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Anti-patterns

The shapes nobody chooses and everybody runs.

A pattern is an arrangement someone chose because it resolved a set of forces. An anti-pattern is the arrangement you get when nobody chose: the cells the money skipped, the layer that left with its work still in it, the name on the org chart that stands in for a person who could halt the machine. Each one is written to the same template as the shapes, with what it costs in place of what it gives, and the shape that resolves it where one exists.

CatalogFour, all sourced
Written asSame template as the shapes
Anti-pattern 1

The moral crumple zone

Name a human as accountable for an automated system so that blame has somewhere to land, without giving that human the authority, the signal, or the time to change the outcome.

Evidence strengthPrimary sourceElish's paper is the origin; the tabletop scenario is the site's own illustration.
Context

Appears wherever an agent runs faster than a person can review and the organization has written a name into the oversight box. Customer service queues, autonomous vehicles with a safety driver, and any Article 14 compliance document that says a human is in the loop.

Forces
  • The regulator's demand for a named human against the design's inability to give that human a real decision
  • Blame that needs an address against a cause that lives in the design
  • The comfort of a name in the box against the cost of building the halt the name implies
Structure

Madeleine Clare Elish coined the term in 2019 for the way responsibility for an automated system's failure is attributed to the nearest human operator, whose actual control over the system may be small. The library entry carries the sources.

On the canvas it is an Authority cell scored solid because a name exists, sitting on top of an Evidence cell that cannot show what the person could have seen, and a Mastery cell that never asked whether they were qualified to intervene.

Participants
The nearest human
On shift when it failed. Holds the title, not the halt.
The automated system
Made the decision. Cannot be blamed, so is not.
The designer
Chose the speed, the queue, and the review interval. Rarely in the room afterward.
The oversight document
Says a human is in the loop. True in the way a smoke alarm with no battery is installed.
This only happens when

Tick the ones that are true of your deployment. Any one is enough.

01No rostered, named, qualified person exists for each loop with the authority to halt it.
02Oversight is asserted in prose and not tested in a drill.
03The review interval is longer than the time the system needs to do harm.
04Post-incident review starts from who was on shift rather than from what the design allowed.
What it costs you
  • The real cause survives the incident, because the design was never the defendant.
  • Operators disengage. A person who knows they are the crumple zone stops reading the queue.
  • Article 14 oversight becomes nominal, which is the case the regulation names as failure.
  • The next incident is the same incident.
Where it has been seen
Correct this entryCorrections are made in public and credited by name.
Hatched cells are the ones it wounds. Columns are Intent, Composition, Motion, Proof.
Anti-pattern 2

The great flattening

Remove a management layer and assume the coordination it did leaves with it.

Evidence strengthAdvisoryThe engagement figures are Gallup's; the headcount figure is reported from Live Data Technologies; Bayer's outcomes are the company's own.
Context

Appears in incumbents under margin pressure between 2022 and 2026, usually alongside an agent rollout expected to absorb the work. The most common restructuring of the period, and the one with the clearest data on what happens next.

Forces
  • A cost target with a date against a coordination inventory that takes longer than the date
  • A benchmark ratio against the actual work each layer was doing
  • The story of empowerment against the experience of being directionless
Structure

The layer goes first and the inventory never happens. Spans widen to a number chosen from a benchmark. Managers are told they are now coaches and given no hours to coach. The work the layer did, escalation, prioritization, translation of intent, and catching problems early, is reassigned to nobody and reappears as delay.

The great flattening entry carries the numbers. Its resolved form, with the inventory done first and the span derived from the work, is The Coaching Span. The silhouette is identical; the preconditions are the difference.

Participants
The removed layer
Held the coordination. Left with the coordination undocumented.
The surviving manager
Now holds twenty people and the same calendar.
The benchmark
Supplied the ratio. Did not supply the work.
The directionless team
Korn Ferry's 37 percent. Waiting for a decision nobody is positioned to make.
This only happens when

Tick the ones that are true of your deployment. Any one is enough.

01No coordination inventory was taken before the cut.
02The span target came from a ratio, not from the work.
03Managers were renamed coaches without freed hours or training.
04The agent that was supposed to absorb the coordination was not yet in production when the layer went.
What it costs you
  • Manager engagement fell from 31 percent to 22 percent between 2022 and 2025 in Gallup's data, while individual contributors barely moved.
  • Coordination reappears as delay, meeting load, and decisions that wait for a person who no longer exists.
  • The best remaining managers leave, because they are the ones who can see the work piling up.
  • The saving is realized in the quarter the layer goes and spent in the quarters after.
Where it has been seen
Reported

US managerial positions down 6.1 percent, May 2022 to May 2025

Live Data Technologies figures reported by Bloomberg and the Wall Street Journal

Soft · company-reported

Bayer's dynamic shared ownership

from 2024; company-reported

Correct this entryCorrections are made in public and credited by name.
Hatched cells are the ones it wounds. Columns are Intent, Composition, Motion, Proof.
Anti-pattern 3

The demo-attached cell

Fund the cells that show on a screen and leave the Proof band blank until the incident funds it.

Evidence strengthReportedThe base rate is advisory research; the two named reversals are independently reported.
Read the funding model
Context

Appears wherever the budget for an agent program is approved on a demonstration. Flow, Composition, and Resources get investment because they can be shown. Authority, Evidence, and Mastery do not, because a halt procedure does not demo well.

Forces
  • Investment that follows what can be shown against risk that lives in what cannot
  • A pilot that works against a production system that has to be answered for
  • The quarter in which the demo happens against the quarter in which the auditor asks
Structure

The program is funded against a demo. The demo exercises Flow and Composition, so those cells get built. The cells that would let someone stop the loop, explain it, or prove a person was qualified to review it are deferred to a later phase that arrives after the incident.

MIT NANDA's July 2025 finding that only 5 percent of integrated pilots extract millions in value is the base rate. Klarna and Commonwealth Bank of Australia are what the deferred phase looks like when it arrives. The funding page carries the allocation rule that inverts this: fund the blank cells, ranked by shortest path to an incident.

Participants
The demo
Exercises two cells. Is mistaken for a system.
The sponsor
Approved the budget on the demo. Will approve the Proof band after the incident.
The blank Proof band
Authority, Evidence, Mastery. Invisible on screen, visible in the regulator's letter.
The incident
The forcing function that finally funds the rest.
This only happens when

Tick the ones that are true of your deployment. Any one is enough.

01The budget was approved against a demonstration rather than against a filled canvas.
02The Proof band is scheduled for a later phase with no date.
03Nobody on the program is measured on whether the loop can be halted.
04The vendor's roadmap is the program's roadmap.
What it costs you
  • The incident arrives before the halt does, and the halt is then built under regulatory supervision at several times the cost.
  • The pilot cannot leave the pilot, because the cells that make it answerable were never funded. This is most of the 95 percent.
  • The reversal costs more than the automation saved, and is reported.
  • Trust in the next program is spent by this one.
Where it has been seen
Advisory

MIT NANDA, The GenAI Divide: State of AI in Business 2025

July 2025; 5 percent of integrated pilots extracting millions in value

Reported

Klarna's assistant, then the reversal

February 2024 to May 2025

Reported

Commonwealth Bank of Australia's voice-bot cuts, reversed within a month

July to August 2025; call-volume figure disputed by the union

Correct this entryCorrections are made in public and credited by name.
Hatched cells are the ones it wounds. Columns are Intent, Composition, Motion, Proof.
Anti-pattern 4

Structure copied without preconditions

Adopt the chart of a shape that worked somewhere else, without the beliefs, tenure, and regulatory room it needed there.

Evidence strengthReportedZappos and CBA are independently reported; Lee's account is primary for his own experience only; the Article 14 collision has no named case.
The objection, on the thesis page
Context

Appears when a named model with a good story, squads and tribes, circles, self-management, is installed in an organization whose regulator, parent, or workforce never agreed to its preconditions. The gate reasserts itself underneath the new chart.

Forces
  • A model with a name and a story against the unnamed conditions that made it work
  • Autonomy promised on the chart against documentation and approval the regulator still requires
  • The cost of saying the preconditions are missing against the cost of finding out later
Structure

The chart is adopted. The preconditions are not checked, because the model's own description does not list them. Then the shape the organization actually lives under, usually The Gated Pipeline embodied in a regulator or a parent, reasserts itself: reporting lines return for compliance, approvals return for audit, and the new vocabulary sits on top of the old structure.

The Spotify model is the canonical case, and by one former engineer's account it never fully worked at Spotify either. Zappos ran Holacracy inside Amazon and Sarbanes-Oxley. The thesis page names this as the central objection to the pattern method itself, and the Preconditions field on every shape is the defense.

Participants
The model
Squads, circles, or self-management. Well described, preconditions omitted.
The adopting organization
Bought the chart. Did not audit the beliefs.
The regulator or parent
Never agreed. Reasserts the gate through documentation and reporting lines.
The consultant
Sold the chart. Gone when the gate reasserts.
This only happens when

Tick the ones that are true of your deployment. Any one is enough.

01The model was adopted from a description that did not list its preconditions.
02The regulator, parent, or auditor was not asked whether the new shape satisfied them.
03Tenure and belief in the workforce were assumed from the announcement rather than measured.
04The old reporting lines were kept for compliance while the new ones were announced for culture.
What it costs you
  • Two structures run at once, and everyone learns which one is real the first time an approval is needed.
  • The vocabulary survives the structure. Squads and tribes remain as names on a hierarchy.
  • Attrition among the people who believed the announcement. Zappos lost around 30 percent of its workforce in 2015.
  • The next model gets adopted the same way, because the failure is blamed on the model.
Where it has been seen
Primary source

Jeremiah Lee, Spotify's Failed Squad Goals

2020; one former engineer's account

Soft · company-reported

An AI-native vendor meeting an Article 14 buyer

no named lost contract found; the thinnest-sourced collision here

Correct this entryCorrections are made in public and credited by name.
Hatched cells are the ones it wounds. Columns are Intent, Composition, Motion, Proof.