About the psychic mechanism of conversion

Authors
Citation
S. Hartmann, About the psychic mechanism of conversion, PSYCHOTHERA, 45(1), 2000, pp. 25-31
Citations number
31
Categorie Soggetti
Psycology
Journal title
PSYCHOTHERAPEUT
ISSN journal
09356185 → ACNP
Volume
45
Issue
1
Year of publication
2000
Pages
25 - 31
Database
ISI
SICI code
0935-6185(200001)45:1<25:ATPMOC>2.0.ZU;2-G
Abstract
Although the concept of conversion has a long history,the mechanism of conv ersion is still not adequately understood. The,leap from the psychic to the somatic innervation" (Freud 1919a) remains as mysterious as it ever was. F reud's (1915) presumption that the first stage in conversion is the condens ation of a conflictuous idea with a psychic representation of a part of the body associated with the idea is undoubtedly correct. What is not fully un derstood is how such a condensed idea-can be transformed into actual percep tion or into motions of the body. The author examines the second stage of c onversion mechanism in the light of Freud's and also more recent conception s. It can be shown that the " leap" is the result of an intricate interplay between regressive and progressive processes, i.e. of specific combination s of the primary and the secondary process. Finally the author exemplifies the conversion mechanism with a short case history.