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Cocaine

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[[Cocaine]] is an alkaloid extracted from coca leaves, which has been used in [[medicine ]] for its analgesic and anesthetic properties.
The relation between [[cocaine]] and [[psychoanalysis]] goes back to [[Freud]]'s research in which he used the substance as an ophthalmic anesthetic.
[[Cocaine]] was first used as an anesthetic [[agent ]] in [[Vienna ]] in 1884.
[[Freud]] conducted research into the [[physiological ]] [[action ]] of the drug with a view to using it for therapeutic purposes.
Years later [[Freud]] described the [[situation ]] in these [[terms]]: "A side interest, though it was a deep one, had led me in 1884 to obtain from Merck some of what was then the little-known alkaloid cocaine and to study its physiological action... I suggested, however, to my friend Köningstein, the ophthalmologist, that he should investigate the question of how far the anaesthetizing properties of cocaine were applicable in diseases of the eye" (1925d, pp. 14-15).
Ernest [[Jones ]] (1953) reports that in 1884 [[Freud]] administered injections of cocaine to his friend Ernst von Fleischl in [[order ]] to wean him off his morphine [[addiction ]] and to ease his terrible trigeminal neuralgia.
One year later he observed that the massive doses of cocaine required by Fleischl had led to chronic [[intoxication]].
He thus discovered the toxicity of [[cocaine]], which stood in the way of its [[being ]] used medically.
Coca leaves and [[cocaine]] had been used in the Americas as stimulants to fight fatigue and hunger, but their use led to neurochemical and physiological effects as well as severe addiction problems.
[[Psychoanalysis]] has studied the underlying dynamics and the [[unconscious]] [[fantasies]] that [[drive ]] [[patient]]s to seek out the chemical and physiological effects of [[cocaine]] in a compulsive manner.
[[Patients ]] sometimes seek out this toxic substance as a stimulant or an anti-depressant in order to conceal states of [[depression]].
Some drug addicts unable to [[work ]] through their grief develop pathological [[mourning ]] wherein they [[identify ]] with the lost [[dead ]] [[object]](s), thus [[unconsciously ]] putting their lives in grave [[danger]].
Their repeated risk taking allows [[them ]] to feel as if they are conquering [[death]] and are being resuscitated.
This fantasied resurrection represents success to these addicts, in whose [[mental ]] [[state ]] the [[psychological ]] notions of danger, [[death]], and [[suicide ]] do not [[exist]].
The [[psychoanalytic]] [[interpretation]] therefore must direct itself to the uncovering and [[interpreting ]] of their resurrection fantasies and thus lead them to give up [[living ]] within a dead object or give up [[identifying ]] with a dead person.
[[Alienation]]
[[Fantasy]]
* [[Freud, Sigmund]]. (1925d). An autobiographical study. SE, 20: 1-74.
[[Category:Psychoanalysis]]
[[Category:Sigmund Freud]]
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