Also the natural sexual functions of establishing an intimate human contact frequently assume greater proportions. This is a well known fact about detached people for whom sexuality may be the only bridge to others, but it is not restricted to being an obvious substitute for human closeness. It shows also in the haste with which people may rush into sexual relations, without giving themselves a chance to find out whether they have anything in common or a chance to develop a liking and understanding. It is possible of course that an emotional relatedness may evolve later on. But more often than not it does not do so because usually the initial rush itself is a sign of their being too inhibited to develop a good human relationship.
Neurotic suffering indicates inner conflict. Each side of the conflict is likely to be a composite of many partial forces, each one of which has been structured into behavior, attitude, perception, value. Each component asserts itself, claims priority, insists that something else yield, accommodates. The conflict therefore is fixed, stubborn, enduring. It may be impugned and dismissed without effect, imprecations and remorse are of no avail, strenuous acts of will may be futile; it causes - yet survives and continues to cause - the most intense suffering, humiliation, rending of flesh. Such a conflict is not to be uprooted or excised. It is not an ailment, it is the patient himself. The suffering will not disappear without a change in the conflict, and a change in the conflict amounts to a change in what one is and how one lives, feels, reacts.
The declining of responsibility for the self can also be hidden behind a pseudo-objectivity. A patient may make astute observations about himself and give a fairly accurate report of what he dislikes in himself. On the surface it seems as though he is perceptive and honest about himself. But "he" may be merely the intelligent observer of a fellow who is inhibited, fearful, or arrogantly demanding. Hence, since he is not responsible for the fellow he observes, the hurt to his pride is cushioned—all the moreso because the flashlight of his pride is focused on his faculty for keen observations.
Fantasy, an unflagging optimism is necessary for a writer at all stages of this rough game. A kind of madness is therefore necessary, when there is every logical reason for a state of depression and discouragement. Perhaps the fact that I can react with utter gloom to this is what keeps me from being psychotic and keeps me merely neurotic. I am doing quite a good day's work today. But I am also aware of the madness that actually sustains me, and I am not made more comfortable or happy by it.
Neurotic identity crises come when our defense mechanisms have been too successful and we're encapsulated in the fortress we have constructed with nothing to refresh us in our solitary confinement. So we play the old movies with their stale fears and their unrealistic hopes until we become bored enough to risk disarmament and engagement.