Cryptic crossword clue
Doctor Liam Fox in a tense scrutiny of motives 4-11

The most common and most likely answer to this crossword clue is the 16 letter word SELF-EXAMINATION

I've seen this crossword clue in The Guardian
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Buddy explains!

The straight part
We know that "scrutiny of motives" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case scrutiny of motives = self-examination.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does SELF-EXAMINATION mean?

SELF-EXAMINATION noun
  1. An examination of oneself; scrutiny of one's own state, condition, motives, etc.

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