. . .

. More important, over 90% of the individuals I have examined are highly motivated perfectionists in the prime of their life and can be characterized as having type A personalities. Their sense of responsibility and commitment to their work activities is, in fact, counterproductive (in the context of TOS) because it encourages the ignoring, or even the frank denial, of their symptoms and often ensures progression of these same symptoms to the point of serious disability.   .