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Patients are shocked when these aspects of the self are revealed in the therapy.

Peter Gay notes that although Freud undertook systematic self-analysis of his own psyche, he never explored his attachment with his mother.

Like Bertha, psychotherapy patients are often surprised to discover how much a psychotherapy offers, and respond to this possibility.

When patients realise the internal compromises they made in order to emotionally survive painful events or circumstances, they often get angry with themselves.

Sitting with a psychotherapy patient, a therapist can suddenly feel pain, empathy, fear, rage, envy and even boredom.