Altruism has been thought of as an ego defense, a form of sublimation in which a person copes with his anxiety by stepping outside himself and helping others. By focusing on the needs of others, people in altruistic vocations such as medicine or teaching may be able to permanently push their needs into the background, and so never have to address or even to acknowledge them. Conversely, people who care for a disabled or elderly person may experience profound anxiety and distress when this role is suddenly removed from them.
Altruism as an ego defence should be distinguished from true altruism—one being primarily a means to cover up uncomfortable feelings and the other being primarily a means to some external end such as alleviating hunger or poverty. However, many psychologists and philosophers have argued that there is, in fact, no such thing as true altruism. In The Dawn, the 19th century philosopher Friedrich Nietzsche maintains that that which is erroneously called ‘pity’ is not selfless but variously self-motivated.
Nietzsche is in effect agreeing with Aristotle who in the Rhetoric defines pity as a feeling of pain caused by a painful or destructive evil that befalls one who does not deserve it, and that might well befall us or one of our friends, and, moreover to befall us soon. Aristotle surmises that pity cannot be felt by those with absolutely nothing to lose, nor by those who feel that they are beyond all misfortune.
In an interesting and insightful aside, Aristotle adds that a person feels pity for those who are like him and for those with whom he is acquainted, but not for those who are very closely related to him and for whom he feels as he does for himself. Indeed, says Aristotle, the pitiful should not be confounded with the terrible: a man may weep at the sight of his friend begging, but not at that of his son being led to death.
Altruistic acts are self-interested, if not because they relieve anxiety, then perhaps because they lead to pleasant feelings of pride and satisfaction; the expectation of honor or reciprocation; or the greater likelihood of a place in heaven; and even if neither of the above, then at least because they relieve unpleasant feelings such as the guilt or shame of not having acted at all.
This argument has been attacked on various grounds, but most gravely on the grounds of circularity— altruistic acts are performed for selfish reasons, therefore they must be performed for selfish reasons. The bottom line, I think, is this. There can be no such thing as an ‘altruistic’ act that does not involve some element of self-interest, no such thing, for example, as an altruistic act that does not lead to some degree, no matter how small, of pride or satisfaction. Therefore, an act should not be written off as selfish or self-motivated simply because it includes some inevitable element of self-interest. The act can still be counted as altruistic if the ‘selfish’ element is accidental; or, if not accidental, then secondary; or, if neither accidental nor secondary, then undetermining.
Need this imply that Aristotle is incorrect in holding that pity cannot be felt by those with absolutely nothing to lose, or who feel that they are beyond all misfortune? Not necessarily—although an altruistic act is often driven by pity, this need not be the case, and altruism and pity should not be amalgamated and then confounded with each another. Thus, it is perfectly possible for someone lying on his deathbed and at the very brink of death, who is compos mentis and whose reputation is already greatly assured, to gift all or most of his fortune to some deserving cause, not out of pity, which he may or may not be beyond feeling, but simply because he thinks that, all things considered, it is the right thing to do. In fact, this goes to the very heart of ancient virtue, which can be defined as the perfection of our nature through the triumph of reason over passion. The truly altruistic act is the virtuous act and the virtuous act is, always, the rational act.