I think some can be completely clueless about the dynamics of the workplace in terms of addressing them in a way that will enhance a career. I think many can diagnose the dynamic, but they just don't have a clue what it takes to survive it.

My former T had a private practice, but also was a director of a large workforce in a Univ health center, as well as involvement in state and national governing boards, so he had a lot of organizational experience. We talked about a number of issues because of difficulties I had encountered in an institutional position. You'd think having employees/colleagues who are all practicing Ts would lead to a more functional work environment--think again!