Hysteria

Zinoviev was unwell and feverish. He was told he was to be transferred to another cell. But when he saw the guards he at once understood. All accounts agree that he collapsed, yelling in a high-pitched voice a desperate appeal to Stalin to keep his word. He gave the impression of hysteria, but this is probably not fair, as his voice was always very piercing when he was excited, and he was perhaps trying to make a last speech. He was, in addition, still suffering from heart and liver trouble, so that some sort of collapse is understandable.

At the very end of the Middle Ages, Breughel depicted country folk wrapped up in fits of mass hysteria, and the historical accounts of these rural frenzies have explained the delirium in terms of the slender diet on which the poor had to subsist during the hungry gap.

The typical cases of hysteria cited by Freud thus involved a moral conflict—a conflict about what the young women in question wanted to do with themselves. Did they want to prove that they were good daughters by taking care of their sick fathers? Or did they want to become independent of their parents, by having a family of their own, or in some other way? I believe it was the tension between these conflicting aspirations that was the crucial issue in these cases. The sexual problem—say, of the daughter's incestuous cravings for her father—was secondary (if that important); it was stimulated, perhaps, by the interpersonal situation in which the one had to attend to the other's body. Moreover, it was probably easier to admit the sexual problem to consciousness and to worry about it than to raise the ethical problem indicated. In the final analysis, the latter is a vastly difficult problem in living. It cannot be "solved" by any particular maneuver but requires rather decision making about basic goals, and, having made the decisions, dedicated efforts to attain them.