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She called their symptoms a means of "interpersonal and intrapsychic control and coping." Where Freud viewed culture as the necessary bulwark for survival pitted against the primitive desires of the id, Horney saw culture as the problem.
Culture provided bad environments that caused frustration of people's emotional needs and created hostility, fear, and insecurity, leading to neurosis.
Karen Horney was, in herself, living proof that human beings, even neurotic, depressed human beings, can do great things.
Her honesty and unflinching ability to look inward and use that vision became the tools that she used to help others.