This doesn't belong at the top of such a pyramid as it too has debased forms (e.g. paternalism or savior complexes). And more importantly has a focus on each of the levels, with some people transcending to meet physiological needs of all, others safety needs of all, yet others focusing on belonging or esteem needs, and other trying to enable people to self-actualize or transcend.

Self-transcendence is on the side of the hierarchy of needs, though admittedly a person isn't going to be very good at self-transcendence if they are starving or aren't educated. I think this drive of self-transcendence guides many people whenever they are at the various levels. Though admittedly some people get all the way through a Ph.D. without really having a sense of meaning or purpose, I think this kind of trajectory is in the minority and most of us mix it up a bit.