Losing both parents at a young age gave me a sense that you can't really control life - so you'd better live it while it's here. I stopped believing in a storybook existence a long time ago. All you can do is push in a direction and see what comes of it.
In our tabulation of psychoanalytic results we have classed those who stopped treatment together with those not improved. This appears to be reasonable a patient who fails to finish his treatment and is not improved is surely a therapeutic failure.