“These are often the children of overbearing narcissistic parents who cannot tolerate the teenager’s growing need for separateness and threaten the child with psychological or actual abandonment as a punishment for exercising independence. The child considers the risks and decides prematurely to do what is expected, becoming a doctor. . .without first engaging in a journey of self-discovery. When the parents’ or culture’s roles and values are adopted wholesale and without examination, the process of establishing a personal identity is short-circuited. Some of these individuals rework this struggle more successfully later in life, while others are never free from the narcissistic web and only feel good when they are pleasing someone other than themselves.”