Psychotherapy - Hugo Münsterberg (top 5 books to read txt) 📗

RECENT BOOKS BY THE SAME AUTHOR Psychology and Life, Boston, 1899 Grundzüge der Psychologie, Leipzig, 1900 American Traits, Boston, 1902 Die Amerikaner, Berlin, 1904 Principles of Art Education, New York, 1905 The Eternal Life, Boston, 1905 Science and Idealism, Boston, 1906 Philosophie der Werte, Leipzig, 1907 On the Witness Stand, New York, 1908 Aus Deutsch-Amerika, Berlin, 1908 The Eternal Values, Boston, 1909 TO
MY FRIEND AND COLLEAGUE

DR. FRANZ PFAFF

PROFESSOR OF THERAPEUTICS IN
HARVARD UNIVERSITY

PREFACE

This volume on psychotherapy belongs to a series of books which I am writing to discuss for a wider public the practical applications of modern psychology. The first book, called "On the Witness Stand," studied the relations of scientific psychology to crime and the law courts. This new book deals with the relations of psychology to medicine. Others discussing its relations to education, to social problems, to commerce and industry will follow soon.

For popular treatment I divide applied psychology into such various, separated books because they naturally address very different audiences. That which interests the lawyer does not concern the physician, and again the school-teacher has his own sphere of interests. Moreover the different subjects demand a different treatment. The problems of psychology and law were almost entirely neglected. I was anxious to draw wide attention to this promising field and therefore I chose the form of loose popular essays without any aim towards systematic presentation of the subject. As to psychology and medicine almost the opposite situation prevails. There is perhaps too much talk afloat about psychotherapy, the widest circles cultivate the discussion, the magazines overflow with it. The duty of the scientific psychologist is accordingly not to stir up interest in this topic but to help in bringing this interest from mere gossip, vague mysticism, and medical amateurishness to a clear understanding of principles. What is needed in this time of faith cures of a hundred types is to deal with the whole circle of problems in a serious, systematic way and to emphasize the aspect of scientific psychological theory.

Hence the whole first part of this book is an abstract discussion and its first chapters have not even any direct relation to disease. I am convinced that both physicians and ministers and all who are in practical contact with these important questions ought to be brought to such painstaking and perhaps fatiguing inquiry into principles before the facts are reached. To those who seek a discussion of life facts alone, the whole first part will of course appear to be a tedious way around; they may turn directly to the second and third parts.

One word for my personal right to deal with these questions, as too much illegitimate psychotherapeutics is heard to-day. For me, the relation between psychology and medicine is not a chance chapter of my science to which I have turned simply in following up the various sides of applied psychology. And still less have I turned to it because it has become the fashion in recent years. On the contrary, it has been an important factor in all my work since my student days. I have been through five years of regular medical studies, three years in Leipzig and two years in Heidelberg; I have an M.D. degree from the University of Heidelberg. In my first year as docent in a German university twenty years ago, I gave throughout the winter semester before several hundred students a course in hypnotism and its medical application. It was probably the first university course on hypnotism given anywhere. Since that time I have never ceased to work psychotherapeutically in the psychological laboratory. Yet that must not be misunderstood. I have no clinic, and while by principle I have never hypnotized anyone for mere experiment's sake but always only for medical purposes, yet I adjust my practical work entirely to the interests of my scientific study. The limitations of my time force me to refuse the psychotherapeutic treatment of any case which has not a certain scientific interest for me, and of the many hundreds whom I have helped in the laboratory, no one ever had to pay anything. Thus my practical work has strictly the character of laboratory research.

The chief aim of this book is twofold. It is a negative one: I want to counteract the misunderstandings which overflood the whole field, especially by the careless mixing of mental and moral influence. And a positive one: I want to strengthen the public feeling that the time has come when every physician should systematically study psychology, the normal in the college years and the abnormal in the medical school. This demand of medical education cannot be postponed any longer. The aim of the book is not to fight the Emmanuel Church Movement, or even Christian Science or any other psychotherapeutic tendency outside of the field of scientific medicine. I see the element of truth in all of them, but they ought to be symptoms of transition. Scientific medicine should take hold of psychotherapeutics now or a most deplorable disorganization will set in, the symptoms of which no one ought to overlook to-day.

Hugo Münsterberg.

Harvard University, March 20, 1909.

CONTENTS   CHAPTER PAGE I. Introduction 1   PART I THE PSYCHOLOGICAL BASIS OF PSYCHOTHERAPY   II. The Aim of Psychology 9 III. Mind and Brain 27 IV. Psychology and Medicine 55 V. Suggestion and Hypnotism 85 VI. The Psychology of the Subconscious 125   PART II THE PRACTICAL WORK OF PSYCHOTHERAPY   VII. The Field of Psychotherapy 158 VIII. The General Methods of Psychotherapy 184 IX. The Special Methods of Psychotherapy 212 X. The Mental Symptoms 239 XI. The Bodily Symptoms 297   PART III THE PLACE OF PSYCHOTHERAPY   XII. Psychotherapy and the Church 319 XIII. Psychotherapy and the Physician 347 XIV. Psychotherapy and the Community 370

I

INTRODUCTIONContents

Psychotherapy is the practice of treating the sick by influencing the mental life. It stands at the side of physicotherapy, which attempts to cure the sick by influencing the body, perhaps with drugs and medicines, or with electricity or baths or diet.

Psychotherapy is sharply to be separated from psychiatry, the treatment of mental diseases. Of course to a certain degree, mental illness too, is open to mental treatment; but certainly many diseases of the mind lie entirely beyond the reach of psychotherapy, and on the other hand psychotherapy may be applied also to diseases which are not mental at all. That which binds all psychotherapeutic efforts together into unity is the method of treatment. The psychotherapist must always somehow set levers of the mind in motion and work through them towards the removal of the sufferer's ailment; but the disturbances to be treated may show the greatest possible variety and may belong to mind or body.

Treatment of diseases by influence on the mind is as old as human history, but it has attained at various times very different degrees of importance. There is no lack of evidence that we have entered into a period in which an especial emphasis will be laid on the too long neglected psychical factor. This new movement is probably only in its beginning and the loudness with which it presents itself to-day is one of the many indications of its immaturity. Whether it will be a blessing or a danger, whether it will really lead forward in a lasting way, or whether it will soon demand a reaction, will probably depend in the first place on the soberness and thoroughness of the discussion. If the movement is carried on under the control of science, it may yield lasting results. If it keeps the features of dilettanteism and prefers association with the antiscientific tendencies, it is pre-destined to have a spasmodic character and ultimately to be harmful.

The chaotic character of psychotherapy in this first decade of the twentieth century can be easily understood. It results from the fact that in our period one great wave of civilization is sinking and a new wave rising, while the one has not entirely disappeared and the other is still far from its height. The history of civilization has shown at all times a wavelike alternation between realism and idealism, that is, between an interest in that which is, and an interest in that which ought to be. In the realistic periods, the study of facts, especially of the facts of nature, is prevalent; in idealistic periods, history and literature appeal to the world. In realistic periods, technique enjoys its triumphs; in idealistic periods, art and religion prevail. Such a realistic movement lies behind us. It began with the incomparable development of physics, chemistry, and biology, in the middle of the last century, and it brought with it the achievements of modern engineering and medicine. We are still fully under the influence of this gigantic movement and its real achievements will never leave us; and yet this realistic wave is ebbing to-day and a new period of idealism is rising. If the signs are not deceitful, this new movement may reach its historical climax a few decades hence, when new leaders may give to the idealistic view of the world the same classical expression which Darwin and others gave to the receding naturalistic age. The signs are clear indeed that the days of idealistic philosophy and of art, and of religion, are approaching; that the world is tired of merely connecting facts without asking what their ultimate meaning is. The world dimly feels again that technical civilization alone cannot make life more worth living. The aim of the last generation was to explain the world; the aim of the next generation will be to interpret the world; the one was seeking laws, the other will seek ideals.

Psychotherapy stands in the service of both; it is the last word of the passing naturalistic movement, and yet in another way it tries to be the first word of the coming idealistic movement; and because it is under the influence of both, it speaks sometimes the language of the one, and sometimes the language of the other. That brings about a confusion and a disorder which must be detrimental. To transform this vagueness into clear, distinct relations is the immediate duty of science.

Indeed it may be said that psychotherapy is the last word of a naturalistic age, because psychotherapy finds its real stronghold in a systematic study of the mental laws, and such study of mental laws, psychology,