This book closely examines the analyst's early experiences and character traits, demonstrating the impact they have on theory building and technique. Arguing that choice of theory and interventions are unconsciously shaped by clinicians' early experiences, this book argues for greater self-awareness, self-acceptance, and open dialogue as a corrective.

Linking the analyst's early childhood experiences to ongoing vulnerabilities reflected in theory and practice, this book favors an approach that focuses on feedback and confrontation, as well as empathic understanding and acceptance. Essential to this task, and a thesis that runs through the book, are analysts' motivations for doing treatment and the gratifications they naturally seek.

Maroda asserts that an enduring blind spot arises from clinicians' ongoing need to deny what they are personally seeking from the analytic process, including the need to rescue and be rescued. She equally seeks to remove the guilt and shame associated with these motivations, encouraging clinicians to embrace both their own humanity and their patients', rather than seeking to transcend them. Maroda confronts the analyst's tendencies to favor harmony over conflict, passivity over active interventions, and viewing the patient as an infant rather than an adult.