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While these neurotic claims and the feelings of entitlement that accompany them may seem to be just a personal problem, the fact is that many people make seriously flawed self-assessments of their abilities, attributes, and future behavior. Indeed, the “average” person typically rates themselves as “above average” in many areas of their lives. These flawed self-assessments come into play in many aspects of our lives, and can easily affect others (Dunning, Heath,&Suls, 2004; Williams, 2004). For example, the United States spends more of its gross domestic product on health care than any other major industrialized country, and yet many people seriously underestimate the consequences of a wide range of unhealthy behaviors, such as smoking, drinking alcohol, overeating to the point of obesity, and avoiding exercise. The poor physical health of many Americans has become a regular topic in the mainstream media, as it threatens both individual lives (and, consequently, the family and friends of those who die) and our ability to fund healthcare for those who are poor or aged. In education, students dramatically overestimate the extent to which they have learned, limiting the likelihood that they will take fuller advantage of their education. And in business, the consequences can be severe for many employees, and therefore their families, when a President or CEO is so over-confident that they make poor decisions that bankrupt the company. As suggested above, these problems are common, not just confined to those who are neurotic. Thus, the problem of overconfidence, whether the result of an unreasonable trend in society to ensure everyone’s self-esteem or the result of neurotic claims, as well as the extent to which individuals are able to know themselves and, therefore, function in the real world, is critical to everyone (Dunning, Heath,&Suls, 2004; Williams, 2004).

Whereas the neurotic claims are directed outward, the individual then turns their attention back into the self. They begin to tell themselves (though this may unconscious) to forget about the worthless creature they believe they are , and start behaving as they should . In order to match up with the idealized image, they should be honest, generous, and just, they should be able to endure any misfortune, they should be the perfect friend and lover, they should like everyone, they should never feel hurt, they should never be attached to anyone or anything, they should know, understand, and foresee everything, they should be able to overcome any difficulty, etc. Obviously, no one can be everything at all times. Horney described this tragic state as the tyranny of the should . Since it is virtually impossible for anyone to maintain such discipline in their life, rather than developing real self-confidence, the neurotic individual develops a questionable alternative: neurotic pride . However, the pride is not in who the individual is, but rather in who the individual believes they should be (Horney, 1950).

Sooner or later, it is inevitable that the neurotic individual will have their pride hurt in real life. When this happens, the other side of neurotic pride comes out: self-hate . Indeed, Horney believed that pride and self-hate are a single entity, which she called the pride system . As the neurotic individual becomes more aware of their failure to live up to the idealized self, they develop self-hate and self-contempt. According to Horney, the battle lines are now drawn between the pride system and the real self. It is not the real self that is hated, however, but the emerging constructive forces of the real self (the actual aim of psychotherapy!). This conflict, between the pride system and the constructive forces for change inherent in the real self, are so profound, that Horney named it the central inner conflict ! In her earlier writings, Horney used the term neurotic conflict to refer to conflicts between incompatible compulsive drives. The central inner conflict is unique, in that it sets up a conflict between a neurotic drive (the pride system) and a healthy drive (the trend toward self-realization). Horney believed that individuals who have arrived at this psychological state of affairs were indeed in a difficult situation:

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Source:  OpenStax, Personality theory in a cultural context. OpenStax CNX. Nov 04, 2015 Download for free at http://legacy.cnx.org/content/col11901/1.1
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