This is a quote from the book "The ​Virtue Of Selfishness" by Ayn Rand all his pleasures are pleasures of escape from the two pursuers whom he has betrayed and from whom there is no escape: reality and his own mind.

Since the function of pleasure i
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...
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