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Budapest, February 25, 1910
VII., Erzsébet-könút 54
Dear Professor,
The consultation in Tátralomnic went as follows:
The patient is the young, unmarried Countess Vay; her mother is the sister of our present prime minister, Count Khuen-Héderváry.1 The patient broke her leg while riding a bobsled, then lapsed into unconsciousness,
talked gibberish, cursed, raged, and “defended herself” when she was attacked (attacked in the sense of touched). After the usual “absolutely negative” information about sexual antecedents, I learned from her mother, who was, incidentally, comprehensible (whose favor I won, whereupon the patient immediately adopted a resistant stance), that, although always cool with respect to men, she still (or therefore?) had terrible experiences last year. She became ill in the middle of the highway [journey], in the carriage. When she came to, the coachman bent over her and asked, “How are you, Countess?” “I don't know what happened to me,” she said to herself, and then complained, in tears, to her mother. She then remembered Cagliostro,2 who abused a girl in a hypnotic sleep [wish to be used by the coachman].3 The present accident (not caused by her, by the way), with the ensuing unconsciousness, evidently motivated the reigniting of these fantasies.—She now has strange spells of half-consciousness with “rapturous sucking” of the back of her hand or the corner of the pillow. It naturally hasn't come to analysis. The leg is not yet healed.—Tomorrow the family is coming to Budapest and—so I hear—will keep the patient in treatment with me. The following data as illustration: The young countess was already treated for menstrual complaints with 1.) irrigations, 2.)massage of the uterus per rectum, 3.) general massage. 4.) To reassure her that “nothing had happened” to her, they had her examined locally several times.
The three days in the Tátra were a good rest for me. Even the last traces of depression have vanished. I am analyzing diligently; I am less dilig