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Sally Ann Quirke

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Human Resource Management
LEADERSHIP AND
MANAGEMENT
DEVELOPMENT
MG6826
Elizabeth Holmes
Introduction
Elizabeth Holmes’ journey began with her start-up company Theranos, after she dropped out
of Stanford University in 2003 after studying chemical engineering for a short time (Waikar,
2017). According to Holmes, the aim of the company was reinventing the medical testing
technology market by having more efficient blood testing (Roper, 2014). To achieve her aim,
Holmes raised millions of dollars from investors around the United States and stocked her
board with powerful individuals in pursuit of her dream to create a portable blood testing
machine.
According to BBC News, the portable blood testing machine worked “with a few drops of
blood, Theranos promised that its Edison testing device could detect conditions such as cancer
and diabetes without the need for needles” (Thomas, 2022). As the CEO and founder of
Theranos, Elizabeth became the youngest self-made female billionaire of her time. However,
by 2015 things went down hill rapidly for Elizabeth Holmes and Theranos as an article was
published in the Wall Street Journal from whistle-blowers and Holmes was exposed to be a
fraud. The technology she developed did not work at all, and by 2018, Theranos had collapsed.
Holmes possessed specific personality characteristics which allowed her to influence her
followers (investors and employees) during her time with Theranos. These important
characteristics include her narcissistic tendencies and her overall ethical orientation.
Narcissism
Elizabeth Holmes’ ability to influence her followers and to achieve what she did during her
Theranos timeline were due to her narcissistic tendencies. Narcissism is defined as “selfishness,
involving a sense of entitlement, a lack of empathy, and a need for admiration, as characterizing
a personality type” (Perina, 2019). For Holmes, this need for admiration and sense of
entitlement played a vital role in her story. Holmes has been described as having an “inflated
sense of importance, extreme self-confidence, a willingness to exploit others for her own ends,
and showing hostility toward those who challenged her” (Chatman, 2020). These would be
considered textbook narcissistic tendencies
Holmes was notorious for copying Steve Jobs’ attire and style. During promotional events for
the “Edison” device, she used to wear the famous black turtleneck of Steve Jobs combined with
the striking Blue Jeans that he used to wear during Promotion Events. She tried to convince the
people that she was the next Steve Jobs and is a trustworthy personality. Holmes also changed
her natural voice to a high baritone or a heavy voice. This is a very famous technique used by
Salesmen to increase the value of their words or their content and make themselves more
trustworthy (Hansen, 2019). Elizabeth gave off the impression that she was powerful and
intelligent. This led her followers to believe she was trustworthy as she gave the impression
that she was a competent leader.
Through her false charisma and undying self-assurance, Holmes won over many successful
investors to the idea that she would revolutionize health care. She convinced prominent figures
such as George Shultz, Rupert Muroch, James Mattis and many others. At the same time,
Barack Obama, Joe Biden and Hilary Clinton were collectively in awe of Holmes and her
vision. She became the “darling of Silicon Valley and a role model for many who were tickled
to see the first female billionaire whose wealthy derived from that a company that she herself
started.” (Prentice, 2022) Holmes promised her followers that Theranos would deliver a fully
functional Edison machine. Had it worked, it would have been a ground breaking advancement
in medical technology.
Holmes’ tactics not only inspires investors and public figures but also inspired potential
employees to join her cause. Originally, Holmes incited her workforce with a clear vision and
a passion for the company and its people, and she had the ability to inspire trust for a long time.
When speaking with employees and investors, Holmes was able to have them buy into her
vision and created a higher purpose for the company which initially made Theranos employees
excited about working there.
Ironically the very traits that drove her initial success came to work against Holmes in the longrun. According to Refinery 29, “when Holmes was upset with an employee, she would often
give them the silent treatment, which is a defence mechanism narcissists use to punish people”
(STIEG, 2019). These types of less subtle manipulation tactics typically will ignite negative
feelings in the person on the receiving end and likely contributed to Holmes’ eventual downfall.
In 2015, journalist John Carreyrou investigated the company for an article in The Wall Street
Journal. He “disclosed problems in the company’s equipment and testing methods. He found
that the company did not even use its own technology in tests and often relied on older
technology from other companies” (Business, 2022). Holmes disagreed with the reporting and
continued to push the company’s claims and her own narrative of personal success.
Holmes’ put her excessive hunger for more success and admiration ahead of her own wellbeing
as well as the wellbeing of her employees and perhaps most importantly her patients. Despite
possessing the skillset to inspire and motivate people, her lack of self-awareness and use of
childish manipulation tactics such as the aforementioned silent treatment were clear indicators
that Holmes lacked the emotional intelligence to be a truly successful leader. For a person to
be an effective leader, they must have values and a good temperament not just an ability to
inspire and motivate in the short run. Holmes would go on to sacrifice many things in the aim
of maintaining the image and reputation she had built for herself including crossing ethical
boundaries, which leads onto the next segment.
Ethical Orientation
Elizabeth Holmes ethical orientation was based on deontology. “A deontologist acts on a set
of personal beliefs about the world and is unwilling to compromise those beliefs. Thus, a
deontologist will usually ignore situational factors when making decisions, and does not let the
consequences of decisions get in the way of their actions no matter how risky the outcome”
(Center, 2020).This is evident here as Elizabeth Holmes narcissistic tendencies affected her
ability when making ethical decisions as her beliefs were based on falsities and superficial
appearances.
When Holmes lied about the effectiveness of her Edison device this grave ethical infringement
resulted in huge losses running into millions of dollars. She chose to commit fraud rather than
accept business failure as this would affect the public image she had spent so long to build.
According to The United States Department of Justice, “Holmes was originally charged with
two counts of conspiracy to commit wire fraud and nine counts of wire fraud” (Office, 2022).
Since then, her charges have been dropped by the courts but nevertheless Holmes still
fraudulently built an entire corporation off of false information and used it to create a billion
dollar company unethically.
Holmes managed to influence her employees originally by dazzling her investors and
employees with her image she portrayed to the public and her drive for success. Ex- Theranos
employees mentioned that they “wanted to see her become that billion-dollar leader, literally
everybody wants to work for the next Steve Jobs” (Taylor Dunn, 2019). Holmes’ leadership
style was effective in getting others to buy into her vision for improving the healthcare field.
When she started Theranos she gave all stakeholders a clear vision and inspired others to buy
into that vision, however her decision to not act ethically was the ultimately led to the downfall
of her Theranos.
Holmes unethically lied to her employees and investors knowingly about the capabilities of
Theranos testing. Holmes exposed her employees risky working environments when handling
blood and made them work long hours. She enforced secrecy tactics amongst her staff by
enforcing them to sign non-disclosure agreements in order to ensure internal information was
kept a secret in order to perpetrate her fraud scandal. Ex-Theranos employees described a
culture of extreme secrecy. They explained that “employees weren’t supposed to communicate
with each other about their tasks, they also were advised not to reveal the company name on
social media sites like LinkedIn. The immense secrecy was apparently to protect what Holmes
felt were trade secrets” (Taylor Dunn, 2019). She continuously told her employees and
investors that things were okay and improving, all of which proved to be false. Clearly Holmes’
deontologist approach to ethical issues justified these actions in the name of keeping the lie
alive.
According to multiple employees they revealed “that their concerns were met with intimidation
and threats rather than listening ears and empathetic solutions. Holmes actions drove the ethical
flaws in the organization” (CLARK, 2019). Carreyrou said he accepts that Holmes didn't begin
with a false or vindictive aim. She was rather essentially brimming with aspiration and fantasies
about turning into the "following Steve Jobs" from the beginning. Be that as it may, the business
and innovation demonstrated more troublesome than Holmes likely envisioned. The weight
and unreasonable desires she made shaped an inconceivably harmful work culture.
Conclusion
Elizabeth Holmes narcissistic tendencies and questionable ethical orientation undeniably stand
out. The characteristics she possesses allowed her to influence and inspire investors, employees
and public figures alike. This is not an easy task and certainly Holmes’ personality traits and
ethical orientation allowed her to perform this great feat of deception.
A double edged sword, these narcissistic tendencies lead to the eventual alienation of her
employees and the creation of a toxic work environment. Furthermore, the combination with
her deontological approach to ethics pushed her past the realm of social misbehaviour into
criminal law breaking in the form of fraud.
Holmes unethically lied to her employees and investors knowingly about the capabilities of
Theranos testing. Her followers invested millions into her project and believed in her vision
and her employees dedicated their time and effort to her cause believing her to be the next great
leader of the time. It was Holmes’ narcissistic traits and shady ethical practices that enabled
her to do this but it was also these factors which eventually led to her downfall and her overall
failure as a leader.
Bibliography
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