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Dora's Hysteria and the Maturation of Sigmund Freud's Transference Theory: a New Historical Interpretation

History of Psychiatry Section, New York Hospital-Cornell University Medical College, Gjmakari{at}mail.med.cornell.edu

The emergence of Freud's 1905 revision and elaboration of transference theory is situated within the context of his emerging understanding of neurosogenesis. Immediately after the seduction theory lost its credibility in the fall of 1897, Freud maintained a traumatic model for hysteria and increasingly hypothesized that repressed childhood masturbation was fundamental to the creation of hysteria. Following this interest in masturbation, Freud — influenced in part by Havelock Ellis's concept of autoerotism—put forth his first post—seduction theory model of neurosogenesis in December 1899. In this model two different developmental stages of psychosexual object relatedness—the "autoerotic" and the "alloerotic"—determined and differentiated later psychoneurotic symptomatology. This etiological schema organized the next psychopathological writing Freud did, his "Fragment of an Analysis of a Case of Hysteria," in which Ida Bauer's hysteria was seen as due to oral zone autoerotic overstimulation and, later, to her object-directed genital masturbation. Freud in a postscript reasoned that in the analytic situation the production of neurotic symptoms ceases and is replaced by the creation of transferences. Hence it is argued that Freud, following his new two-tiered understanding of neurosis, expanded his formal description of transference by creating two analogous forms of transference, the "reprint" and the "revised edition."

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