Bertrand Russell: The Analysis of Mind

1. LECTURE I. RECENT CRITICISMS OF "CONSCIOUSNESS" (continued)

What, I think, is clearly established, is that a man's actions and beliefs may be wholly dominated by a desire of which he is quite unconscious, and which he indignantly repudiates when it is suggested to him. Such a desire is generally, in morbid cases, of a sort which the patient would consider wicked; if he had to admit that he had the desire, he would loathe himself. Yet it is so strong that it must force an outlet for itself; hence it becomes necessary to entertain whole systems of false beliefs in order to hide the nature of what is desired. The resulting delusions in very many cases disappear if the hysteric or lunatic can be made to face the facts about himself. The consequence of this is that the treatment of many forms of insanity has grown more psychological and less physiological than it used to be. Instead of looking for a physical defect in the brain, those who treat delusions look for the repressed desire which has found this contorted mode of expression. For those who do not wish to plunge into the somewhat repulsive and often rather wild theories of psychoanalytic pioneers, it will be worth while to read a little book by Dr. Bernard Hart on "The Psychology of Insanity."* On this question of the mental as opposed to the physiological study of the causes of insanity, Dr. Hart says:

* Cambridge, 1912; 2nd edition, 1914. The following references are to the second edition.

"The psychological conception [of insanity] is based on the view that mental processes can be directly studied without any reference to the accompanying changes which are presumed to take place in the brain, and that insanity may therefore be properly attacked from the standpoint of psychology"(p. 9).