ChapterPDF Available

Abstract

Given the many changes in the world of work, leadership coaching is no longer viewed as merely a tool in the organizational repertoire for dealing with dysfunctional executives. On the contrary, it is fair to say that leadership coaching has become part of the mainstream, as people are much more aware of the high costs of performing below capacity. Ambitious executives now perceive having an executive coach as the right thing to do. Leadership coaches can be particularly effective in cases of change and transition, promotion, stretch assignments, or other new challenges. Whether executives are struggling with a specific career decision, a critical issue at work, or a major life change, coaches can provide the kind of guidance and feedback that is needed to help them attain a more complete grasp of themselves and organizational realities.
Leadership Coaching and
the Rescuer Syndrome:
How to Manage both Sides of the Couch
_______________
Manfred KETS de VRIES
2010/104/EFE/IGLC
Leadership Coaching and the Rescuer Syndrome: How to Manage both
Sides of the Couch
by
Manfred Kets de Vries*
* The Raoul de Vitry d'Avaucourt Chaired Professor of Leadership Development, Clinical
Professor of Leadership Development, Director, INSEAD Global Leadership Centre (IGLC) a
t
INSEAD, Boulevard de Constance, 77305 Fontainebleau Cedex Ph: (0)160724155 Email:
manfred.kets.de.vries@insead.edu
A Working Paper is the author’s intellectual property. It is intended as a means to promote research t
o
interested readers. Its content should not be copied or hosted on any server without written permissio
n
from publications.fb@insead.edu
Click here to access the INSEAD Working Paper collection
2
Abstract
In this article I explore the problem of excessive helping behavior—The Rescuer
Syndrome—with particular reference to executive coaching. I also discuss co-
dependency between coach and client and question whether these ‘rescuers,’ in their
need to help, really help their clients. Do the rescuers themselves need to be rescued?
I examine the origins of compulsive helping behavior, including rescuers’ early
family dynamics. The indicators of this dysfunctional behavior pattern will be
explored, including strategies for dealing with the Rescuer Syndrome. I end with a
description of the constructive rescuer, explaining how a better understanding of this
specific behavior pattern can contribute to greater awareness of the intensity of the
rescuer within. The expectation is that this kind of knowledge will increase coaching
effectiveness.
KEY WORDS: Rescuer Syndrome; co-dependency; coach-coachee relationships;
disease to please; addiction; saying “No”; rescuer burnout; constructive rescuer;
transference-countertransference reactions.
3
Non omnia possumus omnes.
(We can’t all do everything.)
—Virgil
Everyone thinks of changing the world, but no one thinks of
changing himself.
—Leo Tolstoy
Act as if what you do makes a difference. It does.
—William James
We make a living by what we get, but we make a life by what we
give.
—Winston Churchill
The vicissitudes of doing good
Given the many changes in the world of work, leadership coaching is no longer
viewed as merely a tool in the organizational repertoire for dealing with dysfunctional
executives. On the contrary, it is fair to say that leadership coaching has become part
of the mainstream. People are now much more aware of the high costs of performing
below capacity. Ambitious executives now perceive having an executive coach as the
right thing to do. Leadership coaches can be particularly effective in cases of change
and transition, promotion, stretch assignments, or other new challenges. Whether
executives are struggling with a specific career decision, a critical issue at work, or a
major life change, coaches can provide the kind of guidance and feedback that is
needed to help them attain a more complete grasp of themselves and organizational
realities.
Leadership coaching has become a very attractive career option, not the least because
it pays well, and often involves working with educated and powerful clients. But
4
when asked why they became a leadership coach, many people say that they are
driven primarily by a desire to help people. In the light of its popularity, we can even
go as far as to say that leadership coaching has, to some extent, taken on the role that
psychoanalysis (and its various offshoots) occupied in the 20th century.
However, there are a number of important differentiations between leadership
coaching and various forms of dynamically oriented psychotherapies. Coaches (unless
clinically trained) limit the scope of their interventions to normal behaviors and focus
on the professional world, rather than mental health problems. Because coaching is
intended to expedite the way executives deal with their business and personal
objectives, coaches tend to be much more action oriented than psychoanalysts and
psychotherapists. In coaching, current events in an individual’s life are given more
prominence than past events. And leadership coaches focus more on conscious,
rational processes than on the more unconscious (not immediately perceived as
rational) ones.
Many people are drawn to the helping professions for genuinely altruistic reasons.
Rescuing is a core dynamic found in most interpersonal encounters—notably the
relationship between couples. The desire to help people is a very laudable one, and
compassion, service, and dedication are real virtues. It is far better to be able to say
that someone is in the “helping” than the “not-helping” business. The desire to help,
to create a better world for all of us—despite the narcissistic components of this
desire—needs to be encouraged.
The human repertoire includes an impulse toward altruism. Empathy is the very basis
of all human interaction (McWilliams, 1984). Evolutionary psychologists have
speculated that we may be hardwired to behave in ways conducive to the sociability
of the species. Some neurologists have even speculated about the existence of mirror
neurons—cells in the brain that activate similar cells in the person being helped
(Rizzolatti and Craighero, 2004). Thus human behavior is oriented not only toward
the survival of the fittest but also the survival of the nicest.
Helping professionals—doctors, nurses, emergency or disaster workers, lawyers,
politicians, and so on—have a huge responsibility to look out for their clients’ or
5
patients’ welfare. On the other hand, they are, of course, only human, and experience
the same conflicting interests and needs as any other person. Therefore, to be effective
in their role, helping professionals must be able either to address their own needs
outside the relationship or to suspend them—the former response is more effective, in
the long run, than the latter.
If they are unable or unwilling to examine their own behavior, sometimes a desire to
help can go too far, turning helpers into “rescuers” unable to differentiate between
their own needs and those of their clients. Although this tendency is well recognized
in the psychotherapy and medical professions, in the still fairly unregulated world of
leadership coaching there is a lack of the kind of oversight and protocol that guides
other helping professions. Commonly, leadership coaches are not specifically trained
to be wary of the Rescuer Syndrome, despite the fact that the boundary between
leadership coaching and psychotherapy can be very fuzzy.
Problems arise when people see themselves only as helpers. While the role of helper
can be viewed as noble and meaningful, it should not become someone’s sole purpose
in life. For some, the need to help seems to become an addiction. They suffer from
“the disease to please” (Braiker, 2001). Even more insidious is the possibility that
helpers co-opt their clients, in an attempt to resolve their own problems. This can be
seen as a vicarious way for helpers to reenact and resolve their own transference or
counter-transference reactions. Needless to say, the outcome can be extremely
damaging for the client, who, without being aware of what’s going on, has been
handed a whole new set of issues to work through—those of the helper.
Why do some people cross the line from doing great and genuine good, to becoming
parodies—rescuers, White Knights, Florence Nightingales, or Mother Teresas (Lama
and Krieger, 2009)? Why are they prone to the “Hero Complex,” compulsively driven
to search for people in need (Vaillant, Sobowale, and McArthur, 1972; Flores, 2004)?
In the process, they may turn into tragic heroes, needing help themselves.
Given the complexity of the helping operational mode, as a motive for choosing
leadership coaching as a career, “I want to help people” is deceptively simplistic, and
may even have dysfunctional consequences. Some individuals may have no real
6
understanding of the underlying reasons that drove them to join the ranks of the
helping professionals (Casement, 1985; Dryden and Spurling, 1989; Kets de Vries et
al., 2007; Kets de Vries et al., 2010; Bager-Charleson, 2010). Anyone in the helping
professions should reflect seriously, with the help of a supervisor if necessary, on the
inner motivations that drive them to pursue this path. Experienced practitioners are
very familiar with the vicissitudes of the human condition. The question is: Are they
familiar enough with their own condition?
Although the Rescuer Syndrome is not an officially recognized disorder, an increasing
number of people in the helping professions seem to be affected by it, leadership
coaches among them. In this article I explore the origins of compulsive and excessive
helping behavior, identify this dysfunctional behavior pattern, and discuss strategies
for dealing with it. I examine at the vicissitudes of the Rescuer Syndrome, particularly
in the context of coach-coachee relationships, where I examine the questions of co-
dependency and what it takes to be a constructive rescuer. A better understanding of
the Rescuer Syndrome will help us achieve a greater awareness of the intensity of the
rescuer within us—and how this behavior can create detours from our original, well-
meant objectives.
Tipping the balance: When helping goes too far
Many of our actions as human beings can be effective or dysfunctional, depending on
the extremes to which we engage in them. A compulsive desire to please is very
different from acting on altruistic motives. This is true in the case of zealous
leadership coaches who become overly involved in the lives of their clients. When
coaches become incessant helpers, this specific modus operandi can incur a cost to
themselves and their clients, possibly even fostering an unnecessary, unhealthy, and
inappropriate dependency relationship. Ironically, as time goes by, these helpers may
begin to feel helpless, powerless, resentful and irritated. Instead of generating
exhilarating highs, helping turns into a debilitating energy drain.
Eventually, both coach and client will begin to suffer. Helpers become overloaded and
overwhelmed as their interpersonal relationships are increasingly experienced as one-
way and unfulfilling, rather than balanced, reciprocal, and happy. Eventually, these
rescuers may end up bitter, angry, or apathetic. For their clients, on the other hand,
7
always having someone to rely on is not the best way to develop the skills they need
to become self-directive and responsible for their own lives.
These unfortunate collusions between rescuers and rescued are frequently exacerbated
by the rescuers over-identifying so completely with helping others that they fail to
realize what they are doing to themselves. They don’t perceive that there is a great
difference between a desire to help people, and a compulsive need to rescue. “Real”
helping should be a joint effort; it is never a one-way street. With real helping, great
effort is made to grow and develop the people who are being helped—the ultimate
altruistic goal is to make the helper’s continuing intervention unnecessary. When the
desire to rescue becomes extreme, the people being helped have no choice but to go
with the flow, following the helper’s directions. Any initiative they take is stifled or
undervalued. In such instances, these “saviors” seem to be trying to escape their own
issues by immersing themselves in the troubles of others (Tillet, 2003). In other
words, their apparently unselfish behavior may be driven by very self-centered
motives.
The Rescuer Syndrome
People in the helping professions need to be as “normal” as possible. That is, they
should strive to understand and alleviate their own personal difficulties, and any
dysfunctional behavior patterns that could muddy their outlook on life, so they can see
their clients’ disturbances and problems more clearly. If not, helpers may run foul of
their own needs by becoming hopelessly mired in transference and counter-
transference reactions—acting out the problems of the past in the present (Kets de
Vries, 2006). When this happens, people who are ostensibly helping others deal with
difficulties find themselves having to address issues that are too close to unresolved,
conflictual issues in their own lives. The Rescuer Syndrome manifests itself when
helping turns into a compulsion based on one central, but very flawed conviction:
“The only way to get what I need is to do what other people want.” Thus helpers don’t
help others out of choice; on the contrary, they seem impelled to enter into and
prolong a kind of rescuer-victim relationship.
8
Many of us have lifelong practice in reflexively attuning to others’ needs. Risk enters
when a conscious, caretaking response transmutes into an over-learned, compulsive
reaction. It is probably fair to say that people suffering from the Rescuer Syndrome
are suffering from an addiction, in the same way as eating, smoking, drug taking,
alcohol, or sex can become addictive. To outsiders, rescuing behavior can resemble
some kind of heroic martyrdom. However, there is an upside to it. A closer look at its
underlying dynamics may reveal that acting in this way gives rescuers an excuse to
avoid dealing with their own problems.
Paradoxically, the more rescuers demonstrate to all and sundry their talent for solving
other people’s problems, the more problems will be presented to them. Although these
requests may make them feel wanted, eventually they become too much of a good
thing. Deep down, rescuers are participating in activities that they don’t really want to
do any longer, but they fear upsetting others by saying “No.”
A disproportionate need to be liked—to be seen to be helping—is usually related to a
shaky self-image. Rescuers fear that looking after number one will be perceived as
unkind, uncaring, and selfish. For them, saying “No” is associated with ending a
relationship; “others” will become angry or reject them. Their wish to be liked makes
it very hard for rescuers to set limits to others and maintain appropriate boundaries.
There is also a sense of immediacy in the way rescuers like to help people. Although
there are often no instant solutions to the problems that are presented to them,
rescuers often feel inadequate if they don’t provide concrete, even instant advice.
Unfortunately, in their zeal to be helpful, they may create new difficulties, even going
so far as imagining that everyone they encounter has problems. They add to their own
misery with feelings of guilt for not accomplishing the unrealistic goals they tend to
set for others.
In many situations, all that people who ask for help really want is to be listened to—
they do not want to be told what to do. Providing immediate solutions may not be the
best thing to do. Rescuers have forgotten that the purpose of helping is to help others
discover their own course of action.
9
The Rescuer Syndrome in leadership coaching
I remember a an executive coach telling me how she would call the office of one of
her clients to tell them that he was sick, while in fact the client was a binge drinker
and had such a bad hangover he was unable to work. This is the kind of help that goes
above and beyond normal caretaking behavior. This particular interface between
coach and coachee is an example of co-dependency. The behavior of the coach is
helping to maintain the client’s destructive or dependent behavior. When I asked the
coach why she did this, she explained that her client had repeatedly told her that he
couldn’t manage without her and that he always felt much better after she took care of
problems for him. The coach said the man was one of her best clients—and it is not
difficult to understand why. This example may appear extreme, but in my experience
as a supervisor of executive coaches, it is actually all too common.
All relationships have something of a co-dependent quality. We are all dependent on
each other, and many situations of co-dependency are not dysfunctional. In healthy
relationships, there will be a sense of reciprocity. In some cases, however, co-
dependency takes on a more serious emotionally destructive form (Mellody, 1989;
Gordon and Barrett, 1993), with individuals developing an “addiction” to maintaining
one-sided relationships. Genuine caring is fulfilling, while co-dependent behavior is
draining. When co-dependency occurs, the caring party feels frustrated,
unappreciated, and even mentally and physically exhausted. But at the same time, the
caregiver is unconsciously seeking validation of the efforts he or she is putting into
the relationship.
Ineffective or even harmful co-dependency is a frequent but under-diagnosed problem
in coach-coachee relationships. When it occurs, we may see the Rescuer Syndrome in
full flight: The thoughts, motives, and actions of the coach will begin to revolve
around the coachee, to the detriment of coach’s mental well being. An addictive
relationship entanglement has formed. The identity of coach and coachee slips toward
fusion. They find it difficult to see themselves as separate selves. Some coaches will
even continue to work with a coachee after the formal contract ends, without pay.
To complicate matters, coaches with co-dependent tendencies are drawn to highly
needy people. And although—at least initially—the interaction with these people may
10
be gratifying to both parties, this will not last. Rescuing never results in permanent
solutions for dependent people. Most people asking to be rescued are usually rather
passive. Although they seem receptive, they fail to follow up on good advice, and take
very little or no action. They always find excuses for not doing what they are
supposed to do, adding to rescuers’ feelings of helplessness and aggravation.
For various (probably unconscious) reasons, some people who ask for help operate
under the assumption that the world owns them a living. They are entitled to be
helped; it is their birthright. Sadly, the Rescuer Syndrome can be the biggest obstacle
to helping these dependent people resolve their conflicts. Rescuers give these people
the opportunity not to rise to the occasion and far too often there is stalemate in their
interactions.
An additional complication is that rescuers appear uncomfortable in equal
relationships; ironically, they may even become anxious when the people they have
been helping get their act together, and no longer want their help. When this happens,
rescuers immediately look around for someone else they can “save.”
Most coaches discover that balancing their needs with those of their clients is like
walking a tight rope—an extremely delicate balancing act that requires mindfulness
and precision. Although we all have behavior patterns that prevent us from being fully
effective, people suffering from the Rescuer Syndrome have blind spots that prevent
them from being truly effective. Furthermore, some may have so many rescuing
projects that they lose their sense of priority and end up paralyzed.
Rescuer burnout
With too much helping going on, the helper may be faced with diminishing returns.
The emotional labor associated with helping drains energy (Edelwich and Brodsky,
1980; Lakin Phillips, 1983; Hale, 1997; Thompson, 1998; O’Halloran and Linton,
2000; Miller, 2001). It results in a progressive loss of idealism and purpose. Coaches
who find themselves in this position become cynical, tired, and apathetic. Their
positive outlook and work effort are compromised. Worse, they may unconsciously
contaminate their coachees with their own sense of failure and burnout.
11
Rescuers feel that, at all costs, they need to suppress or reframe their own negative
qualities, such as anger, selfishness, greed, rivalry, envy, spite, and vindictiveness.
The exertion this requires is extremely tiring. While they may display a positive
exterior, under the surface there will be a lot of resentment about the show they have
to maintain. And their exhaustion is compounded by the negation of their own needs
and their unwillingness to take time out to revitalize their own energy.
Rescuers’ frustration and disillusionment are increased by their feeling that they don’t
receive the gratitude they deserve. It may cross their mind that the people they are
trying to help don’t really appreciate what they are offering, or worse, don’t seem to
want to be helped. Eventually a point is reached where rescuers fear they are no
longer doing anyone any good.
Other indicators of rescuer burnout are feelings of guilt and self-hatred associated
with less interest in rescuing people. Rescuer withdrawal is symptomatic of this state
of mind. There can also be an increase in “projection”—rescuers start blaming the
people they are supposed to help for various misdoings.
Eventually, rescuers (having become increasingly desperate) may reach the point
where they terminate the rescue missions that are stalling. They may even deny and
conceal the problems of their troubled client in an effort to find a way out. While this
is going on, anxiety, emotional detachment, or depression are common. Substance
abuse is not unusual. The chronic stress they are exposed to manifests itself in
physical problems, including high blood pressure, diabetes, back age, digestive
disorders, and a compromised immune system (Payne and Firth-Cozens, 1987; Heim,
1991; Ramirez et al., 1996). These physical stresses may even reduce the life
expectancy of rescuers.
Apart from these psychological and physiological problems, people suffering from the
Rescuer Syndrome may also lose a sense of boundaries. By acting out some of their
own fantasies with the people they are supposed to help, they may find themselves
into other kinds of trouble. In any form of therapeutic situation—including
coaching—there is always the temptation to engage in unethical behavior. Sexual
12
transgression is a major hazard. People in the helping professions should never forget
that, as helpers, they wield extraordinary emotional powers.
Through a glass darkly
Executive coaches would do well to recognize the inner forces that motivate them to
help others. To be truly helpful to their clients, they need to have a high level of
awareness of their own emotional needs and behavior patterns. They must
acknowledge that their state of mind will affect the relationship they have with their
clients, for better or worse. This doesn’t mean, however, that people in the helping
professions need to be perfectly well adjusted, free from any form of dysfunctional
behavior. If that were the qualification for entering the profession, very few would
ever qualify.
To understand why people are prone to the Rescuer Syndrome, we need to access the
unconscious areas of our lives and make sense of the nature of the interrelationship
between the self and the other, especially the intensity of the bonds between
caretakers and infants (Bowlby, 1982). Children who are securely attached have
received consistently warm, sensitive, and responsive care from their primary
caretakers. From such experiences, they develop internal working models of the other,
knowing their caretakers will always be there for them when needed. Consequently,
they grow up secure and confident with a healthy sense of self-esteem (Erikson,
1956). But for children whose caretakers are unavailable or needy the outcome can be
very different.
Dysfunctional family scenarios
The typical childhood experience of people who come from dysfunctional families
can vary from neediness, addiction, and neglect—where children have no choice but
to take on the parenting role (and in the process lose touch with their own needs)—to
families that may look loving and stable from the outside, but in which striving for
perfection has created a rather claustrophobic, intimidating environment.
13
In the first scenario, we find families where needy primary caretakers were unable or
unwilling to care for the developing child. The parents responded unpredictably to the
children’s needs (i.e. with rejection, irritability, or hostility). This type of parenting
did not provide children with the attention, warmth, and responsiveness they needed.
Instead, it was the parents who needed care. Children living in this type of family
grow up thinking that their opinions, needs, and feelings are unimportant. They never
feel they were significant to their parents or really loved. They become premature
caretakers.
People from families like these find it exceedingly difficult to ask for help from
others; they see asking for help as a very selfish act. Because of their unsatisfactory
early attachments, they try to repair a damaged sense of self in adulthood by taking on
the role of rescuer (Bowlby, 1982; Ainsworth et al., 1978). This is a way of working
through painful childhood experiences that have never been resolved. It is little
wonder that people with this sort of psychological and emotional hinterland turn
taking care of others into a life-long quest and see it as a way to obtain some kind of
recognition. Unsurprisingly, the helping professions become a right fit for these
people.
The second scenario is families where love must be earned. Although outward
appearances suggest that the interpersonal dynamics in these families are quite
harmonious, the reality for the children growing up in them is very different. For
them, being loved depends on being “good,” pleasing their parents, and living up to
their expectations. The rigid conscious and unconscious rules and beliefs that have
been spelled out for them leaves little or no room for their individuality. Children in
these families don’t feel loved for who they are, but for what they do. Their early
experience of parental love as conditional turns them into approval addicts as they
grow older. As adults, they are still trying to live up to their parents’ expectations and
their ways of behaving continue to reflect those spoken and unspoken rules. They
have an intense desire to put right the perceived wrongs of the past, trying to repair
what has been done to them. Their striving to be perfect hides their great and real
need to be accepted and recognized. Whatever they do, however, they never feel good
enough and continue to feel inadequate, flawed, and inferior.
14
Children from these specific family constellations learn to believe that the only way
they can enter a relationship is through self-denial, suffering, and sacrifice. Exposure
to this kind of parenting means they grow up with the feeling that what they want
doesn’t matter—their own desires and needs are unimportant. Taking on the “savior”
role in their families meant attending to the problems and concerns of the other family
members.
Choosing to work in a helping profession is a way of dealing with the feelings of
anxiety or impotence associated with having to deal with physical or emotional
dysfunction or even death within the family (Feifel et al., 1967; Pfeiffer, 1983;
Gabbard, 1985). Relieving pain may become a means of redemption. Unfortunately,
the defective child-rearing practices helpers were exposed to in their early life, they
have not developed the healthy sense of self-esteem needed for mature functioning.
This may mean that they engage in pseudo-altruism, which characterizes many joyless
and self-denying martyrs with severe masochistic and narcissistic pathology. Their
compulsive caretaking and self-sacrifice can be interpreted as a defense against their
anger, envy, and need to control other people (Seelig and Rosof, 2001).
Psychotherapists are a prime example of a helping profession—and many surveys
indicate that a large number of psychotherapists, when growing up, felt a
responsibility to care for physically or emotionally challenged family members. The
death of a parent frequently seems to be part of this troubled family scenario
(O’Connor, 2001). Childhood difficulties, especially in the areas of attachment, care-
giving, and illness, created a compulsion to care of others—a defensive reaction to
feelings of anxiety, impotence, or isolation.
Helpers from these backgrounds try to remedy the emotional neglect they experienced
in childhood by giving to others the care and attention they wanted but lacked. This
compulsion has been termed “helping profession syndrome,” and is a pattern that
contributes to asevere deficit in the emotional balance of payments” (Malan, 1979,
p.139). Adopting a rescuer pattern becomes their way coping with the stresses
associated with the physical or emotional issues of family members when growing up.
Because of the emotional struggles they experienced, they can be quite effective in
15
healing others. Often, wounded (but self-aware) healers—more so than well-adjusted
helpers—can authentically help others, notwithstanding their need to help themselves.
But, as with many things, there should be limits, even in the helping world. Too much
helping—fueled by troubled childhood experiences—can put these people on a highly
self-destructive course. Studying the childhood scenarios common to these people, we
can see that the choice of a career in the helping professions has a Janus aspect. In the
first place, the choice means that people continue a pattern of behavior they have
learned in childhood. Second, this way of functioning can is a form of defensive
projection. In many instances, helpers have an unconscious identification with their
client, based on projection of their own unmet emotional needs. When this happens,
the distinction between the helper and the person needing help becomes blurred: The
latter becomes a narcissistic extension of the former. Assuming this role may be the
result of the kind of role models that were perceived as inspiring and helpful during
the rescuer’s formative years.
Ghosts from childhood
As adults, helpers with such a past are still troubled by the ghosts of childhood as
these difficult, early life experiences create distorted assumptions of themselves and
others. Cast in the role of helper in childhood, and with few emotional resources, they
may be left with feelings of guilt for not having helped these ghosts from their past
adequately.
Rescuers often operate on the basis of a number of faulty assumptions For example: “I
should always be helpful and try and please others. If not, bad things may happen”; “I
should always be happy, and never show any negative feelings toward others”; “My
self-worth depends on what other people think of me”; “Unless I do what other people
want, I will be rejected.” Frequently, this compulsion to help—to please others—is
maintained by the many “musts” and “shoulds” that linger from childhood. But these
musts” and “shoulds” become terrible drivers. These helpers become addicted to other
people’s approval, but to no avail. They never feel pleased with themselves; they
never reach their self-imposed standards; and although there is a lot to be said for
setting high standards, striving for perfection is another matter altogether. It sets
16
people up for failure. And so people suffering from the Rescuer Syndrome enter a
self-perpetuating stress cycle.
Although the scripts that rescuers followed in early life may have been helpful at the
time, they become dysfunctional in the present. If rescuers were to look deeper into
their driven behavior, they might discover that they are repeating themes from old,
unresolved family dramas. All too frequently, while their heroic actions may take the
form of slaying their clients’ metaphorical dragons, their real goal (usually beyond
conscious awareness) is slaying the dragons from their own past. A deeper analysis of
rescuers’ inner theater may reveal that their choice of client, and that the way they
treat them, often repeats (symbolically) the same kind of distress that they themselves
experienced in childhood. And ironically, it is often the rescuers who are far more
troubled than the client. Their scripts have turned into restrictive liturgies, limiting
their sense of freedom. They have yet to learn that being “nice” is not a magical
formula that provides protection.
Rescuers have also difficulty getting in touch with their own emotions. The needs and
moods of others are all that matters. This attunement to others’ needs may go so far
that they no longer know what they really want or need themselves. Sometimes, they
don’t even know what to think or feel. No wonder that so many rescuers find it hard
to describe themselves or their feelings. Worse, rescuers experience intense stress,
feelings of inadequacy, and low self-regard because they persist in looking for
“redemption” by helping others—the old script they follow tells them that doing
things for other people will guarantee their love and respect. Instead, they may be
setting themselves up for use and abuse.
The modus operandi of rescuers is pleasing other people. But by caring and helping
others, at their own expense, they risk becoming a caricature of themselves. When
rescuing others becomes the main driver, there can be unhealthy consequences for the
giver, the receiver, and relationship as a whole. Trying to meet others’ expectations
only contributes to self-destructive or unduly self-sacrificial behavior. Rescuers may
do more harm than good and prevent people who are looking for help discovering
salient issues on their own.
17
I should point out that it can be perfectly all right to want to feel appreciated for what
we do for others. The danger is when people feel compelled to seek appreciation and
recognition as the only way to feel worthwhile. This is a lose-lose situation. Coaches,
for example, are on very shaky ground if their self-esteem depends exclusively on
their clients. Rescuers are driven to seek constant nourishment—a desperate search
that can turn into a mission impossible.
Before they embark on their rescue missions, people suffering from rescuer syndrome
would do well to examine their own life situation. They need to find out why they do
what they do. They should ask themselves where the need to help people comes from.
They need to recognize transferential processes—the acting out of specific scripts that
once may have been appropriate but may no longer be valid. Making sense of these
scripts can provide insights into why their motivation—and may help them to do
something different. Ultimately, if rescuers fail to obtain insight about their inner
theatre, rather than repairing their sense of self, they will be left with a sense of
defeat.
Managing rescuer syndrome
There is a painfully funny joke about someone suffering from the Rescuer Syndrome.
One day, he was driving on a mountainous road and hit a patch of ice. As the car slid
off the road into a deep ravine, one of his clients’ lives flashed before his eyes. People
suffering from the Rescuer Syndrome need to find new ways of relating to others. The
question becomes what assistance can be given to move these rescuers beyond their
destructive fixer mode?
Assessing the degree of contamination
A good start to tackling the Rescuer Syndrome is to identify the degree of individual
contamination. Executive coaches need to find out whether this label could be applied
to them.
For this purpose, it will be helpful to reflect on the following questions, and determine
their relevance. The questions are a quick way of assessing the degree in which you
(the reader) fall into the rescuer trap. Please work through each question.
18
Assessing the intensity of rescuer syndrome
Is it hard for you to make time for yourself?
Is it difficult for you not to respond to anyone in need of help?
Do you find yourself always willing to help people in need?
Do you have a tendency to take responsibility for people who are in trouble?
Do you become enmeshed in the problems of people you believe need to be
rescued?
Are you often unable to stop talking, thinking, and worrying about other
people and their problems?
Do you have a tendency to help everyone around you, whether they ask for
help or not?
Do your coachees sometimes feel like family members?
Do you continue to work with coachees on an informal basis after the contract
ends?
Do you feel uncomfortable receiving help from other people?
Does your life often feel out of control because you simply can’t say no?
Do you always worry about what other people think of you?
Do you feel more worthy as a human being because you have taken on a
helping role?
Do you feel safest and most comfortable when you are giving to others?
Do you feel guilty when you are unable to solve another person’s problems?
Are you inclined to make decisions for a person in trouble?
Do you find it difficult to set boundaries when people put demands on you?
Do you make excuses—explicitly or implicitly—for the person you are
helping?
Do you feel unfulfilled or anxious when there is no crisis to solve?
Do you sometimes feel anger and/or resentment to be giving all the time?
Do you sometimes feel taken advantage of?
Do you feel resentful when others are not grateful enough to you for your
efforts at rescuing them or fixing their lives?
19
Does constantly helping other people leave you mentally and physically
exhausted?
Did you grow up in a family with a lot of emotional chaos?
As you were growing up, did you think it was your responsibility to keep the
family functioning?
Add up the times you agreed with these questions. If the majority of the answers were
“Yes,” it likely it is that you suffer from rescuer syndrome. If you have very high
scores, you may need to take preventive steps to prevent falling into the rescuer trap.
Healer, heal thyself
If leadership coaches suffering from rescuer syndrome want to do something about
their problem, the best way to start the healing process is to face it squarely. For
someone who has spent a lifetime using denial (a defensive mechanism) to ward off
feelings of pain, shame, guilt, or fears of rejection, changing this pattern will not be an
easy exercise (Kohut, 1977; Neff, Kirkpatrick, and Rude, 2007).
A combination of group and individual therapy (including couples therapy) will
provide an outlet to vent feelings, confront resistances, open up and discuss difficult
family patterns and how these dynamics affect present-day behavior. Case meetings,
supervision (including peer supervision), and working as a team with clients are also
useful opportunities for mutual support, and for obtaining greater insights about
personal ways of functioning. These interventions will help to create a new sense of
empowerment and forward movement in these people’s lives. In the process, self-
esteem will be enhanced, helping people suffering from rescuer syndrome to recreate
and relearn boundary setting and validate personal needs that went unmet during their
formative years.
During this journey toward change, a number of issues need to be addressed. Helpers
need to learn to be more selfish; they need to be nicer to themselves. They need to
actualize their own dreams and aspirations, rather then constantly focusing on those of
others. They also need to learn how to have fun—not always an easy proposition.
Furthermore, they need to take stock of the kinds of people they are attracted to. They
20
have to learn to become detached from the toxic people in their lives—people who are
emotionally and physically draining. They need to reflect on the quality of help they
can give. Then they should take a serious look at the reasons why they feel compelled
to take on a specific client. If they come to the conclusion that they are once again
doing it for the wrong reasons—that they are entering a transferential trap, responding
at a deeper level to their own problems, not those of the client—they should not enter
into such a relationship.
Rescuers will improve their ability to change their default behaviors if they realize
that they have been functioning according to a number of fundamentally flawed
assumptions. For example, they confuse the act of rejecting a request for help with
rejection of the person. Often, this fear is exaggerated, however. If sufficient
explanation is given, most people will accept the logic of such a decision. Finally,
when rescuers realize that they no longer have to heal the whole world as they were
encouraged to do in childhood—a time when they were least capable of doing it—
rescuers will be not only more effective, but also much happier.
Being a constructive rescuer
Constructive rescuers are sensitive to the needs of others—within reason. They realize
that their efforts to help should not come at the cost of their own health and happiness
(Kottler, 1993; Feltham, 1999). Constructive rescuers make clear to the people who
come to them for help that they should recognize and accept the consequences of their
own troubled behavior.
As constructive rescuers, leadership coaches make it clear to their clients that they
own their own life—asking them what they have done to fix their own problems.
They make clients understand that they cannot use them as a dump for all their
emotional garbage. Helped by the coach, they need to work on their own problems.
Constructive rescuers realize that by creating reciprocity in relationships, they will be
more helpful than putting others in their debt.
21
Constructive rescuers act as catalysts in the process of helping people solve their
problems. Their role is to encourage people in need to face their difficulties honestly.
Handing the responsibility for the problem back to the people in need, and viewing
the problem more objectively—taking account of transferential processes—
encourages clients to take ownership of their problem, and work on them to enact
change.
Ideally, leadership coaches will have the sort of self-knowledge and objectivity that
comes after having undergone extensive self-examination through various forms of
psychotherapy. More than others, they need to develop a high degree of self-
awareness, and what psychoanalysts would call a deep understanding of the
differences between conscious and unconscious processes. They will have the kind of
emotional receptivity that creates self-awareness, reflectivity, and non-defensiveness.
Using themselves as instruments, constructive rescuers can recognize major themes in
the lives of their clients, and, simultaneously, attend to their own thoughts, emotions,
physiological responses, and behaviors during these sessions. This is what social and
emotional intelligence is all about.
Constructive rescuers are reliable, trustworthy, and discreet—within reason. They are
respectful of the people they deal with and have a steady regard for other people’s
autonomy and reality. In their work, they are able to put their own interests and
concerns aside in the presence of their clients. They have an unselfish commitment to
their clients’ wellbeing. Their overwhelming desire is to help others obtain in-depth
insights about the way they function. While facilitating this kind of learning, they
have the knack of making other people shine. They enhance the learning process with
their skill at asking good questions that make their clients think and feel challenged
and supported rather than criticized. They are also prepared to face difficult questions
and ready to tell the truth even if it is not what people would like to hear. But they
also time their inventions well, striking when the iron is cold: Too early and the
intervention does not stick; too late and the opportunity has passed. Their openness
and frankness, and their ability to recognize and express their own feelings in the
interface with their clients, makes these exchanges extremely valuable. And they can
be even more effective if they know how to use humor well.
22
Constructive rescuers are exceptional listeners. Their ability to make people feel
understood enables them to build an effective working alliance with their clients—the
deep, emotional connection that is required between the helping professional and the
client to make an intervention work. Establishing this bond necessitates the capacity
for empathy, that is, identification with and understanding of another’s situation,
feelings, and motives. Constructive rescuers have the emotional sensitivity to be glad
when others are glad, and sad when they are sad. They are not only capable of insight,
understanding, empathy, and compassion, but are also able to act accordingly without
losing their sense of boundaries.
Constructive rescuers also have a considerable tolerance for ambiguity. They have
what has been called negative capability—a state of intentional open-mindedness—
the ability to keep the imagination alive without having the urge for closure. They are
able to accept uncertainty without becoming over-anxious. They value the cognitive
complexity and the ambiguity of the human condition. They can suspend disbelief
when they encounter puzzling situations. Naturally, this makes the capacity for
patience a sine qua non.
From this, we can see that actions and motives required of helping professionals are
not just those of ordinary decent behavior. They imply recognition of the power of
both conscious and unconscious processes. This necessitates a deep understanding of
self and others. To be a truly helping professional—to be a constructive rescuer—
helpers must have sufficient self-knowledge and self-discipline to manifest these
qualities under stress, and when faced with the almost overwhelming temptation to
behave differently. These people are hyper-aware of how their emotional health
affects the quality of their work.
Concluding comments
As coaches, all of us—to some degree—are broken and wounded by the world, but
we learn to cope. All of us have our own unique constellation of strengths and
weaknesses. All of us have a shadow side. All of us may regress, at times. We all
need help—and that includes the helpers. But it is imperative that helpers help
23
themselves before they start to help others. As all healing starts in the mind,
constructive rescuers are willing to look inside themselves to face their source of their
pain in order to become more effective. And they systematically discuss their own
thoughts and needs with a supervisor or mentor who will help them see what they are
unable or unwilling to admit to themselves.
It is not always easy to take an empathic, tolerant, acceptant, compassionate, and
realistic view of our own humanness. Being an effective helper can be a very
challenging proposition. It can be difficult to tolerate not knowing; to be silent with
others in a moment of despair or confusion; to be with others in difficult times of grief
and bereavement. But effective coaches are prepared to face these issues and accept
personal vulnerabilities while doing so. What’s more, they understand that the nature
of the work, and the stresses and challenges it creates in their personal lives, will
cause distress that needs to be addressed proactively. Therefore, constructive rescuers
accept that ongoing self-care is needed to prevent burnout and impaired professional
competence.
Through self-understanding, helping professionals (including coaches) can raise the
quality of their relationships with their clients by becoming aware of their own unique
attachments and aversions. By knowing their own limitations, ensuring that they have
their own therapeutic support, professional supervision, peer interchange, or other
forms of help, they will ensure that they don’t fall victim to the Rescuer Syndrome.
24
References
Ainsworth, M., Blehar, M., Waters, E., and Wall, S. (1978). Patterns of Attachment.
Hillsdale, NJ: Erlbaum.
Bager-Charleson, S. (2010). Why Therapist Choose to Become Therapists. London:
Karnac.
Bowlby, J. (1982). Attachment and Loss, Vol. 1: Attachment. Rev. ed. New York:
Basic Books.
Braiker, H. B. (2001). The Disease to Please. New York: McGraw-Hill.
Casement, P. (1985). On Learning from the Patient. London: Routledge.
Dryden, W. and Spurling, L. (Eds.) (1989). On Becoming a Psychotherapist. London:
Routledge.
Edelwich, J. and Brodsky, A. (1980). Burn-out: Stages of Disillusionment in the
Helping Professions. New York: Human Sciences Press.
Erikson, E. H. (1956). “The Problem of Ego Identity,” Journal of the American
Psychoanalytic Association, 4, 56-121.
Feifel, H., Hanson, S., Jones, R., et al (1967). “Physicians consider Death,”
Proceedings of 75th Annual Convention of the American Psychological Association.
Washington, DC: American Psychological Association.
Feltham, C. (Ed.) (1999). Understanding the Counselling Relationship. London: Sage
Flores, P. J. (2004). Addiction as an Attachment Disorder. Lanham, MD: Jason
Aronson.
25
Gabbard, G. (1985). “The Role of Compulsiveness in the Normal Physician,” Journal
of the American Psychiatric Association, 254, 2926–2929.
Gordon, J. R. and Barrett, K. (1993). “The Codependency Movement: Issues of
Context and Differentiation.” In Baer, J. S, Marlatt, A., and McMahon, R. J. (Eds.)
Addictive Behaviors Across the Life Span. Newburry Park: Sage.
Hale, R. (1997). “How our Patients make us Ill,” Advances in Psychiatric Treatment,
3, 254–258.
Heim, E. (1991). “Job Stressors and Coping in Health Professions,” Psychotherapy
and Psychosomatics, 55, 90–99.
Kets de Vries, M. F. R. (2006). The Leader on the Couch: A Clinical Approach to
Changing People and Organisations. London: Wiley.
Kets de Vries, M. F. R., Florent-Treacy, E. and Korotov, K. (Eds.) (2007). Coach and
Couch: The Psychology of Making Better Leaders. Hampshire: Palgrave Macmillan.
Kets de Vries, M. F. R., Laura Guillen, L., Korotov, K. and Florent-Treacy, E. (Eds.)
(2010). The Coaching Kaleidoscope: Insights from the Inside. Hampshire: Palgrave
Macmillan.
Kohut, H. (1977). The Restoration of the Self. New York: International Universities
Press.
Kottler, J. A. (1993). On being a Therapist. San Francisco: Jossey-Bass.
Lakin Phillips, E. (1983). Stress, Health and Psychological Problems in the Major
Professions. Washington, D.C.: University Press of America.
Lama, M. C. and Krieger, M. J. (2009). The White Knight Syndrome. Oakland, CA:
New Harbinger Publications.
26
McWilliams, N. (1984). “The Psychology of the Altruist,” Psychoanalytic
Psychology, 1, 193-213.
Malan, D. (1979). Individual Psychotherapy and the Science of Psychodynamics.
London: Butterworth.
Mellody, P. (1989). Facing Codependence: What It Is, Where It Comes from, How It
Sabotages Our Lives. New York: HarperCollins.
Miller, G. (2001). Finding Happiness for Ourselves and our Clients. Journal of
Counseling and Development, 79, 382-385.
Neff, K. D., Kirkpatrick, K., and Rude, S. S. (2007). “Self-Compassion and its Link to
Adaptive Psychological Functioning,” Journal of Research in Personality, 41, 139–
154.
O’Connor, M. F. (2001). “On the Etiology and Effective Management of Professional
Distress and Impairment among Psychologists,” Professional Psychology: Research
and Practice, 32, 345–350.
O’Halloran, T. M., and Linton, J. M. (2000). Stress on the Job: Self-care Resources
for Counselors. Journal of Mental Health Counseling, 22, 354-365.
Payne, R. and Firth-Cozens, J. (1987). Stress in Health Professionals. Chichester:
John Wiley & Sons.
Pfeiffer, R. (1983). “Early Adult Development in the Medical Student,” Mayo Clinic
Proceedings, 58, 127–134.
Ramirez, A., Graham, J., Richards, M. A., et al (1996). “Mental Health of Hospital
Consultants: the Effects of Stress and Satisfaction at Work,” Lancet, 347, 724–728.
Rizzolatti, G and Craighero, L. (2004). “The Mirror-Neuron System,” Annual Review
of Neuroscience 27, 169–192.
27
Seelig, B. J. and Rosof, L. S. (2001). “Normal and Pathological Altruism,” Journal of
the American Psychoanalytic Association, 49, 933-958.
Thompson, C. (1998). “The Mental State we are in: Morale and Psychiatry,”
Psychiatric Bulletin, 22, 405–409.
Tillet, R. (2003). ”The Patient Within—Psychopathology in the Helping Professions,”
Advances in Psychiatric Treatment, 9, 272-27.
Vaillant, G. E., Sobowale, N. C. and McArthur, C. (1972). “Some Psychological
Vulnerabilities of Physicians,” New England Journal of Medicine, 287, 372–375.
... An alternative framework to be used in supervision to analyze Frédéric's relationship to Julien (item 3 in the seven-eyed model of supervision), to Julien's company (item 7), as well as to the entrepreneurial eco-system (item 7) is the drama triangle by Karpman (2014). Here, the supervisor can help Frédéric realize that he is tempted to play a rescuer role towards Julien's company, which has been well identified as a common pitfall in coaching (Korotov et al., 2012). What is specific here to entrepreneurial coaching, is that this rescuing role is directed towards the company, not Julien, thereby contributing to Frédéric losing the primary focus on Julien. ...
Article
Entrepreneurial coaching comes with particular challenges compared to coaching other client groups, and this analytical case seeks to sensitize students to these specificities and discuss the associated key challenges for coaches. It puts students into the shoes of Frédéric, who, after a successful career as an entrepreneur and investor, has turned to entrepreneurial coaching. Based on Frédéric’s coaching of Julien, an entrepreneur in the high-tech energy industry, participants are encouraged to explore why and how entrepreneurial coaches face conflicting identities, the complexity for the coach to navigate within the entrepreneurial eco-system, and the challenges of a relevant use of past “careers” for a coach. The case is available here: https://sk.sagepub.com/cases/entrepreneurial-coaching-the-art-of-wearing-conflicting-hats
Article
Demands to re-embed coaching into its larger social context of operation have generated calls to better document the political aspects of this human learning and development process. To address this critical social turn, this empirical article explores the reframing by practitioners of their understanding of coaching practice, using a Freirean lens of oppression and emancipation. The study consists of a 9-month co-operative inquiry with a group of Egyptian practitioners engaged in a praxis comprising initial training and subsequent cycles of action and reflexive workshops about their coaching sessions. Our study found that a Freire inspired praxis led coaches to develop a dialectical understanding of oppression – moving from conflicting dichotomies to a dynamic view, which has implications for their attitude to and role in coaching. We discuss how the resulting politicization allowed the reframing of coaching as a social practice.
Book
Full-text available
Professor Manfred Kets de Vries and his colleagues have helped thousands of executives to increase their effectiveness in dealing with colleagues and clients, and to refocus their own professional and personal aspirations. This book is a volume of essays on leadership development topics written by academics, coaches, and change consultants. It explores how extraordinary leaders and thriving organizations are created by sharing research methodologies and insights, and by describing intervention and change techniques. Drawing upon substantial research, this book presents the essential leadership models and equips practitioners with tools for developing executive coaches and working with business leaders. This second edition includes new chapters on executive stress and coaching across the gender divide.
Book
Almost two decades ago, the psychoanalyst Sussman concluded that the therapist's motivation for practicing was a neglected area. Is this maybe a question best left alone? This book revisits the question. The authors support Sussman's rationale for raising the issue in the first place and wonder if much has changed since he referred to it as a 'neglected' area twenty years ago? This is an inquiry that moves from personal musing to collaborative and systematic inquiry. At the heart of the book lie six separate accounts as told by counsellors and psychotherapists in a reflective writing- and peer support group. Each therapist represent a different modality and all come with very different backgrounds. These accounts are put into context of ongoing literature and viewed with reference to a survey where 238 other therapists provide their perspective on the question. Like in the case of, for instance, Feltham (1999), Rowan and Jacobs (2003) and Val Wosket (1999) 'the therapist's use of self', is a key theme. It is particularly so in the case of Wosket, who approaches the area of the therapist's use of self with an interest in reflective practice. The attention paid to what therapists bring into the therapeutic relationship is shared with Steve Page (1999) who explores the therapists' input in terms of both potential enlightenment and shadows.
Article
This paper will address the ways in which all of us as doctors respond to the impact of illness in patients. The constructs used are psychoanalytic and the experiencecomesfrom running a psychol ogical service for doctors for the past seven years. In line with the Nuffield Hospitals Report (1996) it is a service funded by the RegionalPostgraduate Medical Dean. The term 'stress' is shorthand for a multiplicity of anxieties experienced both consciously and unconsciously by a professional. The nature of the jobwill determine the nature of the anxieties.Thus if we observe medicine as it is practised in its various settings, we will discern in the professional patterns of anxiety specific to the job being performed: this is a normal phenomenon. Todeal with these anxieties we build defensive structures both at an individual and an institutional level.For the most part, our defencesserve us well. They allow us to work. But they may become excessive,turning us into malfunctioning doctors; or they may fail - in which case we become psychologicallyor physically ill.
Article
D. G. Myers (2000) examined the contributing factors of happiness: money, relationships, and religion. The implications of these factors for counseling are discussed with specific recommendations made for counselors regarding their own self-care and their work with their clients.
Book
This book deals with how coaching interventions can drive a journey of transformational change at individual, team, and organizational levels. As a result, coaching interventions serve to create more reflective people, who in turn, create better organizations. The group coaching methodology, used by the INSEAD Global Leadership Center (IGLC) and adopted by the Center for Leadership Development Research (CLDR) at the European School of Technology and Management (ESMT), Berlin, is the basis for developing the theoretical assumptions behind the chapters. Through sharing research methodologies, and describing intervention and change techniques used in the leadership development and education of executive coaches, the book sheds light on how the 'magic' of coaching works, what coaches actually do, and how their clients respond. This book is a joint project between the IGLC and the CLDR. In compiling it, we have involved academics who conduct research, teach, and consult; leadership development coaches; change consultants; and executives who adopted IGLC methods for reflection on leadership development opportunities and challenges. We have also included people who have experienced IGLC methods in the process of their developmental journeys. They have collaborated, consulted their research and practice notes, analyzed data from inquiry projects, and shared their personal experiences in individual essays.