section_path: Ideas/Early work
section_name: Early work
paragraph_text: Early work
  
  Freud began his study of medicine at the University of Vienna in 1873. He took almost nine years to finish due to his interest in neurophysiological research, specifically investigation of the sexual anatomy of eels and the physiology of the fish nervous system, and because of his interest in studying philosophy with Franz Brentano. He entered private practice in neurology for financial reasons, receiving his M.D. in 1881 at the age of 25. Amongst his principal concerns in the 1880s was the anatomy of the brain, specifically the medulla oblongata. He intervened in the important debates about aphasia with his monograph of 1891, Zur Auffassung der Aphasien, in which he coined the term agnosia and counselled against a too locationist view of the explanation of neurological deficits. Like his contemporary Eugen Bleuler, he emphasized brain function rather than brain structure.
  
  Freud was also an early researcher in the field of cerebral palsy, which was then known as "cerebral paralysis". He published several medical papers on the topic and showed that the disease existed long before other researchers of the period began to study it. He suggested that William John Little, the man who first identified cerebral palsy, was wrong about lack of oxygen during birth being a cause. Instead, he suggested that complications in birth were a symptom.
  
  The origin of Freud's early work with psychoanalysis can be linked to Josef Breuer. Freud credited Breuer with opening the way to the discovery of the psychoanalytical method by his treatment of the case of Anna O. In November 1880, Breuer was called in to treat a highly intelligent 21-year-old woman (Bertha Pappenheim) for a persistent cough and hallucinations that he diagnosed as hysterical. He found that while nursing her dying father, she had developed some transitory symptoms, including visual disorders and paralysis and contractures of limbs, which he also diagnosed as hysterical. Breuer began to see his patient almost every day as the symptoms increased and became more persistent, and observed that she entered states of absence. He found that when, with his encouragement, she told fantasy stories in her evening states of absence her condition improved, and most of her symptoms had disappeared by April 1881. Following the death of her father in that month her condition deteriorated. Breuer recorded that some of the symptoms eventually remitted spontaneously and that full recovery was achieved by inducing her to recall events that had precipitated the occurrence of a specific symptom. In the years immediately following Breuer's treatment, Anna O. spent three short periods in sanatoria with the diagnosis "hysteria" with "somatic symptoms", and some authors have challenged Breuer's published account of a cure. Richard Skues rejects this interpretation, which he sees as stemming from both Freudian and anti-psychoanalytical revisionism — revisionism that regards both Breuer's narrative of the case as unreliable and his treatment of Anna O. as a failure.