Quite simply ... if you had a choice over the matter, would you choose to remain in a more appealing fantasy, or would you prefer to experience the world as it truly exists, even if the experience could (and most likely would) be a painful one? Let's assume that, if you choose fantasy, you will forget ever having known that the fantasy was anything but reality.

In a more practical sense, how does this apply to psychiatric medication? To drug abuse? To coping methods? To the seeking of vices?

What's the goal of therapy? To bring us closer to reality, or to make us happy?