Which of the following is NOT considered a self-esteem need according to Maslow's hierarchy?

The need for professional achievement is indeed aligned with self-esteem needs in Maslow's hierarchy as it contributes to an individual's sense of accomplishment and can enhance feelings of self-worth. Essentially, self-esteem needs are driven by the desire for recognition, respect from others, and a sense of competence in one's abilities.

In contrast, the need to be clean refers more to basic hygiene and health rather than self-esteem and thus falls under physiological needs. Pain management also does not relate to self-esteem; it is typically associated with physical well-being. Lastly, respect being well thought of does align with self-esteem, as it reflects how individuals wish to be perceived in society and impacts their self-worth.