In order to account for why the outcome [of premature sexual experience] ⌠is sometimes perversion and sometimes neurosis, I avail myself of the bisexuality of all human beings.
(Freud, 1950 [1892â1899], p. 238)
Freud was to use the term âbisexualityâ 44 times throughout his work. In the initial phase, he was still concerned with matching his ideas on bisexuality to the anatomicalâbiological substratum proposed by Fliess, to whom he attributed the discovery of bisexuality. It is only progressively that bisexuality acquired a more fundamental psychological meaning in his work. In time Freud came to regard bisexuality as an inherent characteristic of all human beings.
It was in his discussion of the case of Katharina in 1896 that Freud himself first related hysteria to the primal scene (Letter 52, in Freud, 1950 [1892â1899]). Freud mentioned at least three further cases linking anxiety to the primal sceneâin a letter to Fliess, in his paper on anxiety neurosis (1895b), and in his analysis of Dora (1905e). Later, in a letter to Jung on 21 November 1909, Freud wrote about Anna Oâs term âchimney sweepingâ:
The reason why a chimney sweep is supposed to bring good luck is that sweeping a chimney is an unconscious symbol of coitus, which is something of which Breuer certainly never dreamed.
(in McGuire, 1974, p. 267)
The hysteric is the feminine in the neurotic representation (Schaeffer, 1986); it is also the very repudiation of the feminine. Kohon has suggested a divalent stage for the hysteric: âIn fact, stuck in her divalent stage, the hysteric ⌠cannot define herself as a man or as a woman because she cannot finally choose between her father and her motherâ (Kohon, 1999, p. 19).
Schaefferâusing an expression coined by Michel Cachoux (see Schaeffer, 1997)âsuggests that the hysteric, like a ruby, displays what it is in fact rejecting: âThe ruby is a stone that has a horror of red. It absorbs and retains all the other colours, but rejects and expels redâ (Schaeffer, 1986, p. 925). Thus, the hysteric has a horror of the colour red, of sexuality, while at the same time displaying it. In her hysterical pregnancy Anna O was, paradoxically, rejecting a feminine identificationâthe woman who would produce babies as a result of intercourse.
Some aspects of Bertha Pappenheimâs later life represent transformations of Anna Oâs question, âAm I a man or a woman?â (see Kohon, 1984; Lacan, 1993; Leclaire, 1980), albeit in a sublimated way. In her social work, she designated the social workers she trained as her daughtersâproducts of an imaginary intercourse without a father or mother. The orphanage she built was known as âPapahomeââthe house of the fatherâin which she would fulfil the two parental roles.
Hysteria becomes, fundamentally, a mode of thinking about sexuality and the sexual object (Schaeffer, 1986).2 Hysteria works by imitation; the difference between identification and imitation is that between âbeing like the objectâ and âbeing the objectâ. Through her symptoms, Anna O seems to be imitating the sexual act. Her symptoms become like a theatre of the sexual act in an attempt to both deny and represent the primal scene and deny the mourning of her incestuous sexual desires. It is also displaying a body that cannot be experienced as sexual and feminine, but only as bits and pieces that ache. The fracture of the mind (the Humpty Dumpty song she recited at her fatherâs bedside) is mirrored in the fragmentation of the body through her symptoms.
Freudâs revolutionary vision on sexuality was to maintain the inherent, unconscious, infantile, perverse psychic bisexuality in both men and women. Each child is confronted with questions about the enigma of the differences between the sexes of the parents and the nature of their sexuality (Freud, 1905d, pp. 194â197).
Masculine and feminine are structural positions in relation to the difference between the sexes. The interplay of identifications in relation to the primal scene is implicit or explicit in each of Freudâs case studies, from Dora (1905e), to Little Hans (1909b), the Rat Man (1909d), Schreber (1911c), the Wolf Man (1918b), to âThe Psychogenesis of a Case of Homosexuality in a Womanâ (1920a). I give summarized indications below for some of Freudâs clinical cases.
Dora (Freud, 1905e)
The theme of hysteria and its relationship with sexuality continues in the discussion of Doraâs analysis, which expresses Freudâs interest in the sexual origins of hysterical symptoms, as well as in the role of dreams as expressing unconscious conflicts. The hysterical symptom âenacts a fantasy with a sexual contentâ (Cournut-Janin, 2005), even if a single unconscious phantasy is generally not sufficient to engender a symptom.
In this analysis Freud is still interested in the reconstruction of the trauma that had led to the appearance of the symptom, through the analysis of dreams and free associations. This clinical emphasis would change in later years, when Freud started to see the analytic process more in terms of a process of construction. At the time of the analysis itself, Freud emphasized the paternal transference and the role of the fatherâs impotence in the structuring of the symptom. Doraâs aphonia and cough are understood as manifestations of the unconscious phantasy of having oral sex with a woman, Mrs K, in identification with her impotent father. In Freudâs formulations, a symptom establishes a link between unconscious phantasy and sexuality: âa symptom signifies the representationâthe realization of a phantasy with a sexual content, that is to say, it signifies a sexual situationâ (1905e, p. 47).
There is a link between the current phantasy and a childhood memory, as Dora tells Freud that as a child she had been a thumb-sucker. She remembers an occasion when she would be thumb-sucking at the same time as she would be tugging at her brotherâs earlobe (p. 51). Freud believes that these are new versions of a âpre-historic impression of sucking at the motherâs or nurseâs breastâ (p. 52).
It is only retrospectively, after Dora had broken off the analysis, that Freud identified the relevance of the maternal transference.
In one of several footnotes added to the text of the analysis of Dora, Freud indicated his mistake in underestimating Doraâs love for Frau K: âI failed to discover in time and to inform the patient that her homosexual (gynaecophilic) love for Frau K. was the strongest unconscious current in her mental lifeâ (Freud, 1905e, p. 120).
Yet quite a few years were to pass before Freud discovered the pre-oedipal passion for the mother expressed by children of both sexes. The homosexual love for Frau K would then be seen as the âstrongest unconscious currentâ in the mental life of all individuals. It is always the mother, in the words of Kristeva (2012). Bisexuality was at the core of Freudâs understanding of hysteria.
Cournut-Janin (2005) has suggested that
in the longing for Frau K it is her own femininity that Doraâstill an adolescentâalso loves the woman she herself will be in the person of the lovely Frau K., who is desirable, as her father has clearly indicated to her.
(2005, p. 58)
From this perspective, Frau K becomes the ideal of unattainable femininity.
More recently, Mitchell has suggested that the identification with the mother is also present in this analysis. Freud himself says that Dora
identified with her mother by means of slight symptoms and peculiarities of manner, which gave her an opportunity for some really remarkable achievements in the direction of intolerable behaviour. ⌠The persistence with which she held to this identification with her mother almost forced me to ask whether she too was suffering from a venereal disease.
(Mitchell, 2000, pp. 75â76)
At the time, it was believed that syphilis could lead to madness. In her analysis of the case, Mitchell suggests that Freud is both the father and the mother in the transference. She also convincingly emphasizes the importance of Doraâs identification with her older brother, Otto Bauer, in the development of Doraâs symptoms. âShe had wanted to be positioned as a child in the family like her brother, only to discover that she was not like him in gender and that (probably) he, first-born and male, had their motherâs loveâ (Mitchell, 2000, p. 104). Her hysteria emanated from childhood and a âbreakdown of her identification with her brotherâ (p. 105).
Little Hans (Freud, 1909b)
This was an analysis carried out by Little Hansâs father, Max Graf, who sent Freud extensive notes about his son. When he was 4 years old, Herbert witnessed a cart horse that was pulling a heavy load collapse. The little boy became fearful of horses: Freud understood Hansâs phobia as being related to the anxiety caused by the arrival of his younger sister and the lies that the adults were offering him about the origin of babies.
Hansâs material offered Freud evidence about his theories on infantile sexuality, castration anxiety, and the Oedipus complex. Progressively, Freud understood Hansâs fear as being one of his father biting him (castrating him) for his desires towards the mother. As Hansâs father was acting as analyst, Freud conjectured that this fear was impeding the progress of the treatment, so he invited Hans to see him so that he could explain his symptoms to him.
Hans also showed jealousy towards his father and expressed a desire to give his mother babies, thus revealing himself as a âlittle Oedipusâ (Freud, 1909b, p. 11). At the same time, however, his homosexual attachment to his father was recognized. His father described the boyâs loving feelings towards boy companions, as well his loving responses to girls. Freud referred to these âaccesses of homosexualityâ in Hans as one of the many polymorphous libidinal strands that flourished before the effects of repression became evident.
Hans was a homosexual (as all children may well be), quite consistently with the fact, which must always be kept in mind, that he was acquainted with one kind of genital organâa genital organ like his own.
(Freud, 1909b, p. 110)
Little Hans is an example of the infantile theory of phallic monism that is impermeable to observation. He believed that girls and boys had âwiddlersâ, in spite of the evidence against this through his observation of his sister. This is again an expression of the force of phantasy life and the anxiety provoked by the threat of castration (see a fuller discussion of this later in this chapter).
The account of the case gives ample evidence of Hansâs identification with his mother and the wish to give birth to babies, although this is not explored by Freud in the paper and would only be discussed in 1926. As Temperley (2005) indicates, it is only in Inhibitions, Symptoms and Anxiety (Freud, 1926d) that Freud linked Hans with the Wolf Man, stating that in both cases the animal phobia derived from tender, passive homosexual desires towards the father, which had been distorted by regression to the oral phase, as well as by repression:
The process of repression had attacked almost all the components of his Oedipus complexâboth his hostile and his tender impulses toward his father and his tender impulses toward his mother.
(Freud, 1926d, p. 107)
In the next paragraph, however, Freud writes:
A tender feeling for his father was undoubtedly there too and played a part in repressing the opposite feeling: but we can prove neither that it was strong enough to draw repression on itself nor that it disappeared afterwards. Hans seems in fact to have been a normal boy with what is called a âpositiveâ Oedipus complex.
(1926d, p. 107)
The in...