Horney said that it is essential to recognize when we are not operating from self-determined beliefs, but from those internalized from a toxic environment. These play out as internalized messages, especially in the form of “shoulds,” such as “I should be recognized and powerful” or “I should be thin.” She taught her patients to become aware of two influences in their psyche: the “real self” with authentic desires, and the “ideal self” that strives to fulfil all the demands of the “shoulds.

-Nigel C. Benson

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