"...If the natural impulse to identify with the self is recognized, one then has a good chance of freeing oneself from a state of unconsciousness. But if this opportunity is overlooked or not used, the situation does not remain the same as before but gives rise to a repression coupled with dissociation of the personality. The development of consciousness which the realization of the self might have led to turns into a regression. I must emphasize that this realization is not just an intellectual act but is primarily a moral one, in comparison with which intellectual understanding is of secondary importance. For this reason, the symptoms I have described can also be observed in patients who, from inferior motives which they will not admit, refuse a task that has been laid upon them by fate..."