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Talking cure

Form of verbal therapy

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Through Case study, Somatic symptom disorder and Sigmund Freud

As Ernest Jones put it, "On one occasion she related the details of the first appearance of a particular symptom and, to Breuer's great astonishment, this resulted in its complete disappearance," or in Lacan's words, "the more Anna provided signifiers, the more she chattered on, the better it went".

Development

Invention of the term

Breuer found that Pappenheim's symptoms—headaches, excitement, curious vision disturbances, partial paralyses, and loss of sensation, which had no organic origin and are now called somatoform disorders—improved once the subject expressed her repressed trauma and related emotions, a process later called catharsis. Peter Gay considered that, "Breuer rightly claimed a quarter of a century later that his treatment of Bertha Pappenheim contained 'the germ cell of the whole of psychoanalysis'."

Sigmund Freud later adopted the term talking cure to describe the fundamental work of psychoanalysis. He himself referenced Breuer and Anna O. in his Lectures on Psychoanalysis at Clark University, Worcester, MA, in September 1909: "The patient herself, who, strange to say, could at this time only speak and understand English, christened this novel kind of treatment the 'talking cure' or used to refer to it jokingly as 'chimney-sweeping'."

Locus classicus

There are currently three English translations of Studies on Hysteria, the first by A. A. Brill (1937), the second by James Strachey (1955), included in the Standard Edition, and the third by Nicola Luckhurst (2004). The following samples come from Breuer’s case study on “Anna O...” where the concept of talking cure appears for the first time and illustrate how the translations differ:

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