Lilith in the tenth house brings the shadow into career, status, reputation, power, public image and relations with bosses or a parental figure. The person may acutely feel that they are either underestimated or judged too closely. Success becomes charged: they want to rise, prove themselves, take what is theirs, but fear exposure, condemnation or public humiliation.
In childhood there may have been a difficult authority figure: a strict parent, an ambitious family, shame around social position, prohibition of mistakes, pressure about "who you must become". Later the person may react painfully to bosses, the system,...
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