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The American Journal of Psychoanalysis, Vol. 51, No. 3, 1991 Karen Horney The goals of psychoanalysis have changed in recent years. When Freud made the astonishing discovery that symptoms, such as the paralysis of an arm or anxiety, could be eliminated by calling back to mind the traumatic experience the patient had forgotten, or, as we say, had not gotten over at the time, it was of course the aim of therapy to remove the symptoms. The next discovery Freud made was that this simple method of removing symp- toms did not always work. In some cases, no individual experience could be found that was responsible for a specific physical disorder, and it seemed necessary to make a long detour and learn a great deal about the patient's life and his entire personality in order to understand the symptom and help the patient to overcome it. Freud gradually realized the fact that symptoms do not simply vanish but can only be removed if we understand the human personality, and especially neurosis. The goal was therefore redefined as removing symptoms through an understanding of the person- ality. But the emphasis was still on the symptom. The next development was that
The American Journal of Psychoanalysis – Springer Journals
Published: Sep 1, 1991
Keywords: Clinical Psychology; Psychotherapy; Psychoanalysis
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