Not realizing how much pressure they put on themselves or how they constantly judge themselves, they experience their internal struggle as resulting from external circumstances. Growth takes place when they become aware that the pressures they experience are primarily the result of their own internal demands.
Heller identifies the core therapeutic insight for the Autonomy Survival Style as recognizing that felt pressure is not externally imposed but self-generated through internalized conflict.
, Healing Developmental Trauma How Early Trauma Affectsthesis