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September 2004
Volume 68
Number 9

ASA’s Freudian Prelude: From Mesmerism to Cocaine

George S. Bause, M.D., Honorary Curator
Wood Library-Museum of Anesthesiology


he year 1904 saw the development of Novocaine (as a replacement for Freud’s cocaine); the penning of Freud’s psychosexual theories; and the year “Fred” Erdmann began planning for the Long Island Society of Anesthetists.

Before promoting “free association” as talking therapy, Dr. Sigmund Freud (above) had tried mesmerizing patients with “animal magnetism.” Perhaps recalling Freud and early hypnotists, today’s anesthesiologist can make preoperative suggestions to allay patients’ fears and even reduce their perioperative drug loads.

Forsaking Freud’s efforts to treat patients’ depression and fatigue, co-worker Carl Koller (left) promoted cocaine instead as a local anesthetic for eye surgery. Freud saluted his colleague as “Coca Koller.”



   
George S. Bause, M.D., is Associate Clinical Professor, Case Western Reserve University, Cleveland, Ohio.
George S. Bause, M.D.

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