"If I were to sum up the negative reactions to my work, I think there are two primary causes: one is that if there is discourse about anxiety it is necessarily going to induce anxiety. It will represent a return of the repressed for a great many people"

Harold Bloom is suggesting that the negative reactions to his work are because of two main causes. The first is that discussing stress and anxiety can be anxiety-inducing for many individuals, as it can raise repressed emotions and memories. The 2nd cause is that his work may challenge people's existing beliefs and worths, which can be unpleasant for some. Flower's quote indicates that he understands the capacity for his work to trigger stress and anxiety and pain, however he is still ready to take part in discourse about it. He is suggesting that it is essential to talk about anxiety, even if it can be tough, in order to acquire a better understanding of it. Eventually, Bloom's quote motivates people to be open up to discussing tough subjects, even if it can be uncomfortable.