Free Essay

Cause of Lack of Self Confidence

In:

Submitted By roshanah
Words 6982
Pages 28
Safety Management
Safety Management

Improving
Business Outcomes
Behavior-based safety techniques can influence organizational performance
By Treasa M. Turnbeaugh

O

ORGANIZATIONAL CULTURE is an important consideration in managing a firm’s overall success.
Management can set goals and objectives, assign responsibilities and accountabilities, and monitor business outcomes and processes, but it must also consider the context in which all of these initiatives occur. Organizational culture is difficult to define and cannot be measured in a direct manner as it is a soft social science issue rather than a standardized quantitative measure. To confound matters, subcultures often exist within organizations that may or may not be cohesive with the firm’s overall goals and values.
One such subculture is workplace safety.
Workplace safety is an important factor for organizations as it affects virtually all other elements of an organization, including production, quality, job satisfaction and expenses. One approach to controlling workplace safety is the concept of behavior-based safety (BBS), a process by which all levels of an organization participate in improving specific safety-related issues by addressing actions (behavior). An interesting anecdotal finding pertaining to BBS is that it indirectly affects other business outcomes as well.

Organizational Culture
Organizational culture is a difficult concept to define and to measure, much less to understand and control. Schein (1965; 1985) (as cited in Hopkins, 2006,
p. 4) summed up organizational culture as “the way we do things around here.” A more formal definition offered by Schein (as cited in Bergersen, 2003, p. 10) is:
A pattern of shared basic assumptions that the group learned as it solved its problems of external adaptation and internal integration, which has worked well enough to be considered valid and, therefore, to be taught to new members as the correct way to perceive, think and feel in relation to those problems.
Schein touches on several ideas in this formal definition, such as ways of thinking, ways of behaving and integrating new employees. To further understand organizational culture, Schein (1965; 1985) (as cited in Kinicki & Kreitner, 2008, pp. 42-43) breaks it

into layers: 1) observable artifacts, such as “manner of Abstract: This article dress . . . published list of values . . . and visible behav- explores the foundation ior”; 2) espoused values, such as “explicitly stated of organizational culture values and norms that are preferred by an organiza- and the concept that tion”; 3) enacted values, such as “the values and behavior-based safety norms that actually are exhibited or converted into techniques can affect employee behavior”; and 4) basic assumptions, organizational culture which are “unobservable and represent the core of change to improve busiorganizational culture.” These layers of culture again ness outcomes. It discusstouch on acceptable thinking and acceptable behavior es organizational culture, in an organization. Both the informal and formal def- safety culture, cultural initions highlight the importance of behavior at the change models such as total quality manageindividual level and collectively at the group level.
While one would think that a strong organization- ment, six sigma and al culture would be good for an organization, this behavior-based safety, would actually be a dichotomous state. A strong cul- citing examples of sucture may foster sameness in thinking and behaving to cessful change. accomplish goals. It may be important for the feeling of affiliation, motivation and job satisfaction. However, a strong culture can also be a deterrent to change.
Studies have suggested that great companies cannot remain stagnant and still be great; they need to
“change culture over the life cycle of the organization” if they want to continue to succeed (Baker, 2008, p. 8).
Changing culture is a far more difficult task than trying Treasa M. Turnbeaugh, Ph.D., M.B.A., CSP, is to understand culture. Know- client services/risk control manager for Safety ing what to aim for is one of the National, an excess insurance carrier based in first steps in moving toward a St. Louis, MO. She has more than 20 years’ change initiative. Organiza- experience in the safety profession and has tional culture evolves over time extensive experience in workers’ compensation and can be (and should be) a cost reduction, ergonomics, industrial hygiene, managed process. Westrum indoor air quality, behavior-based safety, cultural
(1993) (as cited in Bergersen, assessments, diagnostics and metrics, injury
2003, p. 12) suggests that treat- management and safety process improvement. ment of information is the cata- Turnbeaugh holds a Ph.D. in Health Services lyst for moving a firm along his Research with a minor in Epidemiology and an cultural maturity continuum of M.P.H. from Saint Louis University. In addition,
“pathological, bureaucratic or she holds a B.S. and an M.S. in Occupational generative.” Table 1 (p. 42) rep- Safety Engineering and Health from Murray resents the characteristics of State University and an M.B.A. from Lindenthese organizations and each wood University. Turnbeaugh is a member of iteration illustrates a more open ASSE’s St. Louis Chapter and is a Legacy donor and progressive environment. to the ASSE Foundation. www.asse.org MARCH 2010 PROFESSIONAL SAFETY

41

Workplace safety is an important factor for organizations as it affects virtually all other elements of an organization, including production, quality, job satisfaction and expenses.

Information is the catalyst for moving a firm along the cultural maturity continuum. Each iteration illustrates a more open and progressive environment.

Hudson and van der Graaf (2002) (as cited in
Bergersen, 2003) took Westrum’s model a few steps further to explain the levels of cultural maturity as they relate to occupational safety within an organization. They added two levels to the model and reported that their model could be used to help organizations develop a stronger safety culture, which is a distinct subculture of the overall organizational culture. Figure 1 presents an adaptation of Hudson and van der Graaf’s model of safety culture maturity.
Adaptation of this model includes thoughts on accountabilities. Culture and organizational performance strongly depend on support and leadership from the highest levels. The manifestation of this support must cascade down to each successive level of the organization. This can only be accomplished effectively through accountability, not just responsibility (although the subject of accountability versus responsibility is beyond the scope of this article).
Bringing About Organizational Change
Progressing up the levels of cultural maturity requires organized change for most organizations.
Many schools of thought exist on how to go about changing an organization, ranging from simplistic views to formalized models of change. Some of these models include total quality management
(TQM), management by objectives (MBO) and six sigma. Each model has merit for changing organizations and each has its successes. However, organizations have struggled with each concept as well.
Total Quality Management
TQM originated in the 1950s and reemerged in the
1980s (Hashmi, 2008). TQM is a method of all levels and functions using a combination of management and quality tools to focus on meeting customer needs.
TQM is “do the right things, right the first time, every time” (Hashmi). According to Hashmi, TQM includes foundational activities such as “commitment by senior management and all employees, meeting customer requirements . . . ; improvement teams . . . ; systems to facilitate improvement . . . ; line management ownership, employee involvement and empowerment . . . ; specific incorporation in strategic planning.” The management commitment aspect centers around a

continuous improvement methodology of plan, do, check, act, a methodology that has transcended the use of TQM and has been integrated into other improvement-oriented procedures as well (Hashmi).
Some organizations used TQM successfully, while in others it did not receive full management support. A case in point involves a large metropolitan hospital in the early 1990s. One issue with TQM at this hospital was empowering all levels of the organization to make changes. Control is difficult to share. TQM must be implemented in its entirety rather than in bits and pieces that management is willing to embrace. Many managers find it difficult to allow true employee empowerment.
Management By Objectives
MBO was originated in the 1950s by Peter
Drucker and has endured in some forms into current practice. The intent of MBO is to improve organizational performance by “aligning goals and subordinate objectives throughout the organization”
(Kotelnikov). This concept appears to be closely related to performance management techniques still in use at many organizations.
Goals are set by top management, objectives are cascaded throughout the organization, managers evaluate how close employees come to achieving the set goals, and rewards are given or withheld based on those results. According to Kotelnikov, MBO sets the objectives, but allows employee empowerment about how to achieve “freedom to challenge everything and anything; continuous training and development on the job; knowledge of, and faith in, the organization’s mission; and the ability to achieve and see results.”
Again, one issue to success with this model centers on empowering employees. This can be a difficult task for many top managers and is often the downfall to full employee trust and involvement, which will limit organizational culture development.

Six Sigma
Six sigma resembles TQM in that it targets improving customer satisfaction, reducing cycle time, reducing defects and improving employee involvement. Six sigma integrates accountability, measurement of results and regular feedback as key elements. This model is owned by front-line employees with
Table 1 the support of middle and top management, a similarity to the structure of behavior-based safety. The key to six sigma is the dogmatic approach to a continuous improvement cycle
(known as DMAIC):
•Define the problem specifically.
•Measure the opportunity for improvement.
•Analyze the details associNote. Adapted from Tool to Be Used to Survey and Improve Safety Culture in the European Railway ated with the opportunity.
Industry (p. 12), by C.E.B. Bergersen, 2003, unpublished master’s thesis, Norwegian University of Science
•Improve methodically once and Technology, Trondheim, Norway. the final solution is chosen.

Table 1

How Organizations Treat Information

42

PROFESSIONAL SAFETY MARCH 2010 www.asse.org

Figure 1
Figure 1
The Safety Culture Maturity Model

ty cc ou nt ab

ili

PROACTIVE
PROACTIVE
We work on problems that
We work on problems that we still find we sƟll find

an

da

CALCULATIVE
CALCULATIVE
We have systems in in place to
We have systems place to manage all hazards manageall hazards

st

gly i nf

or

m

ed

GENERATIVE
GENERATIVE
Health and safety how we do
Health and safety is is how we do business around here business round here

In cr ea sin •Control the improvements made by monitoring, measuring and reassessing as needed to ensure success (Pande &
Holpp, 2002, pp. 31-40).
Many organizations have experienced success using this methodology, especially those in product-oriented businesses; however, the overriding concept of rigorous measurement to the extent prescribed by six sigma may be too scientific and/or intense for some organizations, leaving them searching for a less intense methodology of change.

In

cr ea sin

gt

ru

REACTIVE
REACTIVE
Behavior-Based Safety
Safety is important, we do a lotlot
Safety is important, we do a
Another model for changevery Ɵme we have an accident every time we have an accident ing culture is a methodology centered on occupational safePATHOLOGICAL
PATHOLOGICAL
ty in the organization: BBS.
Who cares as long as as
Who cares as long
This concept for change starts we’re not caught we’re not caught by changing aspects of the organization that management
Note. Adapted from Hearts and Minds: The Status After 15 Years Research (SPE 73941), by P. Hudson and employees alike can generand G.C. van der Graaf, March 2002, paper presented at Society of Petroleum Engineers International ally agree upon and support:
Conference on HSE in Oil and Gas Exploration and Production, Kuala Lumpur, Malaysia. occupational safety and health.
BBS is actually a derivative of the larger study of performance management. organizational culture level. This notion demon- Adding two levels to
Performance management techniques have been strates the importance of promoting a strongly uni- Westrum’s model used successfully to help organizations address fied and well-managed approach to occupational helps explain the issues such as production, absenteeism, tardiness safety as well as to other business outcomes. levels of cultural and quality.
Figure 2 (p. 44) illustrates the relationship between maturity as they
Application of these techniques to occupational performance effectiveness/productivity and loss- relate to occupationsafety is an easy transition. The primary difference es/safety. It represents productivity and safety met- al safety within an between performance management and BBS is in the rics for multiple locations of a grocery warehousing organization. application approach. Performance management is distribution organization. It compares the tons per targeted at the individual level while BBS is often hour (TPH) or productivity of the locations to the fretargeted at the group behavior level through collec- quency or losses of those locations. Data points were tive individual behaviors. plotted and a regression line was drawn for the best fit of the data: linear regression line for productivity
Safety Culture & Organizational Culture
Before learning the logistics of BBS, one should and polynomial regression line for losses.
This chart was developed because supervisors understand the relationship between a safe work culture and overall organizational culture. Accord- felt that if they were to concentrate on safety via a ing to Bergersen (2003), the idea of safety culture behavioral process their production would suffer as
“first arose in the aftermath of the Chernobyl acci- a result. These data showed them that a cultural dent in 1986 and catastrophes like the Challenger association already existed between productivity accident . . . increased the interest for safety culture” and safety, and that concentrating on safety was not
(p. 9). Researchers believe that safety culture is a sub- associated with poor productivity, just the opposite.
The relationship suggests that an organizational component of corporate culture that affects the safety and health of the group members and others culture connection ties the low productivity to higher outside of the group as well (Bergersen, 2003, pp. 12- losses (worse scores) and higher productivity to
14). Safety culture affects and is affected by other lower losses (better scores). This relationship holds operational processes and systems. It is inherently until one reaches the upper one-third of high produccoupled to the overall corporate culture. Thus, any tivity where it appears that a dominant culture of prodominant subcomponent such as productivity, ductivity takes precedence over a culture of safety.
This organization initiated a BBS change process to turnover or quality will influence safety processes control safety losses and found that in many instances and vice versa (Williams, 1991).
Based on this, one could extrapolate that business it not only reduced the frequency of safety accidents, outcomes are associated with one another at the but also had an effect of increasing production output www.asse.org MARCH 2010 PROFESSIONAL SAFETY

43

This gap analysis involving a grocery warehousing distribution organization showed that a cultural association already existed between productivity and safety, and that concentrating on safety was not associated with poor productivity, just the opposite. Figure 2
Figure 2
Cultural Relationship of Productivity to Safety
Tons vs. frequency
1000

0

900

5

800

10

700
600

15

500

20

400

25

300

30

200
100

35

0

40

TPH

Frequency

Linear (TPH)

Poly. (Frequency)

Note. Adapted from “On Employee Perception Gap Analysis,” by T. Turnbeaugh, Sept. 21, 2006, Aviation Practice
Meeting. San Diego, CA: Marsh.

(Turnbeaugh, 2006). This firm had a low profit margin so it considered the increase in production to be a significant and successful outcome in addition to the reduction in losses (Turnbeaugh).
As it appears a link exists between safety and other business outcomes such as productivity at the organizational culture level, it is intuitive that affecting one outcome will affect other outcomes as well.
Safety professionals often use the accident hierarchy to demonstrate the importance of addressing true root causes of incidents rather than simply proximate causes.

Figure 3
Figure 3
Accident Hierarchy

Implementing the BBS concept of change is one way to affect outcomes. If an organization is experiencing high frequency of injuries, it will typically search for mechanisms to reduce those injuries and associated costs. Companies generally approach injury reduction through avenues such as regulatory compliance, workplace exposure control and training. However, many organizations need to take those efforts further, and a BBS initiative that requires heavy involvement of all levels of the organization in designing a system can help them focus on reducing injuries.

Catastrophic loss/death
Lost time
Recordables/ϐirst aid
Near misses
Incident
At-risk behaviors

Safety culture

Note. Adapted from “The Behavior-Based Approach to Proactive
Accident Investigation,” by T.R. Krause and L.R. Russell, March 1994,
Professional Safety, pp. 22-26.

44

PROFESSIONAL SAFETY MARCH 2010 www.asse.org

The Accident Hierarchy
The underlying concept behind BBS is that of the accident hierarchy (Figure 3) often used by safety professionals to demonstrate the importance of addressing true root causes of incidents rather than simply the proximate cause. The hierarchy shows that organizations experience few catastrophic injuries/deaths, more losttime injuries, even more recordable/firstaid injuries and even more near-hits.
It also shows that significantly more atrisk behaviors occur than do injuries. This is because the at-risk behavior may or may not result in an incident, and employees may perform the at-risk behavior several times with no adverse effects. The accident hierarchy does not stop there, however, because at-risk behaviors are influenced by the overall safety culture/organizational culture and, therefore, there is a need to focus change efforts at this level.

With the fundamental concept that culture and at-risk behavior eventually lead to accidents, SH&E professionals needed a mechanism for affecting those areas. If culture is improved and at-risk behaviors are reduced, it follows that the number of injuries will, in turn, be reduced. This is where the influence of the field of behavior analysis enters the safety process. The work of Skinner, Lindsley and Herrnstein have influenced the modern day approach to addressing occupational safety (Daniels, 1994, p. xv). The influence is that “behavior is a function of its consequence” (Daniels, p. 25).

Figure 4
Figure 4
Scorecards
Observation Scorecard
Behaviors

Yes

No

Can’t
Do

Totals

Put on harness and tie off when working above 6 ft.
Use hand rails when getting on and off equipment.
Lift with knees bent and load held close to body.

In a typical BBS process, employees are assigned as observers; supervisors support the observers in visible, meaningful ways prescribed by the observers; and managers support the supervisors and the overall process in visible, meaningful ways prescribed by the observers and supervisors. The ABC Model
The BBS premise comes from the ABC
Supervisor Support Scorecard model: antecedent (what sets the occasion
Behavior
Weight Y N Score for behavior), behavior (the action) and consequences (what happens to the perConduct three
20
son when s/he engages in the behavior). observations weekly
For example, studies have shown that
Review Graphs in
10
antecedents such as posters will instruct weekly department employees on what to do, but consemeetings quences, such as being corrected for perR+ Core Group
20
forming the task incorrectly or receiving members for Core positive reinforcement for doing it correctGroup behaviors two ly, are what really drive the behavior times per week
(Daniels, 1994).
R+ three employees
50
It is important to note that antecedents weekly for a safe act are weak motivators (they only get the behavior started) and that the foundation
Total Points
100
of a BBS program is focused on consequences, those that occur naturally and those artificially imposed by coworkers,
Manager Support Scorecard supervisors and management. Unfortunately, many safe work practices are also
Behavior
Weight Y N Score poor motivators because they typically
R+ behaviors on scorecards
40
provide weak natural consequences for of managers/supervisors performing a task the safe way and often who report to you. (weekly) provide stronger natural consequences for
Include a statement on the
10
choosing at-risk behaviors. process in meetings with
As a result, to help drive consequences, plant personnel. managers and employees need to underLook at graphs weekly and
30
stand that they must impose social condiscuss progress with your sequences along with the natural managers consequences; they also must understand
Hold Review &
20
that their behavior, providing conseReinforcement meetings quences or not, will in turn drive the monthly behavior of others. In other words, if conTotal Points
100
sequences are strong and immediate, they will have a marked impact on behavior.
Thus, if consequences are viewed as posiNote. Adapted from “On Employee Perception Gap Analysis,” by T. tive and they occur soon after the behavTurnbeaugh, Sept. 21, 2006, Aviation Practice Meeting. San Diego, ior, the employee is likely to perform that
CA: Marsh. behavior again.
However, this can be troublesome because positive reinforcement could exist that employees who are expected to provide consewould reinforce unsafe actions—for example, taking quences must understand that there are several a shortcut without being corrected, yet receiving ways to influence behavior and that there is an praise for completing the job quickly. Managers and appropriate time and place to use each method. www.asse.org MARCH 2010 PROFESSIONAL SAFETY

45

The relationship of behavior to safety, trust and other business outcomes is not linear. In fact, it is quite complex.

46

Defining Roles
Is Key
The key to BBS is assigning each level of the organization an active role. EmR2=.46 ployees at every
R2=.59
level must be engaged and must
Supervisor
.45**
.38**
Supervisor
Job
Positive
*
* contribute. Many
Trust
Satisfaction
Reinforcement
change processes have failed because
.38**
they have not clear*
.27**
ly and distinctively
-.16*
R2=.44 defined the expectSupervisor ed roles of each
Safety
At-risk level in the change
Leadership
Behaviors process. .26*
-.22**
In BBS, roles are clearly defined in the early phases of the process, and
-.51***
they are defined in a facilitated method
Safety / Risk
Group Norms by employees themPol & Prog
& Behaviors
.35**
selves. In a typical process, employees
*** Correlation is significant at the .001 level (2-tailed)
** Correlation is significant at the .01 level (2-tailed)
R2=.34
are assigned as ob*
Correlation is significant at the .05 level (2-tailed) servers; supervisors
Note. Adapted from “On Employee Perception Gap Analysis,” by T. Turnbeaugh, Sept. 21, 2006, support the obserAviation Practice Meeting. San Diego, CA: Marsh. vers in visible, meaningful ways prescribed by the observers; and managers support
Problem-Solving Techniques
Once the fundamental concepts of the ABC the supervisors and the overall process in visible, model, and natural and artificial consequences are meaningful ways prescribed by the observers and understood, employees and managers are trained in supervisors.
By actively involving every level of the organizaa targeted method of problem solving. Learning these techniques will allow the teams to transport tion, a BBS process begins to change the behavior the model to other business outcomes once they toward safety as an integral business outcome and have applied them to safety. The problem-solving will eventually affect the thinking, attitudes and ultiprocess is “pinpoint, measure, feedback, reinforce mately values and culture of the organization and evaluate” (Daniels, 1994). Training will cover (McSween, 1995, p. 228). Figure 4 (p. 45) presents each issue and tools for performing each step will be examples of an observation scorecard as well as supervisor and manager support scorecards that can provided. Pinpointing is the process of analyzing past loss- be used in this process.
What management is ultimately trying to elicit is es and at-risk behaviors in completing a task to determine precisely the correct behavior to perform- a culture that fosters discretionary safety effort at ing the tasks that are creating risk. The pinpoints each level. This effort typically affects other business become observation measures that employees use to outcomes indirectly. Some organizations then shift monitor themselves and others. Many measure- their pinpoints to drive measurement and the fivements are observed during the day and recorded on step process more into the field of performance management to address these other business outcomes a daily feedback chart posted in a prominent area.
This provides positive reinforcement naturally as more directly (Daniels, 1994).
To achieve discretionary effort, management and individuals are encouraged when they see the at-risk behaviors declining and the safe behaviors increas- employees need to understand the importance of all ing. Just as importantly, feedback and positive rein- four types of consequences and how to use them. forcement are also given verbally at the time of Often, negative reinforcement or extinction is needobservation. A steering committee then evaluates ed to get a behavior started. However, negative reinthe results each month to determine whether the forcement only keeps behavior at a minimum pinpoints have reached habit strength and whether it standard. Only positive reinforcement can elicit that is time to change pinpoints or add new ones discretionary effort.
This discretionary effort and improved commu(Daniels, 1994).

Figure 5
Figure 5

Path Analysis of Relationship of
Behavior to Business Outcomes

PROFESSIONAL SAFETY MARCH 2010 www.asse.org

nication lead to improvement not only in safety, but also in productivity, trust of supervisors and, ultimately, in other business areas such as job satisfaction. Through improved communication, improved accountability at all levels and the resultant improved trust, the organization has set the stage to progress to the next step in the safety culture maturity model (Table 1, p. 42).
The relationship of behavior to safety, trust and other business outcomes is not linear. Figure 5 illustrates the complexity of these relationships. The inverse relationships are shown with a negative sign, such as that between group behavior and individual at-risk behavior. All other correlations are direct relationships. The R2 numbers represent the percentage of those answers influenced by the factors pointing to that variable. This analysis shows that 59% of how workers trust their supervisors is influenced by positive reinforcement provided by the supervisor and how that supervisor demonstrates safety leadership.
Both factors are addressed head-on by a BBS process.
Figure 5 also shows that 46% of how employees view their job satisfaction is directly related to how much they trust their supervisors and how they view the effectiveness of safety policies along with an inverse relationship to at-risk behaviors, factors involved in the safety culture maturity model.
Perception Surveys
Soft measures such as these are hard to quantify and are typically measured using a perception survey. Perception surveys are an important step in assessing safety culture, both as a baseline and as a measure of the effectiveness of organizational change efforts. Such surveys typically assess what employees believe, understand or feel about various safety-related variables, as well as some overall cultural variables, such as job satisfaction, organizational trust and intention to quit.
Perception surveys can be performed internally or externally. External surveys such as that described here are typically validated tools and ask a series of questions to draw conclusions about a given variable rather than asking a single question. The danger in asking single questions is that the answer/conclusion may be a result of how the question was asked as opposed to what the variable is intended to represent.
The sidebar on p. 48 shows excerpts from a validated perception survey, demonstrating the multiple questions used for variables. These questions are calculated together to derive a composite score for the variable from which conclusions are drawn.
These variables have reliability scores that indicate how “correct” the series of questions represents that variable. It is easy to see how a single question taken out of group context could be misleading.
Cases In Point
Reflecting back to the idea of how organizational culture is shared values and behaviors, and how new members of the group will be socialized into that culture, the new culture of discretionary effort

in all aspects of business should result in improvement in the quantitative measures of multiple business outcomes. Chevron provides an example of involving all levels of employees in culture change that is BBS/performance management oriented. The company had tried other change methodologies without full success. It entered into a “7-year total quality initiative” that showed improvements in outcomes but not to the magnitude of improvement that was sought (Callahan & Nolan, 2001, p. 1).
According to Callahan and Nolan (2001), Chevron recognized that the part missing from its culture change efforts was behavior (p. 2). Once the company moved to a behavior-based change model, it reported significant success and even received an award for the changes made. The behavioral approach “fundamentally transform[ed] the culture of the company to one that was positively motivating and one which tapped into the discretionary efforts of employees at all levels” (Callahan & Nolan, p. 2). The outcomes of the change program were “improvements in safety, reliability, lower operating expenses, and happier, more engaged employees” (Callahan & Nolan, p. 4).
Callahan and Nolan now believe that the organization is the summation of all individuals in that organization and the behaviors of each individual.
They describe their steps to success:
1) Get the newly desired vision implemented company-wide by using behavioral analysis on the individual to determine the natural and artificial consequences to drive behavior.
2) Train leaders in the skills of coaching and train everyone in terms of what is expected of them at each level.
3) Set up aligned accountability systems, such as
“compensation, recognition and promotion” to drive the desired behaviors.
4) Monitor and provide feedback on business outcomes and leadership behaviors (Callahan & Nolan,
2001, p. 9).
Chevron attributed its success in improving business outcomes to using the behavioral methodology, despite years of effort using more complicated systems to elicit change.
Chevron did many things well which led to its success. These include determining vision/pinpointing; training leaders how to be leaders; aligning accountability (consequences); providing regular feedback; and evaluating business outcomes.
One key element to the success of such a process is employee involvement from the beginning.
Involving employees and unions from the start engages employees in the process and reduces their resistance to change (Chaudron, 2003). Additionally, the leadership training was crucial because communication is critical to change. Schein (1965; 1985) (as cited in Bergersen, 2003, p. 11) suggests that leaders/managers should be responsible and aware of the message they are communicating. He indicates that leaders/managers can change culture by:
•what they pay attention to, measure and control on a regular basis;

What management is ultimately trying to elicit is a culture that fosters discretionary safety effort at each level. This effort typically affects other business outcomes indirectly. www.asse.org MARCH 2010 PROFESSIONAL SAFETY

47

Excerpts
From a
Validated
Perception
Survey
Trust of Supervisor
1) I feel free to discuss accidents with my supervisor without the fear of having it used against me later.
2) My supervisor is friendly and approachable.
3) I trust my supervisor to keep information I share with him or her in confidence.
4) My supervisor cannot be trusted (Reversed).
Job Satisfaction
1) I feel like I accomplish a lot on my job.
2) I like working with my coworkers.
3) My supervisor is a great person to work for.
4) My job is not very challenging (Reversed).
5) My job offers many opportunities to better myself.
6) I am dissatisfied with my job (Reversed).
Note. Adapted from “On Employee Perception Gap Analysis,” by T. Turnbeaugh,
Sept. 21, 2006, Aviation Practice Meeting. San Diego, CA: Marsh.

•how they react to critical incidents;
•how they allocate scarce resources;
•how they role model, teach and coach;
•how they allocate rewards and resources;
•how they recruit and select new members.
Following the leadership at all levels concept,
McSween (1995) describes how a gas pipeline company improved its safety outcomes. All levels of the organization completed a series of intensive training sessions covering behavioral methodology and techniques. Company personnel performed observations, provided feedback and reinforcement, and celebrated their pinpoints for a period of 9 months as a pilot study, during which time the company experienced a “35% reduction in lost-time accidents” versus the 8-month period that preceded the study
(McSween, pp. 247-248).
Using a model similar to McSween’s, a series of
Marsh projects have also resulted in success stories that indicate improvement not only in occupational safety, but in other business outcomes as well:
•A large international aircraft services company had an increase in workers’ compensation costs and increased damage to aircraft. Additionally, the cost of insurance had become a significant cost issue. One year after implementing a BBS change process, the workers’ compensation frequency decreased by 35% and aircraft damage decreased 100% (Marsh, 2004a).
•A chemical company faced tough competition, low margins and rising workers’ compensation costs along with low morale and lack of trust between

48

PROFESSIONAL SAFETY MARCH 2010 www.asse.org

managers and employees. With use of the BBS process, the company reduced recordable rates from
13.7 to 4.5; improved the trust factor; managers were visibly obtaining associate input for improvement; and coaching of managers reduced associate complaints and manager write-ups for associate insubordination (Marsh, 2004b).
•A grocery distribution center experienced increasing injuries and associated workers’ compensation costs. A dominant subculture of production existed and employee turnover was high. The 2-year results of implementing BBS showed a reduction in recordable rates from 19.52 to 7.56 in one division and from 23.7 to 12.53 in another division. Turnover was also dramatically reduced in the first division from 48% turnover to 21% and from 40% to 17% in the other division (Marsh, 2004c).
•A large generic pharmaceutical manufacturer had increasing injuries along with increasing workers’ compensation costs. Within 9 months of a pilot
BBS project, the test group had a 30% reduction in injuries while the rest of the plant experienced a 25% increase in injuries. The test group also reported improvement in quality deviations, improved communications, more active employee participation and a more positive work environment (Marsh, 2006).
•A construction company experienced a rise in incident rates and the additional expense was affecting its ability to bid on new projects. Employees frequently ignored safety programs and excessive manager turnover resulted in the loss of confidence in leadership. Additionally, a recent job fatality reduced employee morale. The result of the BBS change process reduced the company’s OSHA recordable rate from 12.83 to 6.11 in one shop and from 6.8 to 0 for another. Safety results improved and the company was eligible to bid for new jobs.
Employee morale improved as well (Marsh, 2004d).
•A manufacturing company had an OSHA recordable rate that was twice the industry average.
The incident rate dropped from 29.8 to 6.0 by implementing a BBS process. Over 4 years, the company reduced its workers’ compensation premium by $1.3 million and had a corresponding drop in injury rates. The company reduced it workers’ compensation costs, as measured by payroll, by 86% from
$3.50 per $100 of payroll to less than $0.50 per $100 of payroll (Marsh, 2004e).
These examples are a sampling of how BBS can help a company improve not only safety, but other business outcomes as well. One issue is that these additional outcome improvements have been considered a beneficial by-product of BBS, thus most organizations are not measuring the indirect outcomes in the same methodical way they measure the loss frequency improvements.
BBS initiatives range in cost based on the size of the organization, the complexity of the design, and whether the initiative is consultant-driven or conducted internally (with the best result typically from consultants who are well practiced in this area of expertise). If hired out, a base price might start in the

range of $30,000 to $40,000, but could escalate into hundreds of thousands for large organizations.
Although these prices are steep at first glance, they can easily be recouped through improvement in safety, even slight improvement in productivity, a reduction in employee turnover and a reduction in insurance premiums.
Saving even one back injury claim could show a significant cost-benefit. This is important for all organizations, but especially for those that might be self-insured or on a large deductible program, which equates to a dollar per dollar savings to the bottom line. The savings would include not only the direct cost of the injury, but also the indirect costs, which can range from 1 to 10 times the direct costs. Using even a 1:1 ratio is a good conservative attempt to include the indirect costs in the savings measure. A quick calculation of total loss ($)/profit margin can show the savings in terms of top-line revenue needed to cover the cost of that loss.
Organizations could show a huge cost-benefit of investing in a BBS program if firms would recognize the full impact that the process can have on overall culture and begin to measure these outcomes methodically as well. Data exist to measure hard business outcomes such as productivity and quality, but departments must work together to consolidate this information before and after the change initiatives. Additionally, organizations need to measure the soft business outcomes through perception analyses to quantify improvement in outcomes such as job satisfaction and reduction in turnover, which could then be translated in financial terms as well.
As noted, the keys to success of a BBS organizational change process are vision, “pinpointing, measurement, feedback, reinforcement and evaluation,” which some companies have applied well with appropriate direction and intent (Daniels, 1994).
When approached in a methodical, systematic manner, a focus on occupational safety issues through the use of BBS techniques can lead to improvement in additional critical business outcomes.
The examples cited demonstrate that BBS techniques can help improve multiple business outcomes is a result of the outcomes being related at the organizational culture level—the way things are done within the organization and whether subcultures are dominant and leading to unintended results. When all levels of an organization participate in planning and implementing continuous improvement, it develops communication, an understanding of one’s role, trust and information sharing, all elements of a progressive organizational culture. BBS outlines an understandable and useable model for organizing the change process and lays a foundation for managing business outcomes improvement and success.
Conclusion
Organizational culture drives safety culture and vice versa. Culture is owned by all levels of the organization. Behavior-based techniques engage and direct desired behavior or actions at each respective level. This planned, directed and managed

approach can elicit the desired and planned cultural changes. The changed culture will drive improvement in safety outcomes and will also affect other business outcomes, making these techniques an effective change strategy for improving multiple business outcomes that are bound together by the working culture of the organization. Ⅲ
References
Baker, K.A. (2002). Organizational culture. Washington, DC:
U.S. Department of Energy, Office of Science.
Bergersen, C.E.B. (2003). Tool to Be Used to Survey and Improve
Safety Culture in the European Railway Industry. Unpublished master’s thesis, Norwegian University of Science and Technology,
Trondheim, Norway.
Callahan, D. & Nolan, T.V. (2001). Changing the corporate culture at Chevron. Behavioral Technology Today, 1, 1-12.
Chaudron, D. (2003). Building a framework. San Diego:
Organized Change Consultancy. Retrieved July 21, 2008, from http://www.organizedchange.com/decide.htm. Daniels, A.C. (1994). Bringing out the best in people. New York:
McGraw-Hill.
Hashmi, K. (2008). Introduction and implementation of total quality management (TQM). Bainbridge Island, WA: iSixSigma.
Retrieved July 17, 2008, from http://www.isixsigma.com/li brary/content/c031008a.asp. Hopkins, A. (2006). On studying organizational cultures and their effects on safety. Proceedings of the International Conference on
Occupational Risk Prevention, Seville, Australia.
Hudson, P. & van der Graaf, G.C. (2002, March). Hearts and minds: The status after 15 years research (SPE 73941). Paper presented at Society of Petroleum Engineers International Conference on
HSE in Oil and Gas Exploration and Production, Kuala Lumpur,
Malaysia.
Kinicki, A. & Kreitner, R. (2008). Organizational behavior: Key concepts, skills and best practices. New York: McGraw-Hill/Irwin.
Kotelnikov, V. Management by objectives (MBO). Retrieved
July 17, 2008, from http://www.1000ventures.com/business
_guide/mgmt_mbo_main.html.
Krause, T.R. & Russell, L.R. (1994, March). The behaviorbased approach to proactive accident investigation. Professional
Safety, 39(3), 22-26.
Marsh. (2004a). Case in point: Aircraft service company addresses customer satisfaction and profitability. New York:
Author.
Marsh. (2004b). Case in point: Building employee-management trust with behavioral programs. New York: Author.
Marsh. (2004c). Case in point: Lowering accident rates with peer-based safety programs. New York: Author.
Marsh. (2004d). Case in point: Pilot behavioral risk improvement program puts company back in business. New York: Author.
Marsh. (2004e). Case in point: Targeting behavior improves safety, reduces workers’ comp costs and lowers OSHA incidents.
New York: Author.
Marsh. (2006). Case in point: Pharmaceutical company expands BRI process to reduce employee injuries. New York:
Author.
McSween, T.E. (1995). The values-based safety process. New
York: Van Nostrand Reinhold.
Pande, P. & Holpp, L. (2002). What is six sigma? New York:
McGraw-Hill.
Schein, E.H. (1965). Organizational psychology. Englewood
Cliffs, NJ: Prentice Hall.
Schein, E.H. (1985). Organizational culture and leadership: A dynamic view. San Francisco: Jossey-Bass Publishers.
Turnbeaugh, T. (2006, Sept. 21). On employee perception gap analysis. Presentation at Aviation Practice Meeting, San Diego,
USA.
Westrum, R. (1993). Cultures with requisite imagination. In
J.A. Wise, V.D. Hopkin & P. Stager (Eds.), Verification and validation of complex systems: Human factors issues. NATO ASI Series. New
York: Springer.
Williams, J.C. (1991). Safety cultures: Their impact on quality, reliability, competitiveness and profitability. In R.H. Matthews
(Ed.), Reliability ’91. London: Chapman & Hall.

www.asse.org MARCH 2010 PROFESSIONAL SAFETY

49

Copyright of Professional Safety is the property of American Society of Safety Engineers and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.

Similar Documents

Premium Essay

Stress by Students

...exams students are normally under a lot of pressure and commonly confonted with exam stress. Exam period is extremly stressful for many students and some of them are so stressed that they undeperfom, but this doesn't occur because the lack of their abilities but because they have to cope with high level of exam stress. They are under a pressure of possible failure, or unsuccess which results in underperformance. CAUSES OF EXAM STRESS Exam stress is result of many causes, student emotions combined with their thought and several other factors can create high levels of exam stress. Thre of the most common factors are Competition, Negative Thinking and Low Self Confidence. Competition This is important factor that can result in exam stress because during that period there is more competition amongst students. This might be because the results of exam will play important rule in acceptance for higher levels of education. Higher exam results can also ensure prolonging or getting new scholarship and other potential consequences of failing exam or achieving lower scores than other students can create exam stress. Negative Thinking Be positive and avoid negative thinking.nNegative taughts that occur during exams are important factor that causes exam stress. You shouldn't think how difficult is the exam, how long is the study literature , how hard it is to acquire all the neccessary knowledge or how failure will result in less prosperous future. Start thinging on the positive...

Words: 540 - Pages: 3

Premium Essay

English Skill

...English correctly and effectively, especially speaking skill although they have been trained this language for a long time. When interviewing students from five Asian nations, Erlenawat has concluded that these learning difficulties are grounded in weaknesses in students’ prior learning experiences – focused on grammar and reading skills in classrooms, not conversational skills (Erlenawati Sawir, 2005). Vietnamese students are not exception of these problems and they are getting trouble with finding their own effective methods to overcome. Despite the fact that many Vietnamese learners spent nearly or even more than 10 years studying English at school, they cannot pronounce an English sentence exactly and fluently. As a result, they are not self-assured enough to speak out in the language. It can be clearly seen that a large number of students understand English grammar very well and get high score in written examinations whereas their oral communication skills are very poor and they are often shy to attempt to strike up a conversation (Trung Hieu, 2011). In “Language difficulties of international students in Australia: The effects of prior learning experience”, Erlenawati concentrated on international students’ difficulties of communicating by English and suggested several useful strategies to help them overcome. Nevertheless, she just discussed international students in Australia without mentioning troubles when using English of Asian students in...

Words: 2014 - Pages: 9

Premium Essay

Self Esteem

...WHAT IS SELF-ESTEEM? Self esteem is your opinion of yourself. High self esteem is a good opinion of yourself and low self esteem is a bad opinion of yourself. Your self esteem depends on many questions: * Is your job worthwhile? Do others respect what you do? Do you?      * Do you believe you are successful?   * How do you see yourself (your self image)? * How do you feel about your strengths and weaknesses?   * Are you comparing yourself to others and ignoring the unique value that you have?   * What do you think of your social status?   * How do you relate to others?   * Can you make your own decisions? A lack of choices leads to low self esteem.  The Importance of Self Esteem Self esteem is crucial and is a cornerstone of a positive attitude towards living. It is very important because it affects how you think, act and even how you relate to other people. It allows you to live life to your potential. Low self esteem means poor confidence and that also causes negative thoughts which mean that you are likely to give up easily rather than face challenges. In addition, it has a direct bearing on your happiness and wellbeing. Self-esteem is made up of? Your self esteem is build upon the thoughts and feelings you have about yourself. It is a self-evaluation, an opinion of who you are, build on experiences in your life and the conclusions you made, whether or not under pressure of peers. To mention thoughts and feelings is...

Words: 2337 - Pages: 10

Free Essay

Stress in the Workplace

...performance standards and job satisfaction. Organizations whose workers are stressed are likely to be successful in a competitive market. Workers who are stressed are more likely to be unhealthy, poorly motivated, less productive and less safe at work. Stress can be destructive in a way that, after reaching a certain point, the performance of the employees begins to reduce also which prevents fulfillment of work and various assignments. The following are the causes of stress in the workplace; Exhaustion (weakens the employees mentally and physically), moral injury (destructive of self-esteem of employees or lack of confidence in their abilities, discrimination), illness of the employees (feeling of irritation, uncertainty, guilt or mistrust), violence (damage to the property of the employees or organization), long hours, lack of rewards or incentives by the managers and managers lackadaisical attitude to employees. Stress can be brought to a minimal level; to prevent stress, we have to identify, know the causes and prevent it. The reduction or elimination of stress are the employee’s participation in the management, improvement of communication skills of managers, adequate training should be given to employees in other to prevent negligence of training which can harm a third party in the organization, the possibility of relaxation, social support (interaction and relationships that provide basic needs of workers), schedule your day for energy and focus, positive attitude...

Words: 3384 - Pages: 14

Premium Essay

Health and Social Care.

...ADESOLA JOSEPH, BTEC LEVEL 3 HEALTH AND SOCIAL CARE. DEVELOPMENT THROUGH THE LIFE STAGES. P5) Explain the physical and psychological changes which may be associated with ageing. The ageing process does not begin at a particular age as people age throughout their lives. We start to age from when we are young, but the real aging process does not start until our cells stop to divide and physiological decline sets in. Different older adults age in different ways. Some older adults develop serious problems due to aging in their 60s, while others can be as old as 90 years old and not have any serious problems. There are different theories proposed as to why we age and why we have a limited lifespan. It seems that our body cells have a limited ability to renew themselves. If cells cannot renew themselves then we cannot repair ourselves and stay healthy. A doctor Hayflick proposed that most body cells can only renew themselves fifty times or so, and when cells can no longer renew themselves, body processes breakdown, body tissue becomes wasted and eventually we die. This limit to cell life is called the Hayflick limit. A theory that links with the Hayflick limit is one which suggests that cell DNA contains a region at each end called a telomere. Each time a cell renews itself, the DNA inside is copied and part of the telomere is lost. By old age, all the telomere can be used up and DNA can no longer be replicated. This results in cell death. Hormone production decreases with age...

Words: 2939 - Pages: 12

Premium Essay

Self Confidence

...No Self Confidence - Boost Your Self Respect And Esteem To Move On In Life Having no self confidence affects your life. If you lack or have low confidence levels you can severely restrict what you do in life and the amount you enjoy things. Things become a pain. You can lack esteem and respect. You feel low and find it hard to pick yourself up. Your friends may say pick yourself up, but sometimes things are not so easy as they may think. When you lack or have little self confidence this affects your outlook. What you do. How you approach it. How you do things. What you try. What you leave alone for fear of criticism or fear of failure. Recognize the signs early to start to do something about it. Signs of low confidence No self-confidence - what are the signs? * Worrying about what other people think about them * Taking criticism badly * Uncomfortable in new situations * Unable to cope with things * Unable to handle compliments * Focus on what they do wrong * Being very pessimistic * Uncomfortable in social situations * Small comfort zone * Negative mental attitude * Cannot assert themselves * Feeling inferior or insecure * Lacking respect for themselves Causes What can cause a low level of confidence? * Self sabotage * Trying to be perfect * Stress * Experiencing too much pressure * Affects carried over from childhood * Influences from other people * Influences at work * Day to day interactions...

Words: 9173 - Pages: 37

Premium Essay

Trauma, Develpment, and Sprituality

...Spirituality Clayton Newsome Dr. Pamela Todd Counseling 502 September 11, 2014 Introduction People can suffer from many different situations throughout their life time. Trauma is one effect that can cause a person to do things out of the ordinary. When a person suffers from trauma it can affect them for the rest of their life. In this essay I will discuss how trauma can affect a person through development as well as spiritually. Neural Development Trauma can affect a child’s neural development and will attack their fine motor skills in a way where it is hard for them to function. In young children, gross motor, fine motor, and cognitive development are intertwined processes related to the maturation timetables of the central and peripheral nervous systems. Neurons are migrating, proliferating, and making more complex connections. Children become capable of more sophisticated communications with the production of neurotransmitters. Myelination, the sheathing of neurons in protective layers of fatty and protein substances, increases the rate of neuronal firing and facilitates faster, more complex signals between brain cells and from the brain to the rest of the body (Roehlkepartain, 2006). Children who are tested for ADHD are normally given a false reading, which causes a since of not know for sure how many children have the disorder. There are drug treatments for this type of disorder such as Ritalin or Dexadrine. However, some studies suggest that after a few years, children...

Words: 696 - Pages: 3

Premium Essay

Self Defeating Behaviour

...TREATMENT OF SELF-DEFEATING BEHAVIOUR. THE APPROACHES SHOULD BE SELECTED FROM THOSE INTRODUCED IN MODULE 5. In this essay I will try and demonstrate my knowledge and understanding of the title, by describing and evaluating two approaches of the treatment of self-defeating behaviour. INTRODUCTION Self-defeating behaviour is a behaviour used to cope with a traumatic situation. It is then repeatedly used but often has a damaging effect on the person. This can be identified as being deliberate or intentional behaviour that has a clear, definite or probably negative effect. People are more likely to have a self-defeating or destructive manner when either there are threats made to their egos or when they have low self-esteem. When people have low self-esteem they are more likely to be susceptible to having depression, anxiety and emotional distress, which are problems that are usually directly related to low self-appraisal. There are many examples of self-defeating behaviours like, being needy, guilty, envious, angry, obsessive, rebellious, addictions, eating disorders, procrastination, controlling, gossiping, self-doubt and depression. Basically self-defeating behaviour is a coping mechanism we use when we are dealing with a threatening or stressful situation. We grab at any solution that we can find. The solution might have helped in the short term, and that is why we keep repeating it. Nonetheless, it can also have a negative impact on our life. WHAT IS THE DEFINTION OF SELF-DEFEATING...

Words: 2469 - Pages: 10

Premium Essay

Personal Narrative: Self Doubt

...Everyday we fight these personal battles that has the power to weigh us down. For me, that enemy that I constantly fight is self doubt. Like most people, I doubt myself. I worry whether or not I’ll be good enough to get into a good college or be in a place where I am happy in the future. I lack the confidence and belief that I will ever come close to winning a race against a faster runner. Whether or not I know it, I constantly tell myself that I cannot do this or that it would be impossible to do that. I have this constant mindset that just puts me down and ultimately it costs me, it keeps me from striving for the impossible. The constant mindset that self doubt creates ultimately weighs one down therefore making it difficult to strive ahead....

Words: 729 - Pages: 3

Free Essay

Procrastination

...less important things ahead of them can cause negative consequences. Stress and anxiety are often a direct result of procrastinating as well as a lack of confidence and low self-esteem. Guilt is also associated with procrastination because of the perception of others and the potential disappointment of family and friends based on the lack of success. This character trait causes problems in all age groups and in many areas of life including college students and their achievement of educational goals. Unfortunately for me, procrastinating is a characteristic that affects me as a student and has impacted me greatly. There are many ways to sabotage academic success, but a guaranteed way is through procrastination. Procrastinators self-destruct by making choices that hinder their progress and achievement. This characteristic causes students to look for things to distract them and get them off task. Checking email, texting, and scanning social media like Facebook and Twitter are prime examples of distractions that force students to delay important responsibilities. Procrastinators often lie to themselves. Many are convinced that they will feel better about completing an assignment later or that they will work better under pressure. Students often postpone beginning a project until right before its deadline causing them to not have enough time to review it and complete it correctly. Students often lack confidence and have low self-esteem because of their unsuccessful performance...

Words: 806 - Pages: 4

Premium Essay

Enter The Outsiders David Brooks Analysis

...governments. Brooks effectively depicts the ambivalence and lack of confidence the U.S. government has today; however, he claims spirituality is what caused the ambivalence but, it is corruption. David Brooks clearly shows that the United States government has lack of self-confidence. This lack of confidence can have detrimental effects on how we...

Words: 503 - Pages: 3

Premium Essay

Bullying Cause Effect

...no value in themselves and no way out of their torment. One of the effects of bullying is that it can change the target’s character. It can cause people who are normally confident and cheerful to become insecure, afraid, and hesitant. In addition, sufferers of bullying may also become sad or miserable. Their self-confidence might completely vanish, stopping them from trying new things or trusting people. Once a person has been tormented they may waver to participate in circumstances where he or she might be mocked, such as in public speaking or in sports. Meanwhile, there are times when victims see no alternative but to seek vengeance by serious acts of violence alongside the bully and initiators. As a result of bullying, people can lose their capability to love and trust, rejecting them the chance to experience a quality connection later in their life. They might find themselves as an obedient partner or they may want to be totally alone. Compounding all of these complications, victims often develop eating disorders, begin to self-injure, or need extensive counseling. Social bullying can leave people without a helpful group of friends that they can lean on and occupy their time with. Another unlucky consequence of this is that bullying is often recurring. People who have been bullied can, in an effort to gain their power and confidence back, become bullies themselves. In relation to this, bullies who are not challenged or stopped may find themselves in upcoming positions...

Words: 960 - Pages: 4

Premium Essay

Nicotine Is Addictive Cigarette Smoking

...2011 MayHypnosis is specially designed to help you tap into your subconscious and modify your limiting beliefs. Your lack of self esteem completely blocks your way to achieve success and personal fulfilment in life.Self hypnosis for self esteem building can help you rebuild the confidence you need to keep you motivated and highly driven to accomplish your goals and dreams.Limiting Beliefs and Self Confidence During childhood, we are all bound to get a lot of criticism from different people.  These criticisms start to build up and we constantly develop our self-esteem through them. We then realize the essence of our value and worth by these criticisms that we get.Often times, what we are and what we believe during our childhood is a manifestation...

Words: 1230 - Pages: 5

Free Essay

Using the Case Study Provided at the End of the Module, Identify and Explain the Client's Issues and Devise a Course of Treatment for Him, Taking Into Account Any Ethical Issues”.

...exploring the issues raised in the case study provided which is about a 45 year old man named 'Mr. X'. I shall be explaining the issues Mr. X has expressed as I have understood them. To be in a position to help Mr X I need to identify issues that arise from the initial interview and produce a course of treatment that I feel would enable Mr X to meet his identified goals. I will be taking in consideration any ethical issues that need to be accounted for. Mr. X is a 45 year old man who has worked at the same Estate Agency for 18 years. He has presented to me the issue that he would like to apply for the manager’s position at his branch but his lack of confidence is holding him back. Mr. X has stood in for the current manager on many occasions so he knows that he is capable of doing the job but has reservations as he doesn’t want to cause any upset amongst the other staff or management if he is not successful. Further discussion with Mr. X revealed that one of the reasons he would like the job as manager is so that his mother would be proud of him and show him a little more respect. She is currently living in a home and he visits her regularly every Friday night although he says she tends to pick on him. Mr. X isn’t clear how or why his mother picks on him, just that she does. It also transpires that Mr. X’s colleagues tend to go out for a drink after work on a Friday night on a fairly regular basis but because of his commitment to visiting his mother he feels he cannot join them...

Words: 2018 - Pages: 9

Premium Essay

Narcissistic Personality Disorder Case Study

...Treatment for Narcissistic Personality Disorder Keyword: treatment for narcissistic personality disorder To like and love one’s self like the Greek mythology character named Narcissus may be normal sometimes, but if carried to the extreme, it can become a mental disorder. A narcissistic individual does not only have too much self-confidence, but he may also lack concern for others and may not care about how others feel. The question is – Is there a treatment for narcissistic personality disorder? Part 1: What Is Narcissistic Personality Disorder? A narcissistic personality disorder is characterized by extreme self-centeredness, an inflated sense of self-importance and a lack of compassion for others. Just like other types of personality disorders,...

Words: 820 - Pages: 4