It is a serious (and all too common) thing for stubborn, self-willed people in church congregations to rob their pastors of the joy God intends faithful pastors to have. Failure to properly submit brings grief rather than joy to pastors, and consequently brings grief and displeasure to God, who sends them to minister over us. Grief (stenazontes) means an inner, unexpected groaning. It is a grief often known only to the pastor, his family, and to God. Because lack of submission is an expression of selfishness and self-will, unruly congregations are not likely to be aware of, or care about, the sorrow they cause their pastor and other leaders (Heb. 13:17).
John MacArthur