THE LETTER 19 (Summer 2000) pages 1-31
To begin with I would like to examine the relationship between anxiety and neurosis in the way Freud impresses it on us. Does a neurosis have a stabilising effect, even stemming anxiety or, on the contrary, does it contribute to its increase? Can we assume a correlation between the two insofar as anxiety decreases at the rate of the structuring of the neurosis and vice versa? What meaning can we attribute to the physical discharge of anxiety? This is very different in hysteria, hypochondria and the so-called psychosomatic illness. A feature of the latter, if it appears in its ‘pure form’ and is not covered too much by the neurosis, is an almost complete absence of fear which can be understood as one of the reasons why the subject may not see any clear reasons for undergoing treatment. In most cases, however, anxiety appears as a motivational factor and so will generally be included in the list of psychical suffering.
Protection against anxiety?
… I think the question has never been seriously enough raised of why neurotics in particular suffer from anxiety so much more than other people. Perhaps it has been regarded as something self-evident: the words xnervosy and ‘angstlich’ are commonly used interchangeably, as though they meant …