The Collected Clinical Works of Alfred Adler, Volume 8 - Lectures to Physicians & Medical Students by Adler Alred

Author:Adler, Alred [Adler, Alred]
Language: eng
Format: mobi
Publisher: Alfred Adler Institute of Northwestern Washington
Published: 2011-07-18T05:00:00+00:00

dismissed from here? Do you feel very constrained?

Patient: Yes, quite a bit.

Dr. A. : What do you do outside of work, in your free time? Patient: Nothing special. I am at home taking care of things. Dr. A. : What do you do for relaxation, any friends? Patient: Yes, girlfriends.

Dr. A. : When you have fully recovered and your neck is well

again, then what would you like to do?

Patient: Perhaps learn to become a housekeeper to work in a home or on a farm, but I have not improved, so I don’t give this any thought.

Dr. A. : Are you depressed because you are not getting better? Perhaps you take life too hard, is that so?

Patient: I don’t know.

Dr. A. : As a child or a young girl, did you have hopes that you would do well?

Patient: Yes.

Dr. A. : Then you were brave, and now you want to lose courage? Tell me, who do you think will get further, she who faces life courageously or the person who always fears that this and that will never work?

Patient: Certainly the first.

Dr. A. : You see, if you know this now, then when you leave here you will be able to remember: To be a human being means to have courage. Whatever we begin to do, we can never know how it will come out. However, if we dare with courage, we shall certainly attain more than if we have no confidence from the outset. Would you like to talk a few more times with the lady who wrote down your medical history, so that she can help you when you start out anew?

Patient: Yes, if that is possible.

Dr. A. : That’s fine, you will do well and don’t forget: She who dares, wins!

Chapter XIX Medical Course at Urban Hospital - Lecture No. 151 2

[undated]

Discussion of Previous Case - Girl - Weight Loss

Before we begin with the medical history, I would like to add something to a case we discussed before. It concerns an older girl who stated that as a result of an accident, she experienced a significant weight loss. It now turns out that the information provided to the hospital is not credible since the patient had merely weighed herself. Prof. Zondek, who was very interested in this case, established that a gain in weight was achieved by treating the metabolism. Also, a pre-existing disposition toward organic dysfunctions emerged conspicuously when triggered by the accident, meaning that the distress in the metabolism, which was removed after appropriate treatment, was in the foreground at the time of treatment. We know in cases of Basedow’s disease, as with depression, accidents often play a precipitating role and we must now ask ourselves why in this case, even presuming a disposition toward a troubling metabolism, the accident could cause such a significant weight loss, thereby supporting these manifestations. Contrary to the organic physician, we must give greater consideration to precipitating causes. We believe that the precipitating cause plays the role of a performance

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