This article continues a discussion of altruism & focuses on distortions of caring that can take place & that can lead to volunteer burnout, real or perceived harm to the caller, or even a life-threatening situation for the volunteer or caller. Specific problems discussed: egoism, vicarious needs, diverting the therapeutic goal of the conversation, inappropriate intrusion into the life of the caller, dependency (lack of independent judgement or identity), & exhibiting a superperson ideation.