Peer Reviewed Journal of Orthopedics - Lupine Publishers

The Tall Poppy Syndrome in Orthopedics and Medicine by Douglas E Garland in Orthopedics and Sports Medicine Open Access Journal (OSMOAJ) in Lupine Publishers

The Tall Poppy Syndrome (TPS) is a metaphor which symbolizes viewing a poppy field and noticing one poppy towering above the others; a penchant by an individual, group or society exists to cut down this tall poppy so that all are equal and uniform. A “tall poppy” is defined as someone with fame, fortune, achievements or skills. The syndrome has been identified in many countries with their own metaphors or phrases since antiquity. The entity is relatively unrecognized in the United States perhaps because of the constitutional rights of the individual and capitalism which is based on meritocracy. Lack of recognition does not negate existence. Daily examples may be found in the industries of sport, business, entertainment and especially politics. TPS may be noted in medicine since antiquity as well. Nearly every new discovery, technique, or rivalry is a breeding ground for TPS. One of medicine’s greatest rivalries occurred between Louis Pasteur (France) and Robert Koch (Germany) regarding the germ theory of disease. Their rivalry leads to denigrating each other privately, and at meetings which would also draw in other doctors often with a dose of nationalism for good measure. Envy was described as an early root of TPS especially in people with low self esteem [1]. The envier lacked what the tall poppy possessed and had the option to improve (good envy) or denigrate or cut down the tall poppy (bad envy). Further psychosocial studies have extended behaviors to include deservingness and resentment as well as others [2].

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