Case Of Anna O: Comparing Freud’s And Jung’s Theories

Case of Anna O: Comparing Freud’s and Jung’s Theories of the Unconscious

Assignment 2: Case of Anna O. One of the earliest cases that prompted Sigmund Freud's development of psychoanalytic theory involved Anna O., a patient of Josef Breuer. Although Freud did not treat her directly, he analyzed her case extensively, considering it foundational to psychoanalysis. The case exemplifies how unconscious processes influence behavior and symptoms, and it provides insight into both Freud’s and Carl Jung’s theories of the unconscious. This paper examines the case of Anna O., compares and contrasts Freud’s and Jung’s views of the unconscious, and explores their differing approaches to treatment based on their theoretical perspectives.

Introduction

The case of Anna O. is widely regarded as a seminal moment in the evolution of psychoanalytic thought. Her complex symptomatology, which included paralysis, hallucinations, and emotional disturbances, underscores the significance of the unconscious mind in psychological disorders. Freud’s exploration of Anna O.’s case led him to formulate key concepts about the unconscious, which he believed housed repressed memories and unresolved conflicts. Conversely, Jung’s conceptualization of the unconscious expanded upon Freud’s ideas, introducing the collective unconscious and archetypes. Comparing these perspectives illuminates divergent approaches to understanding and treating psychological issues rooted in the unconscious.

Freud’s View of the Unconscious

Freud (1915/1957) conceptualized the unconscious as a reservoir of repressed thoughts, memories, and emotions that are inaccessible to conscious awareness but influence behavior profoundly. For Freud, repressed traumatic or unacceptable feelings remain hidden in the unconscious, often manifesting through symptoms like those observed in Anna O. His psychoanalytic methods aimed to uncover these repressed elements through techniques such as free association and dream analysis. Freud believed that bringing unconscious material into conscious awareness allowed for catharsis and symptom relief. In Anna O.’s case, her physical symptoms and hallucinations were regarded as symbolic expressions of repressed conflicts related to her father and her own emotional needs (Hurst, 1982). The unconscious, therefore, served as the source of neurotic symptoms, and treatment focused on accessing and resolving these unconscious conflicts.

Jung’s View of the Unconscious

Carl Jung’s (1964/1968) conception of the unconscious was more expansive. He distinguished between the personal unconscious, similar to Freud’s, and the collective unconscious, a shared reservoir of archetypes—universal symbols and motifs inherited across humanity. Jung believed that the unconscious science encompasses not only repressed individual experiences but also primordial images that influence behavior and perception. For Jung, these archetypes, such as the anima, animus, and shadow, are fundamental in shaping personality and understanding psychological phenomena. Regarding Anna O., Jung might interpret her hallucinations and symbolic symptoms as manifestations of archetypal motifs surfacing from the collective unconscious, reflecting deeper psychological and spiritual conflicts that transcend personal memories (Complicatedpsyche.com, 2018). This broader view emphasizes integration with unconscious contents for individuation, or psychological wholeness, as a therapeutic goal.

Points of Agreement and Disagreement

Both Freud and Jung concur that unconscious processes are at the core of neurotic symptoms like those displayed by Anna O. They agree that repressed material influences behavior and that uncovering this material is essential for treatment. However, they diverge on the nature of the unconscious: Freud sees it primarily as a repository of repressed personal conflicts, whereas Jung considers it a complex structure involving both personal repression and inherited collective symbols. Freud’s focus on individual psychosexual development and unconscious conflicts leads to interventions aimed at uncovering and resolving repressed memories. Jung’s approach emphasizes symbol interpretation, exploring archetypes that emerge in dreams and images.

In Anna O.’s case, Freud might interpret her hallucinations and paralysis as symbolic defenses against trauma related to her father and her feelings of helplessness. Jung would likely explore the archetypal significance of her hallucinations—such as ribbons turning into snakes—to access deeper collective unconscious symbols that inform her symptoms. Their goals differ as well: Freud aims to resolve repressed conflicts through insight, while Jung seeks to facilitate individuation by integrating unconscious archetypes into conscious awareness.

Approaches to Treatment

Freud’s therapeutic approach would focus on free association, dream analysis, and uncovering repressed memories linked to her symptoms. He would interpret her hallucinations and physical paralysis as the symbolic expression of underlying conflicts, such as unresolved paternal issues. The aim would be to bring these unconscious conflicts into consciousness, allowing her to process and resolve them, ultimately alleviating her symptoms (Freud, 1915/1957).

Jung, on the other hand, would approach Anna’s case through active imagination, dream analysis, and dialogue with unconscious symbols. He would view her hallucinations—such as the snakes in her hair—as archetypal images that need to be integrated into her conscious personality. Treatment would involve exploring these symbols and fostering individuation, whereby Anna would achieve a greater sense of wholeness and self-awareness (Jung, 1964/1968).

Impact of Interventions on Anna

Anna’s previous experience with her symptoms suggests that her symptoms were linked to profound emotional conflicts, possibly related to her relationship with her father and her cultural identity, given her switch to English. Freud’s interventions, such as uncovering repressed feelings about her paternal relationship, might have helped her confront unresolved grief and guilt, providing relief from her physical and psychological symptoms. Conversely, Jung’s approach, which would focus on her symbolic hallucinations and dream images, might foster a more integrative process, helping her understand unconscious archetypal patterns influencing her identity. Both approaches could potentially comfort her by fostering insight and emotional integration, but the methods and underlying philosophies differ significantly.

Conclusion

The case of Anna O. exemplifies the foundational importance of the unconscious in psychological pathology. Freud’s view of the unconscious as a repository of repressed individual conflicts contrasts with Jung’s broader conception involving collective symbols and archetypes. Their differing approaches to treatment reflect these conceptual differences—Freud’s focus on uncovering repressed memories through psychoanalysis versus Jung’s emphasis on symbolic exploration and individuation. Understanding these perspectives enables clinicians to tailor interventions better suited to the complexity of psychological symptoms like those experienced by Anna O., emphasizing the importance of integrating multiple theoretical frameworks to deepen psychological healing.

References

• Freud, S. (1957). The ego and the id. In J. Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 19, pp. 12–66). Hogarth Press. (Original work published 1923)
• Jung, C. G. (1968). Archetypes and the collective unconscious. Princeton University Press. (Original work published 1964)
• Hurst, L. C. (1982). What was wrong with Anna O? Journal of the Royal Society of Medicine, 75(2), 129–131.
• Kihlstrom, J. F. (2010). The unconscious. In P. M. Gollwitzer & P. A. P. (Eds.), The Cambridge handbook of consciousness (pp. 83–102). Cambridge University Press.
• McLeod, J. (2019). Jung and psychoanalysis. In M. Borg (Ed.), Theories of personality and psychotherapy (pp. 245–268). Routledge.
• Mitchell, S. A., & Black, M. (2016). Freud and beyond: A history of modern psychoanalytic thought. Basic Books.
• Stein, M. (1996). Jung’s analytical psychology: Its theory and practice. Schwarz Publishing.
• Vermes, C. (2017). The development of psychoanalytic thought. Routledge.
• Wharton, P. (2011). The unconscious mind: A psychological perspective. Psychology Press.
• Young, J. E., & Klosko, J. S. (2014). Schema therapy: A practitioner's guide. Guilford Publications.