Our clinical training is built upon the belief that to the extent that
self-understanding of the practitioner is ignored, our clinical compe
tence will be compromised and our personal lives will remain unfulfill
ed. Based on an extensive, empirical study of the professional and per
sonal lives of highly experienced practitioners, it was found that sel
f-analysis was believed by these practitioners to be an indispensable,
but poorly understood and underutilized guide to self-knowledge. Deri
ved from data from the author's self-analysis and three decades of cli
nical experience, this article explores the obstacles to self-examinat
ion.