What may seem a commonsense notion today—that simply talking through difficulties can promote healing—was truly revolutionary in Pappenheim's era in the late 1800s. The idea that carefully examining one's inner experiences through discourse could remedy extraordinary bodily afflictions was radical at a time when the mind-body connection was poorly understood. Anna O.'s case established what she termed "talking cure" as a groundbreaking treatment model that reshaped understandings of mental health.
Initially, she sought treatment from physician Josef Breuer, a colleague of Sigmund Freud. Anna struggled with symptoms like visual disturbances, hallucinations, partial paralysis, and speech problems. Breuer diagnosed the condition as hysteria after finding no physical cause. At the time, many believed her condition called "hysteria" was all in a woman's head.
Through their work together from 1880-1882, Breuer realized that simply allowing Pappenheim to freely talk about her experiences and feelings seemed to relieve her symptoms. She termed this novel approach as "talking cure" or "chimney sweeping" to describe the cathartic release of openly discussing traumatic memories and inner conflicts.
Breuer later discussed Anna O.'s successful case with his colleague Sigmund Freud, who took a strong interest. Her story became the basis for Breuer and Freud's seminal 1895 publication "Studies on Hysteria," which helped establish psychoanalysis as a psychotherapeutic method.
While Freud never directly treated Pappenheim, her iconic case was highly influential in shaping psychoanalytic concepts and proving the power of addressing unconscious mental life through verbal processing.