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.

Summary

This quote suggests that neuroses, or psychological disorders, have the effect of pushing individuals away from the real world, separating them from reality. It implies that neurotic behaviors and symptoms may serve a purpose for the patient, possibly subconscious, to cope with or avoid certain aspects of real life. By distancing themselves from actuality, individuals with neuroses may find temporary relief or a sense of control over their anxiety or conflicts.

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