O.]], she was invited to talk about her symptoms while under hypnosis (she would coin the phrase "[[talking cure]]"). Her symptoms became reduced in severity as she retrieved memories of traumatic incidents associated with their onset.

The inconsistent results of Freud's early clinical work eventually led him to abandon hypnosis, having concluded that more consistent and effective symptom relief could be achieved by encouraging patients to talk freely, without censorship or inhibition, about whatever ideas or memories occurred to them. He called this procedure "[[free association (psychology)|free association]]". In conjunction with this, Freud found that patients' dreams could be fruitfully analyzed to reveal the complex structuring of unconscious material and to demonstrate the psychic action of [[Repression (psychology)|repression]] which, he had concluded, underlay symptom formation. By 1896 he was using the term "[[psychoanalysis]]" to refer to his new clinical method and the theories on which it was based.<ref>Gay 2006, pp. 64–71.</ref>


[[File:Freudsdoor.JPG|thumb|right|upright|alt=Ornate staircase, a landing with an interior door and window, staircase continuing up|Approach to Freud's consulting rooms at Berggasse 19]]
[[File:Freudsdoor.JPG|thumb|right|upright|alt=Ornate staircase, a landing with an interior door and window, staircase continuing up|Approach to Freud's consulting rooms at Berggasse 19]]
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Freud's development of these new theories took place during a period in which he experienced heart irregularities, disturbing dreams and periods of depression, a "neurasthenia" which he linked to the death of his father in 1896<ref>{{Cite web |title=jewishvirtuallibrary Sigmund Freud (1856–1939) |url=https://www.jewishvirtuallibrary.org/jsource/biography/freud.html |url-status=live |archive-url=https://web.archive.org/web/20130509021811/http://www.jewishvirtuallibrary.org/jsource/biography/freud.html |archive-date=9 May 2013 |access-date=20 May 2013 |publisher=jewishvirtuallibrary.org}}</ref> and which prompted a "self-analysis" of his own dreams and memories of childhood. His explorations of his feelings of hostility to his father and rivalrous jealousy over his mother's affections led him to fundamentally revise his theory of the origin of the neuroses.
Freud's development of these new theories took place during a period in which he experienced heart irregularities, disturbing dreams and periods of depression, a "neurasthenia" which he linked to the death of his father in 1896<ref>{{Cite web |title=jewishvirtuallibrary Sigmund Freud (1856–1939) |url=https://www.jewishvirtuallibrary.org/jsource/biography/freud.html |url-status=live |archive-url=https://web.archive.org/web/20130509021811/http://www.jewishvirtuallibrary.org/jsource/biography/freud.html |archive-date=9 May 2013 |access-date=20 May 2013 |publisher=jewishvirtuallibrary.org}}</ref> and which prompted a "self-analysis" of his own dreams and memories of childhood. His explorations of his feelings of hostility to his father and rivalrous jealousy over his mother's affections led him to fundamentally revise his theory of the origin of the neuroses.


Based on his early clinical work, Freud postulated that unconscious memories of sexual molestation in early childhood were a necessary precondition for psychoneuroses (hysteria and obsessional neurosis), a formulation now known as [[Freud's seduction theory]].<ref>Freud 1896c, pp. 203, 211, 219; Eissler 2005, p. 96.</ref> In the light of his self-analysis, Freud abandoned the theory that every neurosis can be traced back to the effects of infantile sexual abuse, now arguing that infantile sexual scenarios still had a causative function, but it did not matter whether they were real or imagined and that in either case, they became pathogenic only when acting as repressed memories.<ref>J. Forrester ''The Seductions of Psychoanalysis'' Cambridge University Press 1990, pp. 75–76.</ref>
Based on his early clinical work, Freud postulated that unconscious memories of sexual molestation in early childhood were a necessary precondition for psychoneuroses (hysteria and obsessional neurosis), a formulation now known as [[Freud's seduction theory]].<ref>Freud 1896c, pp. 203, 211, 219; Eissler 2005, p. 96.</ref> In the light of his self-analysis, Freud abandoned the theory that every neurosis can be traced back to the effects of infantile sexual abuse, now arguing that infantile sexual scenarios still had a causative function, but it did not matter whether they were real or imagined and that in either case, they became pathogenic only when acting as repressed memories.<ref>J. Forrester ''The Seductions of Psychoanalysis'' Cambridge University Press 1990, pp. 75–76.</ref> This transition from the theory of infantile sexual trauma as a general explanation of how all neuroses originate to one that presupposes autonomous infantile sexuality provided the basis for Freud's subsequent formulation of the theory of the [[Oedipus complex]].<ref>Gay 2006, pp. 88–96.</ref>

This transition from the theory of infantile sexual trauma as a general explanation of how all neuroses originate to one that presupposes autonomous infantile sexuality provided the basis for Freud's subsequent formulation of the theory of the [[Oedipus complex]].<ref>Gay 2006, pp. 88–96.</ref>


Freud described the evolution of his clinical method and set out his theory of the psychogenetic origins of hysteria, demonstrated in several case histories, in ''Studies on Hysteria'' published in 1895 (co-authored with [[Josef Breuer]]). In 1899, he published ''[[The Interpretation of Dreams]]'' in which, following a critical review of existing theory, Freud gives detailed interpretations of his own and his patients' dreams in terms of [[Wish fulfilment|wish-fulfillments]] made subject to the repression and censorship of the "dream-work". He then sets out the theoretical model of mental structure (the unconscious, pre-conscious and conscious) on which this account is based. An abridged version, ''On Dreams'', was published in 1901. In works that would win him a more general readership, Freud applied his theories outside the clinical setting in ''[[The Psychopathology of Everyday Life]]'' (1901) and ''[[Humor in Freud|Jokes and their Relation to the Unconscious]]'' (1905).<ref>Mannoni, Octave, ''Freud: The Theory of the Unconscious'', London: Verso 2015, pp. 55–81.</ref> In ''[[Three Essays on the Theory of Sexuality]]'', published in 1905, Freud elaborates his theory of infantile sexuality, describing its "polymorphous perverse" forms and the functioning of the "drives", to which it gives rise, in the formation of sexual identity.<ref>Mannoni, Octave, ''Freud: The Theory of the Unconscious'', London: Verso 2015, p. 91.</ref> The same year he published ''[[Dora (case study)|Fragment of an Analysis of a Case of Hysteria]]'', which became one of his more famous and controversial [[#Case histories|case studies]].<ref>Charles Bernheimer and [[Claire Kahane]] (eds) ''In Dora's Case: Freud – Hysteria – Feminism'', London: Virago 1985.</ref> Known as the 'Dora' case study, for Freud it was illustrative of [[hysteria]] as a symptom and contributed to his understanding of the importance of [[transference]] as a clinical phenomena. In other of his early case studies Freud set out to describe the symptomatology of [[obsessional neurosis]] in the case of the [[Rat man]], and [[phobia]] in the case of [[Little Hans]].<ref>Gay 2006, pp. 253–261</ref>
Freud described the evolution of his clinical method and set out his theory of the psychogenetic origins of hysteria, demonstrated in several case histories, in ''Studies on Hysteria'' published in 1895 (co-authored with [[Josef Breuer]]). In 1899, he published ''[[The Interpretation of Dreams]]'' in which, following a critical review of existing theory, Freud gives detailed interpretations of his own and his patients' dreams in terms of [[Wish fulfilment|wish-fulfillments]] made subject to the repression and censorship of the "dream-work". He then sets out the theoretical model of mental structure (the unconscious, pre-conscious and conscious) on which this account is based. An abridged version, ''On Dreams'', was published in 1901. In works that would win him a more general readership, Freud applied his theories outside the clinical setting in ''[[The Psychopathology of Everyday Life]]'' (1901) and ''[[Humor in Freud|Jokes and their Relation to the Unconscious]]'' (1905).<ref>Mannoni, Octave, ''Freud: The Theory of the Unconscious'', London: Verso 2015, pp. 55–81.</ref> In ''[[Three Essays on the Theory of Sexuality]]'', published in 1905, Freud elaborates his theory of infantile sexuality, describing its "polymorphous perverse" forms and the functioning of the "drives", to which it gives rise, in the formation of sexual identity.<ref>Mannoni, Octave, ''Freud: The Theory of the Unconscious'', London: Verso 2015, p. 91.</ref> The same year he published ''[[Dora (case study)|Fragment of an Analysis of a Case of Hysteria]]'', which became one of his more famous and controversial [[#Case histories|case studies]].<ref>Charles Bernheimer and [[Claire Kahane]] (eds) ''In Dora's Case: Freud – Hysteria – Feminism'', London: Virago 1985.</ref> Known as the 'Dora' case study, for Freud it was illustrative of [[hysteria]] as a symptom and contributed to his understanding of the importance of [[transference]] as a clinical phenomena. In other of his early case studies Freud set out to describe the symptomatology of [[obsessional neurosis]] in the case of the [[Rat man]], and [[phobia]] in the case of [[Little Hans]].<ref>Gay 2006, pp. 253–261</ref>
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