Ernest Becker
Author: Ernest Becker
Publisher: Free Press (1975)

Once you accept the truly desperate situation that man is in, you come to see not only that neurosis is normal, but that even psychotic failure represents only a little additional push in the routine stumbling along life’s way. If repression makes an untenable life liveable, self-knowledge can entirely destroy it for some people. Rank was very sensitive to this problem and talked about it intimately. I would like to quote him at length here in an unusually mature and sober psychoanalytic reflection that sums up the best of Freud’s own stoical world-picture: A woman comes for consultation; what’s the matter with her? She suffers from some kind of intestinal symptoms, painful attacks of some kind of intestinal trouble. She had been sick for eight years, and has tried every kind of physical treatment… . She came to the conclusion it must be some emotional trouble. She is unmarried, she is thirty-five. She appears to me (and admits it herself) as being fairly well adjusted. She lives with a sister who is married; they get along well. She enjoys life, goes to the country in the summer. She has a little stomach trouble; why not keep it, I tell her, because if we are able to take away those attacks that come once in a fortnight or so, we do not know what problem we shall discover beneath it. Probably this defense mechanism is her adjustment, probably that is the price she has to pay. She never married, she never loved, and so never fulfilled her role. One cannot ever have everything, probably she has to pay. After all, what difference does it make if she occasionally gets these attacks of indigestion? I get it occasionally, you do too, probably, and not for physical reasons, as you may know. One gets headaches. In other words, it is not so much a question as to whether we are able to cure a patient, whether we can or not, but whether we should or not.28