An element can only be regarded as really 'missing' when it couldn't also be found in the 'hidden' stems'. And if this is true, then the 'affinity' with the output element is not good. The person would of course find it hard to communicate effectively with her children and or find it hard to start or conduct her own business. However, there are exceptions to this principle as sometimes thru special combinations the output element might be present.
Warm Regards JY