The ego develops a defense in order to protect itself against being overcome by unconscious demands such as sex and aggression. The work of the psychoanalyst is to get the person to become conscious of their instinctual urges, which may involve isolating the pain experienced when they were originally confronted by an unsatisfied impulse.
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The ego continually endeavors to create harmony between itself, the unconscious, and the outside world, but this does not always lead to perfect mental health. In fact, sometimes when the ego “wins” the person as a whole may have lost, since the win may involve the creation of a defense in order to have the ego maintain its sense of itself at all costs.
When a natural instinct surfaces, the ego wants to have it satisfied, but the superego does not allow that. The ego submits to the “higher” superego, but is left with the problem. It begins a struggle with the impulse and, to reduce the pain of not satisfying it, engineers a defense that allows itself to make sense of its decision to submit.
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