We can say that all psychasthenic patients suffer from abulia, and in fact there is a large grey area between what can be considered simple indecision and complete abulia.

However, as we will see later on, the absence of willpower is more apparent than real, and is due rather to its misguided application. Be that as it may, the result is the same. Every thought or idea, every act requiring some measure of willpower, will evoke feelings of fear in these persons' minds; they are incapable of making any effort, and are paralyzed by doubt. Abulia is really a fear of wanting anything, since patients believe that making any kind of effort is painful, and every action results in anxiety.

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