Used in the education of counselors, nurses, occupational therapists and social workers, "use of self" is a way of understanding how practitioners bring about human change. In this article, the author discusses how use of self can be applied to youth work and is related to "developmentally responsive practice" thereby providing a deep theoretical construct for understanding youth work as relational. The author concludes by presenting the barriers to the use of self paradigm in the current climate of assessment and accountability, designed to measure static inputs and outputs rather than dynamic systems or ecologies and presents a challenge to the field for designing methodologies that are equally dynamic, responsive and relational. (Contains 1 figure and 1 note.)