Friday, 1 May 2020

Freud, the unconscious, Fliess, and Emma Eckstein: some observations


The pleasures of interpretation are ... linked to loss and disappointment, so that most of us will find the task too hard, or simply repugnant; and then, abandoning meaning, we slip back into the old comfortable fictions of transparency, the single sense, the truth.                                                                                                                                                 Frank Kermode

Freud and Fliess
During the last academic year I attended a first year undergraduate level course on English literature (university extramural). During the Easter term, when we were studying Neo–Classical and Romantic poetry, our tutor asked us – in what context I cannot now remember – how many of us believed in the unconscious. A few students raised their hands almost immediately; most made a gesture indicative of considerable uncertainty; and I remarked that I had read Richard Webster’s Why Freud Was Wrong: Sin, Science and Psychoanalysis. (Harper Collins, 1995). To which our tutor quipped that someone ought to write Why Webster was Wrong. (A fair question, perhaps, yet in twenty–four years no one has attempted this! However, Webster is so painstakingly fair to Freud, and has written such a finely argued case, that the critic would hardly know where to begin: she or he would have to devote themselves to a kind of obscure metalanguage, such as would blind the reader in the manner of Freud.)  However this may be, this small classroom interlude set me thinking again about the – often bitter and acrimonious – disputes over the existence (or otherwise) of the unconscious (and it is hard sometimes to understand exactly why this controversy generates so much heat).

I first read Freud in my mid–twenties—starting with the Introductory Lectures, and following these up with Civilisation and its Discontents. I was enchanted and stimulated—here were ideas I had never encountered before (with the added bonus of Freud’s fine literary style.) But, when I moved on to other works I quickly discovered what I regard as one of Freud’s major faults: he writes as if what he says is axiomatically true—that is, obviously true and therefore not needing to be proved. Far from presenting us with the closely argued conclusions of a Darwin, based on the profound examination of ‘a million facts’, and indefatigable travel to foreign climes – Freud based his analyses upon observations gleaned from an extremely narrow (and well–healed) strata of Viennese society. From these observations he built theories which to me seem to me fantastic—that is, quasi–chimerical.

For the purposes of this critical piece I have just read Freud’s The Unconscious, in the new translation by Graham Frankland, with an introduction by Mark Cousins (Penguin, 2005). Here is a section from I In defence of the Unconscious (p52):

To postulate an unconscious is . . . entirely legitimate in that, by doing so, we do not depart in the slightest from our customary way of thinking, widely held to be correct.

Freud’s emphasis on the word ‘legitimate’ indicates, I think, a fairly deep lack of confidence in the idea he is about to postulate; while his assertion that, ‘we do not depart from our customary way of thinking, begs the question, who’s customary way of thinking? The gullible reader can here be fooled into thinking it axiomatic that there exists a considerable body of ‘wise’ people who really do concur with Freud’s ‘customary way of thinking.’ We then learn that this ‘way of thinking’ is ‘widely held to be correct.’ Again, we have to ask, ‘widely held to

be correct by whom?’ However, this apart, for an idea to be (putatively) ‘widely held to be correct’ is not a sufficient reason for believing it to be true—in fact it is a very good reason for treating it with extreme scepticism. The popular ‘weathervane’ often points in a direction quite indiscernible to the meteorologist.

What though of the unconscious? Of what does it consist? Can it even be said exactly to consist of anything?—material, that is. What is its purpose? How does it operate? These are hard questions, to which moreover there seem to be no satisfactory answers—so far at least. Certainly we cannot locate it physically, as we can the cerebral cortex. Not that this is a legitimate reason for saying that no such entity exists. Because if the unconscious is a function of the mind – as opposed to the brain – then that cannot be physically located either.

I think that there is one thing to bear clearly in mind. Which is, that the elusive (and putative) unconscious is not to be found in any part of the brain that we would call physical (and I assume that there is no part of the brain that we could describe as non physical?). However, it should be noted here that Freud wrote, ‘Provisionally, our psychic typography has nothing to do with anatomy; it refers not to anatomical localities, but to regions in the psychic apparatus, wherever these may be situated in the body.’ [Webster’s italics]. The unconscious: II The ambiguity of the unconscious (p57). So, it seems we must assume that there is some free floating ‘psychic apparatus’ which lacks a known anatomical locality (and doubtless still does). I make no further comment on this.

I’ll continue by outlining what I think is the most widely held conception of the unconscious. Which is that it is the repository of primal emotions or drives, such as are too frightening – perhaps even, terrifying? — for subjects (people) to express or act upon. For example, someone who is cripplingly shy in society may repress this perfectly healthy need, by – as it were – channelling it into the unconscious (by some kind of mechanism which even Freud seems never to have satisfactorily explained). Once repressed, these primal or natural needs or emotions cause havoc, and are likely to re-emerge in the form of extremely unhealthy emotions, bizarre character traits, or even mental illness. There is much to be said for this. It is very plausible, and could well be true at a subconscious level. Probably most of us know of at least one person who has made their life a misery because of their lack of courage in expressing natural and healthy emotions—and I think we all know of people who have manifested envy or jealousy to such a degree that it has vitiated our relationship with them. However, it should be borne in mind that Freud regarded the unconscious as ‘A seething mass of unclean impulses.’ Richard Webster, publication as cited in the first paragraph. I find this a very curious notion. And if it is true we might wonder what hope there is for any of us. (The writer, Vincent Brome, once said to me that life for everyone was more difficult than it might have been if evolution had not taken so many ‘inefficient’ turns).  

However, if we remain theoretically wedded to the unconscious as our ‘working hypothesis’, then considerable problems remain. According to Freud, ‘the unconscious is permanently locked into its own priority,’ and has a strong indifference to anything outside it own

satisfaction.’ The Unconscious: Introduction. Mark Cousin’s words. (pxvi).  So, are we to infer from this that there is some kind of ‘being’, which does have a consciousness—and moreover of a deeply unpleasant character? And how can an unconscious be conscious of itself?

But what in Freud’s view is the complex relationship of the unconscious to the conscious? I could paraphrase this, but I’m not sure I could capture the strangeness of it, so I am going to quote Freud’s own words:

Moving to a positive [sic] account of psychoanalytic findings, we can state that a psychic act generally goes through two phases, between which is interposed a kind of inspection (censorship). In the first phase the act is unconscious and belongs to the unconscious system. If, on being inspected, it is rejected by the censorship, it is not allowed to proceed to the second phase;                                it is then said to be ‘repressed’ and has to remain unconscious. If, however, it passes the inspection, it enters a second phase and becomes part of the system we are calling the conscious. The fact that it belongs to this system does not however, definitively determine its relationship to consciousness. It is still not conscious, though it certainly is capable of consciousness . . . i.e., certain conditions being met, it can now become the object of consciousness without any particular                 resistance. The Unconscious: II The Ambiguity of the Term ‘Unconscious’ and the Typographical Perspective. (p56)

Here we have posited a censor: something which might be described as ‘The great decider of our fate.’ (If not Milton’s ‘. . . two-handed engine at the door’, which ‘Stands ready to smite once, and smite no more.’) However that may be, we will remember that the unconscious ‘is permanently locked into its own priority’, and has a ‘stony indifference to anything outside its own satisfaction.’ However, as far as I am aware, only humans are capable of evincing a stony indifference to anything (and you cannot even say that a cat or a dog is capable of feeling satisfaction in the way that humans can). So I would suggest that Freud is (subconsciously) attributing human characteristics to his (highly illusive) unconscious. This is bizarre. Moreover, for the unconscious to perform its putative tasks, it is hardly sufficient to allocate it some limited form of consciousness, such as animals have—in fact I would suggest that it would necessarily require a consciousness consonant with that of a fully conscious person. How else could it perform its mighty task? And, how it might turn upon itself in order to mutate between its two mutually exclusive states is a riddle of riddles.

With regard to the censorship – requiring a ‘psychic act’ to pass a ‘customs post’ if it wishes to move from the murky waters of the unconscious to the sunny uplands of consciousness – Sartre has a very trenchant criticism of this supposed process—which I will have to paraphrase, as I do not have the text to hand (and of course I may not remember it accurately). As I remember, Sartre writes that if you are going to have a censor, then effectively you are setting up a ‘passport control’, which in turn requires a passport officer, whose job it is to decide what (and when) certain ‘psychic’ material may be allowed to pass. It would work on our behalf, but without our being aware of it. And – I would suggest – would necessarily have

to be conscious in order to deal efficiently and fairly with matters of great consequence to the person it was serving. Whatever may be the case, we are, I think, in the world of Alice in Wonderland. We have posited it would seem three consciousnesses: 1/ The logically impossible consciousness of the unconscious; 2/ The consciousness of the customs officer or passport controller; and 3/ Normal consciousness. Yet I do not think it necessary to think in terms of a – or the – unconscious at all. I think that subconsciousness is sufficient for the purpose in hand. And I cannot help but think that ‘raising the unconscious’ has certain religious overtones (of equal improbability). But there is another point: for psychic material to be unconscious does not require it to be ‘stored’ in a specific place. And to see the unconscious as a ‘thing’ can only, I think, cause great confusion. This strange ‘entity’ tends to lurk at the back of people’s minds as some actual – but entirely indefinable – dark ‘space.’ Just as the idea of hell – formless but fearful – darkened the lives of so many people in the past (and in the present, for those whose society has them in the grip of generational culture). So there we have it—controversy has raged over the nature, properties, and ‘intentions’ even of something which is quite simply not susceptible of proof. (However it is not illegitimate to believe in things that you cannot prove.

But we do not need the unconscious in order for Freud to be right in so much of his thinking.   It is perfectly obvious that we are only too good at deceiving ourselves; of acting – or not acting – from cowardice; of failing to face up to the truth about ourselves (as those businessmen and bankers who admit to having made ‘mistakes’ in the past, when their behaviour has been downright criminal). These and many other things we must accept to be true, but do we really need all the fantastic ‘apparatus’ of Freud in order to understand these things? The Ego, the Id, the Superego, the census, ‘psychic acts’, and etc. are so much obscuring baggage that we seem hardly able to see over the top of them. I leave that as an open question, but meantime intend to look at some other character traits of Freud that seem almost to be peculiar to him.

I have so far examined — primarily – Freud’s theory of the unconscious. But, when reading Richard Webster, I came across an aspect of Freud’s behaviour which I can only describe as highly (almost criminally) irresponsible, and deeply shameful. As a result of the ‘treatment’ carried out, the patient came within a hair’s breadth of dying; and was even so left permanently scarred. To set the scene: in 1887 Freud met Willhelm Fliess, to whom he immediately warmed, and with whom he kept up a long correspondence (which he later strenuously – but unsuccessfully – tried to keep out of the public domain). Freud’s fascination with Fliess has never been satisfactorily explained, but if we are to go by Richard Webster’s account, it is tantamount to being inexplicable. Webster writes that:

[Freud’s] letters to Fliess . . . show a man who, rather than inspiring awe in others, appears both fallible and credulous. For Freud frequently adopts towards Fleiss attitude of reverence and submission, and looks to his younger colleague at almost every stage for guidance, advice, and scientific enlightenment.
                                                                                                                                                                    Freud’s attitude towards Fliess was all the more significant in view of the ideas which the Berlin physician was committed to. For although Fliess began his career as an orthodox nose and throat specialist, he soon stepped into a self–created labyrinth of medical error which led him to formulate some of the most remarkable theories in the whole of nineteenth–century medicine. Why Freud was Wrong, Chapter ten, Freud, Fleiss and the Theory of Infantile Sexuality. (p220)

This insight into Fleiss’s personality and ideas is essential to the part he played in assisting Freud with his treatment of a patient (analysand) – Emma Eckstein – who was highly disturbed by her practice of masturbation (a practice which even Freud could not happily square with his personal life). (Fliess here enters the picture as the author of a book, The Relationship between the Nose and the Female Sexual Organs (1897)—described by one reviewer as, ‘utter gobbledegook!’)

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In 1895, after having apparently identified Eckstein as a victim of nasal reflex  neurosis, brought on by masturbation, Freud summoned Fliess to Vienna to perform the ultimate operation which he advocated — the removal of the turbinate bone in Emma Eckstein’s nose. Fliess was an inexperienced surgeon and this was apparently one of his first ventures into major surgery. Webster (p224).     

Fliess then returned to Berlin, but Emma Eckstein’s condition deteriorated rapidly. She suffered from ‘a purulent secretion, massive haemorrhaging, and considerable pain.’ Freud called in another surgeon, Ignaz Rosanes. In Freud’s words they removed ‘at least half a metre of gauze from the cavity [of the sight of the operation]. The next moment came a flood of blood. The patient turned white, her eyes bulged, and she had no pulse.’ Quoted Webster (p224).  Webster continues:

After the cavity had been packed the bleeding stopped and Emma Eckstein made a partial recovery. But she continued to have severe haemorrhages. Instead of facing up to the fact that he had damaged his patient’s health and almost caused her death through an entirely unecessary operation, Freud tried to exculpate both himself and Fliess by arguing that her haemorrhaging was actually hysterical, and was motivated by an unconscious wish to ‘entice’ Freud to her bedside. Instead of  revising his estimations of Fliess in the light of this experience, Freud elevated him even higher in his regard, describing him as a true healer, ‘the type of man into whose hands one confidently puts one’s life and that of one’s family.’ Webster (pp224 –5)

If this is not a form of insanity, then it is hard to imagine what is. We may attribute to Freud’s character the title of Anthony Trollope novel, He Knew he was Right (even when he knew he was wrong). The idea of Keats’ ‘Negative Capability’ or Popper’s ‘defeasibility’ would, I think, have been anathema to him.

So is there nothing to be salvaged from this unconscionable obscurantism and psychic mess of pottage? Yes, I think that there is. We may probably reasonably say that Chaucer and Shakespeare knew more about human nature than Freud did. But I think that it took Freud to ‘fire the psychological pistol’, and make us more vividly aware of the way we humans only too willingly pull the wool over our eyes; with what anger we tend to react to criticism; what disgraceful thoughts we are capable of entertaining; the bitterness we can nurse; the pleasure we can sometimes take in hurting others; and of course all those terrible aspects of the human psyche that lead to murder, torture, rape, sexual abuse, and other horrors—‘A seething mass of unclean impulses,’ indeed (not that our souls can be made up only of such things). However, the idea that these terrible emotions are perhaps latent in us all, but have not manifested themselves because we have not found ourselves in situations which might have sparked them, is – to say the very least – a sobering thought. And yet, decency tends to prevail, and if so many of us did not get so truly upset when some tragedy strikes, we might feel like giving up all hope.

I have often thought that Freud would have been of inestimable service to us if he had been content to catalogue his often acute observations of human behaviour. In the manner, as might be said, of Peter and Iona Opie’s The Lore and Language of School Children. Here, for example, are two observations: one from Civilisation and its Discontents, and another which I will have to quote from memory, both of which I have not forgotten in decades:

We are so constituted that we can gain intense pleasure only from the contrast, and only      very little from the condition itself.

We must learn to accept the fact of complicated relationships.

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I will, at this point, explain why I think I am putting so much effort into this piece—and Freud would not have been slow in pulling me up with this! It would for him be a classic case of denial—of his theories and of psychoanalysis. This is a trick ever up the Freudian’s sleeve: that which you deny is that which you unconsciously believe. It is a happy device to have at hand.

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