=Another Kind of Association.= One of my women patients illustrates another kind of association-mechanism, based not on proximity in time but proximity of position in the body. This woman had complained for years of “bladder trouble” although no physical examination had been able to reveal any organic difficulty. She referred to a constant distress in the region of the bladder and was never without a certain red blanket which she wrapped around her every time she sat down. During psycho-analysis she recounted an experience of years before which she had never mentioned to anybody. During a professional consultation her physician, a married man, had suddenly seized her and exclaimed, “I love you! I love you!” In spite of herself, the woman felt a certain appeal, followed by a great sense of guilt. In the conflict between the physiological reflex and her moral repugnance, she had shunted out of consciousness the real sex-sensation and had replaced it with a sensation which had become associated in her subconscious mind with the original temptation. Since the nerves from the genital region and from the bladder connect with the same segment of the spinal cord, she had unconsciously chosen to mix her messages, and to cling to the substitute sensation without being in the least Conscious of the cause. As soon as she had described the scene to me and had discerned its connection with her symptoms, the bladder trouble disappeared.
=Afraid of the Cold.= Patients who are sensitive to cold are very numerous. Mr. G.—he of the prunes and bran biscuits—was so afraid of a draft that he could detect the air current if a window was opened a few inches anywhere in a two-story house. He always wore two suits of underwear, but despite his precautions he had a swollen red throat much of the time. His prescription was a cold bath every morning, a source of delight to the other men patients, who made him stay in the water while they counted five. He was required to dress and live like other folks and of course his sensitiveness and his sore throat disappeared.
Dr. B——, when he came to me, was the most wrapped-up man I had ever met. He had on two suits of underwear, a sweater, a vest and suit coat, an overcoat, a bear-skin coat and a Jaeger scarf—all in Pasadena in May!