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(comment on LRB April 2000 issue's article on Israel's book
on Freud)
Mikkel Borch Jacobsen’s piece on Freud was fascinating
reading and very astonishing given his earlier article on Ian Hacking and
its indulgent tone concerning the reality of mental disease. It was almost
like day and night - until the last paragraphs in which he turned everything
upside down. Yes, Freud made it all up, yes, he engaged in large scale
fraud and falsification of his results but this is not relevant to his
historical importance because everything in society is an artefact anyway,
a social construct. The only problem is that the psychoanalysis tries
to cover it all up and does not simply admit the fact (of course, B-J does
not use the word fact here because there are no facts).
Once more, my simple question is: why should it be impossible to make
a distinction between fraud, falsification and social facts, i.e. states
of affairs where it can be sufficiently reliably be ascertained that a
certain event has taken place and that it has had certain consequences?
Of course there is a grey area between these categories, but it is not
so great as to make distinctions impossible. And in the case of Freud the
problem seems to be that his lying and fabrications were so monumental
and obvious that he must have been aware, not only of lying but also of
being necessarily caught.
For Borch Jacobsen, the explanation is that Freud developed
his theories without any heed to empirical evidence and then made his patients
believe in the theories, thus creating psychoanalysis. The patients’ cooperation
was crucial. Still the question is: is it the same thing if a patient
believes in a patently useless cure and becomes cured, of if he cooperates
in an effective cure and becomes cured partly as a consequence of his belief
in the efficacy of the cure? I.e. are quackery and real medicine
the same thing if patients believe in it? Let us remember also that the
famous cocaine patient of Freud’s, Fleischl-Marxow had very real pains
which he tried to treat, with very unfortunate results. Nowadays he would
probably have been cured relatively easily (from the original pains), with
or without his “co-construction”.
When does this stupid “in society there are no facts”-
fashion stop? Get real, Mikkel!
J.P.Roos
University of Helsinki
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