Two Ways of Losing the World
Does a neurotic person stay in touch with reality while a psychotic one loses it? "The Loss of Reality in Neurosis and Psychosis" corrects Freud's own neat formula.
Every neurosis, Freud concedes, also disturbs a person's relation to reality. The difference lies in what follows. A young woman in love with her brother-in-law forgets the thought she had at her sister's deathbed and represses the love; a psychotic would have denied the death itself. Neurosis avoids a piece of reality and lends another piece a secret meaning, much as children's play does. Psychosis disowns reality and builds a new one, drawing on the same reserve of fantasy that was set aside in childhood.
- psychosis
- neurosis
- reality testing
- reality
- denial
- adaptation
- psychopathology
- ego
Enter a dialogue
- By her sister's deathbed a woman thinks the brother-in-law she loves is now free, and forgets it at once. How would psychosis have handled that thought?
- You had said that neurosis obeys reality while psychosis abandons it. Why did you have to admit that every neurosis also pulls a person away from the world?
- Both neurosis and psychosis, you argue, draw on a world of fantasy kept apart since childhood. Why does only psychosis build a whole new reality from it?
- Someone simply refuses to accept that a loved one has died. Where, on your account, does ordinary grief end and the disowning of reality begin?