The article looks at new trends toward holistic leadership as opposed to older models focused on the tasks of managers. Transformational leadership and Heider's leadership by Tao are given as illustrations, as is the recent upsurge of interest in the spiritual aspect of care. It is noted that leadership is provided in many settings among persons with and without organizational managerial positions. The need for holistic leadership in a time of environmental flux and unpredictability is discussed.