I am a psychiatrist working in the NHS in the second decade of the twenty-first century. My official title is “Consultant Psychiatrist in Psychotherapy”, a rather awkwardly constructed title, but perhaps an apt term to describe the awkward position of someone whose training leads him to sit on the cusp between psychoanalysis and psychiatry. As part of my work, I supervise trainee doctors who are new to psychiatry. I am interested in transitional processes, and how these can either lead to the development of the self, with growth and increasing maturity, or become stuck, leading to a regression or restriction of the self’s full potential. I am particularly interested in the way that the environment can either support or hinder this period of internal growth.