Autistic Thinking
Dreaming, whether awake or asleep, is free imagination. It does not have to check up with any standard. So long as it is interesting at the moment and gratifies the dreamer in any way, it serves its purpose. Sometimes the daydreamer exercises some control, breaking off a spiteful or amorous dream because he thinks it had better not be indulged; but in this he ceases to be simply a daydreamer. Daydreaming, by itself, is an example of what is called "autistic thinking", which means thinking that is sufficient unto itself, and not subjected to any criticism. Autistic thinking gratifies some desire and that is enough for it. It does not submit to criticism from other persons nor from other tendencies of the individual, nor does it seek to square itself with the real world.
Autistic thinking, indulged in by every imaginative person in moments of relaxation, is carried to an absurd extreme by some types of insane individuals. One type withdraws so completely from reality as to be inaccessible in the way of conversation, unresponsive to anything that happens, entirely immersed in inner imaginings. Others, while living in the world about them, transform it into a make-believe [{509}] world by attaching meanings to things and persons as suits themselves. This institution, in which the subject is confined, is his royal palace, the doctors are his officials, the nurses his wives, "thousands of them, the most beautiful women in creation". Or the delusion may take the line of the "suffering hero", the subject imagining himself a great man shut up in this place by the machinations of his enemies; the doctors are spies and enemy agents, and the nurses also act suspiciously; his food is poisoned, and he is kept in a weak and helpless condition, all out of fear of him. It is impossible to argue the patient out of his delusions by pointing out to him how clearly they conflict with reality; he evades any such test by some counter-argument, no matter how flimsy, and sticks to his dream or make-believe.
Autistic thinking is contrasted with realistic thinking, which seeks to check up with real facts; it may be contrasted also with socialized thinking, which submits to the criticism of other people; and it may even be contrasted with self-criticized thinking, in which the individual scrutinizes what he has imagined, to see whether it is on the whole satisfactory to himself, or whether it simply gratified a single or momentary impulse that should be balanced off by other tendencies.