The Interpretation of Dreams by Sigmund Freud Chapter 6 Page 39

doubly determined, once by each one of the conflicting systems.

Just as in the dream, there is no limit to further over-determination. The determination not derived from the Unc. is, as far as I can see, invariably a stream of thought in reaction against the unconscious wish, e.g., a self-punishment. Hence I may say, in general, that an hysterical symptom originates only where two contrasting wish-fulfillments, having their source in different psychic systems, are able to combine in one expression. (Compare my latest formulation of the origin of the hysterical symptoms in a treatise published by the Zeitschrift f�r Sexualwissenschaft, by Hirschfeld and others, 1908). Examples on this point would prove of little value, as nothing but a complete unveiling of the complication in question would carry conviction.