Final answer:
The fourth level of Maslow's hierarchy of needs is the esteem needs level, which includes self-respect and confidence. It comes before the top level of self-actualization, but after Maslow's revisions, there is also a self-transcendence level above self-actualization.
Step-by-step explanation:
The fourth level of Maslow's hierarchy of needs, which is the second level from the bottom, is the esteem needs level. This level focuses on the need for self-esteem, respect, self-worth, and confidence. People need to sense that they are valued and feel that they have contributed to their society. This is essential before a person can reach the top level of the pyramid: self-actualization, where they achieve their full potential. However, Maslow's theory has been criticized for not fully accounting for all behaviors as people can sometimes put higher-level needs above their own due to factors like altruism or political protest. It is also important to remember the late addition to the hierarchy, which is the level of self-transcendence; this level is focused on achieving a purpose beyond oneself.