The analyst inevitably works with values and should not only recognize but consciously make use of his own values. This involves recognition of social realities. 'Our claim that we have no blueprint for our patient, that we want him only to be free to transform his instinctual needs into meaningful and healthy patterns of living, is illusory. Analysts must work with a definition of what constitutes the mental and emotional health they are trying to enable the patient to achieve … every choice a patient makes—a job, a spouse, an avowed cause, an assumed obligation—has values involved in it, and much of the work of the therapist will reflect his insight into values' which should be acknowledged and systematically explored. Ginsburg indicates that psychiatrists cannot obtain a satisfactory concept of values merely in the secluded protection of the treatment room.