"We have long observed that every neurosis has the result, and therefore probably the purpose, of forcing the patient out of real life, of alienating him from actuality"
About this Quote
The subtext is almost accusatory. By calling neurosis a force that “alienat[es]” the patient from “actuality,” Freud implies a bargain: the symptom protects you from a conflict you can’t face, but it does so by shrinking your world. It’s not moral judgment; it’s a cold description of a trade-off. The mind buys relief with isolation. That’s why the wording feels oddly purposeful, even political: neurosis as internal exile.
Context matters. Freud is writing at the birth of psychoanalysis, pushing against models that treated mental distress as mere weakness or brain malfunction. His clinical encounter with hysteria and compulsions led him to see symptoms as meaningful - coded messages from a psyche split against itself. This is also a snapshot of a modern anxiety: when “real life” becomes too fast, too rigid, too humiliating, retreat starts to look like safety.
Freud’s intent is therapeutic and unsettling: if neurosis has a purpose, then treatment isn’t just symptom removal. It’s negotiating with the purpose - persuading the person that reality, however imperfect, can be survived without the symptom acting as bodyguard.
Quote Details
| Topic | Mental Health |
|---|---|
| Source | Help us find the source |
| Cite |
Citation Formats
APA Style (7th ed.)
Freud, Sigmund. (2026, January 18). We have long observed that every neurosis has the result, and therefore probably the purpose, of forcing the patient out of real life, of alienating him from actuality. FixQuotes. https://fixquotes.com/quotes/we-have-long-observed-that-every-neurosis-has-the-21175/
Chicago Style
Freud, Sigmund. "We have long observed that every neurosis has the result, and therefore probably the purpose, of forcing the patient out of real life, of alienating him from actuality." FixQuotes. January 18, 2026. https://fixquotes.com/quotes/we-have-long-observed-that-every-neurosis-has-the-21175/.
MLA Style (9th ed.)
"We have long observed that every neurosis has the result, and therefore probably the purpose, of forcing the patient out of real life, of alienating him from actuality." FixQuotes, 18 Jan. 2026, https://fixquotes.com/quotes/we-have-long-observed-that-every-neurosis-has-the-21175/. Accessed 12 Feb. 2026.







