This is a quote from the book "The Virtue Of Selfishness" by Ayn Rand
...s to afford man a sense of his own efficacy, the neurotic is caught in a deadly conflict: he is compelled, by his nature as man, to feel a desperate need for pleasure, as a confirmation and expr
ession of his control over reality — but he can find pleasure only in an escape from reality. That is the reason why his pleasures do not work, why they bring him, not a sense of pride, fulfil
lment, inspiration, but a sense of guilt, frustration, hopelessness, shame. The effect of pleasure on a man of self-esteem is that of a reward and a confirmation. The effect of pleasure on a man...
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