Now you will surely judge that so to reject the discussion of literature must evidence stubborness, a very special obtuseness against objections, or, as the kindly colloquialisms of science have it, "a complete personal bias." In answer, I would say that should you attain to a conviction by such hard labor, you would thereby derive a certain right to sustain it with some tenacity. Furthermore, I should like to emphasize the fact that I have modified my views on certain important points in the course of my researches, changed them and replaced them by new ones, and that I naturally made a public statement of that fact each time. What has been the result of this frankness? Some paid no attention at all to my self-corrections and even to-day criticize me for assertions which have long since ceased to have the same meaning for me. Others reproach me for just this deviation, and on account of it declare me unreliable. For is anyone who has changed his opinions several times still trustworthy; is not his latest assertion, as well, open to error? At the same time he who holds unswervingly to what he has once said, or cannot be made to give it up quickly enough, is called stubborn and biased. In the face of these contradictory criticisms, what else can one do but be himself and act according to his own dictates? That is what I have decided to do, and I will not allow myself to be restrained from modifying and adapting my theories as the progress of my experience demands. In the basic ideas I have hitherto found nothing to change, and I hope that such will continue to be the case.
Now I shall present to you the psychoanalytic conception of neurotic manifestations. The natural thing for me to do is to connect them to the phenomena we have previously treated, for the sake of their analogy as well as their contrast. I will select as symptomatic an act of frequent occurrence in my office hour. Of course, the analyst cannot do much for those who seek him in his medical capacity, and lay the woes of a lifetime before him in fifteen minutes. His deeper knowledge makes it difficult for him to deliver a snap decision as do other physicians--"There is nothing wrong with you"--and to give the advice, "Go to a watering-place for a while." One of our colleagues, in answer to the question as to what he did with his office patients, said, shrugging his shoulders, that he simply "fines them so many kronen for their mischief-making." So it will not surprise you to hear that even in the case of very busy analysts, the hours for consultation are not very crowded. I have had the ordinary door between my waiting room and my office doubled and strengthened by a covering of felt. The purpose of this little arrangement cannot be doubted. Now it happens over and over again that people who are admitted from my waiting room omit to close the door behind them; in fact, they almost always leave both doors open. As soon as I have noticed this I insist rather gruffly that he or she go back in order to rectify the omission, even though it be an elegant gentleman or a lady in all her finery. This gives an impression of misapplied pedantry. I have, in fact, occasionally discredited myself by such a demand, since the individual concerned was one of those who cannot touch even a door knob, and prefer as well to have their attendants spared this contact. But most frequently I was right, for he who conducts himself in this way, and leaves the door from the waiting room into the physician's consultation room open, belongs to the rabble and deserves to be received inhospitably. Do not, I beg you, defend him until you have heard what follows. For the fact is that this negligence of the patient's only occurs when he has been alone in the waiting room and so leaves an empty room behind him, never when others, strangers, have been waiting with him. If that latter is the case, he knows very well that it is in his interest not to be listened to while he is talking to the physician, and never omits to close both the doors with care.






