forms of abnormal wish-fulfillment beside this of dreams.
Indeed, the theory of all psychoneurotic symptoms
culminates in the proposition that they too must
be taken as wish-fulfillments of the unconscious.
Our explanation makes the dream only the first member
of a group most important for the psychiatrist, an
understanding of which means the solution of the purely
psychological part of the psychiatric problem.
But other members of this group of wish-fulfillments,
e.g., the hysterical symptoms, evince one essential
quality which I have so far failed to find in the
dream. Thus, from the investigations frequently
referred to in this treatise, I know that the formation
of an hysterical symptom necessitates the combination
of both streams of our psychic life. The symptom
is not merely the expression of a realized unconscious
wish, but it must be joined by another wish from the
foreconscious which is fulfilled by the same symptom;
so that the symptom is at least doubly determined,
once by each one of the conflicting systems.
Just as in the dream, there is no limit to further
over-determination. The determination not derived
from the Unc. is, as far as I can see, invariably
a stream of thought in reaction against the unconscious
wish, e.g., a self-punishment. Hence I
may say, in general, that an hysterical symptom
originates only where two contrasting wish-fulfillments,
having their source in different psychic systems,
are able to combine in one expression. (Compare
my latest formulation of the origin of the hysterical
symptoms in a treatise published by the Zeitschrift
fuer Sexualwissenschaft, by Hirschfeld and others,
1908). Examples on this point would prove of little
value, as nothing but a complete unveiling of the
complication in question would carry conviction.
I therefore content myself with the mere assertion,
and will cite an example, not for conviction but for
explication. The hysterical vomiting of a female
patient proved, on the one hand, to be the realization
of an unconscious fancy from the time of puberty, that
she might be continuously pregnant and have a multitude
of children, and this was subsequently united with
the wish that she might have them from as many men
as possible. Against this immoderate wish there
arose a powerful defensive impulse. But as the
vomiting might spoil the patient’s figure and
beauty, so that she would not find favor in the eyes
of mankind, the symptom was therefore in keeping with
her punitive trend of thought, and, being thus admissible
from both sides, it was allowed to become a reality.
This is the same manner of consenting to a wish-fulfillment
which the queen of the Parthians chose for the triumvir
Crassus. Believing that he had undertaken the
campaign out of greed for gold, she caused molten
gold to be poured into the throat of the corpse.
“Now hast thou what thou hast longed for.”
As yet we know of the dream only that it expresses
a wish-fulfillment of the unconscious; and apparently