Lewis Mehl-Madrona: Rescue: When is it Unethical? An under explored ethical area is that of what Michael Ortiz Hill, in his marvelous new book, The Craft of Compassion, has called professional narcissism. This is when we need our clients to get well for our own needs. Of course, we want to think that we are effective and can help people, but the more we think this way and the less we think of dialogical resolution where each contributes to the outcome, the more harm we do. 1