Oberndorf points out the tendency of private psychiatric and psychoanalytic practice to develop a self-centered and self-satisfied attitude. The therapist may select predominantly the type of case which proves most responsive to his particular treatment; his techniques and viewpoint are in consequent danger of becoming constricted.

To counteract these possibilities, Oberndorf recommends that the private psychiatrist spend part of his time in activities such as group practice which demand a greater range of skills and interests. Freud's advice as to periodic re-analysis offers another valuable corrective but the satisfactions and requirements of successful private practice make analysts reluctant to adopt this procedure.