Here's the pattern:  I see many perfectionists;  people who work hard, give a lot to others, and don't ask for a lot in return.  They may not self identify as a perfectionist, but there is fear of failure or disappointing others under the surface which looks like perfectionism from above.  When they get to my office, they are weary and worn out.  They cannot understand why they don't get anything back from the people to whom they're giving.   So they continue to give, do, be, and turn themselves inside out to try to get something back.