Role of Dreams

Freud believed that dreams were one vehicle of unconscious expression. He viewed dreams as expressing the fulfillment of a wish, generally of a sexual nature. During sleep, the ego relaxes its restrictions on the id; instinctual wishes from the id, or repressed material from the unconscious, may be manifested in a dream. The bizarre sense of time and the confusing combinations of people and odd incidents in dreams reflect that the unconscious is without a sense of time, logic, or morality.

In dreams, the ego transforms material from the id to make it less threatening. Once one awakens, the ego disguises the true meaning of the dream further. Important points will be repressed and forgotten, and distortions will occur as the dream is remembered or told. For this reason, it is virtually impossible, according to Freud, to interpret one's own dreams accurately. A psychoanalyst interprets dreams by asking a patient to free associate—to say whatever comes to mind—about the dream content. In this fashion, the censoring of the ego may be relaxed, and the true meaning will be revealed to the therapist.

Revealing unconscious material is at the center of Freudian psychotherapy. Since Freud, many have viewed psychological problems as the result of childhood conflicts or traumas. Once the source is revealed, the patient is expected to improve. The nature of treatment is considerably more complicated than this might suggest, because the patient's ego may actively defend against acknowledging painful unconscious material. One of the few cases that Freud reported in detail was that of "Dora." Dora was referred to Freud because of a persistent cough that was assumed to be of psychological origin. According to Freud, such physical symptoms often are the result of childhood sexual conflict. Dora's cough and other psychosomatic complaints were found to be rooted in her sexual attraction to her father and to other men who were seen as resembling him—including a family friend, and even Freud himself. Her attraction was accompanied by jealousy of her mother and the family friend's wife. The situation was complicated, because Dora's father was having an affair with the family friend's wife, to whom Dora was also attracted, and the family friend had expressed his attraction for Dora.

All this and more is revealed in two dreams of Dora's that Freud analyzes in detail. The first is a dream of being awakened by her father, dressing quickly, and escaping a house that is on fire. The dream does its work by equating her father with the family friend, who once really was beside her bed as she awoke from a nap. This caused her to decide to "dress quickly" in the mornings, lest the friend come upon her unclothed. Her unconscious attraction for the friend, however, is belied by the symbol of fire, which might be likened to consuming passion. In her second dream, Dora dreamed that her father was dead and that a man said "Two and a half hours more." The dream symbolizes both Dora's turning away from her father as an object of her sexual interest and her intention (not evident to Freud at the time) of leaving therapy after two more sessions.

If Dora had not stopped therapy prematurely, Freud would have continued to bring his interpretation of her unconscious conflicts to the fore. In particular, he would have used her transference of childhood emotions to Freud himself as a vehicle for making the material revealed by her dreams, free associations, and behaviors evident to consciousness. The use of such transference is a key element of psychoanalysis. While this would not have completely resolved Dora's strong instinctual urges, it would have allowed her to come to terms with them in more mature ways, perhaps by choosing an appropriate marriage partner. Indeed, Freud reveals at the end of his report of this case that Dora married a young man she mentioned near the end of her time in therapy.

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Breaking Bulimia

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