The Talking Cure and chimney sweeping were terms Bertha Pappenheim, known in case studies by the alias Anna O., used for the verbal therapy given to her by Josef Breuer. They were first published in Studies on Hysteria (1895).
As Ernest Jones put it, "On one occasion she related the details of the first appearance of a particular symptom and, to Breuer's great astonishment, this resulted in its complete disappearance," or in Lacan's words, "the more Anna provided signifiers, the more she chattered on, the better it went".
Breuer found that Pappenheim's symptoms—headaches, excitement, curious vision disturbances, partial paralyses, and loss of sensation, which had no organic origin and are now called somatoform disorders—improved once the subject expressed her repressed trauma and related emotions, a process later called catharsis. Peter Gay considered that, "Breuer rightly claimed a quarter of a century later that his treatment of Bertha Pappenheim contained 'the germ cell of the whole of psychoanalysis'."
Sigmund Freud later adopted the term talking cure to describe the fundamental work of psychoanalysis. He himself referenced Breuer and Anna O. in his Lectures on Psychoanalysis at Clark University, Worcester, MA, in September 1909: "The patient herself, who, strange to say, could at this time only speak and understand English, christened this novel kind of treatment the 'talking cure' or used to refer to it jokingly as 'chimney-sweeping'."
Mental health professionals now use the term talking cure more widely to mean any of a variety of talking therapies. Some consider that after a century of employment the talking cure has finally led to the writing cure.
The Talking Cure: The science behind psychotherapy is also the name of a book published by Holt and authored by Susan C. Vaughan MD in 1997. It explores the way in which psychotherapy reshapes the through incorporating neuroscience research with psychotherapy research and research on development. It contains clinical vignettes of the "talking cure" in action from real psychotherapies.
The actress Diane Keaton attributes her recovery from bulimia to the talking cure: "All those disjointed words and half-sentences, all those complaining, awkward phrases...made the difference. It was the talking cure; the talking cure that gave me a way out of addiction; the damn talking cure."
- Sigmund Freud, Five Lectures on Psycho-Analysis (Penguin 1995) p. 8-9
- Ernest Jones, The Life and Work of Sigmund Freud (Penguin 1964)p. 202
- Jacques Lacan, The Four Fundamental Concepts of Psycho-Analysis (London 1994) p. 157
- Peter Gay, Freud: A Life for our Time (London 1988) p. 65
- Gay, p. 64
- P. L. Rudnytsky/R. Charm, Psychoanalysis and Narrative Medicine (2008) p. 229
- Diane Keaton, Then Again (2011) p. 91
Terence W. Campbell, Beware the Talking Cure (1994)
Irene Gammell, Confessional Politics (1999)