Finally, after some further discussion, I offered "Yes. I know what I can own." She looked on, and I continued: "In spite of the many ways I am broken, I get up every day and lead a reasonably well-adjusted life where I am generally happy." After some further discussion, a manageable goal emerged: when I am denigrating myself, an injection that I am keeping myself down again. Sure. I'm self-aware. I figured out long ago that most of my problems are internally generated. Repeatedly affirming what I long ago internalized isn't even a stretch.
Step 29: maybe reflecting on your flaws is not a cure, but being aware is at least a point on the path to finding one.