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“The schizoid repression of feeling, and retreat from emotional relationships, may, however, go much further and produce a serious breakdown of constructive effort. Then the unhappy sufferer from incapacitating conflicts will succumb to real futility: nothing seems worth doing, interest dies, the world seems unreal, the ego feels depersonalized. Suicide may be attempted in a cold, calculated way to the accompaniment of such thoughts as 'I am useless, bad for everybody, I'll be best out of the way.' One patient who had never reached that point, said: 'I feel I love people in an impersonal way; it seems a false position, hypocritical. Perhaps I don't do any loving. I'm terrified when I see young people go off and being successful and I'm at a dead bottom, absolute dereliction, excommunicate.” — Harry Guntrip