This is a quote from the book "The ​Virtue Of Selfishness" by Ayn Rand
... who lacks self-esteem is that of a threat — the threat of anxiety, the shaking of the precarious foundation of his /;.vewc/o-self-value, the sharpening of the ever-present fear that the struc ture will collapse and he will find himself face to face with a stem, absolute, unknown and unforgiving reality.

One of the commonest complaints of patients who seek psychotherapy,
is that nothing has the power to give them pleasure, that authentic enjoyment seems impossible to them. This is the inevitable dead end of the policy of pleasure-as-escape.

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