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''The Talking Cure'' and ''chimney sweeping'' were terms Bertha Pappenheim, known in case studies by the alias Anna O., used for the verbal therapy given to her by
Josef Breuer Josef Breuer ( , ; 15 January 1842 – 20 June 1925) was a distinguished physician who made key discoveries in neurophysiology, and whose work in the 1880s with his patient Bertha Pappenheim, known as Anna O., developed the talking cure (cathar ...
. They were first published in '' Studies on Hysteria'' (1895). As
Ernest Jones Alfred Ernest Jones (1 January 1879 – 11 February 1958) was a Welsh neurologist and psychoanalyst. A lifelong friend and colleague of Sigmund Freud from their first meeting in 1908, he became his official biographer. Jones was the first En ...
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 A somatic symptom disorder, formerly known as a somatoform disorder,(2013) dsm5.org. Retrieved April 8, 2014. is any mental disorder that manifests as physical symptoms that suggest illness or injury, but cannot be explained fully by a general ...
—improved once the subject expressed her repressed trauma and related emotions, a process later called
catharsis Catharsis (from Greek , , meaning "purification" or "cleansing" or "clarification") is the purification and purgation of emotions through dramatic art, or it may be any extreme emotional state that results in renewal and restoration. In its lite ...
. 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 Sigmund Freud ( , ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating pathologies explained as originating in conflicts ...
later adopted the term ''talking cure'' to describe the fundamental work of
psychoanalysis PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might b ...
. He himself referenced Breuer and Anna O. in his Lectures on Psychoanalysis at
Clark University Clark University is a private research university in Worcester, Massachusetts. Founded in 1887 with a large endowment from its namesake Jonas Gilman Clark, a prominent businessman, Clark was one of the first modern research universities in the ...
, 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'."Sigmund Freud, ''Five Lectures on Psycho-Analysis'' (Penguin 1995) p. 8-9


Locus classicus

There are currently three English translations of ''Studies on Hysteria'', the first by
A. A. Brill Abraham Arden Brill (October 12, 1874 – March 2, 1948) was an Austrian-born psychiatrist who spent almost his entire adult life in the United States. He was the first psychoanalyst to practice in the United States and the first translator of S ...
(1937), the second by James Strachey (1955), included in the ''
Standard Edition Standard may refer to: Symbols * Colours, standards and guidons, kinds of military signs * Heraldic flag, Standard (emblem), a type of a large symbol or emblem used for identification Norms, conventions or requirements * Standard (metrology) ...
'', and the third by
Nicola Luckhurst Nicola may refer to: People * Nicola (name), including a list of people with the given name or, less commonly, the surname **Nicola (artist) or Nicoleta Alexandru, singer who represented Romania at the 2003 Eurovision Song Contest * Nicola people, ...
(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:


Current status

Mental health professionals now use the term ''talking cure'' more widely to mean any of a variety of
talking therapies Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
. Some consider that after a century of employment the talking cure has finally led to the writing cure. ''The Talking Cure: The science behind psychotherapy'' is also the name of a book published by Holt and authored by Susan C. Vaughan MD in 1997. It explores the way in which psychotherapy reshapes the through incorporating neuroscience research with psychotherapy research and research on development. It contains clinical vignettes of the "talking cure" in action from real psychotherapies.


Celebrity endorsement

The actress
Diane Keaton Diane Keaton (''née'' Hall, born January 5, 1946) is an American actress and director. She has received various accolades throughout her career spanning over six decades, including an Academy Award, a British Academy Film Award, two Golden Glo ...
attributes her recovery from
bulimia Bulimia nervosa, also known as simply bulimia, is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. The aim of this activity is to expel the body of calories eaten ...
to the talking cure: "All those disjointed words and half-sentences, all those complaining, awkward phrases...made the difference. It was the talking cure; the talking cure that gave me a way out of
addiction Addiction is a neuropsychological disorder characterized by a persistent and intense urge to engage in certain behaviors, one of which is the usage of a drug, despite substantial harm and other negative consequences. Repetitive drug use o ...
; the damn talking cure."Diane Keaton, ''Then Again'' (2011) p. 91


See also

* Psychotherapy


References

{{Reflist, 2}


Further reading

* Campbell, Terence W.: ''Beware the Talking Cure'' (1994). * Gammell, Irene: ''Confessional Politics'' (1999).


External links


Alain de Mijolla, "Cathartic Method"

John Launer, "Anna O and the 'talking cure'"
Psychoanalytic theory