Abstract
Freud's first reported successful treatment by hypnosis included suggestions that have much in common with some recent developments in family systems therapy. The case is discussed within the context of the evolution of psychoanalytic and family systems theories with the view that intrapsychic and contextual forces are not mutually exclusive. The author agrees with Haley in his recent book, Uncommon Therapy,regarding the value of viewing psychiatric symptoms as manifestations of a disturbance in family relations, occurring especially at transitional stages of family development. However, the emphasis on behavior change and symptom removal restricts the potentiality of the family approach to that of psychoanalysis in 1895, when it was a naive, simplistic, and mechanistic therapy.

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