When discussing psychological therapy in relation to serious mental illness, psychoanalysis is largely seen to be bankrupt. Some of it does seem to strike a chord with everyday experience, such as the "Death Drive" though.

Rosemary Balsam:

flirting with disaster and getting their kicks from triumphing (or seeming to themselves to triumph) over it, until they fail and fulfill the mission of their internal demons, as it were

This has been called "The Imp of the Perverse" at least as long ago as Poe's stories.

Definitely something to think about here.