 Strong substantive accounts are constitutively relational because they claim that preferences are autonomous if and only if their contents correspond to morally permissible or correct features of the world. A related constitutively relational conception is exemplified in Marina Oshana’s “social-relational” approach in which the presence of certain external conditions is necessary for autonomy (Oshana 2006). Up until now the theories of autonomy surveyed have treated autonomy as a psychological feature of agents. Procedural theories and Meyers’s competency approach employ psychological processes of critical reflection. Similarly, normative competence theories rely on an agent’s psychological capacity to discern substantive norms. Dialogical approaches invoke agents’ psychological states, such as the sense of one’s own answerability, although they analyze these states as related to external interpersonal conditions. Strong substantive accounts require that agents’ psychologies hook onto the world in the right ways. On all these positions, in principle, autonomy “can be achieved” by the agent as long as her psychology changes in the right way or is aligned in the right way with features of the world. (Compare Meyers’s distinction between autonomy as “something a person accomplishes” and autonomy as “something that happens to a person”: Meyers 1987, 626).