It is more consistent with Freud's thought in the structural hypothesis to renounce a causal relationship between anxiety and repression. The question of whether anxiety is the cause or the result of repression is an ambiguous one. Repression unlinks word and thing representations, which induces a primary process condensation of affects and tends to create anxiety. At the same time, anxiety mobilizes the defense mechanisms which are a part of repression. Cosnier illustrates her arguments with a personal example of anxiety arising from a choice imposed by necessity. She does not find tenable the distinction that Pasche would have us make between neurotic and psychotic anxiety. Rather than make a radical distinction, we should deal more with the means of elaboration of the psychic apparatus. Such elaborations are means for recovering, at any cost, the feeling of personal unity. Phobias, projections, compromise formation with symptoms, inhibitions, creativity, are all means to achieve the same end.