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“This dynamic, this ‘striving to preserve identity’, however strange the means or effects of such striving, was recognized in psychiatry long ago—and, like so much else, is especially associated with the work of Freud. Thus, the delusions of paranoia were seen by him not as primary but as attempts (however misguided) at restitution, at reconstructing a world reduced by complete chaos.” — Oliver Sacks

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This dynamic, this ‘striving to preserve identity’, however strange the means or effects of such striving, was recognized in psychiatry long ago—and, like so much else, is especially associated with the work of Freud. Thus, the delusions of paranoia were seen by him not as primary but as attempts (however misguided) at restitution, at reconstructing a world reduced by complete chaos.
— Oliver Sacks