only a person proud of self-effacement would brand an assertive move as egotistical. But the most important thing about this kind of self-accusations is that they often concern the fight against the emerging real self.
Horney argues that neurotic self-denial masquerades as moral scruple, functioning specifically to suppress healthy self-assertion and arrest growth toward the real self.
, Neurosis and Human Growth: The Struggle Toward Self-Realization, 1950thesis