Karen developed her view of neurotic conflict from a sociocultural perspective, in contrast to the classical psychoanalytic concept of conflict. argued that neurotic conflict arises not only from a clash of instincts and internal control, as Freud believed, but primarily from social and cultural pressures and early interaction with parents or the environment. According to, neurotic conflict stems from feelings of insecurity and underlying anxiety, a deep-seated sense of loneliness, and the threat of losing love or social recognition in childhood. This anxiety prompts the person to use neurotic coping strategies, which are also sources of constant internal conflict, as they often contradict or are unrealistic in relation to their true needs.