Return to PJ Online Home Page The Pharmaceutical Journal Vol 266 No 7130 p38
January 13, 2001

Onlooker

Native hue of resolution
Art with a meaning
Bullies in our midst


Native hue of resolution

No doubt most new year resolutions year have already been broken. It is a mystery to me why people, at the artificial pivot of a new year, should make a habit of passing resolutions that they have scant intention of keeping. Possibly the custom derives from an older idea that the passing of one calendar year and the birth of another is a suitable time for divination to determine the future of one’s life.

Yet today the term resolution is usually applied to minor and petty matters that are unlikely to make much difference to one’s future welfare, and which one knows, if one is honest, will be buried in the past within a few weeks at most. A regular resolution for many smokers and drinkers is to give up the bad habit of years. Others vow to be more sympathetic towards a dominant mother-in-law, or to spend more time assisting in the domestic chores.

To analyse the bad habits that detract from our own lifestyle and impinge on the interests of others must surely be a step towards perfection. Our awareness of them depends upon our power of introspection and upon our attitude towards what we may imagine to be harmless indulgences. If we possess legalistic minds, we may even invoke the issue of human rights, on our own behalf. But, by and large, we rarely discipline ourselves to make a serious attempt to render the coming year less slipshod than its predecessor.

But why restrict ourselves to the new year? A birthday or a wedding anniversary is surely just as apt an occasion for reform. And why stop at petty personal idiosyncrasies? We might with advantage turn our attention to making an impact on the political machinery by which we are beset, and on our own professional bodies.

All the evidence points to a failure of individual pharmacists to make their weight felt in the affairs of the Society and of other professional organisations. The result of such neglect is to raise doubts over whether partisan arguments may or may not be influencing pharmaceutical affairs below the surface, and distorting the image which the public holds of us and our work.

We have recently been told that we might learn from the nursing profession, which has during recent years managed to present a united front to public and politicians alike, and so has risen considerably in public esteem and forced the political holders of the purse strings to pay serious attention to professional complaints. The time has come for pharmacists to make their own resolutions for 2001.

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Art with a meaning

A particularly interesting facet of primeval art is described in a report in Science for October 20, 2000. It concerns some paintings discovered in a cave situated in the north-west of Verona in northern Italy. Excavations carried out in the Fumane cave unearthed five stone slabs bearing images of human and animal figures painted in red ochre but much obscured by an ancient deposit of calcite.The slabs appeared to have fallen from the cave roof and lay embedded in floor sediments which had been dated to 32,000 to 36,500 years before present, a date verified by radiocarbon determinations of minute samples of charcoal gathered from the site. Red ochre pigment cannot be dated by similar means, but there is no reason to doubt the antiquity of the decorated slabs.

The cave, which has been undergoing excavation since 1988, had already yielded evidence of very early occupation by humans, who had left stone implements there. The layers of calcite which prevented proper examination of the painting beneath were largely removed by an expert art restorer. The designs on three of the slabs have not yet been deciphered, but the other two display a four-legged animal and a human figure 18cm high which bears an animal head on its trunk, resembling some previously discovered in some so-called “sorcerer” decorated caves. A hybrid figure of a rhinoceros-headed human has been found at Chauvet in southern France and a statuette of a lion-headed human figure in southern Germany, calculated to be roughly 30,000 years old.

The importance of the new find is that it indicates that very early man was possessed of an artistic imagination enabling him to create abstractions which appear to have some religious inspiration. It is quite evident that the ability to put ideas from abstractions into artistic design can be traced far back in the ancestry of Homo sapiens.

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Bullies in our midst

A rather alarming account of the bullying that goes on in organisations, not least health care units, is given by Sean Cusack, of the regional services department of the British Medical Association, Bristol, in the Lancet for December 23/30, 2000. He admits that there is no agreed definition of bullying, but suggests that three elements of bullying behaviour may be distinguished. These are: the effects on the victim, irrespective of the intention of the bully; the negative nature of these effects; and the persistence of the behaviour.

It is difficult to distinguish bullying from interpersonal rivalry and from legitimate management. Most reports are of downwards victimisation of employees by managers, but peer groups are capable of sideways bullying, and managers may be bullied by workers.

Bullying is rarely of a physical nature, but may take the form of threats to professional status, threats to personal standing, isolation, overworking and destabilisation. Public humiliation, denial of access to training, disruption, removal of responsibility and excess pressure to produce results may be involved, none of them being a proof of bullying.

A questionnaire study of health care workers in south-east England has shown that some 40 per cent of them had been bullied or seen others bullied during the previous year. Those who suffered reported less satisfaction in their work and higher stress levels, and were more likely to leave their workplace. In Finland, there was an association between workplace bullying and sick leave. No correlation appeared between being a bullying victim and age, sex, occupational background, and health habits such as alcohol or tobacco consumption or physical activity.

Professional status does not provide immunity from bullying, which has been found to be no less prevalent among health care workers than it is among others. The true extent of bullying is probably underrated, and recognition of it varies from place to place. The historical development of particular workplace cultures may have some bearing on the frequency of bullying, some cultures lending themselves more than others to a bullying atmosphere.

It will be hard to change cultural characteristics in order to reduce the incidence of bullying techniques, but the issue should be faced.

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