at the Workplace Dr. Sharita K. Shah MD, DPM, DNB, MNAMS Consultant Psychiatrist
Saifee Hospital, Bhatia Hospital,
Sir H. N. Hospital, & Dr. L. H. Hiranandani Hospital Everyday is an ordeal in this unequal world Introduction Psychological Harassment is a form of employee abuse arising from unethical behavior and leading to victimization of the worker It is a global problem that is still unknown and underestimated Can produce serious negative consequences and affect the individual’s work performance, health – emotional, psychological, and behavioral; and overall quality of life Global Programme of Occupational Health – A venture by the World Health Organization (WHO) Aims to provide Occupational Health for all Types of Harassments Bullying Physical and psychological harassing behavior perpetrated against an individual, by one or more persons Psychological harassment Humiliating or abusive behavior that lowers a person’s self- esteem or causes them torment - verbal comments, actions or gestures- mobbing Racial harassment Targeting of an individual because of their race or ethnicity - words, deeds, and actions that make the target feel degraded due to their race of origin or ethnicity Religious harassment Verbal, psychological or physical harassments used against targets because of specific religion - forced and involuntary conversions TypesSexual ofharassment Harassments Harassment commonly seen in the workplace and schools. Involves unwanted and unwelcome, words, deeds, actions, gestures, symbols, or behaviors of a sexual nature that make the target feel uncomfortable Stalking Unauthorized following and surveillance of an individual - privacy is unacceptably intruded upon, and the victim fears for their safety Hazing To persecute, harass, or torture in a deliberate, calculated, planned, manner - typically the targeted individual is a subordinate- illegal in many instances Backlash Or 'victim blaming' - the harasser or other people in the environment blame the victim for the harassment What is psychological harassment in the work place? Psychological harassment is vexatious behaviour that manifests itself in the form of conduct, verbal comments, actions or gestures characterized by: 1. They are repetitive (single serious incidence - if it undermines the person's psychological or physical integrity and if it has a lasting harmful effect) 2. They are hostile or unwanted 3. They affect the person's dignity or psychological integrity, and 4. They result in a harmful work environment What is vexatious behaviour? It is humiliating or abusive behaviour that lowers a person's self-esteem or causes him torment. It is also behaviour that exceeds what the person considers to be appropriate and reasonable in the performance of his work Psychological harassment may come from a superior, a colleague, a group of colleagues, a customer, or a supplier Common ways of expression of Harassment Making rude, degrading or offensive remarks Making gestures that seek to intimidate Discrediting the person - spreading rumors, ridiculing him, humiliating him, calling into question his convictions or his private life, shouting abuse at him or sexually harassing him Belittling the person - forcing him to perform tasks that are belittling or below his skills, simulating professional misconduct Common ways of expression of Harassment Preventing the person from expressing himself - yelling at him, threatening him, constantly interrupting him, prohibiting him from speaking to others Isolating the person - no longer talking to him at all, denying his presence, distancing him from others Destabilizing the person - making fun of his convictions, his tastes or his political choices Criticizing someone’s work or private life Threatening someone verbally or in writing Common ways of expression of Harassment Forcing a person to do humiliating tasks Ceasing to give work to a person Forcing a person to perform completely useless and/or absurd tasks Questioning someone’s ability or skills Insulting a person by using obscene or degrading terms Administratively harassing or excessively controlling a person’s work Contesting or casting doubt on a person’s decisions Common ways of expression of Harassment Assigning new duties without training Demotion Excessive monitoring of person’s work Exclusion from meetings, projects, training courses Assigning tasks that are hazardous or unfit for the person’s health Intentionally underrating or ignoring proposals Lack of communication Common ways of expression of Harassment Lack of recognition Remote or unjustified transfers Retaining information essential for performing the job Threats of disciplinary action Threats of dismissal Unjustifiable low merit rating Work overloads that are impossible to meet Unjustified disciplinary action Common ways of expression of Harassment Damage to personal belongings Sexual harassment Verbal abuse Spreading false information Ridicule, especially in front of colleagues or superiors Provocation Instigation of colleagues against the victim Gossiping Exceptions Situations unpleasant for an employee, but may not constitute psychological harassment, especially if: • the legitimate (i.e. not discriminatory/ arbitrary and not abusive) use of management right in cases of promotion, demotion, suspension, etc. • usual and ongoing evaluation of employee performance, attendance or discipline at work • expressing disagreement or stating a contrary but reasonable point of view History First Researcher – Heinz Leymann, a Swedish psychologist Borrowed the term ‘mobbing’ from the animal sciences - research work of Konrad Lorenz (Nobel Laureate for the theory of ‘imprinting’) ‘Mobbing’ literally means “to form a crowd around someone in order to attack him/her” - defines the behaviour of some animal species of assailing one member of the group which, for various reasons, is to be expelled Prevalence of Psychological violence in Health Sector (2001) Verbal Abuse – Most common Australia – 67% South Africa – 60.1% Portugal – 51.1% Thailand – 47.7% Lebanon – 40.9% Brazil – 39.5% Bulgaria – 32.2% Prevalence of Psychological violence in Health Sector (2001) Bullying and Mobbing – Second area of concern Bulgaria – 30.9% Lebanon – 22.1% South Africa – 20.6% Portugal – 16.5% Brazil – 15.2% Australia – 10.5% Prevalence of Intimidation at Work in European Union (EU) Working Conditions 2000 – Third European Survey 1 in 10 workers (9%) are subjected to intimidation Finland – 15% UK – 14% France – 10% Portugal – 4% Workers subjected to Intimidation in EU Public Admin. & Defense – 14% Education & Health – 12% Hotels & Restaurants – 12% Transport – 12% Wholesale & Retail Trade – 9% Real Estate – 7% Construction – 5% Agriculture – 3% (2001) Different terms used across the world Bullying Work Abuse Mistreatment Bossing Victimization Intimidation Psychological Terrorization Psychological Violence Workplace Bullying Repeated, unreasonable behaviour directed towards an employee/ group of employees that creates a risk to health and safety 1. ‘Unreasonable behaviour’ means behaviour that a reasonable person, having regard to all the circumstances, would expect to victimize, humiliate, undermine or threaten 2. ‘Behaviour’ includes actions of individuals or a group. A system of work may be used as a means of victimizing, humiliating, undermining or threatening 3. ‘Risk to health and safety’ includes risk to mental or physical health of the employee Types of Workplace Bullying Pressure bullying Organisational bullying Corporate bullying Institutional bullying Client bullying Serial bullying Secondary bullying Pair bullying Gang/group bullying (mobbing) Vicarious bullying Regulation bullying Residual bullying Cyber bullying Bullying is an 'Epidemic' New forms of violence at work on the rise worldwide - International Labour Organization (ILO) June 2006 Violence at work - from bullying and mobbing, to threats by psychologically unstable co-workers, sexual harassment and homicide reached epidemic levels in some countries GENEVA (ILO News) Mobbing v/s Conflict A certain degree of competition is normal and useful component of everyday work life Mobbing differs from normal conflicts for 2 main reasons: 1. It is characterized by unethical actions, and 2. It is counterproductive for all Normally, individuals enter the work environment with specific expectations e.g. salary, competence development, career progression, etc. Competition is instrumental in reaching these goals In mobbing the climate becomes foggy, communication is ambiguous, and the interaction is hostile Healthy Conflicts Mobbing Situations Clear roles & tasks Role ambiguity Collaborative relations Uncooperative behaviour Common & shared Lack of foresight objectives Explicit interpersonal Ambiguous interpersonal relations relations Healthy organization Organizational flaws Occasional clashes & Long-lasting & confrontations systematic ethical action Open & frank strategies Equivocal strategies Open conflict & Covert actions/ denial of discussion conflict Straightforward Oblique & evasive communication communication Effects on Health – For Employee Potential to cause or contribute to many psychological, psychosomatic, and behavioral disorders Factors determining health effects include – 1. duration and the intensity of the stress stimuli 2. the genetic, family history of the individual, and 3. the personality traits of the victim Psychological Symptoms Anxiety reactions Hyper arousal Apathy Insecurity Avoidance reactions Insomnia Difficulty in Intrusive thoughts concentration Irritability Depressed mood Lack of initiative Fear reactions Recurrent nightmares Flashbacks Mood swings Psychosomatic Symptoms Arterial hypertension Joint & muscle pains Asthma attacks Loss of balance Cardiac problems Migraine Coronary heart disease Stomach pains Dermatitis Stomach ulcers Hair loss Tachycardia Headaches Behavioral Symptoms Auto-aggressive reactions Increased smoking Hetero-aggressive Sexual dysfunctions reactions Social isolation Eating disorders Increased alcohol intake Drug intake Effects on Quality of Life (QoL) Avoiding social meetings Complaints of physical discomfort and sickness Detachment from family ties Disengagement from life roles and responsibilities Intolerance of family problems Difficulty in qualifying for other jobs Litigation Effects on Quality of Life (QoL) Loss of friendship relations Loss of income Loss of shared projects Marital problems & divorce Medical expenses Outbursts of rage Violence Worsening of child’s performance at school Increased Costs – For Employer Additional retirement costs Damage to company image Decrease of competitiveness Decrease of product quality Disability Increase of persons unfit for work Increased staff turnover Interpersonal climate deterioration Litigation costs Increased costs Loss of qualified staff, reduced individual and group productivity Reduced motivation, satisfaction, and creativity Reduction in number of clients Repeated transfers Replacement costs Sickness absenteeism Training new staff Effects on Society and Country Benefits and welfare costs due to premature retirement High costs of disability High costs of unemployment Loss of human resources Medical costs and possible hospitalization Potential loss of productive workers Risks Probability to be harassed increases due to: A. A bad management style B. Inadequate organization of work C. An unfavorable work environment A. Management Style 1. Inertia of management and higher level staff - creates a climate of fear, distrust, excessive competition and awe 2. New Management methods – introduction of a more extensive concept of competition –no clear rules of collaboration leading to scope for abuse of power B. Work Organization 1. Chronic understaffing and heavy work constraints 2. Badly defined tasks or disorganized work 3. Excessive Hierarchy 4. Insufficient instructions and lack of information C. Work Environment 1. The International work environment – a highly flexible organization in working hours, employment and work status, along with downsizing and restructuring 2. The development of outsourcing and multiplication of subsidiary companies – produce situations leading to the neglect of employees "Every employee has a right to a work environment free from psychological harassment. Employers must take reasonable action to prevent psychological harassment and, whenever they become aware of such behaviour, to put a stop to it.“ Canadian Labour Standards Act Prevention Best means of combating psychological harassment Employer's responsibility to take preventive steps All parties such as health professionals, decision makers, managers, human resource directors, supervisors, legal communities, unions, and workers must unite to help Primary Prevention Information and Education – on harassment and its consequences workers must be adequately informed management must be educated in conflict resolution awareness campaigns may be implemented anti-mobbing policy may be developed Guidelines – containing information on the nature and extent of the problem and its effects on health and quality of life Code of Ethics – charter with indications that the company will not tolerate unethical acts and discrimination Contracts – Terms should be included for regulating the matter Secondary Prevention Timely & effective measures to take control A confidant: a person, either an employee or someone outside the company, can be charged with the task on listening A mediator: mediation is defined as a process in which an impartial third party, the mediator, offers people in conflict the opportunity to meet in order to negotiate a solution and to establish the terms of an arrangement to work with mutual respect Tertiary Prevention Steps to help recover their health and dignity Early diagnosis of health effects to reduce the consequences at all levels (individual, family, and social) Group Therapy – groups that bring together people who have suffered from mobbing in different situations. Sharing similar experiences in a group allows the victims to realize that they are not the ones responsible for the event, to recognize the aggression, and if necessary, modify their own behavior Sound Management Practices for Employers Promote respectful interpersonal communication Manage the members of staff fairly Take quick and appropriate action to manage conflicts; do not allow the situation to deteriorate Clearly define the responsibilities and tasks of each employee Put in place in his undertaking a procedure to allow persons to report cases of harassment confidentially Resort, in certain cases, to specialized resources to help put a stop to a psychological harassment situation and to prevent other such situations from arising Promoting a Healthy Environment - A Checklist for Employers Provide useful information on managing stress and depression for workers Consider sending managers and other staff to training courses in how to address and prevent workplace bullying Provide off-site, supported counseling services for staff: for employees to manage the emotional consequences of bullying, and to bullies to assist them with managing their behaviour and in dealing with the mental health issues that cause it Encourage staff to take regular breaks during the day and annual leave when it falls due Provide social activities for staff which encourage their families/friends to be involved Promoting a Healthy Environment - A Checklist for Employers Ensure social environment in the workplace is safe for people with mental illness Don't make negative assumptions about people with mental illness when they are applying for jobs or working within your institute Increase your own knowledge of mental illnesses and discrimination issues Talk through what the person's needs may be - e.g. physical environment needs such as a quiet workspace or working from home You may need to negotiate flexible working hours - e.g. starting work later due to medication side effects Negotiate flexible leave arrangements in case of illness Negotiate extra supervision or support person which your staff member may require What should you do in the event of psychological harassment at work? Talk about the problem Express clearly and firmly your disapproval to the source Bring the matter to the employer Check for reporting procedures Collect evidence Identify allies Share your experiences with others Request a transfer Laws Against Bullies The ILO with – Global Stand the International Council of Nurses (ICN), World Health Organization (WHO) and Public Services International (PSI) – framework guidelines to combat workplace violence in the health sector European countries were the first to legislate on this problem European and Scandinavian countries, including France, Germany, Italy, Sweden, Spain, the Netherlands, and Norway, have introduced various regulatory responses United Kingdom, Ireland and Australia – courts currently address bullying under existing legislation In 2002 - France modified its Labour Code to impose an obligation on employers to prevent psychological harassment Quebec, Canada – Labour Standards Act (LSA) effective June 1, 2004, prohibiting psychological harassment In the United States, workplace bullying is not yet recognized by the legal system although a few states have initiated bills Stand in India Mention of Psychological Harassment in the Bureau of Indian Standards – Organizational Accountability at the Workplace (June 2007) Section 7 on Core Elements – 7.9 Harassment, Abuse and Inhumane treatment Future Legislation is long overdue and badly needed To start, a legal definition of bullying would help employers develop policies – rules and regulations alone will not solve the problem. An effective strategy must also include education, conflict resolution mechanisms, and a commitment from employers that is based on good business practice “Many who live with violence day in and day out assume that it is an intrinsic part of the human condition. But this is not so. Violence can be prevented. Violent cultures can be turned around. In my own country and around the world, we have shining examples of how violence has been countered. Governments, communities and individuals can make a difference.” Nelson Mandela Foreword to World Report on Violence and Health (2002) World Health Organization, Geneva Thank You