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ction and the Roentgen rays are by far more dangerous. Those who think that for hypnotizing especially inborn power is needed stand, of course, outside of a serious discussion. They do not even know the elements of the modern theories. Every physician has in himself the necessary means for a psychotherapeutic treatment in every form. More scientific insight belongs to the argument that most of these psychotherapeutic schemes are essentially for treatment of symptoms. We have acknowledged that throughout. The possibility of a relapse or of a new obsession is thus to a high degree open, and that is certainly a discouraging feature. Yet we have seen sufficiently that as soon as the symptoms are removed, there is no lack of means, also by psychotherapy, to prevent the recurrence. Moreover, to remove the present symptoms is in any case a great gain and in many cases a decisive gain. And whatever can be secured by such methods is of such a character that hardly any other method could have been substituted. It can be said with certainty that hundreds of thousands leave the offices of their doctors every year without relief where relief could be secured by psychotherapeutic means. To be sure, one reply of the physicians is not infrequent and carries some weight. Psychotherapeutic methods demand much time and patience and skill. To relieve a cocainist of his desire by mere suggestion may demand an assiduity which the average physician simply cannot afford; and nothing requires more time than a real use of Freud's psychoanalytic method. Hours and hours of conversation about the most trivial occurrences have to be spent to relieve the repressed ideas and to give them a chance for a free ascension. It cannot be denied that most of the really illuminating work in all these fields has been done by scholars who combine a strong theoretical interest with their effort to cure the patients, and who therefore examine and treat the individual case primarily from the wish to get new insight into the laws of nature. The average physician whose time is his income may be the less willing to enter into such time-devouring schemes, as the patients too easily may think that the physician did not do much for them when he simply was sitting down and gossiping with them. Yet after all, behind all of it stands one motive which has held back the development of psychotherapy in the medical profession more than anything else. The physician feels in
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