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Freud's talking cure became the basis of psychotherapy

Sigmund Freud developed free association, in which patients talk freely about whatever comes to mind. His talking cure set the basic format for all later psychotherapy.

Sigmund Freud
Sigmund Freud · 1856–1939
Person
Sigmund Freud
Lived
1856–1939
Field
Psychology
From
Austrian

The story

In October 1885 Sigmund Freud, a young Viennese neurologist, spent three months in Paris studying with Jean-Martin Charcot, who used hypnosis in his research on hysteria. The experience turned Freud toward clinical work, and when he opened his private practice in Vienna in 1886 he began using hypnosis himself.

He was deeply influenced by his friend and colleague Josef Breuer. From 1880 Breuer had treated a young woman, Bertha Pappenheim, known in case studies as Anna O., for symptoms including a persistent cough, visual disturbances and paralysis. Breuer found that when she talked about her symptoms, and recalled the events linked to their first appearance, they eased. She called the treatment the "talking cure", or jokingly "chimney sweeping". Freud and Breuer described the case in Studies on Hysteria in 1895.

Finding hypnosis unreliable, Freud abandoned it and instead encouraged patients to talk freely, without censorship or inhibition, about whatever ideas or memories occurred to them. He called this free association. He also found that patients' dreams could be analysed to reveal hidden material. By 1896 he was calling his new clinical method and the theories behind it psychoanalysis. His patients lay on a couch, now the centrepiece of the Freud Museum in London, while he listened.

Freud adopted the term talking cure to describe the fundamental work of psychoanalysis, and he told the story of Anna O. in his 1909 lectures at Clark University in America. Many later therapies rejected parts of his theory. Cognitive, behavioural and interpersonal approaches emerged and were tested in clinical trials. But all followed him in trying to bring about psychological change by having patients talk about their difficulties, which made his method the basic format for later psychotherapy.

Psychoanalysis remains influential in many schools of therapy and in work with schools, families and groups, and a substantial body of research supports the effectiveness of psychoanalytic and related psychodynamic therapies for a range of psychological disorders. Mental health professionals now use the phrase talking cure for the whole family of talking therapies.

Why it matters

The simple idea that talking with a trained listener can heal underlies modern psychotherapy and counselling, which help millions of people every year.

About Sigmund Freud

Founder of psychoanalysis; reshaped how the world thinks about the mind, the unconscious, and human motivation.

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Sigmund Freud
1856–1939 · Psychology
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Another act of tikkun olam. This is part of tikkun olam, the Jewish idea of repairing the world, and every one of us can add to it.

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