Case Studies: Freud

Specification

• Freud’s use of the case study as a research method.

Analysis of a Phobia of a Five-Year Old Boy (Freud, 1909)

Background & Aim

Little Hans’ father was a supporter of Freud and when his son developed a phobia, he referred him to Freud. Freud agreed to help and believed Hans’ phobia was due to things going on in his unconscious mind. Freud used the study of Little Hans to support his views on the origins of phobias, childhood sexuality and the Oedipus complex, as well as his belief in psychoanalysis as an effective therapy. Freud believed Hans’ fears, dreams and fantasies were symbolic of his unconscious passing through the phallic stage of psychosexual development.

Method

As this was a detailed study of a single individual (Little Hans was Herbert Graf) over a period of time, we can classify it as a longitudinal case study. The study describes Hans’ fears from when he was three years old until he was five. He was five years old at the time of this study, but historical information from when Little Hans was three years old was also used. Qualitative data was gathered by Little Hans’ father through observations of and conversations with his son. This information was then sent to Freud by letter, who replied with interpretations of Hans’ behaviour and with advice.

During his correspondences with Freud, Hans’ father reported some of the following information about his son: Just before the age of three, Hans started to develop an active interest in his ‘widdler’ and he started to masturbate. This caused his mother to threaten to send for Dr A. to cut it off. At three and a half Hans’ sister Hanna was born; he resented her and hoped she would drown in the bath. A short time afterwards Hans developed a fear of white horses and being bitten by them. This seemed to relate to two key incidents: Firstly, overhearing a man say to his child “Don’t put your finger to the white horse or it will bite you”; secondly, seeing a horse that was pulling a carriage fall down. As a result, Hans’ phobia was generalised to carts and buses.

It was also reported that before and after the development of the phobia, Hans was anxious that his mother would leave and he experienced fantasies including one about a giraffe, two plumber fantasies and finally a parenting fantasy. The analysis/ investigation of Little Hans ended soon after the final fantasy when the phobia stopped due to the help he was given by Freud.

Results

The information about Little Hans was analysed by Freud and he came up with the following findings: Because Han’s was experiencing the Oedipus complex (a sexual desire for his mother and rivalry with his father) he was subconsciously scared of his father. This fear was manifested in a fear of horses, particularly those with dark around the mouth (representing his father’s beard) and blinkers (which represented his glasses). Hans’ obsession with his ‘widdler’ was another sign of being in the phallic stage of development and experiencing the Oedipus complex. Other behaviours relating to the Oedipus Complex also included the giraffe fantasy which represented the desire to take his mother away from his father; the plumber fantasy was interpreted as him identifying with his father, as was the fantasy of becoming a father. The final family fantasy was interpreted as the resolution of the Oedipus Complex.

Conclusions

Freud concluded that the study of Little Hans provided support for his theory of psychosexual development and childhood sexuality, including the idea that boys in the phallic stage experience the Oedipus complex. He also concluded that phobias are caused by unconscious anxiety being displaced onto harmless external objects. Furthermore, Hans is an example of unconscious determinism which suggests that people are not consciously aware of the causes of their behaviour. Finally, Freud claims that psychoanalysis was an effective treatment for Little Hans because it identifies the unconscious cause of the abnormality which is then brought into the conscious to be discussed and resolved.

Evaluation

A strength of the case study method is that in-depth qualitative data can be gained through various methods such as observations and interviews. This allowed Freud to make detailed conclusions. However, as the data was gained by Hans’ father, who was also a fan of Freud, it may lack objectivity. There may also have been bias in the questions that were asked and in the recording of the data.

Furthermore, as the sample was only a single individual the study lacks population validity and therefore it is questionable as to whether the findings concerning the Oedipus Complex and psychosexual development can be generalised to all children. This is especially true as Hans was a middle class European boy in the early 20^th Century. It can be suggested that this study and much of Freud’s other research is ethnocentric.

As Little Hans was a five-year old boy he was unable to give informed consent; however, Hans’ father clearly did. Some of the questions Hans’ father asked his son may have caused psychological harm and the detailed description of Hans’ personal information within the research article would be invasion of privacy. On the other hand, Hans’ father was very open with his son and told him that notes he was taking were for the professor who was going to fix Hans’ ‘nonsense’, which he seemed to do!

Past Paper Questions

• Evaluate Freud’s use of the case study as a research method. (8) January 2019