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fulfills at least two of these requirements. It can be carried out much more<br />

rapidly, indescribably more rapidly than the analytic method, and it brings the<br />

patient neither trouble nor discomfort. In the long run it becomes<br />

mono<strong>to</strong>nous for the physician, since each case is exactly the same;<br />

continually forbidding the existence of the most diverse symp<strong>to</strong>ms under the<br />

same ceremonial, without being able <strong>to</strong> grasp anything of their meaning or<br />

their significance. It is second-rate work, not scientific activity, and<br />

reminiscent of magic, conjuring and hocus-pocus; yet in the face of the<br />

interest of the patient this cannot be considered. The third requisite, however,<br />

was lacking. The procedure was in no way reliable. It might succeed in one<br />

case, and fail with the next; sometimes much was accomplished, at other<br />

times little, one knew not why. Worse than this capriciousness of the<br />

technique was the lack of permanency of the results. After a short time, when<br />

the patient was again heard from, the old malady had reappeared, or it had<br />

been replaced by a new malady. We could start in again <strong>to</strong> hypnotize. At the<br />

same time we had been warned by those who were experienced that by<br />

frequent repetitions of hypnotism we would deprive the patient of his selfreliance<br />

and accus<strong>to</strong>m him <strong>to</strong> this therapy as though it were a narcotic.<br />

Granted that we did occasionally succeed as well as one could wish; with<br />

slight trouble we achieved complete and permanent results. But the<br />

conditions for such a favorable outcome remained unknown. I have had it<br />

happen that an aggravated condition which I had succeeded in clearing up<br />

completely by a short hypnotic treatment returned unchanged when the<br />

patient became angry and arbitrarily developed ill feeling against me. After a<br />

reconciliation I was able <strong>to</strong> remove the malady anew and with even greater<br />

thoroughness, yet when she became hostile <strong>to</strong> me a second time it returned<br />

again. Another time a patient whom I had repeatedly helped through nervous<br />

conditions by hypnosis, during the treatment of an especially stubborn attack,<br />

suddenly threw her arms around my neck. This made it necessary <strong>to</strong> consider<br />

the question, whether one wanted <strong>to</strong> or not, of the nature and source of the<br />

suggestive authority.<br />

So much for experience. It shows us that in renouncing direct suggestion we<br />

have given up nothing that is not replaceable. Now let us add a few further<br />

considerations. The practice of hypnotic therapy demands only a slight<br />

392

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