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The understanding and interpretation of unconscious symbolism is one of the main tools of the psychologist. Often he is faced with the task of understanding and recognizing the meaning not only of a particular symbol but also of the whole process of symbol formation. This applies particularly to work with patients who show a disturbance or inhibition in the formation or free use of symbols, as for instance, psychotic or schizoid patients.
To give a very elementary example from two patients. One—whom I will call A—was a schizophrenic in a mental hospital. He was once asked by his doctor why it was that since his illness he had stopped playing the violin. He replied with some violence: 'Why? do you expect me to masturbate in public?'
Another patient, B, dreamt one night that he and a young girl were playing a violin duet. He had associations to fiddling, masturbating, etc., from which it emerged clearly that the violin represented his genital and playing the violin represented a masturbation phantasy of a relation with the girl.
Here then are two patients who apparently use the same symbols in the same situation—a violin representing the male genital, and playing the violin representing masturbation. The way in which the symbols function, however, is very different. For A, the violin had become so completely equated with his genital that to touch it in public became impossible. For B, playing the violin in his waking life was an important sublimation. We might say that the main difference between them is that for A the symbolic meaning of the violin was conscious, for B unconscious. I do not think, however, that this was the most important difference between the two patients. In the case of B, the fact that the meaning of the dream became completely conscious had in no way prevented him from using his violin. In A, on the other hand, there were many symbols operating in his unconscious in the same way in which the violin was used on the conscious level.
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