Sentence:  I have found , time and again , that some bit of particularly annoying and intractable behavior on the part of a patient rests , in the final analysis , on this basis ; and only when I can acknowledge this , to myself , as being indeed an aspect of my personality , does it cease to be a prominently <WSD>troublesome</WSD> aspect of the patient 's behavior . 
Meaning of the word marked with <WSD> tags:  difficult to deal with