Altruism

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.
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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