Winnicott examined in detail manic defenses, which use external objects “in the attempt to decrease the tension in inner reality” (Winnicott 1975, p. 132), specifically by denying depressive anxiety and guilt. Ultimately, manic defenses use reality as a reassurance against the experience of death. Any form of psychological organization (including psychosis itself and the experience of oneness with God/universe) which effectively defends against the threat of breakdown and annihilation may work as a primitive defense."
-Giorgio Giaccardi 
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