Depersonalisation and dignity Flashcards
what is bystander apathy?
diffusion of responsibility, the more people there are the less responsible each individual is.
-the likelyhood someone would intervene decreases
examples- kitty genovese 1964 stabbed-38 bystanders
what is conformity?
occurs when an individual complies with another as a result of the setting
what is cognitive dissonance?
psychological discomfort which is aroused when people are confronted with conflicting ideas, beliefs or values
why may people adapt their ideas, beliefs or values to reduce dissonance?
individuals have a motivational drive to reduce dissonance
What are some examples of cognitive dissonance?
-smaller operations
-increased care for few patients
-equity of care for all patients
-keep the problem to themsleves
Describe the milfram obedience to authority-1961
-teacher told study about punishment and memory
-actor had to learn
-mistakes the teacher believed were punished by electric shocks of increasing voltage
-majority of participants continued to follow instructions
why do people comform?
-feel apart of a group
-social approval
-avoid critisism
-avoid being ignores
-avoid feeling inferior to others
we seek comparison with others when confronted with a situation we dont fully understand
stress causes
-difficulties with workload
-staff conflicts
-inadequate preperation for the role
-conflict between work and home
Whta is the importance of providing dignified care?
-increased emphasise in government policies
embedded in health care codes of conduct
-dignified care has positive results with treatment
What does dignity relate to?
identity of individual
-respect and privacy
-independence and autonomy
-notion of human rights
-treated equally with confidentiality
Whta are the 3 groups the national service framework describe?
-entering old age
-transitional phase 70/80
-frail older people over 90
Wanted to improve areas of social care
Name some core elements of dignity
-respect
-communication
-privacy
-toileting
-nutrition and feeding
-cleanliness of environment
-staff attitude
define depersonalisation
treating the person as not present or not a person- rana and upton 2009
Where does depersonalisation stem from?
goffman 1968 concept of non personalised treatment and people being seen as a possession someone has mleft behind
Define medicalisation
have the patients social self go home while the damaged physical container is left to repair- lober 1975
Name two key categories of depersonalisation
detachment and engagemt
d-sharp in approach, rough physiucal care,too busy, mean , just a job
e-gentle, friendly,cheerful, consulted me,nothing was to much trouble
Why are people treated in a depersonalised matter?
to distance oneself from the patient- kralik et all 1997
-emotionally protect themselves
-a result of heavy workload and responsibilities