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This was the unconscious force within the individual that contributed to illness, Freud in fact coming to consider "the obstacle of an unconscious sense of guilt..the most powerful of all obstacles to recovery." Alice Miller claims that "many people suffer all their lives from this oppressive feeling of guilt, the sense of not having lived up to their parents' expectations...argument can overcome these guilt feelings, for they have their beginnings in life's earliest period, and from that they derive their intensity." If you feel guilty, you must be guilty!
The philosopher Martin Buber underlined the difference between the Freudian notion of guilt, based on internal conflicts, and existential guilt, based on actual harm done to others. In mania, according to Otto Fenichel, the patient succeeds in applying to guilt "the defense mechanism of denial by overcompensation...re-enacts being a person without guilt feelings." Guilt appears to prompt reparatory behaviors to alleviate the negative emotions that it engenders.
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It gives rise to a feeling which does not go away easily, driven by 'conscience'.
Sigmund Freud described this as the result of a struggle between the ego and the superego – parental imprinting.
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Guilt and its associated causes, merits, and demerits are common themes in psychology and psychiatry.
Both in specialized and in ordinary language, guilt is an affective state in which one experiences conflict at having done something that one believes one should not have done (or conversely, having not done something one believes one should have done).
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