Toxic Followership and Leadership: The Hidden Threat to Organizational Success

Ronald Dwinnells, MD, MBA, CPE


May 10, 2026


Physician Leadership Journal


Volume 13, Issue 3, Pages 30-31


https://doi.org/10.55834/plj.9571374799


Abstract

This article, the second in a two-part series on the topic of followership, examines toxic followership and its impact on organizational success, highlighting how manipulative and disruptive behaviors from followers undermine leaders and organizational goals. Factors such as poor leadership, dysfunctional culture, self-interest, insecurity, and personality traits like narcissism and psychopathy contribute to toxic followership, eroding trust and morale. The reciprocal relationship between toxic leadership and followership is explored, emphasizing their interconnected nature. Strategies for identifying and addressing toxicity, including open dialogue and reinforcing shared goals, are discussed to foster healthier workplace dynamics and improve organizational outcomes.




Ronald Dwinnells, MD, MBA, CPE
Ronald Dwinnells, MD, MBA, CPE

Ronald Dwinnells, MD, MBA, CPE, is a pediatrician and a certified physician executive. He is the CEO of ONE Health Ohio, an integrated community health center program serving the medically uninsured, underinsured, and underserved populations in northeast Ohio.

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