Although institutions may take impressive steps to safeguard the physical health of their highest decision-makers, they tend to ignore and in fact exclude provision for safeguarding vital interpersonal needs. The successful executive experiences a restriction of freedom in his relationships with other people, lessened objectivity and candidness among his subordinates, and increasing isolation and loneliness. There is no easy way for decision-makers and institutions to compensate for these psychosocial constraints, but the importance of devising some means seems clear.Abstract Teaser