I N THE psychoanalytic concept of neuroses a shift of emphasis has taken place: whereas originally interest was focussed on the dramatic symptomatic picture, it is now being realized more and more that the real source of these psychic disorders lies in character disturbances, that the symptoms are a manifest result of conflicting character traits, and that without uncovering and straightening out the neurotic character structure we cannot cure a neurosis. When analyzing these character traits, in a great many cases one is struck by the observation that, in marked contrast to the divergency of the symptomatic pictures, character difficulties invariably center around the same basic conflicts. These similarities in the content of conflicts present a problem. They suggest, to minds open to the importance of cultural implications, the question of whether and to what extent neuroses are moulded by cultural processes in essentially the same way as normal character formation is determined by these influences; and, if so, how far such a concept would necessitate certain modifications in Freud's views of the relation between culture and neurosis. In the following remarks I shall try to outline roughly some characteristics typically recurring in all our neuroses. The limitations of time will allow us to present neither data-good case histories-nor method, but only results. I shall try to select from the extremely complex and diversified observational material the essential points. There is another difficulty in the presentation. I wish to show how these neurotic persons are trapped in a vicious circle. Unable to present in detail the factors leading up to the vicious circle, I must start rather arbitrarily with one of the outstanding features, although this in itself is already a complex product of several interrelated, developed mental factors. I start, therefore, with the problem of competition. The problem of competition, or rivalry, appears to be a neverfailing center of neurotic conflicts. How to deal with competition
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Karen Horney (1936) studied this question.