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THE INTERPERSONAL TRADITION ASSIGNS unusual psychoanalytic weight to the role of reality, in creating illness and also in curing it.
In this immutably social theory, reality is the pathogen, the causative agent of psychopathology. Yet, psychoanalytic treatment aims at restoring reality in the face of blindness or illusion so that the patient can know himself and his situation, past and present.
The internal world stands separate and different from the real world. The internal world evolves as a defensive or symbolic effort