One of the most common indirect and self-defeating modes of fighting is the one used by Jan in the clinical illustration of subgrouping I described earlier in this chapter. This strategy calls for the client, in one form or another, to injure himself or herself in the hope of inducing guilt I the other the “ see what you’ve done to me ” strategy . Usually, much therapeutic work is required to change this pattern. It is generally deeply ingrained. With roots stretching back to earliest childhood (as in the common childhood fantasy of the watching at your own funeral as parents and other grief-stricken tormentors pound their breasts in guilt).