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is over for him. After a while, however, he receives a small accident<br />

insurance, and learns <strong>to</strong> exploit his injury by begging. His new existence,<br />

though most undesirable, is based upon the very thing that robbed him of his<br />

former maintenance. If you could cure his defect, he would be without a<br />

means of subsistence, he would have no livelihood. The question would arise:<br />

Is he capable of resuming his former work? That which corresponds <strong>to</strong> such<br />

secondary exploitation of illness in neurosis we may add <strong>to</strong> the primary<br />

benefit derived therefrom and may term it a secondary advantage of disease.<br />

In <strong>general</strong> I should like <strong>to</strong> warn you not <strong>to</strong> underestimate the practical<br />

significance of the advantage from illness and yet not <strong>to</strong> be <strong>to</strong>o much<br />

impressed by it theoretically. Aside from the previously recognized exceptions,<br />

I am always reminded of Oberländer's pictures on "the intelligence of animals"<br />

which appeared in the Fliegende Blätter. An Arab is riding a camel on a<br />

narrow path cut through a steep mountain side. At a turn of the trail he is<br />

suddenly confronted by a lion who makes ready <strong>to</strong> spring. He sees no way<br />

out, on one side the precipice, on the other the abyss; retreat and flight—<br />

both are impossible; he gives himself up as lost. Not so the camel. He leaps<br />

in<strong>to</strong> the abyss with his rider—and the lion is left in the lurch. The help of<br />

neurosis is as a rule no kinder <strong>to</strong> the rider. It may be due <strong>to</strong> the fact that the<br />

settlement of the conflict through symp<strong>to</strong>m development is nevertheless an<br />

au<strong>to</strong>matic process, not able <strong>to</strong> meet the demands of life, and for whose sake<br />

man renounces the use of his best and loftiest powers. If it were possible <strong>to</strong><br />

choose, it were indeed best <strong>to</strong> perish in an honorable struggle with destiny.<br />

I still owe you further explanation as <strong>to</strong> why, in my presentation of the theory<br />

of neurosis, I did not proceed from ordinary nervousness as a starting point.<br />

You may assume that, had I done this, the proof of the sexual origin of<br />

neurosis would have been more difficult for me, and so I refrained. There you<br />

are mistaken. In transference neurosis we must work at interpretations of the<br />

symp<strong>to</strong>ms <strong>to</strong> arrive at this conclusion. In the ordinary forms of the so-called<br />

true neuroses, however, the etiological significance of sexual life is a crude<br />

fact open <strong>to</strong> observation. I discovered it twenty years ago when I asked<br />

myself one day why we regularly barred out questions concerning sexual<br />

activity in examining nervous patients. At that time I sacrificed my popularity<br />

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