ABSTRACT

This chapter explores defences against thinking in the workforce, using the example of nursing, where primitive anxieties about the abuse of power can lead to stoicism and repression. The author, who has been herself a nurse, describes how a system may perpetuate its defensive organisation against anxiety, with dependency being simultaneously encouraged and punished. An organisational system may work according to unconscious assumptions: for example, in a hospital, that attachment should be avoided for fear of being overwhelmed by the external demands of the work. This can lead to a frustration of job satisfaction, to high levels of sickness and to staff wastage. Others may develop an emotional detachment which interferes with their ability to fully take up their caring role. A different working environment, tolerant of individuality, would allow staff working in the organisation to rediscover their curiosity and capacity for thought.