Affirmation
I have a client who cannot accept a compliment without immediately qualifying it. "Great work on that deal." "It was mostly luck, honestly, the client was already sold." He's a lifelong athlete and he reflexively, like catching a ball, whips it back to me whenever I give him affirmation. Ask people like him how they feel about positive feedback and the answer is often: "I don't need it." Actually, I have several clients like this.
In session I'll ask: why are you so quick to praise others but won't accept it for yourself?
What I think is underneath it, and I want to be clear that the synthesis is mine rather than a settled finding: somewhere early, these people learned that acknowledgment of their value was conditional on output. There was no room for an identity beyond that. You were noticed for the A, the medal, whatever your effort produced, but nothing indicating your inherent value. As a result your "operating system" encodes this as fact: wanting to be seen for who you are, apart from what you deliver, is not relevant, it is, in fact, a handicap. Needing affirmation then becomes something to manage, hide, or outgrow because it's wasted effort and maximum effort is all that matters.
Leary's research treats self-esteem as a proxy for how accepted you are by the people around you. In other words, affirmation is a pulse check rather than a mood boost. More importantly, Baumeister and Leary say belonging, unfulfilled, has survival consequences, so the system tracking it has no off switch. You can train yourself not to care about the feedback but cannot train yourself out of noticing you didn't get it. In studies pairing self-report with physiology, people who describe themselves as unbothered by rejection show the stress response anyway. My clients can name every gap in their performance with precision. Ask them what they do well and the specificity disappears.
Praise and correction take the same road. You block one and neither makes it inside; you lose both feedback channels, the positive and the negative. What makes this costly is that not being able to make sense of constructive feedback hits hardest for people whose seniority already sharply reduces the honest feedback they receive.
They give affirmation freely to their teams. They understand, professionally, that people need it to do their best work, and they're right about that. What they haven't applied is that the wiring doesn't stop at their own door. Ignoring the signal is not the same as not having one. The practice is more elementary than you might think. Receive the affirmation without editing. Say "thank you," stop talking, and let it be uncomfortable for the four seconds that takes.
When someone tells you that you did well, do you let it land, or are you ready to throw the ball back?