The second symptom of power poisoning is the belief that, because you are powerful and a connected insider, you automatically know everything that matters about your organization. Academics call this the fallacy of centrality. It was uncovered by Ron Westrum in a study of why pediatricians did such a lousy job of diagnosing child abuse in the 1950s and 1960s. The limited self-awareness of these experts, their failure to see through parentsâ lies, and the silence of terrified children led the doctors to conclude, wrongly, âIf parents were abusing their children, I would know about it; since I donât know, it isnât happening.