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Chapter 9 - Unsettling Times

Published online by Cambridge University Press:  28 February 2020

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Summary

The attitudes, emotions and actions of staff are powerfully influenced by the culture within which their work takes place. In turn, the culture of an organisation arises from the ways in which tasks, priorities, values, anxieties and relationships are viewed and managed in the system as a whole. This matrix of influences is internalised by all involved, as the context for the individual’s reactions to experience.

Larry Hirschhorn, former President of the International Society for the Psychoanalytic Study of Organizations, has termed this ‘the workplace within’ (Hirschhorn, 1988) whilst David Armstrong, a principal consultant at the Tavistock Consultancy Service, London, uses the term ‘the organisation in the mind’ (Armstrong, 2005). The core concept is that staff members have an internal working model of the organisation, part conscious, part unconscious. This colours their experience, how they understand their tasks, and how they manage themselves both in their own roles, and in their work with others.

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Chapter
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Intelligent Kindness
Rehabilitating the Welfare State
, pp. 115 - 135
Publisher: Cambridge University Press
Print publication year: 2020

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References

Armstrong, D. (2005) Organisation in the Mind: Psychoanalysis, Group Relations and Organizational Consultancy. Karnac.Google Scholar
Bostock, L., Forrester, D., Patrizo, L., Godfrey, T., Zanouzish, M., Antonopoupou, V., Bird, M., Moreslesing, T. and Goldberg, T. (2017) Scaling and developing the Reclaiming Social Work model. Department of Education Children’s Social Care Innovation Programme Evaluation Report, 45.Google Scholar
BBC (2018) Dynasties, broadcast 11 November, 2018.Google Scholar
Chamberlain, A. (1936) Lesson of the Crisis: Sir A. Chamberlain’s Review of Events. The Yorkshire Post, 21 March, 1936, p. 11, column 7 (British Newspaper Archive).Google Scholar
Chance, M. R. A. (1988) Social Fabrics of the Mind. Lawrence Erlbaum Associates.Google Scholar
Cooper, A. and Dartington, T. (2004) The vanishing organisation. In Working Below the Surface (eds Huffington, C., Armstrong, D., Halton, W., et al), pp. 127–50. Karnac.Google Scholar
Cottam, H. (2018) Radical Help: How We Can Remake Relationships Between Us and Revolutionise the Welfare State. Virago.Google Scholar
Cunningham, I. and Nickson, D. P. (2009) A Gathering Storm? Procurement, re-tendering and the voluntary sector social care workforce: a report for the voluntary social services workforce unit. University of Strathclyde, Glasgow. Available at: www.scvo.org.uk/policy-research/evidence-library/2009-a-gathering-storm-procurement-re-tendering-and-the-voluntary-sector-social-care-workforce [last accessed 11 August, 2019].Google Scholar
Dartington, T. (2010) Managing Vulnerability: The Underlying Dynamics of Systems of Care. Karnac.Google Scholar
Department of Education (2017) Children’s Social Care Innovation Programme Evaluation Report, 49. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/625374/Evaluation_of_Pause.pdf [last accessed 11 August, 2019].Google Scholar
Department of Health (2000) The NHS Plan. HMSO.Google Scholar
Department of Health (2010) Equity and Excellence: Liberating the NHS. Available at: www.gov.uk/government/publications/liberating-the-nhs-white-paper [last accessed 11 August, 2019].Google Scholar
Dyer, C. (2018) NHS accountable care organisations would be unlawful, campaigners tell High Court. British Medical Journal. 361: k1827.CrossRefGoogle ScholarPubMed
Feldblum, J., Manfredi, S., Gilby, I. A., Pusey, A. (2018) The timing and causes of a unique chimpanzee community fission preceding Gombe’s ‘four-year war’. American Journal of Physical Anthropology. 22 March, 2018. Available at: www.doi.org/10.1002/ajpa.23462 [last accessed 11 August, 2019].Google Scholar
Francis, R. (2010) The Independent Inquiry into Care Provided by Mid-Staffordshire NHS Foundation Trust, January 2005–March 2009. HMSO.Google Scholar
Goodall, J. (1965) Chimpanzees of the Gombe Stream Reserve. In Primate Behaviour (ed. DeVore, I.), pp. 425–73. Holt, Rinehart and Winston.Google Scholar
Ham, C. (2009) Lessons from the past decade for future health reforms. British Medical Journal. 339: b4372.Google Scholar
Healthcare Commission (2007) The Investigation Report into Clostridium Difficile at Maidstone and Tunbridge Wells NHS Trust. HMSO.Google Scholar
Hirschhorn, L. (1988) The Workplace Within: Psychodynamics of Organisational Life. MIT Press.CrossRefGoogle Scholar
HM Government (2010) The Coalition: Our Programme for Government. Cabinet Office. Available at: www.cabinetoffice.gov.uk/media/409088/pfg_coalition.pdf [last accessed 11 August, 2019].Google Scholar
Humphries, R., Thorlby, R., Holder, H., Hall, P., and Charles, A. (2016) Social Care for Older People. Home Truths. The King’s Fund. Available at: www.kingsfund.org.uk/sites/default/files/field/field_publication_file/Social_care_older_people_Kings_Fund_Sep_2016.pdf [last accessed 11 August, 2019].Google Scholar
Janjua, A. (2014) Leadership Vacancies in the NHS: What Can Be Done About Them? The King’s Fund.Google Scholar
Jones, R. (2016) ‘I’ve seen the reclaiming social-work model cause serious implosion.’ Available at: www.communitycare.co.uk/…/ive-seen-local-authorities-reclaiming-social-work-mode [last accessed 11 August, 2019].Google Scholar
Long, S. (2008) The Perverse Organisation and Its Deadly Sins. Karnac.Google Scholar
Menzies Lyth, I. (1959) The functions of social systems as a defence against anxiety: a report on a study of the nursing service of a general hospital. Human Relations. 13: 95121. Reprinted in I. Menzies Lyth (1988) Containing Anxiety in Institutions: Selected Essays, Vol. I, pp. 43–88. Free Association Books.CrossRefGoogle Scholar
Moberly, T. (2018) Scrap NHS competition rules, BMA says. British Medical Journal. 361: k2791.CrossRefGoogle ScholarPubMed
National Audit Office (2010) Reorganising Central Government. HMSO.Google Scholar
National Audit Office (2016) The Troubled Families Programme Update Review. HMSO.Google Scholar
NHS England (2013) Putting Patients First: NHS England Business Plan 2013/2014–2015/2016. Available at: www.england.nhs.uk/wp-content/uploads/2013/04/ppf-1314-1516.pdf [last accessed 26 August, 2019].Google Scholar
Obholzer, A. (2019) Managing social anxieties in public sector organisations. In The Unconscious at Work 2nd edn. (eds Obhlzer, A. and Zagier Roberts, V.), pp. 174–83. Routledge.Google Scholar
Oxman, A., Sackett, D., Chalmers, I., et al (2005) A surrealistic meta-analysis of redisorganisation theories. Journal of the Royal Society of Medicine. 98: 563–8.CrossRefGoogle Scholar
Peedell, C. (2011) Further privatisation is inevitable under the proposed NHS reforms. (Editorial.) British Medical Journal. 342: d2996.CrossRefGoogle ScholarPubMed
Pereira Gray, D. J., Sidaway-Lee, K., White, E., Thorne, A., Evans, P. (2018) Continuity of care with doctors – a matter of life and death? A systematic review of continuity of care and mortality. British Medical Journal Open. 8: e021161.doi:10.1136.Google Scholar
Power, M. D. (1988) The cohesive foragers: human and chimpanzee. In Social Fabrics of the Mind (ed. Chance, M. R. A.), pp. 75104. Lawrence Erlbaum Associates.Google Scholar
Smith, J., Walshe, K. and Hunter, D. (2001) The redisorganisation of the NHS. (Editorial.) British Medical Journal. 323: 1262–3.Google Scholar
Tammes, P. (2017) Continuity of primary care matters and should be protected. (Editorial.) British Medical Journal. 356: j373.CrossRefGoogle Scholar
Walshe, K. (2010) Reorganisation of the NHS in England. (Editorial.) British Medical Journal. 341: c3843.Google Scholar
Whitaker, P. (2018) Finally, the NHS has realised: patient-doctor relationships should be partnerships, In Health Matters. New Statesman, 13–19 July, 2018, p. 60.Google Scholar

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