heart is accessible to the priest, so every want is an opportunity for
approaching one's neighbor with the air of friendship, and saying, 'Dear friend, I will give you what you need, but you know the conditio sine qua non. You know what ink you must use in signing yourself over to me. I shall swindle you while providing your enjoyment/ All this constitutes a universal exploitation of human communal life.) The entrepreneur accedes to the most depraved fancies of his neighbor, plays the role of pander between him and his needs, awakens unhealthy appetites in him, and watches for every weakness in order, later, to claim the remuneration for this labor of love."19 The man who has thus become subject to his alienated needs is "a mentally and physicaly dehumanized being . . . the self- conscious and self-acting commodity."20 This commodity-man knows only one way of relating himself to the world outside, by having it and by consuming (using) it. The more alienated he is, the more the sense of having and using constitutes his relationship to the world. "The less you are, the less you express your life, the more you have, the greater is your alienated life and the greater is the saving of your alienated being."21 Discussing Marx's concept of alienation, it might be of some interest to point to the close connection between the phenomenon of alienation and the phenomenon of transference which is one of the most fundamental concepts in Freud's system. Freud had observed that the psychoanalytic patient tended to fall in love with the analyst, to be afraid of him, or to hate him, and all this quite without regard to the reality of the analyst's personality. Freud believed that he had found the theoretical explanation to this phenomenon by the assumption that the patient transferred the feelings of love, fear, hate, he had experienced as a child toward father and mother, to the person of the analyst. In the "transference," so Freud reasoned, the child in the patient relates himself to the person of the analyst as to his father or mother. Undoubtedly, Freud's interpretation of the transference phenomenon has much truth in it, and is supported by a good deal of evidence. Yet it is not a complete interpretation. The grown- up patient is not a child, and to talk about the child in him, or "his" unconscious, is using a topological language which does not do justice to the complexity of the facts. The neurotic, grown-up patient is an alienated human being; he does not feel strong, he is frightened and inhibited because he does not experience himself as the subject and originator of his own acts and experiences. He is neurotic because he is alienated. In order to overcome his sense of inner emptiness and impotence, he chooses an object onto whom he projects all his own human qualities: his love, 40
[Advances in Neurosurgery 2] O. Stochdorph (Auth.), W. Klug, M. Brock, M. Klinger, O. Spoerri (Eds.) - Meningiomas Diagnostic and Therapeutic Problems Multiple Sclerosis Misdiagnosis Forensic Problems in Neurosurg