Stress and Dehumanizing Behaviors of Medical Staff Toward Patients
Dehumanization is defined as aggressive behaviors which offend people’s dignity. This phenomenon is a serious problem in medicine as it affects interpersonal relationships between medical professionals and patients, patients’ well-being, and the capability of following medical recommendations. There are a few factors determining dehumanizing behaviors: infrahumanization, perceiving patients as nonhuman beings, compassion fatigue, and stress. The main goal of this study was to examine the impact of stress on dehumanizing behaviors. A quasi-experimental survey was conducted in a group of 96 nurses. The following psychometric measures were employed in the study: scale of behavioral indicators of patient’s dehumanization (SBIPD), mood adjective checklist (UMACL), interpersonal reactivity index (IRI) assessing aspects of empathy, and the Eysenck personality traits (EPQ-R) questionnaires. Comparative inter-group analysis (experimental vs. control) confirmed that stress on the side of medical professionals influenced the acceptance of dehumanization; it particularly influenced the cognitive evaluations of patent dehumanizing behaviors. These evaluations have no relationship to empathy, neuroticism, and psychoticism in the control group. However, moderate correlation occurred between the patent dehumanization and neuroticism in the experimental group. The findings lead to the conclusion that stress experienced in the work setting can have an effect on dehumanizing practices in medicine. One of the best ways to combat dehumanization in medicine is to reduce stress by improving the work conditions.
KeywordsCompassion fatigue Dehumanization Empathy Infrahumanization Medicine
The study was co-financed from the funds allocated to the statutory activity of the Faculty of Psychology and Humanities of the Andrzej Frycz Modrzewski University, Cracow, Poland; project WPiNH/DS/5/2018.
Conflicts of Interest
The author declares no conflicts of interest in relation to this article.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study protocol was approved by the Research Project Committee of the Faculty of Psychology and Humanities, The Andrzej Frycz Modrzewski University in Cracow, Poland.
Subjects participated in the study on a voluntary and anonymous basis. Informed consent was obtained from all individual participants included in the study.
- Bakker AB, Schaufeli WB, Sixima HJ, Bosveld W (2001) Burnout contagion among general practitioners. J Soc Clin Psychol 20:82–98Google Scholar
- Capozza D, Falvo R, Boin J, Colledani D (2016) Dehumanization in medical contexts: an expanding research field. Test Psychom Methodol Appl Psychol 23(4):545–559Google Scholar
- Costello K, Hodson G (2010) Exploring the roots of dehumanization: the role of animal–human similarity in promoting immigrant humanization. Group Process Intergroup Relat 13:3–22Google Scholar
- Davis MH (1980) A multidimensional approach to individual differences in empathy. JSAS Cat Sel Doc Psychol 10:85Google Scholar
- de Zulueta P (2013) Compassion in 21st century medicine: is it sustainable? Clin Ethics 8(4):119–128Google Scholar
- Decety J (2011) Dissecting the neural mechanisms mediating empathy. Emot Rev 3:92–108Google Scholar
- Demoulin S, Leyens JP, Paladino MP, Rodríguez–Torres R, Rodríguez–Peréz A, Dovidio JF (2004) Dimensions of “uniquely” and “non–uniquely” human emotions. Cognit Emot 18:71–96Google Scholar
- Eysenck SBG, Eysenck HJ, Barrett P (1985) A revised version of the psychoticism scale (PDF). Personal Individ Difffer 6(1):21–29Google Scholar
- Głębocka A (2017) The relationship between burnout syndrome among the medical staff and work conditions in the polish healthcare system. Adv Exp Med Biol 179:1–10Google Scholar
- Głębocka A, Wilczek–Rużyczka E (2016) Dehumanizing behaviors toward patients: medical staff perspective. Czasopismo Psychologiczne 22(2):1–8. (Article in Polish)Google Scholar
- Haslam N, Stratemeyer M (2016) Recent research on dehumanization. Curr Opin Psychol 11:25–29Google Scholar
- Leyens JP, Rodríguez–Pérez A, Rodríguez–Torres R, Gaunt R, Paladino MP, Vaes J, Demoulin S (2001) Psychological essentialism and the differential attribution of uniquely human emotions to ingroups and outgroups. Eur J Soc Psychol 31:395–411Google Scholar
- Leyens JP, Demoulin S, Vaes J, Gaunt R, Paladino MP (2007) Infra–humanization: the wall of group differences. Soc Issues Policy Rev 1:139–172Google Scholar
- Matthews G, Jones DM, Chamberlain AG (1990) Refining the measurement of mood: the UWIST mood adjective checklist. Br J Psychol 81:17–42Google Scholar
- Pearlman LA, Saakvitne KW (1995) Treating therapists with vicarious traumatization and secondary traumatic stress disorders. In: Figley C (ed) Compassion fatigue: coping with secondary–traumatic stress disorder in those who treat the traumatized. Brunner Mazel, New YorkGoogle Scholar
- Shirom A (1989) Burnout in work organizations. In: Cooper CL, Robertson I (eds) International review of industrial and organizational psychology. Wiley, ChichesterGoogle Scholar
- Trifiletti E, Di Bernardo GA, Falvo R, Capozza D (2014) Patients are not fully human: s nurse’s coping response to stress. J Appl Soc Psychol 44:768–777Google Scholar
- Turgoose D, Glover N, Barker C, Maddox L (2017) Empathy, compassion fatigue and burnout in police officers working with rape victims. Traumatology 23(2):205–213Google Scholar
- Vaes J, Leyens JP, Paladino MP, Miranda MP (2012) We are human, they are not: driving forces behind outgroup dehumanisation and the humanisation of the ingroup. Eur Rev Soc Psychol 23:64–106Google Scholar
- Zimbardo PG (1970) The human choice: individuation, reason and order versus deindividuation, impulse, and chaos. In: Arnold WJ, Levine D (eds) Nebraska symposium on motivation. University of Nebraska Press, LincolnGoogle Scholar