IV. The State of Consciousness of the Hypnotized
The remarks made above in connection with the relation between sleep and
hypnosis are in much need of study and completion. One who is profoundly hypnotized
will retain, as we have already indicated, a controlling personality with
tendencies and instincts directed toward the outer world. This controlling
personality, in the case of the more developed ego, has been somewhat forced
into the background. As we have put it, it has been relegated to a nook or
corner of the soul. The psychoanalytic terminology permits us to formulate this
situation precisely. Every psychic event, every psychic tendency is accompanied
with a certain expenditure of psychic energy. The goals, the objects of the
desire, have a certain cathexis.(*) Now we know, from the analytical point of
view, that a goal, a person, an object, having a specific cathexis, need not
always, to retain this charge without having the object, the goal, disappear
from the psychic experience. General considerations that have been expounded by
one of the present authors in another work make it appear probable to us that
psychic experiences never completely disappear from consciousness. The only
thing that happens is that occupations are withdrawn from the objects. It is
absolutely necessary for us to attain clarity as to what we mean by the
expression "controlling personality " in the psychoanalytic sense.
Obviously, it is not a sum of all the psychic contents, the psychic totality,
but that which the personality sets as its goal; in other words, the ego ideal
of the individual. The ego ideal, from the psychoanalytic point of view, he
image which the individual carries with him of his own person, the image according
to which he would like to mold his person. The love which the individual
bestows upon his own body (narcism) transferred to the psychic image of one's
own person, or, putting
it differently, the ego ideal is occupied narcistically. It arises from
the identification with persons whom one regards with affection.
The most essential portion of the ego ideal consists of identifications
with one's parents, the
development of the ego ideal, which presents
a complicated structure, continues throughout life in the form of
identifications with teachers, heroes, leaders. Identifying oneself means
assuming the role of another person without becoming conscious of this
assumption; we identify ourselves most frequently with persons we love and
honor.
(*)Charge or investment. Besetzung is the German
term.—Trans.
Once the identification has taken place, the personality thus absorbed,
and, as it were, thus incorporated, leads an extensive life within the ego, in
the form of the ego ideal or a section of it. When we, therefore, speak of the
ego ideal, we mean a relatively limited section of the ego; on the one hand it
has bound up with it narcistic energies, on the other hand it sends out
endowments to desired objects. We must distinguish ideal egos of varying degrees
of differentiation. When we say that the total personality is retained during
hypnosis, we mean that a highly differentiated ego ideal has retained the
cathexis residuum, and that simultaneously the goals of the ego ideal also, the
objects of the ego ideal have retained certain endowments (with regard to
upbuilding of the ideal ego (cf. the Entwurf zu einer Psychiatrie auf
psychoanalytischer Basis, by one of the present authors).
The ego ideal therefore retains a section of its cathexis even during sleep
and hypnosis. But controls emanate from this partially occupied ego ideal, and
herein is to be found the source of the dream censorship which permit the
strivings of the dreamer to appear only in the distorted form of the manifest
dream content. We must assume that the ego ideals or the total personality
maintain rather close relations with the sleep vigils. The latter are
controlled from the still retained personality. In fact, we must state in
general that we cannot do full justice to the psychological attitudes during
sleep unless we take into consideration the factor now under discussion.
We must add to our division within the ego of the sleeper between the
sleep ego, the sleep vigil, the dream ego, which latter may be divided into the
conscious and the preconscious dream ego, the further statement that all the
attitudes expressed in this formulation are in some way controlled and
supervised by the total personality. The stronger this controlling ego, the
sharper will be the consciousness in sleep and dream that " I am only
sleeping." We must assume that it is this ego ideal which determines
whether the dream is to be cut short. We must apply the same attitude also to
hypnosis and to those hypnotized. Particular importance is attached, in this
connection, that the psychic stratum which serves as an intermediary for
maintaining relations with the hypnotizer is subject to a constant control and
supervision on the part of the more developed personality. The section
of the hypnotized personality and the section which has more or less detached
attitude toward the hypnosis may vary considerably. We must accordingly, in
each specific case of hypnosis, ask as to the " psychic depth " of
the hypnosis. This expression means a quality of the experience in hypnosis
which has no direct relation with the degree of the hypnosis. Nor must this
quality be confused with the question of whether we are dealing with
somnambulant sleep or waking suggestion. In fact, we must go further and say:
The central section of the personality may react in very different manner
toward the hypnotized personality. This central section may be more or less in
agreement, or it may have a more or less detached attitude, i.e., that
of an observer, toward the phenomena of hypnosis. The more developed
personality may even go so far as to regard hypnosis as mere play, in which
connection the consciousness of its trifling nature may be now more, now less,
outspoken. Finally, the hypnotic phenomena may take place with a "perfect
consciousness of conscious deception, in which case we are dealing with the
work of simulation. There is a great number of intermediary experiences and
nuances. Even the most outright simulation of hypnotic phenomena may, if it
result from a vivid power of imagination, be worthy of serious consideration as
an expression of biological effects on the body. Even the actor, whose activity
is at bottom psychologically very close to that of the simulation, must—if he
will play well—put himself in the place of the person to be portrayed, seek to
live its life, given with a more or less considerable portion of the
personality standing in detached observation. But even the actor who feels his
role most deeply retains a controlling section of the personality, for he
continues tospeak only the words
of his part. The actor who lives his part may even shed real tears, may present
alterations of the pulse, of the respiration, as well as an altered
distribution of the blood in his organism. Even acting is therefore never
merely acting; all acting ismore or less serious. To be sure, the
physiological effect of the acting differs with the psychic profundity of the
acting. Simulation and acting in hypnosis are expressions of a comparatively
shallow hypnosis. The greatest profundity has been attained when the
individual has recognized itself as completely bound up with the hypnotic
relation. For the nuclear phenomenon of the hypnotic relation remains the psychic relation between the
hypnotizer and the hypnotizedperson. Once we have reached this stage,
hypnosis has been resolvedinto subjection. Our notion of the psychic depth of the
hypnosis depends essentially and primarily, therefore, on the hypnotic
relation. Of course, we must emphasize emphatically that all the other egos of
" hypnosis " are also controlled and supervised by the central ego.
The essence of the suggestive relation will be treated in detail later on. But
we have already advanced to the point where we may offer a systematic outline
of the psychological state of the hypnotized person.
1. A suggestive relation
exists between the hypnotizer and the hypnotized person. This relation is
controlled by a more central section of the total personality. The psychic
depth of the hypnosis depends upon which section of the personality belongs to
the psychic relation and which section to the central personality. The various
stages of this condition run all the way from simulation and acting to moderate
and pronounced suggestibility and finally to complete subjection.
2. Sleep is produced by the
suggestive relation. The suggestive relation is maintained with the sleep
vigil. The share of the sleep ego and the waking ego vary with the relation
between sleep vigils and sleep ego. If the latter is strongly predominant, we
are dealing with the phenomenon of sleep without suggestibility. Intermediate
stages extend from this point, passing through stages in which the individual
is more or less awake to conditions in which the sleep ego has been reduced
approximately to zero, and the individual is in a state of waking suggestion.
3. The sleep ego may be
shot through with dreams, and these may reach down to greater or less degree
into the suggestive relation. At one end of the scale we have the cases in
which the hypnotized individual's own dreams completely replace the hypnotic
relation, while images of a dreamy abstraction are present. At the other end
are the cases of the suggestive relation which are almost free from any dream
element.
4. Not only the
individual's own dream material, but also his preconscious material, may be
mingled more or less with the suggestive relation. There is the closest
connection between points three and four. They cannot be sharply distinguished
either from a practical or a theoretical standpoint. The series begins with hypnosis
corresponding to more or less dreamy hysterical states, and ends with cases in
which there is complete suggestibility and no appearance of the individual's
will at all. In other words, the type of the trained medium.
5. Finally, we must also
consider the degree of hypnotizability
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