If you look at Truby's plot points in a list, the first item is self-revelation, desire, and need all packed together. This might seem repetitive since we've gone over them already in previous posts. You're right. It is.
The point of putting these three things together at the very beginning isn't to learn something new about how the story will evolve. It's to give the writer a target to aim for. Without that goal, you'll wander around blindly. For me, putting these elements down on a single note card gives me a convenient touchstone that I can quickly glance at when I need to remind myself what every other plot point is trying to get to.