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EMPLOYEES’ EMOTIONAL
INTELLIGENCE, MOTIVATION
& PRODUCTIVITY, AND
ORGANIZATIONAL EXCELLENCE

A Future Trend in HRD

Gagari Chakrabarti
Tapas Chatterjea
Employees’ Emotional Intelligence, Motivation
& Productivity, and Organizational Excellence
Gagari Chakrabarti · Tapas Chatterjea

Employees’
Emotional
Intelligence,
Motivation &
Productivity, and
Organizational
Excellence
A Future Trend in HRD
Gagari Chakrabarti Tapas Chatterjea
Department of Economics Cardio-vascular, Geriatric, Internal
Presidency University and Critical Care Medicine; Diabetology
Kolkata and Thyroidology, Mental Health-Stress
West Bengal, India and Institutional Management
Kolkata
West Bengal, India

ISBN 978-981-10-5758-8 ISBN 978-981-10-5759-5 (eBook)


DOI 10.1007/978-981-10-5759-5

Library of Congress Control Number: 2017947723

© The Editor(s) (if applicable) and The Author(s) 2018


This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse
of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and
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The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specific statement, that such names are exempt
from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this
book are believed to be true and accurate at the date of publication. Neither the publisher nor the
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or for any errors or omissions that may have been made. The publisher remains neutral with regard to
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Cover illustration: © John Rawsterne/patternhead.com

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The registered company is Springer Nature Singapore Pte Ltd.
The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721,
Singapore
Foreword

The study of Emotional Intelligence could be traced back to the era


of Charles Darwin when the crucial role of emotional expression was
emphasized for survival. While ancient Greek literature prioritised cog-
nitive skills, the European Sentimentalist Movement and the Emotional
Movement emphasized the ‘emotional expression of arts’ and recog-
nized the presence and relevance of intrinsic, emotional knowledge.
Gradually, scientists came to accept the inadequate role of standard
cognitive intelligence to be used as a tool to account for individual
behaviour, to analyze their success, and to predict their failures. Rather,
they tend to emphasize more on a combination of skills that allow a
person to recognize, comprehend and to control personal emotions; to
appreciate the emotions of fellow beings and to use this competence to
promote positivity that would make a system better functioning by nur-
turing the success of all those who are part of it. Passion and intellect
hence are not indeed antithetical. Rather than being ‘a state of complete
loss of rational or analytical control’, emotions are taken to allow peo-
ple to thrive in a complex world through successful dealing with people
and the environment. These are deemed to have strengthened cerebral
control and facilitated analytical thinking and dealing with real-life

v
vi   Foreword

situations are being claimed to require a perfect blending of reasoning


with emotions. Such a mélange of emotion and intellect coins a novel
term: Emotional Intelligence. The initial quail on treating emotional
intelligence as intelligence in its true sense was subsequently defeated
by the development of models those treated it as hot intelligence: a mem-
ber of the class of intelligence that include the social, practical, and per-
sonal intelligences. Recent literature considers emotional intelligence as
a separate branch of intelligence that may be acquired rather than being
innate.
Ever since its inception, the theory of emotional intelligence has
come to emerge as a theory of superior on-the-job performances and
abilities to lead an effective life. It has been an empirically proven fact
that while increasing emotional intelligence makes individuals more
efficient, productive, and successful; organizations can become more
productive by hiring emotionally efficient people and by offering oppor-
tunities to enhance these skills in the workplace.
This study is an exploration in this area in the context of an emerging
economy like India in recent time. The study kicks off from the under-
lying note that organizations desire to ensure a working environment
that is vibrant with positive thoughts and interactions; in an attempt
to dent unconstructive or disruptive factors and to ensure improved
performances over time. Such environment must be characterized by
rational and value-based decisions taken by those who are part of it and
this is ensured by effective teamwork achieved through cooperation,
cohesion and sense of integrity among the fellow members. However,
while ensuring positivity is vital, the question remains: how? Better
work-environment results from effective social interaction between the
employer and the employee and, more crucially, among the employees
themselves. Thus, ensuring positivity essentially requires choosing indi-
viduals who would be skilled to rationalize and control personal emo-
tions; with an ability to recognize, appreciate and respect the emotions
of the fellow beings. Such expertise is likely to mould the system in a
positive way to ensure better productivity in future. In this backdrop,
the book explores whether people with cognitive skills coming from dif-
ferent social and demographic strata possess enough excellence in non-
cognitive competences so as to help the organization, to which they
Foreword   vii

belong, to attain certain specific goals. Do emotional intelligence skills


in employees indeed translate into superior on-the-job performances in
a country like India? An affirmative answer would emphasize the need
for an organization to look for such skills in potential employees and
the inevitability to nurture such skill in existing employees. Further,
it has attempted to inquire if hiring people on the basis of emotional
intelligence could help an organization avoid the problem of moral haz-
ards where hidden-actions on part of the employees, who are otherwise
skilled, might adversely affect the organization’s valuation of the transac-
tions in which they would be involved. Such exploration help explain
the urge of any success-oriented organization to look for the non-cog-
nitive skills (along with the pure cognitive efficiencies) in a potential
employee and the need to design incentive mechanism and/or to frame
policies to help existing employees develop such skills.

Kolkata, India Amitava Sarkar


May 2017 Professor and Director,
Indian Institute of Social Welfare
and Business Management and
former Vice Chancellor (Acting),
WB University of Technology
Preface

This book is an attempt to recognize the relevance and significance of


combining non-cognitive skills along with the cognitive ones to help
explain one’s ability to lead an effective and successful life. Based on
a primary survey that approached the academicians, administrators,
professionals and other service-holders from India, the book applies
technical and quantitative methods to analyze employees’ emotional
intelligence, its determinants and variation across gender, age, income,
education and occupation structures. It seeks to explore whether and
how a combination of cognitive and non-cognitive skills could motivate
individuals to improve their productivity that would ultimately lead to
organizational excellence without introducing the much knotty prob-
lem of workplace moral hazard. To improve the flow of the book, the
study has been organized in four chapters. While Chap. 2 is devoted
to portray the conceptual development of Emotional Intelligence as
a distinct branch of intelligence, Chaps. 3 and 4 involve use of a fair
amount of appropriate qualitative data analysis techniques to answer
the questions raised by the study. It indeed finds the theory of EI, not
only as a theory of superior performances, but also as means to reduce
possibilities of work-place moral hazard.

ix
x   Preface

While the book is an attempt to quench the thirst of the researchers,


students and analysts who are interested in this field of study, the find-
ings bear significant implications for designing of effective hiring
and staff development strategies on part of the corporate personnel.
Selecting a group of people who can recognize, comprehend and respect
others’ emotions and can nurture effective teamwork through coopera-
tion and cohesion is found to be essential for achieving organizational
excellence. The organizations can benefit further by offering opportu-
nities to enhance these skills in the workplace. Further, attempts must
be initiated by the organization to foster better work environment with
suitable incentive schemes; to provide employees with a motivating
peer group that is vibrant with positive thoughts; and to develop effec-
tive support systems so as to free the employees from their social and
family responsibilities to an extent that is feasible. While an EI based
valuation is vital at all stages of the life of an organization, the book in
its final note exclaims the necessity to target the incumbents at a much
earlier stage in their life; possibly by making value based education pro-
grammes a part of the curriculum.
We take this opportunity to express our appreciation to those who
have influenced this work. The number of respondents who have will-
fully taken their part in the survey; and that of the students and col-
leagues whose cooperation has helped us build on our ideas is too large
to allow us to thank them individually. However, a sincere word of
appreciation goes to Dr. Sarmita Guha Roy for helping us immensely
in data collection. We owe a lot to Prof. Amitava Sarkar, IISWBM,
Kolkata: Prof. Anjan Chakrabarti, University of Calcutta; Prof. Bivas
Chaudhury, All India Institute of Hygiene & Public Health; and Prof.
Gaurav Manohar Marathe, IIM Ranchi. While it is our pleasure to
appreciate the suggestions of the anonymous referees, the usual dis-
claimer remains.

Kolkata, India Dr. Gagari Chakrabarti


Dr. Tapas Chatterjea
Contents

1 Prologue 1

2 Intelligence? … Emotions? … or, the Emotional


Intelligence: Theories and Evidence in Global Context 11

3 Indicators of Emotional Intelligence: Determinants


and Interconnections 51

4 Benefit to an Organization: Intrinsic Skills


and (Or?) Psycho-social Factors 221

Author Index 291

Subject Index 295

xi
List of Graphs

Graph 3.1 Classification of respondents according to gender 62


Graph 3.2 Classification of respondents according
to monthly income 63
Graph 3.3 Classification of respondents according to age in years 64
Graph 3.4 Classification of respondents according to occupation 64
Graph 3.5 Classification of respondents according to education 65
Graph 3.6 percentage of respondents excelling in terms
of EI indicators 75
Graph 3.7 Predicted probability of having above average
self regulation 90
Graph 3.8 Predicted probability of having above-average
skills in terms of self regulation with change
in efficiency in emotional intelligence dimension 92
Graph 3.9 Predicted probability of showing high trustworthiness
(across age, income, gender, occupation and education) 95
Graph 3.10 Predicted probabilities of having high
trustworthiness for levels of other EI items (across EQ) 96
Graph 3.11 Predicted probabilities of having high trustworthiness
for different levels of age, gender, income,
occupation and education 97

xiii
xiv   List of Graphs

Graph 3.12 Predicted probability of having above-average


trustworthiness against EQ 98
Graph 3.13 Trustworthiness, service-orientation, and predicted
probability of having high conscientiousness
at different levels of EQ 100
Graph 3.14 Trustworthiness, service-orientation and predicted
probability of having high conscientiousness
(across age, income, gender, occupation and education) 101
Graph 3.15 Predicted probabilities of having high
conscientiousness for different levels of age,
gender, income, occupation and education 102
Graph 3.16 Predicted probability of having high
conscientiousness at different values of EQ 103
Graph 3.17 Emotional awareness, self confidence, conflict
management and high self control (across EQ) 104
Graph 3.18 Emotional awareness, self confidence, conflict
management and high self control
(across age, gender, income, occupation, education) 105
Graph 3.19 Predicted probability of attaining above-average self
control (across age, gender, income, occupation,
education) 106
Graph 3.20 Probability of obtaining above average self control
across EQ 106
Graph 3.21 Predicted probability of having above-average
adaptability given ability to act as change catalyst
(across EQ) 108
Graph 3.22 Predicted probability of showing high
adaptability with enhanced skills as change catalyst 108
Graph 3.23 Predicted probability of attaining above-average
adaptability (across age, gender, income,
occupation, education) 110
Graph 3.24 Predicted probability of having high adaptability
across EQ 110
Graph 3.25 Predicted probability of having high innovativeness
at all levels of EQ for different levels of selected EI items 112
Graph 3.26 Marginal effects on predicted probability of showing
above-average innovativeness (across age, income,
gender, occupation and education) 113
List of Graphs   xv

Graph 3.27 Predicted probability of attaining above-average


innovativeness (across age, gender, income,
occupation, education) 113
Graph 3.28 Probability of having above-average innovativeness
across EQ 114
Graph 3.29 Predicted probability of having above-average
self awareness against EQ 120
Graph 3.30 Predicted probability of showing high self awareness
with improvement in self regulation and EQ 120
Graph 3.31 Marginal effect of other EI items on predicted
probability of showing high self awareness 122
Graph 3.32 Predicted probabilities of having high emotional
awareness (across age, gender, income, occupation
and education) 123
Graph 3.33 Predicted probability of having strong emotional
awareness against EQ 124
Graph 3.34 Marginal effects on predicted probability
of above-average accurate self assessment
(across gender, age, income, education and occupation) 125
Graph 3.35 Marginal effects on predicted probability
of high accurate self assessment (across EQ) 125
Graph 3.36 Predicted probability of attaining above-average
accurate self assessment (across age, gender,
income, occupation, education) 126
Graph 3.37 Predicted probability of having above-average
accurate self assessment against EQ 127
Graph 3.38 Marginal effects on predicted probability
of above-average self confidence (across gender,
age, income, education and occupation) 128
Graph 3.39 Marginal effects on predicted probability
of above-average self confidence (across EQ) 128
Graph 3.40 Predicted probability of attaining above-average
self confidence (across age, gender, income,
occupation, education) 130
Graph 3.41 Predicted probability of showing high
self confidence against EQ 130
Graph 3.42 Predicted probability of having above average
self motivation 135
xvi   List of Graphs

Graph 3.43 Improvement in predicted probability of showing


strong self motivation with change in EQ 137
Graph 3.44 Innovativeness, commitment, EQ and probability
of high achievement drive (across gender, age,
income, occupation and education) 139
Graph 3.45 Predicted probabilities of having high achievement
drive for different levels of other EI items (across EQ) 140
Graph 3.46 Predicted probabilities of having high achievement
drive for different levels of age, gender, income,
occupation and education 141
Graph 3.47 Predicted probability of having above-average
achievement drive against EQ 141
Graph 3.48 Achievement drive, leadership and predicted probability
of having high commitment at different levels of EQ 143
Graph 3.49 Achievement drive, leadership and predicted
probability of having high commitment (across
age, income, ender, occupation and education) 144
Graph 3.50 Predicted probabilities of having high commitment
(across age, gender, income, occupation and education) 144
Graph 3.51 Predicted probability of having high commitment
across EQ 145
Graph 3.52 Optimism, commitment and high initiative (across EQ) 147
Graph 3.53 Optimism, commitment and high initiative
(across age, gender, income, occupation and education) 147
Graph 3.54 Predicted probability of exhibiting above-average initiative
(across age, gender, income, occupation, education) 148
Graph 3.55 Probability of showing strong initiative (across EQ) 149
Graph 3.56 Initiative, empathy and predicted probability
of showing high optimism (across EQ) 150
Graph 3.57 Predicted probability of high optimism with
enhanced skills in empathy and initiative
(across age, gender, occupation, education, income) 150
Graph 3.58 Predicted probability of showing above-average
optimism (across age, gender, income,
occupation, education) 151
Graph 3.59 Predicted probability of having above-average
optimism across EQ 152
Graph 3.60 Predicted probability of having above average
social awareness 157
List of Graphs   xvii

Graph 3.61 Improvement in predicted probability of having


above-average social awareness with change in EQ 159
Graph 3.62 Optimism, conscientiousness, service orientation
and high empathy (across EQ) 162
Graph 3.63 Optimism, conscientiousness, service orientation
and high empathy (across age, gender, income,
occupation and education) 163
Graph 3.64 Predicted probability of exhibiting above-average empathy
(across age, gender, income, occupation, education) 163
Graph 3.65 Probability of obtaining above average empathy
across EQ 164
Graph 3.66 Initiative, emotional awareness, trustworthiness,
empathy, developing others and high service orientation
(across EQ) 166
Graph 3.67 Initiative, emotional awareness, trustworthiness,
empathy, developing others and high service orientation
(across age, gender, income, occupation and education) 167
Graph 3.68 Predicted probability of exhibiting above-average
service orientation (across age, gender, income,
occupation, education) 167
Graph 3.69 Probability of showing strong service orientation
across EQ 168
Graph 3.70 Relevant EI competences affecting skills
of developing others (across EQ) 170
Graph 3.71 Relevant EI competences and skills in developing
others (across age, gender, income, occupation
and education 170
Graph 3.72 Predicted probability of exhibiting strong skills
in developing others (across age, gender, income,
occupation, education) 171
Graph 3.73 Probability of demonstrating skills in developing
others across EQ 172
Graph 3.74 Relevant EI competences affecting skills in leveraging
diversity (across EQ) 173
Graph 3.75 Relevant EI competences and skills in leveraging
diversity (across age, gender, income, occupation
and education) 174
xviii   List of Graphs

Graph 3.76 Predicted probability of exhibiting competence


in leveraging diversity (across age, gender, income,
occupation, education) 175
Graph 3.77 Probability of demonstrating skills in leveraging
diversity across EQ 175
Graph 3.78 Relevant EI competences affecting skills in political
awareness (across EQ) 177
Graph 3.79 Relevant EI competences and skills in political awareness
(across age, gender, income, occupation and education) 177
Graph 3.80 Predicted probability of exhibiting competence
in political awareness (across age, gender, income,
occupation, education) 178
Graph 3.81 Probability of demonstrating skills in political
awareness across EQ 178
Graph 3.82 Predicted probability of having above average social skill 184
Graph 3.83 Improvement in predicted probability
of showing strong social skill with change in EQ 186
Graph 3.84 Relevant EI competences affecting skills
in influencing others (across EQ) 190
Graph 3.85 Relevant EI competences and skills
in influencing others (across age, gender, income,
occupation and education) 191
Graph 3.86 Predicted probability of exhibiting competence
in influencing others (across age, gender, income,
occupation, education) 191
Graph 3.87 Probability of demonstrating skills in influencing
others across EQ 192
Graph 3.88 Relevant EI competences affecting skills
in communication (across EQ) 193
Graph 3.89 Leadership and skills in communication (across age,
gender, income, occupation and education) 194
Graph 3.90 Predicted probability of exhibiting competence
in communication (across age, gender, income,
occupation, education) 194
Graph 3.91 Probability of demonstrating skills in communication
across EQ 195
List of Graphs   xix

Graph 3.92 Relevant EI competences affecting skills in leadership


(across EQ) 197
Graph 3.93 Leadership and relevant EI dimensions (across age,
gender, income, occupation and education) 197
Graph 3.94 Predicted probability of exhibiting competence
in leadership (across age, gender, income,
occupation, education) 198
Graph 3.95 Probability of demonstrating skills in leadership
across EQ 198
Graph 3.96 Relevant EI competences affecting skills
in building bonds (across EQ) 200
Graph 3.97 Skills in building bonds and relevant EI dimensions
(across age, gender, income, occupation and education) 200
Graph 3.98 Predicted probability of exhibiting competence
in building bonds (across age, gender, income,
occupation, education) 201
Graph 3.99 Probability of demonstrating skills in building
bonds across EQ 202
Graph 3.100 Relevant EI competences affecting skills in cooperation
(across EQ) 203
Graph 3.101 Skills in cooperation and relevant EI dimensions
(across age, gender, income, occupation and education) 204
Graph 3.102 Predicted probability of exhibiting competence
in cooperation (across age, gender, income,
occupation, education) 204
Graph 3.103 Probability of demonstrating skills in cooperation
across EQ 205
Graph 3.104 Relevant EI competences affecting skills
in conflict management (across EQ) 207
Graph 3.105 Skills in conflict management and relevant
EI dimensions (across age, gender, income,
occupation and education) 207
Graph 3.106 Predicted probability of exhibiting competence
in conflict management (across age, gender,
income, occupation, education) 208
Graph 3.107 Probability of demonstrating skills in conflict
management across EQ 208
xx   List of Graphs

Graph 3.108 Relevant EI competences affecting team capabilities


(across EQ) 210
Graph 3.109 Skills in team capabilities and relevant EI dimensions
(across age, gender, income, occupation and education) 210
Graph 3.110 Predicted probability of exhibiting strong team
capabilities (across age, gender, income, occupation,
education) 211
Graph 3.111 Probability of demonstrating skills in team
capabilities across EQ 211
Graph 3.112 Relevant EI competences affecting skills
to act as change catalyst (across EQ) 213
Graph 3.113 Skills in acting as change catalyst and relevant
EI dimensions (across age, gender, income,
occupation and education) 213
Graph 3.114 Predicted probability of acting as change catalyst
(across age, gender, income, occupation, education) 214
Graph 3.115 Probability of demonstrating skills in acting
as change catalyst across EQ 214
Graph 4.1 Bidirectional relationship among skills in terms
of EI indicators 225
Graph 4.2 Unidirectional relationship among skills in terms
of EI indicators 226
Graph 4.3 Differences in skills in terms of EI indicators
(across Education Category) 227
Graph 4.4 Differences in skills in terms of EI indicators
(across income brackets) 228
Graph 4.5 Differences in skills in terms of EI indicators
(across age groups) 229
Graph 4.6 Differences in skills in terms of EI indicators
(across occupation types) 230
Graph 4.7 Differences in skills in terms of EI indicators
(across gender) 231
Graph 4.8 Increase in predicted probability of showing improved
performance with an improvement in intrinsic skill
(across age, gender, income, education, occupation) 249
Graph 4.9 Increase in predicted probability of showing improved
performance with an improvement in EQ 250
List of Graphs   xxi

Graph 4.10 Increase in predicted probability of showing


improved performance with an improvement in EQ
(across age, gender, income, education, occupation) 250
Graph 4.11 Increase in predicted probability of showing ability
to manage situation with an improvement in intrinsic
skill (across age, gender, income, education, occupation) 253
Graph 4.12 Increase in predicted probability of showing
improved performance with an improvement in EQ 254
Graph 4.13 Increase in predicted probability of showing skills
in managing situation with an improvement in EQ
(across age, gender, income, education, occupation) 254
Graph 4.14 Increase in predicted probability of showing skills
in teamwork with an improvement in intrinsic skill
(across age, gender, income, education, occupation) 256
Graph 4.15 Increase in predicted probability of showing skills
in teamwork with an improvement in psycho-social
skill (across age, gender, income, education, occupation) 257
Graph 4.16 Increase in predicted probability of showing higher
teamwork with an improvement in EQ 258
Graph 4.17 Increase in predicted probability of showing skills
in teamwork with an improvement in EQ
(across age, gender, income, education, occupation) 258
Graph 4.18 Increase in predicted probability of showing skills
in leadership with an improvement in Intrinsic Skills
(across age, gender, income, education, occupation) 260
Graph 4.19 Increase in predicted probability of showing skills
in leadership with an improvement in Psycho-social
Skills (across age, gender, income, education,
occupation) 261
Graph 4.20 Increase in predicted probability of showing
higher quality leadership with an improvement in EQ 261
Graph 4.21 Increase in predicted probability of showing skills
in leadership with an improvement in EQ
(across age, gender, income, education, occupation) 262
Graph 4.22 Increase in predicted probability of showing
skills in shaping the future with an improvement
in Intrinsic Skills (across age, gender, income,
education, occupation) 264
xxii   List of Graphs

Graph 4.23 Increase in predicted probability of showing skills


in shaping the future with an improvement in
Psycho-social Skills (across age, gender, income,
education, occupation) 264
Graph 4.24 Increase in predicted probability of showing higher
leadership with an improvement in EQ 265
Graph 4.25 Increase in predicted probability of showing skills
in shaping the future with an improvement in EQ
(across age, gender, income, education, occupation) 265
Graph 4.26 External factors and predicted probabilities
of exhibiting strong commitment and stronger ethics
given commitment 276
Graph 4.27 Predicted probabilities of exhibiting strong commitment
and stronger ethics given commitment (across age,
gender, income, education, occupation) 277
Graph 4.28 External factors and % improvement in predicted
probabilities of exhibiting strong commitment
(across age) 278
Graph 4.29 External factors and % improvement in predicted
probabilities of exhibiting better ethics given strong
commitment (across age) 278
Graph 4.30 External factors and % improvement in predicted
probabilities of exhibiting strong commitment
(across income) 279
Graph 4.31 External factors and % improvement in predicted
probabilities of exhibiting better ethics given strong
commitment (across income) 279
Graph 4.32 External factors and % improvement in predicted
probabilities of exhibiting strong commitment
(across gender, occupation, education) 280
Graph 4.33 External factors and % improvement in predicted
probabilities of exhibiting better ethics given strong
commitment (across gender, occupation, education) 280
List of Tables

Table 3.1 Detailed educational structure 65


Table 3.2 Cross tabulation involving age and gender 66
Table 3.3 Cross tabulation involving gender and income 67
Table 3.4 Cross tabulation involving gender and occupation 67
Table 3.5 Cross tabulation of data involving gender and education 68
Table 3.6 Cross tabulation of data involving income and age-group 68
Table 3.7 Cross tabulation of data involving income
and education levels 69
Table 3.8 Cross tabulation of data involving income
and occupation structure 69
Table 3.9 Cross tabulation of data involving age
and occupation structure 70
Table 3.10 Cross tabulation of data involving education
and occupation structure 70
Table 3.11 Cross tabulation of data involving age and education 70
Table 3.12 Reliability analysis for EI items and scale 73
Table 3.13 Percentage of respondents excelling in terms
of EI indicators (in details) 76
Table 3.14 Spearman’s rank correlation among variables
in the original data set 79

xxiii
xxiv   List of Tables

Table 3.15 Spearman’s rank correlation coefficient among


EI dimensions and EQ index 80
Table 3.16 Proficiency in terms of self regulation
(across age, gender, income, occupation, education) 81
Table 3.17 Cross tabulation among self regulation,
other EI dimensions and the EQ index 83
Table 3.18 Rank correlation among self regulation,
its constituents and other EI dimensions 84
Table 3.19 Tetrachoric correlation coefficient: self regulation
and EI items under it 93
Table 3.20 Predicted probability of showing above-average
conscientiousness with improvement in chosen EI items 99
Table 3.21 Predicted probability of showing above-average
conscientiousness with improvement in chosen EI items 104
Table 3.22 Predicted probability of showing above-average
adaptability with improvement in chosen EI items 107
Table 3.23 Predicted probability of showing above-average
innovativeness with improvement in chosen EI items 111
Table 3.24 Self-awareness across age, income, gender,
occupation and education 116
Table 3.25 Cross tabulation among self-awareness,
other EI dimensions and the EQ index 118
Table 3.26 Rank correlation among self awareness,
its constituents and other EI dimensions 119
Table 3.27 Predicted probability of showing strong
self assessment with improvement in chosen EI items 124
Table 3.28 Predicted probability of showing strong self
confidence with improvement in chosen EI items 127
Table 3.29 Self Motivation across age, income, gender,
occupation and education 131
Table 3.30 Cross tabulation among self motivation,
other EI dimensions and the EQ index 132
Table 3.31 Rank correlation among self motivation,
its constituents and other EI dimensions 133
Table 3.32 Tetrachoric correlation coefficient:
self motivation and EI items under it 138
Table 3.33 Predicted probability of showing above-average
achievement drive with improvement in relevant EI items 139
List of Tables   xxv

Table 3.34 Predicted probability of showing above-average


commitment with improvement in chosen EI items 142
Table 3.35 Predicted probability of showing above-average
initiative with improvement in chosen EI items 146
Table 3.36 Predicted probability of showing above-average
optimism with improvement in chosen EI items 149
Table 3.37 Social awareness across age, income, gender,
occupation and education 154
Table 3.38 Cross tabulation among social awareness,
other EI dimensions and the EQ index 155
Table 3.39 Rank correlation among social awareness,
its constituents and other EI dimensions 156
Table 3.40 Tetrachoric correlation coefficient:
social awareness and EI items under it 160
Table 3.41 Predicted probability of showing strong empathy
with improvement in chosen EI items 161
Table 3.42 Predicted probability of showing above-average
service orientation with improvement in chosen EI items 165
Table 3.43 Predicted probability of showing above-average
skills in developing others with improvement
in chosen EI items 169
Table 3.44 Predicted probability of showing above-average
skills in leveraging diversity with improvement
in chosen EI items 173
Table 3.45 Predicted probability of showing above-average
skills in political awareness with improvement
in chosen EI items 176
Table 3.46 Social skill across age, income, gender, occupation
and education 181
Table 3.47 Cross tabulation among social skill,
other EI dimensions and the EQ index 182
Table 3.48 Rank correlation among social skill,
its constituents and other EI dimensions 183
Table 3.49 Tetrachoric correlation coefficient: social awareness
and EI items under it 188
Table 3.50 Predicted probability of showing above-average
skills of influencing others with improvement
in chosen EI items 189
xxvi   List of Tables

Table 3.51 Predicted probability of showing above-average skills


of communication with improvement in chosen EI items 193
Table 3.52 Predicted probability of showing above-average skills
of leadership with improvement in chosen EI items 196
Table 3.53 Predicted probability of showing above-average skills
in building bonds with improvement in chosen EI items 199
Table 3.54 Predicted probability of showing above-average skills
in cooperation with improvement in chosen EI items 202
Table 3.55 Predicted probability of showing above-average skills
n managing conflict with improvement in chosen
EI items 206
Table 3.56 Predicted probability of showing above-average skills
in team capabilities with improvement in chosen EI items 209
Table 3.57 Predicted probability of showing above-average skills to
act as change catalyst with improvement in chosen
EI items 212
Table 4.1 Reliability analysis for the constructed indexes 243
Table 4.2 Tetrachoric correlation coefficients obtained
for outcome indexes 244
Table 4.3 Improvement in predicted probability of showing skills
in outcome index following improvement in skills
in terms of others 245
Table 4.4 Tetrachoric correlation obtained from estimations related
to improved performance index 247
Table 4.5 Tetrachoric correlation obtained from estimations related
to situation management index 251
Table 4.6 Tetrachoric correlation obtained from estimations related
to index of teamwork 255
Table 4.7 Tetrachoric correlation obtained from estimations related
to index of leadership 259
Table 4.8 Tetrachoric correlation obtained from estimations related
to index of shaping the future 263
Table 4.9 Summary of estimation results involving intrinsic skill,
psycho-social skill, EQ and outcome indexes 267
Table 4.10 Summary of estimation results involving intrinsic skill,
psycho-social skill, EQ and outcome indexes (across age,
gender, income, occupation and education groups) 268
List of Tables   xxvii

Table 4.11 Predicted probability of showing above-average proficiency


in outcome indexes following change in combination
of intrinsic and psycho-social skill 270
Table 4.12 External factors affecting commitment
(responses by all respondents) 275
1
Prologue

“Life is indeed colourful. We can feel in the pink one day, with our bank balances
comfortably in the black, and the grass seemingly no greener on the other side of the
fence. Then out of the blue, something tiresome happens that makes us see red, turn
ashen white, even purple with rage. Maybe controlling our varying emotions is just
‘colour managemen’ by another name.”
—Alex Morritt, Impromptu Scribe

Abstract As a preamble to the issue of employees’ emotional


intelligence and its manifestation and significance for organiza-
­
tional benefits and productivity, this chapter introduces the concept
of Emotional Intelligence, as it has been conceived since the days in
ancient Greece. It segregates Emotional Intelligence from pure cogni-
tive intelligence or from disruptive emotions and introduces the term
as a perfect blend between cognitive and non-cognitive excellences. It
initiates a portrayal of the journey of Emotional Intelligence from being
described as a highly obfuscated term to gain appreciation as a member
of the class of intelligences including the social, practical, and personal
intelligences. The chapter then depicts the trajectory of the study by
introducing the research questions.

© The Author(s) 2018 1


G. Chakrabarti and T. Chatterjea, Employees’ Emotional Intelligence, Motivation &
Productivity, and Organizational Excellence, DOI 10.1007/978-981-10-5759-5_1
2   G. Chakrabarti and T. Chatterjea

Keywords Emotional intelligence · Cognitive and Non-cognitive


excellence · Hot intelligences · Affect · Motivation

The 1997 classic paper by J.D. Mayer and P. Salovey on “What is


Emotional Intelligence” started by recapitulating the real-world story
of a little boy in his fourth grade who was found quivering in the
school playground, by his teacher. Realizing that the poor boy could
not actually afford to grant himself any warmer garment to combat
the chilly winter, his teacher and the school-nurse decided to offer him
one. Accordingly, they dropped in his place and the delighted mother
outfitted the boy next morning for his school. Incidentally, two of
his classmates, finding the boy in his new attire accused him of steal-
ing it with such malevolence that no other child dared to defend the
boy. Intervention by the concerned teacher and the nurse did not help
much; one of the two boys abused the nurse and she retaliated equally
harshly. Thus, the story of the kid that started with the goodness of a
caring teacher did not end up with that tenderness. The class teacher
was dumbfound to find her boys misbehaving; the school-nurse was
penitent that she had retaliated; and the concerned teacher was upset
to find her affection for the poor boy to have caused such agony to him.
As pointed out by Mayer and Salovey (1997), reasoning about such sit-
uations and taking measures to restrict those to crop-up further, require
a deliberate interaction between the heart and the brain. The school
administrators might put a ban on teachers to give gifts to their students
but such a ‘feeling-blind’ response would rule out emotions from deci-
sions, discourage being tender, and would embarrass those who receive
affection. Dealing with such situations must involve a perfect blending
of reasoning with emotions: the heart must have its brain and the brain
should have a heart. Such a blend between emotion and intellect coins a
novel term: Emotional Intelligence.
In ancient world of thinking, while Greece put reasoning on top of
emotions, European Sentimentalist Movement recognized and empha-
sized the presence of intrinsic, emotional knowledge. The Emotional
Movement emphasized the ‘emotional expression of arts’. The definition
of intelligence in fact differs across nations and some of them refuse to
1 Prologue    
3

accept the notion of intelligence as all about the speed of mental pro-
cessing (Berry 1984; Sternberg and Kaufman 1998; Sternberg et al.
1981). Even the Western theorists, who took intelligence to be strongly
cognitive, could not deny the importance of depth along with the speed
of mental processing in making the learning process complete and effec-
tive (Craik and Lockhart 1972). The oriental conception of intelligence
added non-cognitive flavours to the concept of intelligence ever since
the days of Confucius (Yang and Sternberg 1997a). Unlike traditional
western conception of the notion, they emphasized freedom from con-
ventional line of thinking and a complete understanding of true self and
surroundings as integral part of one’s learning process: a notion simi-
lar to what later came to be known as Emotional Intelligence. Even the
present-day Taiwanese philosophy of intelligence encompasses inter
and intrapersonal intelligences, intellectual self assertion and self efface-
ment along with the traditional notion of cognitive intelligence (Yang
and Sternberg 1997b). Chen and Chen (1988) found similar results
for the Chinese economy. The Buddhist and the Hindu philosophers
have always blended emotional aspects with the traditional concepts of
intellect (Das 1994). A large body of literature has grown to converse
about the notion of intelligence in the African countries where intel-
ligence includes the ability to foster congruent inter and intra-group
relationships (Ruzgis and Grigorenko 1994). In countries like Zambia,
Zimbabwe and Kenya intellect is conceived to include social respon-
sibility and other favourable humane and positive emotional traits
(Serpell 1974; Super and Harkness 1986; Dasen 1984). Despite of the
presence of some degree of dissimilarity across the tribes, their notion
of intelligence incorporates some social aspects in one sense or other
(Wober 1974; Harkness and Super 1983; Putnam and Kilbride 1980;
Durojaiye 1993).
Ever since the eighteenth century, psychologists considered three
separate segments of human mind (Hilgard 1980). The first sphere of
cognitive excellence is concerned with the human-intellect; that is, with
the skills to recognize, distinguish, memorize, analyze and to think logi-
cally. The second sphere considers affect that includes emotions, moods,
humane feelings and considerations. The third aspect or motivation
refers to the natural or acquired human desire to pursue a definite goal.
4   G. Chakrabarti and T. Chatterjea

In traditional line of thinking passions and reckoning were considered


to be antithetical. Waves of emotions were apprehended to lead to mud-
dled ideas, confused thoughts and irrational reactions. Traditional psy-
chology textbooks used to describe emotions as ‘disorganized responses’,
‘sheer disturbances’ or ‘a state of complete loss of rational or analytical
control’. Recent literature however deems emotions to have strength-
ened cerebral control and facilitated analytical thinking. This is specifi-
cally the area where the concept of Emotional Intelligence intervenes to
act as a bridge between the cognitive and the non-cognitive aspect of
human behaviour. A readily comprehensible definition of Emotional
Intelligence may be found in Mayer and Salovey (1997) who describe it
as the “ability to perceive emotions, to access and generate emotions so
as to assist thought, to understand emotions and emotional knowledge,
and to reflectively regulate emotions so as to promote emotional and
intellectual growth”.
With the opening up of new avenues, few considered the term
Emotional Intelligence to be a highly obfuscated one and alleged it to
have a tendency to overestimate the role of some human traits that
may be appreciable but is far from to be qualified as ‘intelligence’.
Matthew et al. (2002) considered Emotional Intelligence to be ‘more
myth than science’ while Hedlund and Sternberg (2000) raised doubt
about the possibility of having more than one type of intelligence.
Mayer and Salovey (1997) however opposed by emphasizing the pres-
ence of a mental skill that could be distinguished from ‘preferred ways
of behaving’ or ‘humane traits’ and may indeed be termed as ‘intelli-
gence’. They, along with Mayer and Mitchell (1998) viewed Emotional
Intelligence “as a member of class of intelligences including the social,
practical, and personal intelligences that we have come to call the hot
intelligences”.
This line of thought was subsequently enriched by the development
of models to establish Emotional Intelligence as a separate branch
of intelligence that may be acquired rather than being innate; and to
quantify it. The majority of such models, in their attempts to describe,
define and conceptualize Emotional Intelligence have incorporated
components such as the capability to recognize, comprehend and artic-
ulate emotions; the ability to appreciate and respect others’ feelings; the
Another random document with
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Cerebral symptoms arising in the course of ulcerative endocarditis
might be referred, with a high degree of probability, to an embolus,
but if they were distinct enough to be referred to a localized lesion,
the probability of a single embolus would be much greater than that
of a multitude of capillary ones occluding the same vascular territory.
The diagnosis of pigment embolism might be a probable, or at any
rate a possible, one if in a long-continued case of paludal fever,
where the liver and spleen were enlarged and the skin had the slaty
hue marking the deposit of pigment, there were decisive cerebral
symptoms. It could not, however, be a positive one.

Fatty embolism might be suspected in a case of diabetic coma,


though even if the condition were found it would not establish the
relation of causation.

PROGNOSIS AND TREATMENT can hardly have a definite basis in the


absence of all ground for a satisfactory diagnosis, but do not differ
essentially from those of the larger occlusions.

Thrombosis of the Cerebral Veins and Sinuses.

It has for centuries been known that coagulation of the blood might
take place in the sinuses in a way different from the ordinary post-
mortem clots, but this was looked upon rather as an anatomical
curiosity than as a fact of practical importance and clinical
significance, and it is chiefly among observers of the present century
that we find a growing knowledge of the conditions under which it
occurs and the symptoms to which it gives rise.

Thrombi in the cerebral sinuses are not essentially different from


those formed elsewhere, and the reader is referred to the account
given in the article on General Pathology for a history of their
formation, growth, appearances, and transformations. For our
purposes it is sufficient to recall that they may be white, red, or
striated, either partly or wholly obstructing, and that they may
become degenerated and partly or wholly washed away. The most
important distinction of all, however, is that into two classes, of which
the first consists of those which are simply depositions of fibrin in a
comparatively healthy vessel, and the second of those which are
dependent on a phlebitis.

In order that a thrombus may form it is necessary that there should


be, in the first place, a special condition of the walls of the veins—not
necessarily, however, inflammation, though this is one of the most
frequent and probably the most active form; second, a slackening of
the blood-current; and, third, perhaps a peculiar state of the blood,
though this latter is not certain. A thrombus tends strongly to grow,
and when already formed furnishes a most favorable point for the
deposition of more fibrin.

The cerebral veins furnish a very suitable place for the coagulation of
the blood for several reasons: they are roomy in proportion to the
amount of blood they carry; they are tortuous and abundantly
anastomosing, so that the current of blood is almost reversed at
some points, and can easily stagnate; the veins of the diploë are
held open by their bony walls, and the sinuses by their stiff
membranous ones, so that they cannot collapse and thus limit the
extension of a thrombus once formed.

The sinuses most frequently affected, though none are free from the
liability, are the cavernous, superior longitudinal, and lateral.

The results of thrombosis of the sinuses and veins are not equivalent
to those of a similar process in the arteries, and they may be said in
a general way to be more diffused, as might be expected from the
much greater freedom of anastomosis. Limited softening is rarely a
consequence of occlusion even of a considerable number of veins,
but it has been observed. A large area of softening of one
hemisphere, not involving the temporal and occipital lobes, has been
seen with thrombosis of the parietal veins58 (the internal capsule and
ganglia were not affected).
58 Gaz. des Hôp., 1880, 1066.
Passive congestion in the brain, as elsewhere, although apparently
entirely incompatible with the normal function, seems to be able to
sustain a low form of structural integrity.

Bleeding may take place from the congested veins behind the
obstruction, constituting a distinct form of cerebral hemorrhage which
does not depend upon an arteritis, although if miliary aneurisms
were present the occurrence of thrombosis would undoubtedly tend
to their rupture. The writer, however, is not aware of such a
coincidence having been actually observed. Hemorrhages are
usually diffuse, composed of or accompanied by a number of small
effusions, and situated on or near the surface of the brain or
distinctly meningeal. Punctiform hemorrhages are exceedingly
common.

Phlebitis of the cerebral veins is very likely to run into meningitis, and
the two affections are often so closely united that it is difficult to say
which was the first. Œdema is a consequence of venous obstruction
in the brain as well as elsewhere, and is seen also around some of
the peripheral veins connected with the sinuses.

ETIOLOGY.—Venous thrombosis in the brain depends chiefly on three


sets of causes, though it must be admitted that there are a few cases
where the origin cannot be distinctly traced and where no previous
disease has existed. In the marantic form, occurring chiefly in the
very old and in children, as well as in cases of wasting and
depressing diseases in adults, a simple thrombosis without
inflammation takes place. Two conditions, and sometimes three, are
combined here to produce the result—feebleness of the blood-
current from a corresponding state of the heart, diseased
endothelium of the vessels from defective nutrition, and possibly,
where profuse watery discharges have been going on for some time,
an increased tendency to coagulation from the inspissation of the
blood.

Rilliet and Barthez and Von Dusch59 give the following tables of ages
at which this form of thrombosis has been observed. The
observations of the former were made in a children's hospital, and
hence do not affect the question of its frequency in later life. Perhaps
the rules of admission may account for the absence of cases under
one year of age, of which Von Dusch collected several:

Rilliet
Von Dusch.
and Barthez.
Under 1 year ... 5
2 years 2 1
4 years 4 1
5 years 1 1
6 years 1
7 years 1
9 years 2
10 years 1
11 years 1
12 years ... 1
14 years ... 1
Adults (20, 23, unknown) ... 3
53 years ... 1
Aged women ... 2

59 Sydenham Society's translation.

The special diseases in which thrombosis is most likely to be met


with are given by Bouchut as follows. The same remark is to be
made about these as about those of Rilliet and Barthez. The table is
given as convulsions from thrombosis of sinuses:60

Chronic enteritis 5
Measles and catarrhal pneumonia 2
Chronic pneumonia 5
Phthisis 8
Anasarca without albuminuria 1
Chronic albuminuria 2
Whooping cough and pneumonia 7
Scrofula, tubercle of bones, etc. 1
Gangrene of mouth 1
Diphtheritis 2

Von Dusch gives a number of cases of the same kind, as do many


subsequent writers, but without tabulation. Virchow61 reports a case
of congenital variola with thrombosis of the sinuses of the dura
mater, the superior and inferior cava, and vessels of the cord.
60 Gazette des Hôpitaux, 1879.

61 Arch., 1859, 367.

It is probable that simple anæmia may, here as elsewhere, either


alone or with other debilitating influences, lead to thrombosis. Von
Dusch remarks that quickly operating and debilitating influences lead
to thrombosis, and gives as an instance a case where a puerperal
peritonitis, for the cure (?) of which repeated copious abstractions of
blood were made during nine days, was supposed to be the cause.
The puerperal condition seems to have a tendency in this direction in
a way not always to be explained by the ordinary rules of the
transmission of emboli or of phlebitis. Although in those reported by
Ducrest62 phlebitis of the pelvic veins existed or was suspected, in
the first of these five cases the lesion may have been, so far as the
description goes, arterial instead of venous thrombosis; and in the
second it is possible that the succession of events was uterine
phlebitis (with the addition of a large sacral slough), lobular
pneumonia surrounded and traversed by veins which were affected
with phlebitis, emboli in the arteries of the cortex, and consequent
venous thrombosis. In the third, fourth, and fifth the connection
between the uterine phlebitis and the inflammation of the cerebral
veins (in two cases meningitis) cannot easily be made out, except by
the rather vague assumption of a general tendency to phlebitis,
which was shown in one by a similar condition in the vein of the arm
where the patient was bled. Empyema has been followed by
hemiplegia, cerebral softening, and thrombosis of the lateral sinus.
The venous thrombosis in such a case may be secondary.
62 Archives générales, 1847, p. 1.

Marantic thromboses are more likely to occur upon one side, and
that the side upon which the patient habitually lies.

The second class of cases embraces those where a simple


obstruction, partial or complete, of the current of the blood gives the
starting-point for a thrombus in the veins. Such an obstruction may
be formed by an embolus, but in the veins this cannot be considered
an important factor, although a portion of a thrombus may be
detached and become lodged in a narrower vessel or branch farther
along. In this way the propagation of thrombosis for a short distance
toward the heart may be accounted for.

A tumor or inflammatory exudation may press upon a vein or intrude


into it, but most cases of obstruction-thrombosis are traumatic in
origin. Thromboses arising in connection with tubercular meningitis
may be looked upon as having both an obstructive and marantic
cause. In many wounds of the vertex, gunshot and other, the walls of
the superior longitudinal sinus are pressed upon by pieces of bone,
and sometimes spiculæ have directly penetrated it. This class of
injuries is also likely to cause phlebitis without any actual penetration
or compression of the sinus, simply as a result of the inflammation of
tissues in the neighborhood. The thrombi formed in these cases are
not necessarily completely occluding. Where direct injury to the sinus
or in its immediate neighborhood gives rise to phlebitis and
consequent thrombosis, we have a condition closely resembling that
of the third class, where disease of an inflammatory character in the
tissues of the skull, neck, or face sets up a phlebitis and thrombosis
which are transmitted to the intracranial veins and sinuses.

The most frequent source of this third form of inflammatory


thrombosis is the chronic inflammation of the middle ear with the
mastoid cells. The inflammation may be propagated through a
carious or necrosed portion of the temporal bone to the petrosal and
lateral sinuses, or may, without disease of the bone, be carried by
the small veins which open into the sinuses from the petrous and
mastoid portion of the temporal in this region. Abscesses in the neck
may set up a phlebitis extending up the jugular to the lateral sinuses,
to which a meningitis may possibly be added.

Carbuncles about the root of the nose, face, and so far down as the
upper lip are very prone to give rise to thrombosis propagated
through the ophthalmic vein to the cavernous sinus; and it is
probably this risk which gives to carbuncles in this situation their
well-known peculiar gravity. The divide or watershed between the
regions which drain backward through the cranium and those which
are connected with the facial vein below is apparently situated about
the level of the mouth, so that a carbuncle of the lower lip is much
less dangerous. Billroth, however, gives a case where a carbuncle in
this situation was followed rapidly by cerebral symptoms and death,
and where a thrombo-phlebitis was not improbable. He mentions
another case where a carbuncle upon the side of the head set up an
inflammation which travelled along a vein into the cellular tissue of
the orbit, and thence through the optic foramen and superior orbital
fissure into the skull.

Erysipelas of the scalp apparently causes phlebitis in some cases,


and even eczema in the same situation seems to have done so.
When the erysipelas is situated about the upper part of the face, the
path of transmission is through the ophthalmic vein; but when upon
the vertex, it may be propagated through the small veins that
penetrate the bone. This result is certainly a rare one in facial
erysipelas of the ordinary and superficial kind, which is a notoriously
benign disease for one of such apparent severity. It may, however,
be more frequent than ordinarily supposed, since cerebral symptoms
occasionally appear at a date too late to be accounted for by the
fever and too slight to be referred to extensive interference with the
cerebral circulation; the lesion to account for which, as they do not
cause death, can be only inferred, though it is not unreasonable to
suppose it to be a limited thrombosis.

Dowse63 describes the case of a robust man who fell on the back of
his head, but walked home. After a few days he had a severe
headache, chill, and total loss of vision. His temperature rose; he
had erysipelas and partial coma, but no convulsions. There was
thickening of the scalp, but no fracture of the skull and no adhesions
of the membranes. The superior longitudinal lateral sinuses were
free from thrombi, though there was a roughness about the latter, as
if there had been a fibrinous deposit. The cavernous sinuses were
almost completely occluded with adherent fibroid masses, and there
was hemorrhage in the anterior lobe. There was some degeneration
of the brain-structure, but no disease of the arteries.
63 Trans. Clin. Soc., 1876.

Ulcerations in the nasal passages and ozæna have proved starting-


points for thrombosis.64
64 Med. Times and Gaz., 1878, i. 614.

Thrombosis of the jugular veins and corresponding cavernous sinus,


with paralytic symptoms, has been observed in the horse.

The symptoms produced by venous thrombosis, as might be


supposed from their varying location and extent, and also from the
fact of their being almost invariably connected with other diseases
having marked and severe symptoms of their own, are not always
easy to pick out from among many others, but they are sometimes
very well marked and characteristic. A distinction must obviously be
made between the symptoms of simple thrombosis depending on
interruption of the cerebral circulation and those of phlebitis, which
give rise in addition to febrile phenomena common to phlebitis in any
of the large veins.

The symptoms which indicate venous obstruction, without reference


to its inflammatory or non-inflammatory character, are of two kinds:
first, those dependent upon the disturbance of the functions of the
brain; and, secondly, those which depend upon congestion and
compression of other structures.

According to the locality and completeness of the obstruction we


meet with brain symptoms.
In the marantic thrombosis of children these may be very vague, and
consist either in restlessness, followed by somnolence and coma, or,
most especially, in convulsions. The convulsions may be partial and
involve the face only; they may affect one side only, or, what is more
usually the case, be general. There is almost always strabismus.
There may be conjugate deviation. This latter phenomenon is said
by Bouchut to be of no value in children, as it may take place in
either direction, from or toward the lesion, but possibly the distinction
between the spastic and paralytic forms was not duly observed by
him. The condition of the fontanelles is spoken of as yielding and
depressed, with the edges of the bones overlapping. They may,
however, become again tense in the course of the disease from
exudation or hemorrhage taking place. Paralysis is not so marked as
in adults, but may be present.

In adults delirium takes the place of convulsions, due to a


disturbance of circulation over a considerable area, rather than to a
total suppression in a more limited one. Paralyses are not
infrequently met with, either in the form of a hemiplegia or more
localized. Hemorrhage will naturally be followed by its usual
consequences, according to its location. Headache, often very
severe, is among the early symptoms.

It is evident that none of these symptoms can be considered highly


characteristic. They can only furnish a certain amount of probability
in cases where the general course of the disease has made it likely
that thrombosis may take place.

There is another set, however, which, when present, offer the


strongest kind of confirmation: these are due to the pressure from
the veins themselves.

Œdema about the points at which the intracranial circulation is


connected with that of the face and neck may give rise to protrusion
of the eyeball, conjunctival ecchymoses, swelling of the upper lip,
and even of the upper part of the face, which sometimes becomes
slightly cyanosed from the congestion. Epistaxis has been noted.
Œdema may be noticed about the mastoid process when the
thrombosis is situated in the lateral sinuses, but it would be important
in many cases to distinguish this from inflammatory œdema directly
due to disease of the bone.

Œdema of the optic disc, as shown by obscuration of its outlines,


with large and pale vessels, has been observed by Bouchut.

Veins closely connected with those within the cranium may be


thrombosed, and felt as hard cords by the finger. This may occur in
the facial veins about the orbit, in those around the mastoid, or in the
jugulars. On the other hand, if one cavernous sinus is filled with a
coagulum which does not go down into the jugular, this vein will
naturally be empty or receive only a small amount of blood from
other veins.

When the cavernous sinuses are affected, we are likely to have a set
of phenomena due to the pressure of the clot upon the nerves which
pass through it—i.e. the third and fourth, part of the fifth and sixth—
with filaments of the sympathetic accompanying the carotid artery.
Hence dilatation of the pupil, strabismus, or ptosis, and other ocular
paralyses may be the symptoms observed.

It is possible that a headache upon the side of the affected sinus


may be due to vascular dilatation from paralysis of the sympathetic,
or to a direct pressure upon the first branch of the fifth pair.

DIAGNOSIS.—The diagnosis of venous thrombosis may be almost


entirely a conjectural one in those cases where the cerebral
symptoms are vague or mixed with others peculiar to the causative
disease. Where wasting disease has existed, the patient is much
emaciated, and profuse discharges have diminished the fluidity of
the blood, the rapid supervention of coma with slight spasms or
general convulsions will render it highly probably that thrombosis is
taking place. Unilateral symptoms would greatly increase this
probability, and if any accessible veins about the head, neck, or face
could be definitely distinguished as filled with firm coagula, the
diagnosis would approach certainty.
In cases of this kind the only condition likely to put on the
appearance of thrombosis is the simple inanition or so-called hydro-
encephaloid disease, which comes on in exactly the same sort of
cases. Localized phenomena must be the chief point of difference.
Fortunately, the distinction is practically not an important one.

In wounds of the vertex affecting the longitudinal sinus the question


likely to arise where cerebral symptoms supervene is that of
thrombosis or abscess. Here the more definite localization is likely to
be upon the side of the abscess, although, as is well known, this
may remain latent or nearly so for a considerable time, and in
general is much more chronic in its course than thrombosis.

The swelling of the external veins, epistaxis, œdema of the lid,


protrusion of the eyeball, with œdema of the optic papilla, with only
moderate fever, would favor the diagnosis of thrombosis, while optic
neuritis, if present, with chills, would render the abscess more
probable. Unless the wound were sufficiently severe to fracture a
piece of bone into the sinus, or unless the subsequent inflammation
were of an unhealthy character, the abscess in a person of middle
age and previous good health may be considered the more probable
of the two. In the case of Dowse, already mentioned, the diagnosis
between abscess and thrombus must have been very difficult, and,
as it seems to the writer, would have been more likely to rest upon
abscess or meningitis than upon the condition afterward found to
exist.

Where inflammatory diseases exist which are known to lead to


thrombosis with phlebitis, the practitioner, if on the lookout, can often
make a diagnosis with a high degree of probability in its favor. The
cerebral symptoms with the venous swelling, collateral inflammatory
œdema in the more immediate neighborhood of the lesion, and slight
œdema and congestion at more distant points, and a febrile
movement indicating a distinct inflammatory exacerbation, will point
very strongly to thrombo-phlebitis.

An absolute distinction between such a condition of the veins and a


meningitis arising under exactly the same circumstances may not
always be possible, and is the less important since the two affections
are likely to coexist and form a part of the same disease.

The localization of the thrombus is to be determined partly by the


paralytic symptoms, if such exist, but principally by the situation of
the secondary œdema and from the lesion which forms the starting-
point. It has been said that the jugular vein of the side on which
thrombosis exists is less full; and this point might be of value when
the lateral sinus is affected.

PROGNOSIS.—From the character of the lesion itself, as well as from


the diseases with which thrombosis is usually connected, it will
readily be seen that the prognosis is in general a highly unfavorable
one; but it is possibly regarded as too inevitably so, for the reason
that a positive diagnosis may be in slighter cases a matter of
considerable uncertainty, so that the practitioner, even if attempting
to make an accurate anatomical explanation of obscure cerebral
symptoms, is as likely to think that he has been mistaken as that his
patient has recovered from so serious a disease.

Cases, however, have been reported where the diagnosis seems as


clear as it can be made without an autopsy, and recovery has taken
place.

A case is reported by Voorman65 of a child aged six months who had


diarrhœa and vomiting, much prostration, sunken fontanelles,
overlapping cranial bones, trembling of the tongue, slight spasm of
the right arm and leg, head drawn back, and strabismus. The head
afterward increased in size, the temporal vein was swollen and hard,
with œdema of the skin in its neighborhood. There was gradual
improvement and recovery, though when the patient was four and a
half years old its mental development corresponded to that of a child
two years younger.
65 Centralb. f. d. Med. Wis., 1883.

In another, by Kolb,66 a child of seventeen, well nourished, had a


purulent discharge from the right ear. Besides headache, delirium,
hyperæsthesia, convulsions, and then sleepiness and loss of
consciousness, the following symptoms pointed toward thrombosis
of the sinuses: Chills, inflammatory swelling over the right mastoid,
with fulness of a cutaneous vein passing over it; a purely
œdematous swelling in the neighborhood of the internal jugular or
temporal fossa, forehead, and both upper eyelids, with
exophthalmos on the right side; photophobia, blepharospasm, and
cloudy vision; nose-bleed. There was no elevation of temperature,
and recovery took place.
66 Berl. klin. Woch., Nov. 13, 1876.

A case of thrombo-phlebitis following otitis and terminating in


recovery is reported at length by Wreden.67
67 Archives of Ophth. and Otol., 1874, lii. (translation).

The PROGNOSIS in any particular case can be based only on the


severity of the symptoms and on the character of the preceding
disease.

TREATMENT.—The prophylaxis of this affection evidently consists in


the proper treatment of the diseases upon which it depends, and
might therefore be made to embrace nearly the whole range of tonic,
roborant, antiphlogistic, and antiseptic measures, to say nothing of
surgery and obstetrics. The proper nourishment of infants and
children, the cutting short, when possible, of their acute diseases, or
preventing their debilitating effects, will reduce marantic thrombosis
to a minimum. At a later period of life the proper surgical
management of carbuncle, abscess in the neck, and of the puerperal
condition will tend to avoid this risk.

The most important point of all, however, is undoubtedly the careful


treatment of otitis media and early attention to inflammation in the
mastoid cells, with incision or trephining as may be necessary.

After a thrombus has formed there is little to be done toward its


removal.
It has been claimed68 that the preparations of ammonia are capable
of diminishing considerably the coagulability of the blood when it is
morbidly augmented. Though this cannot be considered proved, yet
since the tendency of these salts is also to quicken the blood-
current, a trial in a case where other indications are wanting is, to
say the least, justifiable.
68 Lidell, Am. Journ. Med. Sci., July, 1874, p. 101.

In a case reported by O'Hara,69 where the symptoms pointed very


strongly toward thrombosis of the cavernous sinuses, recovery took
place under mercurials, iodide of potassium, and purgatives. The
reporter was inclined to consider the cause of trouble specific.
69 N. Y. Med. Record, vol. xvii. p. 617.

Considering the fact that cases with such marked and decisive
symptoms as those last recorded have recovered, it is certainly the
duty of the physician to prolong the life of his patient to the utmost,
that absorption and condensation may go on as long as possible and
collateral circulation be developed. Probably most physicians can
recall cases of obscure cerebral disease going on to recovery
contrary to all expectation, in which thrombosis furnishes an
explanation quite as plausible as any other.

Softening of the Brain

is a name which it is yet too early to omit altogether from a


systematic work, although in treating of it we have more to do with
nomenclature and classification than with pathological anatomy. The
phrase may be said to have both an anatomical and a clinical
signification, which do not coincide at all points. Clinically and among
the laity it is used to express various symptoms and groups of
symptoms more or less referable to the brain, some of them
connected with one and some with another lesion, and many purely
functional—if the word may be used—or at any rate unconnected
with any known or definite lesion.

Vertigo, dull headache, sleeplessness, or, on the other hand,


drowsiness, failure of memory, failure of power of concentration, of
steady application, mental depression, fatigue, and even slight
aphasia or actual slight hemiplegia, may any of them be considered
symptoms or forerunners of softening of the brain. As nearly as
anything, the popular notion of this affection corresponds to general
paralysis of the insane or senile dementia, or even mere exhaustion.
Many of these symptoms may, of course, be connected with the real
softening described as the result of embolism or thrombosis, but it is
hardly necessary to say that a symptomatology based on these
elements alone is either too vague or else too much like that of
diseases already described to be considered useful as a separate
clinical grouping.

On the anatomical side softening of the brain has had a definite


meaning, and for many years a part of its pathology has been well
known. A general softening of the whole brain, such as seems to be
the condition supposed when the phrase is used, does not and
cannot exist, since a vascular lesion sufficient to cause anæmic
necrosis of the whole brain must cause death long before softening
would have time to take place. Nearly all the works and reports on
softening have been based upon cases such as are now referred to
definite lesions of the blood-vessels; and a good idea of the change
in nomenclature and pathological views may be obtained by noticing
the dates given in the extensive literature of the subject in the Index
Catalogue of the Surgeon-General's library, which are nearly all
previous to 1860 or 1865.

Localized softening has already been described under the heads of


hemorrhage, embolism, and thrombosis, venous and arterial.
Whether it may occur from diseases of the cerebral vessels without
actual occlusion is not certain, but, remembering the difficulty of
detecting thrombi in minute vessels, and also the fact that it is not a
great many years that occlusions have been systematically sought
for at autopsies, it is better for the present to assume, in cases
where softening is found in the usual form and the usual situations
for the results of thrombosis and embolism, that one of these
accidents is the cause, even if the actual point of occlusion is not
found.

Softening may take place secondarily from tumors in the brain, and
the name is also sometimes applied to a local encephalitis, which is
an early stage of abscess. When, however, these various forms of
disease are removed from the general heading of softening and
referred to their proper pathological classes, there is a residuum in
which the softening seems to be the primary affection, so far as the
brain is concerned, though depending on other constitutional
conditions.

In new-born infants softening of the brain, besides the rare cases in


which it may be dependent on the same conditions which may cause
it in the adult, is observed in two forms, as described by Parrot:70 A.
White softening in multiple foci, dependent upon fatty degeneration,
of which it constitutes the last stage, is found almost exclusively in
the centres of the hemispheres. B. Red softening, which affects the
same region, but more extensively, and is accompanied by
hemorrhage into the lymphatic sheaths with rupture.
70 Arch. de Phys., 1873, p. 302.

These two forms may exist with each other, and with other
intracranial lesions, such as thrombi of the sinuses and exudation
under the arachnoid and around the veins.

Parrot compares this form of softening to that occurring in the other


extreme of life, dependent on vascular lesions; but although he
supposes the method of production to be unlike in the two cases, it is
by no means so certain, either from his conclusions or his cases,
that it is always so. In some of his cases the vessels are said not to
be abnormal, but in others old thrombi are distinctly mentioned. As
secondary consequences may be observed intracranial dropsy, with
perhaps hydrocephalic cranium and degeneration of the pons, bulb,
and medulla.

Two cases of red softening of the cerebellum have been reported.71


In one of them the pia was adherent, in the other thickened and
covered with exudation. The microscopic details are not given nor
the state of vessels mentioned. They are probably not strictly
analogous to those described by Parrot.
71 Jahrbuch. f. Kinderheilkunde, 1877.

The occurrence of granular corpuscles in the brain of the new-born is


described by Virchow, and it is thought by him to be pathological and
of an irritative character (encephalitis congenita). It is somewhat
doubtful if this process is characterized by any distinct symptoms.

The ETIOLOGY is impaired nutrition, deficient or improper feeding, and


depressing diseases, frequently tubercle.

The SYMPTOMS and DIGNOSIS of this form of softening are even more
obscure than those of venous thrombosis in the same class of
cases. Vague cerebral symptoms arising in an infant poorly
nourished and suffering from acute disease may be due to this
condition, but a positive diagnosis is out of the question. In the two
cases of softening of the cerebellum just mentioned, in one, aged
five, there was dilatation of the pupil, difficulty of hearing, and
vertigo; in the other, aged six, vertigo, inclination to vomit, and clonic
spasm of the left facial muscles. Parrot says that in the greater
number of patients the encephalopathic troubles observed during life
cannot be referred to it (softening), and in no case can it be
diagnosticated.

Under these circumstances it is obvious that remarks upon the


PROGNOSIS and TREATMENT must be purely works of the imagination.

Atheroma of the Cerebral Arteries


has already been spoken of as one of the most important factors in
thrombosis, and perhaps of considerable consequence in embolism
and hemorrhage. Its symptoms, when one of these accidents has
taken place, are hardly to be separately considered; and if atheroma
have produced complete occlusion, even without the assistance of a
clot, the symptoms could not be distinguished from those of an
ordinary thrombosis, and would follow the same course.

In some cases, however, the thickening of the artery may interfere


with, without completely interrupting, the circulation in the part to
which it is distributed, and the degree of the interference may vary
from time to time. If, then, in a person whose age and general
physical condition, as shown by the state of the tangible arteries,
arcus senilis, complexion, and so forth, render the existence of
atheromatous arteries in the brain probable, cerebral symptoms of
an ill-defined character arise, it is very probable that they are the
result of irregularities in the circulation dependent on atheroma.

This state of things is to be distinguished from the more clearly


marked conditions which have already been described, partly by the
incompleteness of the attack, and partly by its changes in severity
and character from time to time—a paralysis undergoing alternations
of improvement and the reverse from day to day, delirium appearing
and disappearing in correspondence with the general health, the
vigor of the heart, and the state of the digestive organs.

The diagnosis between these incomplete anæmias and an almost


precisely similar result of syphilitic endarteritis is to be made chiefly
by the history and age. In middle-aged persons general paralysis
might present a not very different set of phenomena. A tolerably
distinct, but not severe, hemiplegia in an old person, subsiding in a
few hours under the influence of a cathartic, and perhaps returning
more than once, may often be due to a local and temporary anæmia
from atheroma, as well as to slight hemorrhage or a not completely
occluding thrombus.

On the other hand, extensive atheroma may exist without serious


impairment of the cerebral functions, provided it be evenly distributed
and do not interfere with the passage of blood in any one vessel.

The prophylaxis of atheroma has already been considered. We do


not know of any drug that can change the nature or extent of the
processes going on in the arterial walls, but if any influence can be
exerted it is through dietetic and hygienic means.

The consequences of rigidity of the arterial walls, as productive of


resistance to the passage of blood, can be warded off to some
extent by promoting the vigor of the heart. Treatment should
therefore be directed to the improvement of the nutrition of the body
in general and the heart in particular. Heart tonics and laxatives are
the classes of medicaments most likely to be useful. Perhaps it is to
its effect in increasing the force of the heart contractions, like
digitalis, that coffee owes its reputation as a preservative from
apoplexy.

ATROPHY AND HYPERTROPHY OF THE BRAIN.


BY H. D. SCHMIDT, M.D.

ATROPHY OF THE BRAIN.

INTRODUCTION AND DEFINITION.—Atrophy of the brain may originate


during intra-uterine life or by defective development during the early
periods of childhood, or it may occur during adult life, when the
organ is fully developed. The atrophy is characterized by a
diminution of the normal bulk of the brain-substance, in consequence
of which the latter does not entirely fill the cavity of the cranium, but
leaves a greater or less space to be occupied by a serous fluid.
Generally, the atrophy affects, in a symmetrical or asymmetrical
manner, larger or smaller portions of the brain; an atrophy
symmetrically affecting all parts of the brain has never been
observed, even in microcephalia. Nevertheless, when the atrophy
affects both hemispheres of the cerebrum, it is generally called total,
whilst it is designated partial when it is limited to only one
hemisphere or to other individual parts of the brain, such as the
cerebellum, the large cerebral ganglia, etc.

For the sake of convenience we shall treat the atrophy of the brain
occurring during childhood, when the organ is still developing,
separately from that of the fully-developed brain of the adult.

1. Atrophy of the Brain during Childhood.

When congenital or originating during infancy the atrophy is either


primarily due to certain pathological processes taking place in the
substance of the brain, or secondary, being due to lesions of the
skull, such as premature ossification of the sutures. Total atrophy of

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