I think that self-absorption is a common TMS personality trait that doesn't receive as much discussion as some of the other traits like perfectionism and goodism, yet I believe it plays in big role in TMS. If I remember my Sarno correctly he discusses this characteristic, but labels it as narcissism. Personally, I feel self-absorption is a more accurate label. Maybe I just don't want to think of myself of a narcissist. Our culture encourages self-absorption and self-evaluation through our common greetings of "how are you?", "how's your day going?", "how's life treating you", etc. As a TMSer I spend way too much time thinking about how I'm doing and how my life is going. This tendency to constantly be evaluating myself leads to frequent internal dialogue around the likes of "how am I feeling today? am I having a good day, week, year...life?, should I be accomplishing more today, this week, at this stage in my life? am I doing as well as my friends, siblings?," and on and on...... No one and no thing can withstand that kind of scrutiny, especially with the negativity bias that neuroscience tells us we have. This is why I am frequently giving the advice on this Forum for TMS sufferers to work on shifting their attention away from themselves--to other people, animals, nature, absorbing activities, music, etc. And I have to tell myself often throughout the day, "Stop thinking and evaluating (judging) yourself, your life. Just live it. Just be." This has been very important in my recovery. A certain amount of self-reflection and introspection is needed in the recovery of TMS as we explore and discover our underlying emotions, internal conflicts, thinking and behavior patterns that fuel our TMS. But this needs to be limited to certain amount of time each day, or it will just fuel our TMS instead of helping us overcome it. More is not always better in this case. So my advice is to shift your attention outside yourself--there is a whole world out there. Explore. Be curious and playful. This can be done even with your TMS symptoms tagging along for the ride.