This article aims to show how the iatrogenicity of the training of therapists is the effect of a form of leadership whereby a teacher/therapist, having not adequately elaborated their archaic narcissistic needs, produces a split group imago. This, projected onto the group, yields the phenomenon of the scapegoat, a specific psychological game signaling the developmental block of the group. The concepts of psychological games, enactment, and setting violation are used to describe how transference phenomena, when not elaborated, are acted out. The author describes a particular type of psychological game, from the psychodynamic literature on the educational setting, that exemplifies a harmful type of leadership based on a misuse of power. A clinical case highlights how the assumption of the dual role of trainer/therapist may have iatrogenic effects.