He also fails to recognize that some patients may, at first, come to therapy with the motivation of being cared for. . . but that as they learn and heal, their motivation can change to that of wanting to be more responsible and independent.

If they initially present to him as being "needy," is he willing to work with them, having a positive attitude and a belief in their ability to make progress? Or does he already have the negative mindset, "Oh, here's another emotional vacuum, who is going to want to suck the life out of me?"