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Undoubtedly conflicts play a most important part in such psychological disturbances as we have to deal with in the psycho-neuroses, but I cannot agree that psychological conflicts conform only to, or are synonymous with ethical conflicts.
So far as they may do so they subordinate these instinctive emotions entirely to the sexual instinct so that these latter simply make use of them. When the psycho-neuroses are completely studied we will find the same repression of the various instinctive dispositions and impulses to which I have referred in the one case as in the other, and of ideas organized with these disposition.
Furthermore when we bear in mind that sentiments thus originating and organized are conserved in the subconscious forming what I call the "setting" which gives idea meaning, the meaning being the most important component of any idea, and when we bear in mind that this subconscious setting is an integral part of the total mechanism of thought each sentiment in the setting striving to carry itself to completion, and for this purpose repressing every conflicting sentiment I think we find a satisfactory explanation of the disturbances due to conflict in the psycho-neuroses.
A certain amount of direct sexual satisfaction is for most organizations indispensable, and the renunciation of this individually varying amount is punished by manifestations which we are compelled to regard as morbid. The process of sublimation, under the influence of civilization, leads both to sexual perversions and to psycho-neuroses.
These two conditions are closely related, as Freud views the process of their development; they stand to each other as positive and negative, sexual perversions being the positive pole and psycho-neuroses the negative.
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