The Collected Clinical Works of Alfred Adler Volume 2 Journal Articles: 1898-1909 A Study of Organ Inferiority: 1907 Alfred Adler The Mind-Body Connection Social Activism & Sexuality New Translations by Gerald L. Liebenau Edited by Henry T. Stein, Ph.D. Classical Adlerian Translation Project © 2002 by Henry T. Stein, Ph.D. All rights reserved under International and Pan-American Copyright Conventions. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without prior permission in writing from the editor. All inquiries should be sent to Henry T. Stein, Ph.D., at Alfred Adler Institute of San Francisco. E-mail: [email protected] . Web Site: www.Adlerian.us . Published 2002 by: The Classical Adlerian Translation Project Alfred Adler Institute of Northwestern Washington 2565 Mayflower Lane Bellingham, WA 98226 (360) 647-5670 First Printing 2002 Second Printing 2003, revised Printed in the United States of America ISBN 0-9715645-1-5 Table of Contents Editor’s Preface – 2002 ......................................................................................... iii About the Translator .............................................................................................. vi An Introduction by Sophia de Vries - 1990 .......................................................... vii Table of Abstracts Part I – Journal Articles [1809-1909] ........................................................ ix Part II – A Study of Organ Inferiority [1907].......................................... xiii Chapter I: Chapter II: Chapter III: Chapter IV: Chapter V: Chapter VI: Chapter VII: Part I – Journal Articles 1898-1909 Health Manual for the Tailoring Trade [1898] ...............................1 The Penetration of Social Forces into Medicine [1902] ...............15 An Academic Chair for Social Medicine [1902] ..........................19 Town and Country (Part 1) [1903]................................................22 Town and Country (Part 2 - Continuation) ....................................24 Town and Country (Part 3 - Conclusion).......................................26 State Aid or Self Help (Part 1) [1903] ...........................................28 State Aid or Self Help (Part 2 - Conclusion) .................................30 The Physician as Educator [1904] ................................................32 Hygiene and Sex (Part 1) [1904] ...................................................39 Hygiene and Sex (Part 2 – Conclusion).........................................41 Chapter VIII: The Problem of Sex in Upbringing [1905] ...................................44 Chapter IX: Chapter X. Chapter XI: The Aggression Drive in Life and in the Neurosis [1908]............62 Chapter XII: Inheritance of Diseases [1908]......................................................69 Chapter XIII: The Child’s Need for Affection [1908] ........................................75 Chapter XIV: The Theory of Organ Inferiority and Its Philosophical and Psychological Meaning [1908] .....................................................78 Chapter XV: A Prostitute’s Two Dreams [1908] ...............................................86 Chapter XVI: On the Neurotic Disposition [1909]...............................................89 Chapter XVII: Myelodysplasia (Organ Inferiority) [1909] ................................104 Three PsychoAnalyses Concerning Inspired Numbers [1905]....49 Developmental Defects in Children [1907] ..................................56 (Continued on page ii) i Table of Contents - Continued Part II – A Study of Organ Inferiority and Its Psychical Compensation [1907] Adler’s Preface to the 1907 Edition.....................................................................115 Introduction ......................................................................................................117 Chapter I: Chapter II: Chapter III: Chapter IV: Chapter V: Chapter VI: Chapter VII: The Part Played by the Central nervous System in the Theory of Organ Inferiority—Psychogenesis and Foundations of Neuroses and Psychoneuroses .................................................166 Chapter VIII: Biological Viewpoint in the Organ Inferiority Theory ................175 Appendix: The Inferiority of the Urinary Apparatus – Fate of Enuretics and Their Families .......................................................................178 Glossary of Medical Terms..................................................................................192 Outline of a Theory of Inferiority ................................................121 Heredity........................................................................................130 Anamnestic Demonstration..........................................................137 Morphologic Indications..............................................................141 Reflex Anomalies as Indications of Inferiority............................152 Manifold Organ Inferiorities........................................................161 Index of Parts I & II .............................................................................................202 “A Psychology for Democracy” ..........................................................................222 ii Editor’s Preface – 2002 Editor’s Preface – 2002 1936, document the sequence of his conceptual development. By reading the complete series of his clinical writings in chronological order, we can appreciate the gradual emergence of Adler’s remarkably integrated model of the personality, theory of psychopathology, principles of prevention, technique of psychotherapy, and philosophy of living. His ground-breaking odyssey of psychological exploration and refinement creates a uniquely unified vision of man. We can gain a macrocosmic view of his work by first tracking his early sense of a physician’s social responsibility, then his brief engagement with the psychoanalytic circle, including the stimulation of Freud and Jung, and finally the gradual maturation of his own theory. It is interesting to follow the early emphasis on the aggression drive, to the later prominence of the striving for significance, and eventually the emergence of the feeling of community. His very first publication, Health Manual for The Tailoring Trade, published in 1898, is remarkably vivid and moving. Rich in illuminating detail, it provides a powerful impression of the hellish life of tailors in Vienna during the late 1890’s, and the devastating impact of their work, economic situation, and living conditions on their health. Eventually, when we discover that the life expectancy of tailors at that time was only 33-48 years, we are appalled, but not surprised. In his next two articles, The Penetration of Social Forces into Medicine and An Academic Chair for Social Medicine, published in 1902, Adler argues for expanding state health care and prevention programs. He amplifies this message in his 1903 article State Aid or Self Help. His eloquent appeal for effective medical insurance, nearly a century ago, seems remarkably fresh and timely today in the midst of our managed care crisis. Adler’s early interest in child guidance and education is expressed in The Physician as Educator, published in 1904. From 1905-1909, Adler deals with sexuality, dreams, the aggression drive, organ inferiority, the child’s need for affection, and the neurotic disposition. We can trace his journey from a physician’s awareness of the human body, through an emerging social consciousness, to a fascination with the interconnectedness of intellect, emotions, and body. Although it can be a formidable reading challenge, the highly medical Study of Organ Inferiority and Its Psychical Compensations has been included in this volume. For the convenience of the reader, a medical glossary has been added to clarify the terminology. I find the material a stimulating and informative refresher course in physiology, and helpful in examining the roots of Adler’s thinking about organ dialect and organ jargon. A few of Adler’s early comments about sexuality may strike some readers as “politically incorrect.” I have chosen to retain all of the text intact, without iii eliminating or modifying controversial material. I hope that in the interest of scholarship and historical accuracy, the reader will appreciate the range and completeness of these articles, and understand that some of the early opinions that were typical in Adler’s time and place are no longer consistent with the current assumptions of Classical Adlerian Psychology. Adler’s respect and compassion for all people transcends his occasional blunt and penetrating comments about the social meaning and impact of diverse attitudes. Some of Adler’s early articles, like Three PsychoAnalyses Concerning Inspired Numbers and A Prostitutes Two Dreams, are rather esoteric and may not interest everyone, but I decided to include these and a few other articles of somewhat limited contemporary value so that researchers would have access to them. Adlerian psychology eventually matured as a psychology of values. With razor sharp perception he “called a spade a spade,” exposing the social viruses of self-indulgence, arrogance, depreciation, and the addiction to power over others. His penetrating critique of selfishness and his appraisal of Freud’s theory as “the psychology of the spoiled child” have understandably made a number of people uncomfortable. Yet Adler’s frankness and simplicity are refreshing in a field too often saturated with technical jargon and disguised rationalizations for egocentricity. The publication of The Collected Clinical Works of Alfred Adler would not have been possible without the painstaking scholarship of Heinz and Rowena Ansbacher. Their comprehensive bibliographies in The Individual Psychology of Alfred Adler and Superiority and Social Interest provided the blueprint for gathering all of the material that needed to be translated or re-translated. Their books provide a well-organized overview of Adlerian psychology, with selected excerpts from his works, organized by topics. The Collected Clinical Works of Alfred Adler represents an expansion of Adler’s writings by providing the complete text of his journal articles arranged in chronological order Sophia de Vries, who studied with Alfred Adler, Alexander Mueller, and Lydia Sicher, served as my mentor for over twenty-five years. In 1990, she began translating some of Adler’s journal articles and authored the introduction included in this volume. Her spark ignited the Classical Adlerian translation project. Several of her first draft translations served as reference documents. She always emphasized the importance of reading Adler’s original writings for a deeper understanding of Individual Psychology. My invaluable collaboration with Gerald L. Liebenau, the superb, primary translator of these articles, spans many years, starting with his insightful translations of the works of Alexander Mueller, a psychiatrist who studied with Adler and then practiced in Holland and Switzerland. Translating Mueller’s very profound and subtle writings about Adlerian theory, philosophy, and practice provided an effective “warm-up” for tackling Adler’s clinical writings. Gerald has been a joy to work with over the years—his progressively deeper understanding of Adler as well as his passion for accuracy have done great justice to Adler’s clinical writings. Early in our work, Kurt Adler, Adler’s son and an outstanding Adlerian psychiatrist, offered to check, edit, and guide us in our efforts to reflect Adler’s ideas and style of expression as faithfully as possible. Gradually, Gerald, Kurt, and I synchronized in an understanding of Adler’s deeper meanings and unique, complex writing style. Kurt assisted us for several years until his failing health made it too difficult to continue. His significant contribution and encouragement provided a great stimulus to complete a formidable task. Jim Wolf, who has contributed to this project for many years as an editor, has created a Table of Abstracts that offers a convenient, brief summary of each article. Dyanne Pienkowski provided extremely valuable editing and proofing. One possible consequence of presenting Adler’s work chronologically, from 1898 –1936, is that the reader may question his relevance to our time. In order to counterbalance this possibility and respond to the question, “A Psychology for Democracy” has been included in the appendix. The paper explores the thesis that a genuinely democratic society can only be achieved by fostering democratic character in individuals, who are then capable of creating democratic relationships in their marriages, families, and work. More than any other psychological approach, Adler provided us with the child guidance, educational, and therapeutic tools for achieving this ideal. Volume 1, The Neurotic Character, published in 1907, complements the material in this volume covering the period 1898-1909. Adler’s magnum opus offers remarkable insight into the human soul gone astray. Reading both volumes will give the reader a superb perspective on the first stage of Adler’s conceptual development. It is time for The Collected Clinical Works of Alfred Adler to finally be placed in the spotlight beside the writings of Freud and Jung. His wisdom and optimism about human nature shine through the pages, lighting the way to a more hopeful future. v About theTranslator About the Translator Gerald L. Liebenau Gerald L. Liebenau was born in Berlin, Germany. During World War II he served with the Office of Strategic Services as an interpreter and translator. He graduated from Yale University and embarked on a career with the Central Intelligence Agency. He is the translator of Nicholas Gonner's Luxemburgers in the New World, and Janusz Piekalkiewicz's World History of Espionage. He currently resides in Arlington, Virginia. 1 An Introduction by Sophia de Vries - 1990 "The repeated rendering of an oral tradition over many generations inevitably leads to errors in transmission and the gradual loss of the original content, a degradation of information that occurs more slowly with the successive reprinting of written accounts." -- Carl Sagan, "The Dragons of Eden". To those of us who have had the privilege of learning Individual Psychology from Alfred Adler himself, before his death on May 28th, 1937 in Aberdeen, and who have worked together with his closest followers afterwards, it is very satisfying that Individual Psychology has become known as an important discipline in psychology. However, there is also a concern that certain aspects of what goes under the name of Individual Psychology would not readily be recognized by its originator. There was a time when music meant compositions by Bach, Beethoven, Brahms and the like. There also was "entertainment" music. Nowadays, anyone who can put his finger on an instrument and at the same time abuse his vocal chords, makes music. Creating art by means of painting was done by people like Michelangelo, Rembrandt, Renoir, etc. Today, four-years-olds do "art" work in finger-painting. Popularization can have its drawbacks. When I introduced Adler for the last lecture to his audience in Holland before he left for England, his topic was "responsibility." To this day I recall his penetrating look, when he finished his talk with: "Those of you who really understand Individual Psychology and have learned to apply it, carry a heavy responsibility." In the following years we experienced this and still do. For that reason I have presented Adler's original Individual Psychology the way he taught it himself, and have added translations of some lectures and articles by Adler as published in the "Internationale Zeitschrift für Individualpsychologie." There have been composers who used another composer's theme, calling it "variations on a theme" by the other's name. Others just used the theme and published the composition under their own name. Painters have copied great masters and called it a copy, while some have copied the style of the master, putting the master's name on the fraud. Art and science can be interpreted in different ways, except when the originator has been explicit in his interpretation. Toscanini interpreted Beethoven the way Beethoven had written his music. Alfred Adler was an originator who was outspoken in his interpretations, if one only listened and made an effort to comprehend. 1 Sophia J. de Vries, who studied with Alfred Adler, Lydia Sicher, and Alexander Mueller, wrote this introduction in 1990 to a series of journal articles by Alfred Adler that she had translated. At the time, she was living in Oakland, California and was a consultant and senior training analyst for the Alfred Adler Institute of San Francisco. Her work served as an incentive to carry on the translation of Adler’s clinical works and as reference documents for later translations. vii The reader should not forget that Adler still got a “lot of flack” from the existing (early) group of Freudians. In some articles he clearly denounces his opponents. In others he warns his own followers who did not understand him or thought they could do better. Most of these passages have been included, because they will always remain valid. During World War II Individual Psychology was dormant. Hitler had decreed that Adler's and Freud's theories should not be learned, as both men were born Jewish. Only Jung's psychology could openly be practiced. Practicing Adlerians had to be extremely cautious. Many got out of Austria, Germany, and the occupied countries. In Holland Individual Psychology owes its rebirth in a large part to Dr. Alexander Müller, who had been a close co-worker of Adler, Dr. Ronge, and others. Later Müller established himself in Zürich, Switzerland, where his name is still mentioned in the Individual Psychology group he helped to form. During his years in Holland, we had worked closely together and later I visited him in Zürich. On my last visit, before his death in July, 1960, we discussed the inroads Individual Psychology had made. Müller's conclusion was: "Adler has not yet been fully understood. He has to be rediscovered from the roots up.” viii Table of Abstracts Developed by Jim Wolf Part I – Journal Articles: 1898 - 1908 Chapter I: Health Manual for the Tailoring Trade [1898] Adler describes the relationship between the economic conditions of workers in the tailoring trade and the resulting illnesses and medical issues common among those workers. This is not a psychologically focused paper, but is important in that it shows Adler’s interest in the plight of the common man, and his early insights into environmental, economic, and social forces which influence health issues. Chapter II: The Penetration of Social Forces into Medicine [1902] This first article written in 1902, traces the influence of social forces on medicine and healing that lead to public health, prevention, and the eventual confrontation of “social misery,” as well as other social issues that impact the public health. Adler also comments on the government’s role, it’s relationship
Description: