The struggling self is one that is aiming to be true.
The problem of selfishness has a particular bearing on psychotherapy. The neurotic individual often is selfish in the sense that he is blocked in his relationship to others or overanxious about himself. This is to be expected since to be neurotic means that the integration of a strong self has not been achieved successfully. To be normal certainly does not mean that it has. It means, for the majority of well-adapted individuals that they have lost their own self at an early age and replaced it completely by a social self offered to them by society. They have no neurotic conflicts because they themselves, and, therefore, the discrepancy between their selves and the outside world has disappeared. Often the neurotic person is particularly unselfish, lacking in self-assertion and blocked in following his own aims. The reason for this unselfishness is essentially the same as for the selfishness. What he is practically always lacking is self-love. This is what he needs to become well. If the neurotic becomes well, he does not become normal in the sense of the conforming social self. He succeeds in realising his self, which never had been completely lost and for the preservation of which he was struggling by his neurotic symptoms. A theory, therefore, as Freud’s on narcissism which rationalises the cultural pattern of denouncing self-love by identifying it with selfishness, can have but devastating effects therapeutically. It increases the taboo on self-love. Its effects can only be called positive if the aim of psychotherapy is not to help the individual to be himself; that is, free, spontaneous and creative – qualities conventionally reserved for artists – but to give up the fight for his self and conform to the cultural pattern peacefully and without the noise of a neurosis. Â — Erich Fromm
 from Selfishness and love
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Because remember:
It is no measure of health to be well adjusted to a profoundly sick society. — Jiddu Krishnamurti
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