Here's a thought, which is not entirely unrealistic, psychodynamically speaking:
The blood phobia returns actually as a way of NOT facing up to the fact that he has made this decision, and in so doing, sacrificed a lot -- if he now develops a blood phobia, he doesn't have to face up to the implications that he made this decision in order to stay with Louisa, and meanwhile, on other grounds, married life is proving more problematic than he imagined, and it is true, he has given up a LOT more than Louisa has. In other words, he doesn't have to rethink this decision, b/c now he CAN'T go back on it.
Because sometimes we ask...OK, what's the payoff for this particular symptom, behavior, etc.
The blood phobia returns actually as a way of NOT facing up to the fact that he has made this decision, and in so doing, sacrificed a lot -- if he now develops a blood phobia, he doesn't have to face up to the implications that he made this decision in order to stay with Louisa, and meanwhile, on other grounds, married life is proving more problematic than he imagined, and it is true, he has given up a LOT more than Louisa has. In other words, he doesn't have to rethink this decision, b/c now he CAN'T go back on it.
Because sometimes we ask...OK, what's the payoff for this particular symptom, behavior, etc.



