For all practical purposes we take it for granted that in general the patient could not develop otherwise than she did; that in particular she could not help doing, feeling, thinking what she did do, feel, think. This viewpoint, however, is not shared by the patient. Her lofty disregard for all that means laws and necessities extends to herself too. The fact that, everything considered, her development could go only in certain directions is beneath her consideration. Whether some drive or attitude was conscious or unconscious does not matter. However insuperable the odds against which she had to struggle she should have met them with unfailing strength, courage, and equanimity. If she did not do so, it proves that she is no good.
―Neurosis and Human Growth, Karen Horney