Transformer architectures excel at sequential modeling yet remain fundamentally limited by correlational learning - they capture spurious associations induced by latent confounders rather than invariant causal mechanisms. We identify this as an epistemological challenge: standard Transformers conflate static background factors (intrinsic identity, style, context) with dynamic causal flows (state evolution, mechanism), leading to catastrophic out-of-distribution failure. We propose OrthoFormer, a causally grounded architecture that embeds instrumental variable estimation directly into Transformer blocks via neural control functions. Our framework rests on four theoretical pillars: Structural Directionality (time-arrow enforcement), Representation Orthogonality (latent-noise separation), Causal Sparsity (Markov Blanket approximation), and End-to-End Consistency (gradient- detached stage separation). We prove that OrthoFormer achieves bias strictly less than OLS for any valid instrument lag, with residual bias decaying geometrically as O(\r{ho}k ). We characterize the bias-variance-exogeneity trilemma inherent in self-instrumenting and identify the neural forbidden regression - where removing gradient detachment improves prediction loss while destroying causal validity. Experiments confirm all theoretical predictions. OrthoFormer represents a paradigm shift from correlational to causal sequence modeling, with implications for robustness, interpretability, and reliable decision-making under distribution shift.