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Tuesday, January 10, 2023

Sexism

From Wikipedia, the free encyclopedia
 
A woman under arrrest walking between two policemen
Suffragette organizations campaigned for women's right to vote.

Sexism is prejudice or discrimination based on one's sex or gender. Sexism can affect anyone, but it primarily affects women and girls. It has been linked to stereotypes and gender roles, and may include the belief that one sex or gender is intrinsically superior to another. Extreme sexism may foster misogyny, sexual harassment, rape, and other forms of sexual violence. Gender discrimination may encompass sexism. This term is defined as discrimination toward people based on their gender identity or their gender or sex differences. Gender discrimination is especially defined in terms of workplace inequality. It may arise from social or cultural customs and norms.

Etymology and definitions

According to Fred R. Shapiro, the term "sexism" was most likely coined on November 18, 1965, by Pauline M. Leet during a "Student-Faculty Forum" at Franklin and Marshall College. Specifically, the word sexism appears in Leet's forum contribution "Women and the Undergraduate", and she defines it by comparing it to racism, stating in part (on page 3): "When you argue ... that since fewer women write good poetry this justifies their total exclusion, you are taking a position analogous to that of the racist—I might call you, in this case, a 'sexist' ... Both the racist and the sexist are acting as if all that has happened had never happened, and both of them are making decisions and coming to conclusions about someone's value by referring to factors which are in both cases irrelevant."

Also, according to Shapiro, the first time the term "sexism" appeared in print was in Caroline Bird's speech "On Being Born Female", which was published on November 15, 1968, in Vital Speeches of the Day (p. 6). In this speech she said in part: "There is recognition abroad that we are in many ways a sexist country. Sexism is judging people by their sex when sex doesn't matter. Sexism is intended to rhyme with racism."

Sexism may be defined as an ideology based on the belief that one sex is superior to another. It is discrimination, prejudice, or stereotyping based on gender, and is most often expressed toward women and girls.

Sociology has examined sexism as manifesting at both the individual and the institutional level. According to Richard Schaefer, sexism is perpetuated by all major social institutions. Sociologists describe parallels among other ideological systems of oppression such as racism, which also operates at both the individual and institutional level. Early female sociologists Charlotte Perkins Gilman, Ida B. Wells, and Harriet Martineau described systems of gender inequality, but did not use the term sexism, which was coined later. Sociologists who adopted the functionalist paradigm, e.g. Talcott Parsons, understood gender inequality as the natural outcome of a dimorphic model of gender.

Psychologists Mary Crawford and Rhoda Unger define sexism as prejudice held by individuals that encompasses "negative attitudes and values about women as a group." Peter Glick and Susan Fiske coined the term ambivalent sexism to describe how stereotypes about women can be both positive and negative, and that individuals compartmentalize the stereotypes they hold into hostile sexism or benevolent sexism.

Feminist author bell hooks defines sexism as a system of oppression that results in disadvantages for women. Feminist philosopher Marilyn Frye defines sexism as an "attitudinal-conceptual-cognitive-orientational complex" of male supremacy, male chauvinism, and misogyny.

Philosopher Kate Manne defines sexism as one branch of a patriarchal order. In her definition, sexism rationalizes and justifies patriarchal norms, in contrast with misogyny, the branch which polices and enforces patriarchal norms. Manne says that sexism often attempts to make patriarchal social arrangements seem natural, good, or inevitable so that there appears to be no reason to resist them.

History

Ancient world

Engraving of a woman preparing to self-immolate with her husband's corpse
Sati, or self-immolation by widows, was prevalent in Hindu society until the early 19th century.

The status of women in ancient Egypt depended on their fathers or husbands, but they had property rights and could attend court, including as plaintiffs. Women of the Anglo-Saxon era were commonly afforded equal status. Evidence, however, is lacking to support the idea that many pre-agricultural societies afforded women a higher status than women today. After the adoption of agriculture and sedentary cultures, the concept that one gender was inferior to the other was established; most often this was imposed upon women and girls. Examples of unequal treatment of women in the ancient world include written laws preventing women from participating in the political process; women in ancient Rome could not vote or hold political office. Another example is scholarly texts that indoctrinate children in female inferiority; women in ancient China were taught the Confucian principles that a woman should obey her father in childhood, husband in marriage, and son in widowhood.

Witch hunts and trials

Titlepage from the book Malleus Maleficarum
"The Hammer of Witches which destroyeth Witches and their heresy as with a two-edged sword". Title page of the seventh Cologne edition of the Malleus Maleficarum, 1520, from the University of Sydney Library.

Sexism may have been the impetus that fueled the witch trials between the 15th and 18th centuries. In early modern Europe, and in the European colonies in North America, claims were made that witches were a threat to Christendom. The misogyny of that period played a role in the persecution of these women.

In Malleus Maleficarum by Heinrich Kramer, the book which played a major role in the witch hunts and trials, the author argues that women are more likely to practice witchcraft than men, and writes that:

All wickedness is but little to the wickedness of a woman ... What else is a woman but a foe to friendship, an inescapable punishment, a necessary evil, a natural temptation, a desirable calamity, a domestic danger, a delectable detriment, an evil of nature, painted with fair colors!

Witchcraft remains illegal in several countries, including Saudi Arabia, where it is punishable by death. In 2011, a woman was beheaded in that country for "witchcraft and sorcery". Murders of women after being accused of witchcraft remain common in some parts of the world; for example, in Tanzania, about 500 elderly women are murdered each year following such accusations.

When women are targeted with accusations of witchcraft and subsequent violence, it is often the case that several forms of discrimination interact – for example, discrimination based on gender with discrimination based on caste, as is the case in India and Nepal, where such crimes are relatively common.

Coverture and other marriage regulations

An Indian Anti-dowry poster headed Say No To Dowry
Anti-dowry poster in Bangalore, India. According to Amnesty International, "[T]he ongoing reality of dowry-related violence is an example of what can happen when women are treated as property."

Until the 20th century, U.S. and English law observed the system of coverture, where "by marriage, the husband and wife are one person in law; that is the very being or legal existence of the woman is suspended during the marriage". U.S. women were not legally defined as "persons" until 1875 (Minor v. Happersett, 88 U.S. 162). A similar legal doctrine, called marital power, existed under Roman Dutch law (and is still partially in force in present-day Eswatini).

Restrictions on married women's rights were common in Western countries until a few decades ago: for instance, French married women obtained the right to work without their husband's permission in 1965, and in West Germany women obtained this right in 1977. During the Franco era, in Spain, a married woman required her husband's consent (called permiso marital) for employment, ownership of property and traveling away from home; the permiso marital was abolished in 1975. In Australia, until 1983, a married woman's passport application had to be authorized by her husband.

Women in parts of the world continue to lose their legal rights in marriage. For example, Yemeni marriage regulations state that a wife must obey her husband and must not leave home without his permission. In Iraq, the law allows husbands to legally "punish" their wives. In the Democratic Republic of Congo, the Family Code states that the husband is the head of the household; the wife owes her obedience to her husband; a wife has to live with her husband wherever he chooses to live; and wives must have their husbands' authorization to bring a case in court or initiate other legal proceedings.

Abuses and discriminatory practices against women in marriage are often rooted in financial payments such as dowry, bride price, and dower. These transactions often serve as legitimizing coercive control of the wife by her husband and in giving him authority over her; for instance Article 13 of the Code of Personal Status (Tunisia) states that, "The husband shall not, in default of payment of the dower, force the woman to consummate the marriage", implying that, if the dower is paid, marital rape is permitted. In this regard, critics have questioned the alleged gains of women in Tunisia, and its image as a progressive country in the region, arguing that discrimination against women remains very strong there.

The World Organisation Against Torture (OMCT) has recognized the "independence and ability to leave an abusive husband" as crucial in stopping mistreatment of women. However, in some parts of the world, once married, women have very little chance of leaving a violent husband: obtaining a divorce is very difficult in many jurisdictions because of the need to prove fault in court. While attempting a de facto separation (moving away from the marital home) is also impossible because of laws preventing this. For instance, in Afghanistan, a wife who leaves her marital home risks being imprisoned for "running away". In addition, many former British colonies, including India, maintain the concept of restitution of conjugal rights, under which a wife may be ordered by court to return to her husband; if she fails to do so, she may be held in contempt of court. Other problems have to do with the payment of the bride price: if the wife wants to leave, her husband may demand the return of the bride price that he had paid to the woman's family; and the woman's family often cannot or does not want to pay it back.

Laws, regulations, and traditions related to marriage continue to discriminate against women in many parts of the world, and to contribute to the mistreatment of women, in particular in areas related to sexual violence and to self-determination regarding sexuality, the violation of the latter now being acknowledged as a violation of women's rights. In 2012, Navi Pillay, then High Commissioner for Human Rights, stated that:

Women are frequently treated as property, they are sold into marriage, into trafficking, into sexual slavery. Violence against women frequently takes the form of sexual violence. Victims of such violence are often accused of promiscuity and held responsible for their fate, while infertile women are rejected by husbands, families and communities. In many countries, married women may not refuse to have sexual relations with their husbands, and often have no say in whether they use contraception ... Ensuring that women have full autonomy over their bodies is the first crucial step towards achieving substantive equality between women and men. Personal issues—such as when, how and with whom they choose to have sex, and when, how and with whom they choose to have children—are at the heart of living a life in dignity.

Suffrage and politics

Two woman carry a sign reading "Votes for Women".

Gender has been used as a tool for discrimination against women in the political sphere. Women's suffrage was not achieved until 1893, when New Zealand was the first country to grant women the right to vote. Saudi Arabia is the most recent country, as of August 2015, to extend the right to vote to women in 2011.[67] Some Western countries allowed women the right to vote only relatively recently. Swiss women gained the right to vote in federal elections in 1971, and Appenzell Innerrhoden became the last canton to grant women the right to vote on local issues in 1991, when it was forced to do so by the Federal Supreme Court of Switzerland. French women were granted the right to vote in 1944. In Greece, women obtained the right to vote in 1952. In Liechtenstein, women obtained the right to vote in 1984, through the women's suffrage referendum of 1984.

While almost every woman today has the right to vote, there is still progress to be made for women in politics. Studies have shown that in several democracies including Australia, Canada, and the United States, women are still represented using gender stereotypes in the press. Multiple authors have shown that gender differences in the media are less evident today than they used to be in the 1980s, but are still present. Certain issues (e.g., education) are likely to be linked with female candidates, while other issues (e.g., taxes) are likely to be linked with male candidates. In addition, there is more emphasis on female candidates' personal qualities, such as their appearance and their personality, as females are portrayed as emotional and dependent.

There is a widespread imbalance of lawmaking power between men and women. The ratio of women to men in legislatures is used as a measure of gender equality in the United Nations' Gender Empowerment Measure and its newer incarnation the Gender Inequality Index. Speaking about China, Lanyan Chen stated that, since men more than women serve as the gatekeepers of policy making, this may lead to women's needs not being properly represented. In this sense, the inequality in lawmaking power also causes gender discrimination.

Menus

Until the early 1980s, some high-end restaurants had two menus: a regular menu with the prices listed for men and a second menu for women, which did not have the prices listed (it was called the "ladies' menu"), so that the female diner would not know the prices of the items. In 1980, Kathleen Bick took a male business partner out to dinner at L'Orangerie in West Hollywood. After she was given a women's menu without prices and her guest got one with prices, Bick hired lawyer Gloria Allred to file a discrimination lawsuit, on the grounds that the women's menu went against the California Civil Rights Act. Bick stated that getting a women's menu without prices left her feeling "humiliated and incensed". The owners of the restaurant defended the practice, saying it was done as a courtesy, like the way men would stand up when a woman enters the room. Even though the lawsuit was dropped, the restaurant ended its gender-based menu policy.

Trends over time

A 2021 study found little evidence that levels of sexism had changed from 2004 to 2018 in the United States.

Gender stereotypes

Series of photographs lampooning women drivers
Bettie Page portrays stereotypes about women drivers in 1952.

Gender stereotypes are widely held beliefs about the characteristics and behavior of women and men. Empirical studies have found widely shared cultural beliefs that men are more socially valued and more competent than women in a number of activities. Dustin B. Thoman and others (2008) hypothesize that "[t]he socio-cultural salience of ability versus other components of the gender-math stereotype may impact women pursuing math". Through the experiment comparing the math outcomes of women under two various gender-math stereotype components, which are the ability of math and the effort on math respectively, Thoman and others found that women's math performance is more likely to be affected by the negative ability stereotype, which is influenced by sociocultural beliefs in the United States, rather than the effort component. As a result of this experiment and the sociocultural beliefs in the United States, Thoman and others concluded that individuals' academic outcomes can be affected by the gender-math stereotype component that is influenced by the sociocultural beliefs.

In language

Sexism in language exists when language devalues members of a certain gender. Sexist language, in many instances, promotes male superiority. Sexism in language affects consciousness, perceptions of reality, encoding and transmitting cultural meanings and socialization. Researchers have pointed to the semantic rule in operation in language of the male-as-norm. This results in sexism as the male becomes the standard and those who are not male are relegated to the inferior. Sexism in language is considered a form of indirect sexism because it is not always overt.

Examples include:

  • Using generic masculine terms to reference a group of mixed gender, such as "mankind", "man" (referring to humanity), "guys", or "officers and men"
  • Using the singular masculine pronoun (he, his, him) as the default to refer to a person of unknown gender
  • Terms ending in "-man" that may be performed by those of non-male genders, such as businessman, chairman, or policeman
  • Using unnecessary gender markers, such as "male nurse" implying that simply a "nurse" is by default assumed to be female.

Sexist and gender-neutral language

Various 20th century feminist movements, from liberal feminism and radical feminism to standpoint feminism, postmodern feminism and queer theory, have considered language in their theorizing. Most of these theories have maintained a critical stance on language that calls for a change in the way speakers use their language.

One of the most common calls is for gender-neutral language. Many have called attention, however, to the fact that the English language is not inherently sexist in its linguistic system, but the way it is used becomes sexist and gender-neutral language could thus be employed.

Sexism in languages other than English

Romanic languages such as French and Spanish may be seen as reinforcing sexism, in that the masculine form is the default. The word "mademoiselle", meaning "miss", was declared banished from French administrative forms in 2012 by Prime Minister François Fillon. Current pressure calls for the use of the masculine plural pronoun as the default in a mixed-sex group to change. As for Spanish, Mexico's Ministry of the Interior published a guide on how to reduce the use of sexist language.

German speakers have also raised questions about how sexism intersects with grammar. The German language is heavily inflected for gender, number, and case; nearly all nouns denoting the occupations or statuses of human beings are gender-differentiated. For more gender-neutral constructions, gerund nouns are sometimes used instead, as this eliminates the grammatical gender distinction in the plural, and significantly reduces it in the singular. For example, instead of die Studenten ("the men students") or die Studentinnen ("the women students"), one writes die Studierenden ("the [people who are] studying"). However, this approach introduces an element of ambiguity, because gerund nouns more precisely denote one currently engaged in the activity, rather than one who routinely engages in it as their primary occupation.

In Chinese, some writers have pointed to sexism inherent in the structure of written characters. For example, the character for man is linked to those for positive qualities like courage and effect while the character for wife is composed of a female part and a broom, considered of low worth.

Gender-specific pejorative terms

Gender-specific pejorative terms intimidate or harm another person because of their gender. Sexism can be expressed in language with negative gender-oriented implications, such as condescension. For example, one may refer to a female as a "girl" rather than a "woman", implying that they are subordinate or not fully mature. Other examples include obscene language. Some words are offensive to transgender people, including "tranny", "she-male", or "he-she". Intentional misgendering (assigning the wrong gender to someone) and the pronoun "it" are also considered pejorative.

Occupational sexism

"Calling nurses by their first names"

The practice of using first names for individuals from a profession that is predominantly female occurs in health care. Physicians are typically referred to using their last name, but nurses are referred to, even by physicians they do not know, by their first name. According to Suzanne Gordon, a typical conversation between a physician and a nurse is: "Hello Jane. I'm Dr. Smith. Would you hand me the patient's chart?"

Nursing Against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care

Occupational sexism refers to discriminatory practices, statements or actions, based on a person's sex, occurring in the workplace. One form of occupational sexism is wage discrimination. In 2008, the Organisation for Economic Co-operation and Development (OECD) found that while female employment rates have expanded and gender employment and wage gaps have narrowed nearly everywhere, on average women still have 20% less chance to have a job and are paid 17% less than men. The report stated:

[In] many countries, labour market discrimination—i.e. the unequal treatment of equally productive individuals only because they belong to a specific group—is still a crucial factor inflating disparities in employment and the quality of job opportunities [...] Evidence presented in this edition of the Employment Outlook suggests that about 8 percent of the variation in gender employment gaps and 30 percent of the variation in gender wage gaps across OECD countries can be explained by discriminatory practices in the labor market.

It also found that although almost all OECD countries, including the U.S., have established anti-discrimination laws, these laws are difficult to enforce.

Women who enter predominantly male work groups can experience the negative consequences of tokenism: performance pressures, social isolation, and role encapsulation. Tokenism could be used to camouflage sexism, to preserve male workers' advantage in the workplace. No link exists between the proportion of women working in an organization/company and the improvement of their working conditions. Ignoring sexist issues may exacerbate women's occupational problems.

In the World Values Survey of 2005, responders were asked if they thought wage work should be restricted to men only. In Iceland, the percentage that agreed was 3.6%, whereas in Egypt it was 94.9%.

Gap in hiring

Research has repeatedly shown that mothers in the United States are less likely to be hired than equally qualified fathers and if hired, receive a lower salary than male applicants with children.

One study found that female applicants were favored; however, its results have been met with skepticism from other researchers, since it contradicts most other studies on the issue. Joan C. Williams, a distinguished professor at the University of California's Hastings College of Law, raised issues with its methodology, pointing out that the fictional female candidates it used were unusually well-qualified. Studies using more moderately qualified graduate students have found that male students are much more likely to be hired, offered better salaries, and offered mentorship.

In Europe, studies based on field experiments in the labor market, provide evidence for no severe levels of discrimination based on female gender. However, unequal treatment is still measured in particular situations, for instance, when candidates apply for positions at a higher functional level in Belgium, when they apply at their fertile ages in France, and when they apply for male-dominated occupations in Austria.

Earnings gap

Bar graph showing the gender pay gap in European countries
Gender pay gap in average gross hourly earnings according to Eurostat 2014

Studies have concluded that on average women earn lower wages than men worldwide. Some people argue that this results from widespread gender discrimination in the workplace. Others argue that the wage gap results from different choices by men and women, such as women placing more value than men on having children, and men being more likely than women to choose careers in high paying fields such as business, engineering, and technology.

Eurostat found a persistent, average gender pay gap of 27.5% in the 27 EU member states in 2008. Similarly, the OECD found that female full-time employees earned 27% less than their male counterparts in OECD countries in 2009.

In the United States, the female-to-male earnings ratio was 0.77 in 2009; female full-time, year-round (FTYR) workers earned 77% as much as male FTYR workers. Women's earnings relative to men's fell from 1960 to 1980 (56.7–54.2%), rose rapidly from 1980 to 1990 (54.2–67.6%), leveled off from 1990 to 2000 (67.6–71.2%) and rose from 2000 to 2009 (71.2–77.0%). As of the late 2010s, it has decreased back to around 1990 to 2000 levels (68.6-71.1%). When the first Equal Pay Act was passed in 1963, female full-time workers earned 48.9% as much as male full-time workers.

Research conducted in Czechia and Slovakia shows that, even after the governments passed anti-discrimination legislation, two thirds of the gender gap in wages remained unexplained and segregation continued to "represent a major source of the gap".

The gender gap can also vary across-occupation and within occupation. In Taiwan, for example, studies show how the bulk of gender wage discrepancies occur within-occupation. In Russia, research shows that the gender wage gap is distributed unevenly across income levels, and that it mainly occurs at the lower end of income distribution. The research also found that "wage arrears and payment in-kind attenuated wage discrimination, particularly amongst the lowest paid workers, suggesting that Russian enterprise managers assigned lowest importance to equity considerations when allocating these forms of payment".

The gender pay gap has been attributed to differences in personal and workplace characteristics between men and women (such as education, hours worked and occupation), innate behavioral and biological differences between men and women and discrimination in the labor market (such as gender stereotypes and customer and employer bias). Women take significantly more time off to raise children than men. In certain countries such as South Korea, it has also been a long-established practice to lay-off female employees upon marriage. A study by Professor Linda C. Babcock in her book Women Don't Ask shows that men are eight times more likely to ask for a pay raise, suggesting that pay inequality may be partly a result of behavioral differences between the sexes. However, studies generally find that a portion of the gender pay gap remains unexplained after accounting for factors assumed to influence earnings; the unexplained portion of the wage gap is attributed to gender discrimination.

Estimates of the discriminatory component of the gender pay gap vary. The OECD estimated that approximately 30% of the gender pay gap across OECD countries is because of discrimination. Australian research shows that discrimination accounts for approximately 60% of the wage differential between men and women. Studies examining the gender pay gap in the United States show that a much of the wage differential remains unexplained, after controlling for factors affecting pay. One study of college graduates found that the portion of the pay gap unexplained after all other factors are taken into account is five percent one year after graduating and 12% a decade after graduation. A study by the American Association of University Women found that women graduates in the United States are paid less than men doing the same work and majoring in the same field.

Graph showing weekly earnings by various categories
Median weekly earnings of full-time wage and salary workers, by sex, race, and ethnicity, U.S., 2009

Wage discrimination is theorized as contradicting the economic concept of supply and demand, which states that if a good or service (in this case, labor) is in demand and has value it will find its price in the market. If a worker offered equal value for less pay, supply and demand would indicate a greater demand for lower-paid workers. If a business hired lower-wage workers for the same work, it would lower its costs and enjoy a competitive advantage. According to supply and demand, if women offered equal value demand (and wages) should rise since they offer a better price (lower wages) for their service than men do.

Research at Cornell University and elsewhere indicates that mothers in the United States are less likely to be hired than equally qualified fathers and, if hired, receive a lower salary than male applicants with children. The OECD found that "a significant impact of children on women's pay is generally found in the United Kingdom and the United States". Fathers earn $7,500 more, on average, than men without children do.

There is research to suggest that the gender wage gap leads to big losses for the economy.

Causes for wage discrimination

The non-adjusted gender pay gap (the difference without taking into account differences in working hours, occupations, education and work experience) is not itself a measure of discrimination. Rather, it combines differences in the average pay of women and men to serve as a barometer of comparison. Differences in pay are caused by:

  • occupational segregation (with more men in higher paid industries and women in lower paid industries),
  • vertical segregation (fewer women in senior, and hence better paying positions),
  • ineffective equal pay legislation,
  • women's overall paid working hours, and
  • barriers to entry into the labor market (such as education level and single parenting rate).

Some variables that help explain the non-adjusted gender pay gap include economic activity, working time, and job tenure. Gender-specific factors, including gender differences in qualifications and discrimination, overall wage structure, and the differences in remuneration across industry sectors all influence the gender pay gap.

Eurostat estimated in 2016 that after allowing for average characteristics of men and women, women still earn 11.5% less than men. Since this estimate accounts for average differences between men and women, it is an estimation of the unexplained gender pay gap.

Glass ceiling effect

"The popular notion of glass ceiling effects implies that gender (or other) disadvantages are stronger at the top of the hierarchy than at lower levels and that these disadvantages become worse later in a person's career."

In the United States, women account for 52% of the overall labor force, but make up only three percent of corporate CEOs and top executives. Some researchers see the root cause of this situation in the tacit discrimination based on gender, conducted by current top executives and corporate directors (primarily male), and "the historic absence of women in top positions", which "may lead to hysteresis, preventing women from accessing powerful, male-dominated professional networks, or same-sex mentors". The glass ceiling effect is noted as being especially persistent for women of color. According to a report, "women of colour perceive a 'concrete ceiling' and not simply a glass ceiling".

In the economics profession, it has been observed that women are more inclined than men to dedicate their time to teaching and service. Since continuous research work is crucial for promotion, "the cumulative effect of small, contemporaneous differences in research orientation could generate the observed significant gender difference in promotion". In the high-tech industry, research shows that, regardless of the intra-firm changes, "extra-organizational pressures will likely contribute to continued gender stratification as firms upgrade, leading to the potential masculinization of skilled high-tech work".

The United Nations asserts that "progress in bringing women into leadership and decision making positions around the world remains far too slow".

Potential remedies

Research by David Matsa and Amalia Miller suggests that a remedy to the glass ceiling could be increasing the number of women on corporate boards, which could lead to increases in the number of women working in top management positions. The same research suggests that this could also result in a "feedback cycle in which the presence of more female managers increases the qualified pool of potential female board members (for the companies they manage, as well as other companies), leading to greater female board membership and then further increases in female executives".

Weight-based sexism

A 2009 study found that being overweight harms women's career advancement, but presents no barrier for men. Overweight women were significantly underrepresented among company bosses, making up between five and 22% of female CEOs. However, the proportion of overweight male CEOs was between 45% and 61%, over-representing overweight men. On the other hand, approximately five percent of CEOs were obese among both genders. The author of the study stated that the results suggest that "the 'glass ceiling effect' on women's advancement may reflect not only general negative stereotypes about the competencies of women but also weight bias that results in the application of stricter appearance standards to women."

Transgender discrimination

Transgender people also experience significant workplace discrimination and harassment. Unlike sex-based discrimination, refusing to hire (or firing) a worker for their gender identity or expression is not explicitly illegal in most U.S. states. In June 2020, the United States Supreme Court ruled that federal civil rights law protects gay, lesbian and transgender workers. Writing for the majority, Justice Neil Gorsuch wrote: "An employer who fires an individual for being homosexual or transgender fires that person for traits or actions it would not have questioned in members of a different sex. Sex plays a necessary and undisguisable role in the decision, exactly what Title VII forbids." The ruling however did not protect LGBT employees from being fired based on their sexual orientation or gender identity in businesses of 15 workers or less.

In August 1995, Kimberly Nixon filed a complaint with the British Columbia Human Rights Tribunal against Vancouver Rape Relief & Women's Shelter. Nixon, a trans woman, had been interested in volunteering as a counsellor with the shelter. When the shelter learned that she was transsexual, they told Nixon that she would not be allowed to volunteer with the organization. Nixon argued that this constituted illegal discrimination under Section 41 of the British Columbia Human Rights Code. Vancouver Rape Relief countered that individuals are shaped by the socialization and experiences of their formative years, and that Nixon had been socialized as a male growing up, and that, therefore, Nixon would not be able to provide sufficiently effective counselling to the female born women that the shelter served. Nixon took her case to the Supreme Court of Canada, which refused to hear the case.

Objectification

Illustration of a woman splayed across a wine menu
Example of sexual objectification of women on a wine menu

In social philosophy, objectification is the act of treating a person as an object or thing. Objectification plays a central role in feminist theory, especially sexual objectification. Feminist writer and gender equality activist Joy Goh-Mah argues that by being objectified, a person is denied agency. According to the philosopher Martha Nussbaum, a person might be objectified if one or more of the following properties are applied to them:

  1. Instrumentality: treating the object as a tool for another's purposes: "The objectifier treats the object as a tool of his or her purposes."
  2. Denial of autonomy: treating the object as lacking in autonomy or self-determination: "The objectifier treats the object as lacking in autonomy and self-determination."
  3. Inertness: treating the object as lacking in agency or activity: "The objectifier treats the object as lacking in agency, and perhaps also in activity."
  4. Fungibility: treating the object as interchangeable with other objects: "The objectifier treats the object as interchangeable (a) with other objects of the same type, and/or (b) with objects of other types."
  5. Violability: treating the object as lacking in boundary integrity and violable: "The objectifier treats the object as lacking in boundary integrity, as something that it is permissible to break up, smash, break into."
  6. Ownership: treating the object as if it can be owned, bought, or sold: "The objectifier treats the object as something that is owned by another, can be bought or sold, etc."
  7. Denial of subjectivity: treating the object as if there is no need for concern for its experiences or feelings: "The objectifier treats the object as something whose experience and feelings (if any) need not be taken into account."

Rae Helen Langton, in Sexual Solipsism: Philosophical Essays on Pornography and Objectification, proposed three more properties to be added to Nussbaum's list:

  1. Reduction to Body: the treatment of a person as identified with their body, or body parts;
  2. Reduction to Appearance: the treatment of a person primarily in terms of how they look, or how they appear to the senses;
  3. Silencing: the treatment of a person as if they are silent, lacking the capacity to speak.

According to objectification theory, objectification can have important repercussions on women, particularly young women, as it can negatively impact their psychological health and lead to the development of mental disorders, such as unipolar depression, sexual dysfunction, and eating disorders.

In advertising

Two girls examining a bulletin board posted on a fence. An advertisement painted above them asks "Are You a Woman?".

While advertising used to portray women and men in obviously stereotypical roles (e.g., as a housewife, breadwinner), in modern advertisements, they are no longer solely confined to their traditional roles. However, advertising today still stereotypes men and women, albeit in more subtle ways, including by sexually objectifying them. Women are most often targets of sexism in advertising. When in advertisements with men they are often shorter and put in the background of images, shown in more "feminine" poses, and generally present a higher degree of "body display".

Today, some countries (for example Norway and Denmark) have laws against sexual objectification in advertising. Nudity is not banned, and nude people can be used to advertise a product if they are relevant to the product advertised. Sol Olving, head of Norway's Kreativt Forum (an association of the country's top advertising agencies) explained, "You could have a naked person advertising shower gel or a cream, but not a woman in a bikini draped across a car".

Other countries continue to ban nudity (on traditional obscenity grounds), but also make explicit reference to sexual objectification, such as Israel's ban of billboards that "depicts sexual humiliation or abasement, or presents a human being as an object available for sexual use".

Pornography

Anti-pornography feminist Catharine MacKinnon argues that pornography contributes to sexism by objectifying women and portraying them in submissive roles. MacKinnon, along with Andrea Dworkin, argues that pornography reduces women to mere tools, and is a form of sex discrimination. The two scholars highlight the link between objectification and pornography by stating:

We define pornography as the graphic sexually explicit subordination of women through pictures and words that also includes (i) women are presented dehumanized as sexual objects, things, or commodities; or (ii) women are presented as sexual objects who enjoy humiliation or pain; or (iii) women are presented as sexual objects experiencing sexual pleasure in rape, incest or other sexual assault; or (iv) women are presented as sexual objects tied up, cut up or mutilated or bruised or physically hurt; or (v) women are presented in postures or positions of sexual submission, servility, or display; or (vi) women's body parts—including but not limited to vaginas, breasts, or buttocks—are exhibited such that women are reduced to those parts; or (vii) women are presented being penetrated by objects or animals; or (viii) women are presented in scenarios of degradation, humiliation, injury, torture, shown as filthy or inferior, bleeding, bruised, or hurt in a context that makes these conditions sexual."

Robin Morgan and Catharine MacKinnon suggest that certain types of pornography also contribute to violence against women by eroticizing scenes in which women are dominated, coerced, humiliated or sexually assaulted.

Some people opposed to pornography, including MacKinnon, charge that the production of pornography entails physical, psychological, and economic coercion of the women who perform and model in it. Opponents of pornography charge that it presents a distorted image of sexual relations and reinforces sexual myths; it shows women as continually available and willing to engage in sex at any time, with any person, on their terms, responding positively to any requests.

MacKinnon writes:

Pornography affects people's belief in rape myths. So for example if a woman says "I didn't consent" and people have been viewing pornography, they believe rape myths and believe the woman did consent no matter what she said. That when she said no, she meant yes. When she said she didn't want to, that meant more beer. When she said she would prefer to go home, that means she's a lesbian who needs to be given a good corrective experience. Pornography promotes these rape myths and desensitizes people to violence against women so that you need more violence to become sexually aroused if you're a pornography consumer. This is very well documented.

Defenders of pornography and anti-censorship activists (including sex-positive feminists) argue that pornography does not seriously impact a mentally healthy individual, since the viewer can distinguish between fantasy and reality. They contend that men and women are objectified in pornography particularly sadistic or masochistic pornography, in which men are objectified and sexually used by women.

Prostitution

Prostitution is the business or practice of engaging in sexual relations for payment. Sex workers are often objectified and are seen as existing only to serve clients, thus calling their sense of agency into question. There is a prevailing notion that because they sell sex professionally, prostitutes automatically consent to all sexual contact. As a result, sex workers face higher rates of violence and sexual assault. This is often dismissed, ignored and not taken seriously by authorities.

In many countries, prostitution is dominated by brothels or pimps, who often claim ownership over sex workers. This sense of ownership furthers the concept that sex workers are void of agency. This is literally the case in instances of sexual slavery.

Various authors have argued that female prostitution is based on male sexism that condones the idea that unwanted sex with a woman is acceptable, that men's desires must be satisfied, and that women are coerced into and exist to serve men sexually. The European Women's Lobby condemned prostitution as "an intolerable form of male violence".

Carole Pateman writes that:

Prostitution is the use of a woman's body by a man for his own satisfaction. There is no desire or satisfaction on the part of the prostitute. Prostitution is not mutual, pleasurable exchange of the use of bodies, but the unilateral use of a woman's body by a man in exchange for money.

Media portrayals

Some scholars believe that media portrayals of demographic groups can both maintain and disrupt attitudes and behaviors toward those groups. According to Susan Douglas: "Since the early 1990s, much of the media have come to overrepresent women as having made it-completely-in the professions, as having gained sexual equality with men, and having achieved a level of financial success and comfort enjoyed primarily by Tiffany's-encrusted doyennes of Laguna Beach." These images may be harmful, particularly to women and racial and ethnic minority groups. For example, a study of African American women found they feel that media portrayals of themselves often reinforce stereotypes of this group as overly sexual and idealize images of lighter-skinned, thinner African American women (images African American women describe as objectifying). In a recent analysis of images of Haitian women in the Associated Press photo archive from 1994 to 2009, several themes emerged emphasizing the "otherness" of Haitian women and characterizing them as victims in need of rescue.

In an attempt to study the effect of media consumption on males, Samantha and Bridges found an effect on body shame, though not through self-objectification as it was found in comparable studies of women. The authors conclude that the current measures of objectification were designed for women and do not measure men accurately. Another study found a negative effect on eating attitudes and body satisfaction of consumption of beauty and fitness magazines for women and men respectively but again with different mechanisms, namely self-objectification for women and internalization for men.

Sexist jokes

Frederick Attenborough argues that sexist jokes can be a form of sexual objectification, which reduce the butt of the joke to an object. They not only objectify women, but can also condone violence or prejudice against women. "Sexist humor—the denigration of women through humor—for instance, trivializes sex discrimination under the veil of benign amusement, thus precluding challenges or opposition that nonhumorous sexist communication would likely incur." A study of 73 male undergraduate students by Ford found that "sexist humor can promote the behavioral expression of prejudice against women amongst sexist men". According to the study, when sexism is presented in a humorous manner it is viewed as tolerable and socially acceptable: "Disparagement of women through humor 'freed' sexist participants from having to conform to the more general and more restrictive norms regarding discrimination against women."

Gender identity discrimination

Gender discrimination is discrimination based on actual or perceived gender identity. Gender identity is "the gender-related identity, appearance, or mannerisms or other gender-related characteristics of an individual, with or without regard to the individual's designated sex at birth". Gender discrimination is theoretically different from sexism. Whereas sexism is prejudice based on biological sex, gender discrimination specifically addresses discrimination towards gender identities, including third gender, genderqueer, and other non-binary identified people. It is especially attributed to how people are treated in the workplace, and banning discrimination on the basis of gender identity and expression has emerged as a subject of contention in the American legal system.

According to a recent report by the Congressional Research Service, "although the majority of federal courts to consider the issue have concluded that discrimination on the basis of gender identity is not sex discrimination, there have been several courts that have reached the opposite conclusion". Hurst states that "[c]ourts often confuse sex, gender and sexual orientation, and confuse them in a way that results in denying the rights not only of gays and lesbians, but also of those who do not present themselves or act in a manner traditionally expected of their sex".

Oppositional sexism

Oppositional sexism is a term coined by transfeminist author Julia Serano, who defined oppositional sexism as "the belief that male and female are rigid, mutually exclusive categories". Oppositional sexism plays a vital role in a number of social norms, such as cissexism, heteronormativity, and traditional sexism.

Oppositional sexism normalizes masculine expression in males and feminine expression in females while simultaneously demonizing femininity in males and masculinity in females. This concept plays a crucial role in supporting cissexism, the social norm that views cisgender people as both natural and privileged as opposed to transgender people.

The idea of having two, opposite genders is tied to sexuality through what gender theorist Judith Butler calls a "compulsory practice of heterosexuality". Because oppositional sexism is tied to heteronormativity in this way, non-heterosexuals are seen as breaking gender norms.

The concept of opposite genders sets a "dangerous precedent", according to Serano, where "if men are big then women must be small; and if men are strong then women must be weak". The gender binary and oppositional norms work together to support "traditional sexism", the belief that femininity is inferior to and serves masculinity.

Serano states that oppositional sexism works in tandem with "traditional sexism". This ensures that "those who are masculine have power over those who are feminine, and that only those that are born male will be seen as authentically masculine."

Transgender discrimination

Transgender discrimination is discrimination towards peoples whose gender identity differs from the social expectations of the biological sex they were born with. Forms of discrimination include but are not limited to identity documents not reflecting one's gender, sex-segregated public restrooms and other facilities, dress codes according to binary gender codes, and lack of access to and existence of appropriate health care services. In a recent adjudication, the Equal Employment Opportunity Commission (EEOC) concluded that discrimination against a transgender person is sex discrimination.

The 2008–09 National Transgender Discrimination Survey (NTDS)—a U.S. study by the National Center for Transgender Equality and the National Gay and Lesbian Task Force in collaboration with the National Black Justice Coalition that was, at its time, the most extensive survey of transgender discrimination—showed that Black transgender people in the United States suffer "the combination of anti-transgender bias and persistent, structural and individual racism" and that "black transgender people live in extreme poverty that is more than twice the rate for transgender people of all races (15%), four times the general Black population rate (9%) and over eight times the general US population rate (4%)". Further discrimination is faced by gender nonconforming individuals, whether transitioning or not, because of displacement from societally acceptable gender binaries and visible stigmatization. According to the NTDS, transgender gender nonconforming (TGNC) individuals face between eight percent and 15% higher rates of self and social discrimination and violence than binary transgender individuals. Lisa R. Miller and Eric Anthony Grollman found in their 2015 study that "gender nonconformity may heighten trans people's exposure to discrimination and health-harming behaviors. Gender nonconforming trans adults reported more events of major and everyday transphobic discrimination than their gender conforming counterparts."

In another study conducted in collaboration with the League of United Latin American Citizens, Latino/a transgender people who were non-citizens were most vulnerable to harassment, abuse and violence.

An updated version of the NTDS survey, called the 2015 U.S. Transgender Survey, was published in December 2016.

Examples

Domestic violence

Portrait of a female acid attack victim showing facial injuries
Acid attack victim in Cambodia

Although the exact rates are widely disputed, there is a large body of cross-cultural evidence that domestic violence is mostly committed by men against women. In addition, there is a broad consensus that women are more often subjected to severe forms of abuse and are more likely to be injured by an abusive partner. The United Nations recognizes domestic violence as a form of gender-based violence, which it describes as a human rights violation, and the result of sexism.

Domestic violence is tolerated and even legally accepted in many parts of the world. For instance, in 2010, the United Arab Emirates (UAE)'s Supreme Court ruled that a man has the right to discipline his wife and children physically if he does not leave visible marks. In 2015, Equality Now drew attention to a section of the Penal Code of Northern Nigeria, titled Correction of Child, Pupil, Servant or Wife which reads: "(1) Nothing is an offence which does not amount to the infliction of grievous hurt upon any persons which is done: (...) (d) by a husband for the purpose of correcting his wife, such husband and wife being subject to any native law or custom in which such correction is recognized as lawful."

Honor killings are another form of domestic violence practiced in several parts of the world, and their victims are predominantly women. Honor killings can occur because of refusal to enter into an arranged marriage, maintaining a relationship relatives disapprove of, extramarital sex, becoming the victim of rape, dress seen as inappropriate, or homosexuality. The United Nations Office on Drugs and Crime states that, "[h]onour crimes, including killing, are one of history's oldest forms of gender-based violence".

According to a report of the Special Rapporteur submitted to the 58th session of the United Nations Commission on Human Rights concerning cultural practices in the family that reflect violence against women:

The Special Rapporteur indicated that there had been contradictory decisions with regard to the honour defense in Brazil, and that legislative provisions allowing for partial or complete defense in that context could be found in the penal codes of Argentina, Ecuador, Egypt, Guatemala, Iran, Israel, Jordan, Peru, Syria, Venezuela, and the Palestinian National Authority.

Practices such as honor killings and stoning continue to be supported by mainstream politicians and other officials in some countries. In Pakistan, after the 2008 Balochistan honour killings in which five women were killed by tribesmen of the Umrani Tribe of Balochistan, Pakistani federal minister for Postal Services Israr Ullah Zehri defended the practice: "These are centuries-old traditions, and I will continue to defend them. Only those who indulge in immoral acts should be afraid." Following the 2006 case of Sakineh Mohammadi Ashtiani (which has placed Iran under international pressure for its stoning sentences), Mohammad-Javad Larijani, a senior envoy and chief of Iran's Human Rights Council, defended the practice of stoning; he claimed it was a "lesser punishment" than execution, because it allowed those convicted a chance at survival.

Dowry deaths result from the killing of women who are unable to pay the high dowry price for their marriage. According to Amnesty International, "the ongoing reality of dowry-related violence is an example of what can happen when women are treated as property".

Gendercide and forced sterilization

World map showing birth sex ratios
World map of birth sex ratios, 2012
 
Sign in an Indian clinic reading "Prenatal disclosure of sex of foetues is prohibited under law" in English and Hindi.
Roadside graffiti reading:"Crack down on medically unnecessary fetus sex identification and pregnancy termination practices."
"Crack down on medically unnecessary fetus sex identification and pregnancy termination practices."

Female infanticide is the killing of newborn female children, while female selective abortion is the terminating of a pregnancy based upon the female sex of the fetus. Gendercide is the systematic killing of members of a specific gender and it is an extreme form of gender-based violence. Female infanticide is more common than male infanticide, and is especially prevalent in South Asia, in countries such as China, India and Pakistan. Recent studies suggest that over 90 million women and girls are missing in China and India as a result of infanticide.

Sex-selective abortion involves terminating a pregnancy based upon the predicted sex of the baby. The abortion of female fetuses is most common in areas where a culture values male children over females, such as parts of East Asia and South Asia (China, India, Korea), the Caucasus (Azerbaijan, Armenia and Georgia), and Western Balkans (Albania, Macedonia, Montenegro, Kosovo). One reason for this preference is that males are seen as generating more income than females. The trend has grown steadily over the previous decade, and may result in a future shortage of women.

Forced sterilization and forced abortion are also forms of gender-based violence. Forced sterilization was practiced during the first half of the 20th century by many Western countries and there are reports of this practice being currently employed in some countries, such as Uzbekistan and China.

In China, the one child policy interacting with the low status of women has been deemed responsible for many abuses, such as female infanticide, sex-selective abortion, abandonment of baby girls, forced abortion, and forced sterilization.

In India the custom of dowry is strongly related to female infanticide, sex-selective abortion, abandonment and mistreatment of girls. Such practices are especially present in the northwestern part of the country: Jammu and Kashmir, Haryana, Punjab, Uttarakhand and Delhi. (See Female foeticide in India and Female infanticide in India).

Female genital mutilation

Campaign sign against female genital mutilation that reads:Stop Female Circumcision It is Dangerous to Women's Health
Campaign against female genital mutilation in Uganda

Female genital mutilation is defined by the World Health Organization (WHO) as "all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons". The WHO further states that, "the procedure has no health benefits for girls and women" and "can cause severe bleeding and problems urinating, and later cysts, infections, infertility as well as complications in childbirth increased risk of newborn death". It "is recognized internationally as a violation of the human rights of girls and women" and "constitutes an extreme form of discrimination against women". The European Parliament stated in a resolution that the practice "clearly goes against the European founding value of equality between women and men and maintains traditional values according to which women are seen as the objects and properties of men".

Sexual assault and treatment of victims

People carrying a banner marching in a protest against gang rape
People in Bangalore, India, demanding justice for a student gang-raped in Delhi in 2012

Research by Lisak and Roth into factors motivating perpetrators of sexual assault, including rape, against women revealed a pattern of hatred towards women and pleasure in inflicting psychological and physical trauma, rather than sexual interest. Mary Odem and Peggy Reeves Sanday posit that rape is the result not of pathology but of systems of male dominance, cultural practices and beliefs.

Odem, Jody Clay-Warner, and Susan Brownmiller argue that sexist attitudes are propagated by a series of myths about rape and rapists. They state that in contrast to those myths, rapists often plan a rape before they choose a victim and acquaintance rape (not assault by a stranger) is the most common form of rape. Odem also asserts that these rape myths propagate sexist attitudes about men, by perpetuating the belief that men cannot control their sexuality.

Sexism can promote the stigmatization of women and girls who have been raped and inhibit recovery. In many parts of the world, women who have been raped are ostracized, rejected by their families, subjected to violence, and—in extreme cases—may become victims of honor killings because they are deemed to have brought shame upon their families.

The criminalization of marital rape is very recent, having occurred during the past few decades; in many countries it is still legal. Several countries in Eastern Europe and Scandinavia made spousal rape illegal before 1970; other European countries and some English-speaking countries outside Europe outlawed it later, mostly in the 1980s and 1990s; some countries outlawed it in the 2000s. The WHO wrote that: "Marriage is often used to legitimize a range of forms of sexual violence against women. The custom of marrying off young children, particularly girls, is found in many parts of the world. This practice—legal in many countries—is a form of sexual violence, since the children involved are unable to give or withhold their consent".

In countries where fornication or adultery are illegal, victims of rape can be charged criminally.

War rape

Female rape victims stand in front of a "peace hut".

Sexism is manifested by the crime of rape targeting women civilians and soldiers, committed by soldiers, combatants or civilians during armed conflict, war or military occupation. This arises from the long tradition of women being seen as sexual booty and from the misogynistic culture of military training.

Reproductive rights

The United Nations Population Fund writes that, "Family planning is central to gender equality and women's empowerment". Women in many countries around the world are denied medical and informational services related to reproductive health, including access to pregnancy care, family planning, and contraception. In countries with very strict abortion laws (particularly in Latin America) women who suffer miscarriages are often investigated by the police under suspicion of having deliberately provoked the miscarriage and are sometimes jailed, a practice which Amnesty International called a "ruthless campaign against women's rights". Doctors may be reluctant to treat pregnant women who are very ill, because they are afraid the treatment may result in fetal loss. According to Amnesty International, "Discriminatory attitudes towards women and girls also means access to sex education and contraceptives are near impossible [in El Salvador]". The organization has also criticized laws and policies which require the husband's consent for a woman to use reproductive health services as being discriminatory and dangerous to women's health and life: "[F]or the woman who needs her husband's consent to get contraception, the consequences of discrimination can be serious—even fatal".

Child and forced marriage

Poster against child and forced marriage
Poster against child and forced marriage

A child marriage is a marriage where one or both spouses are under 18, a practice that disproportionately affects women. Child marriages are most common in South Asia, the Middle East and Sub-Saharan Africa, but occur in other parts of the world, too. The practice of marrying young girls is rooted in patriarchal ideologies of control of female behavior and is also sustained by traditional practices such as dowry and bride price. Child marriage is strongly connected with protecting female virginity. UNICEF states that:

Marrying girls under 18 years old is rooted in gender discrimination, encouraging premature and continuous child bearing and giving preference to boys' education. Child marriage is also a strategy for economic survival as families marry off their daughters at an early age to reduce their economic burden.

Consequences of child marriage include restricted education and employment prospects, increased risk of domestic violence, child sexual abuse, pregnancy and birth complications, and social isolation.[264][266] Early and forced marriage are defined as forms of modern-day slavery by the International Labour Organization. In some cases, a woman or girl who has been raped may be forced to marry her rapist to restore the honor of her family; marriage by abduction, a practice in which a man abducts the woman or girl whom he wishes to marry and rapes her to force the marriage is common in Ethiopia.

Legal justice and regulations

A Taliban religious policeman beating a woman because she removed her burqa in public.
Member of the Taliban's religious police beating an Afghan woman in Kabul on August 26, 2001. State violence against women is a form of discrimination.

In several Organisation of Islamic Cooperation (OIC) countries the legal testimony of a woman is worth legally half of that of a man (see Status of women's testimony in Islam). Such countries include: Algeria (in criminal cases), Bahrain (in Sharia courts), Egypt (in family courts), Iran (in most cases), Iraq (in some cases), Jordan (in Sharia courts), Kuwait (in family courts), Libya (in some cases), Morocco (in family cases), Palestine (in cases related to marriage, divorce and child custody), Qatar (in family law matters), Syria (in Sharia courts), United Arab Emirates (in some civil matters), Yemen (not allowed to testify at all in cases of adultery and retribution), and Saudi Arabia. Such laws have been criticized by Human Rights Watch and Equality Now as being discriminatory towards women.

The criminal justice system in many common law countries has also been accused of discriminating against women. Provocation is, in many common law countries, a partial defense to murder, which converts what would have been murder into manslaughter. It is meant to be applied when a person kills in the "heat of passion" upon being "provoked" by the behavior of the victim. This defense has been criticized as being gendered, favoring men, because of it being used disproportionately in cases of adultery, and other domestic disputes when women are killed by their partners. As a result of the defense exhibiting a strong gender bias, and being a form of legitimization of male violence against women and minimization of the harm caused by violence against women, it has been abolished or restricted in several jurisdictions.

The traditional leniency towards crimes of passion in Latin American countries has been deemed to have its origin in the view that women are property. In 2002, Widney Brown, advocacy director for Human Rights Watch, stated that, "[S]o-called crimes of passion have a similar dynamic [to honor killings] in that the women are killed by male family members and the crimes are perceived as excusable or understandable." The Office of the United Nations High Commissioner for Human Rights (OHCHR) has called for "the elimination of discriminatory provisions in the legislation, including mitigating factors for 'crimes of passion'."

In the United States, some studies have shown that for identical crimes, men are given harsher sentences than women. Controlling for arrest offense, criminal history, and other pre-charge variables, sentences are over 60% heavier for men. Women are more likely to avoid charges entirely, and to avoid imprisonment if convicted. The gender disparity varies according to the nature of the case. For example, the gender gap is less pronounced in fraud cases than in drug trafficking and firearms. This disparity occurs in US federal courts, despite guidelines designed to avoid differential sentencing. The death penalty may also suffer from gender bias. According to Shatz and Shatz, "[t]he present study confirms what earlier studies have shown: that the death penalty is imposed on women relatively infrequently and that it is disproportionately imposed for the killing of women".

There have been several reasons postulated for the gender criminal justice disparity in the United States. One of the most common is the expectation that women are predominantly care-givers. Other possible reasons include the "girlfriend theory" (whereby women are seen as tools of their boyfriends), the theory that female defendants are more likely to cooperate with authorities, and that women are often successful at turning their violent crime into victimhood by citing defenses such as postpartum depression or battered wife syndrome. However, none of these theories account for the total disparity, and sexism has also been suggested as an underlying cause.

Gender discrimination also helps explain the differences between trial outcomes in which some female defendants are sentenced to death and other female defendants are sentenced to lesser punishments. Phillip Barron argues that female defendants are more likely to be sentenced to death for crimes that violate gender norms, such as killing children or killing strangers.

Transgender people face widespread discrimination while incarcerated. They are generally housed according to their legal birth sex, rather than their gender identity. Studies have shown that transgender people are at an increased risk for harassment and sexual assault in this environment. They may also be denied access to medical procedures related to their reassignment.

Some countries use stoning as a form of capital punishment. According to Amnesty International, the majority of those stoned are women and women are disproportionately affected by stoning because of sexism in the legal system.

One study found that:

[O]n average, women receive lighter sentences in comparison with men ... roughly 30% of the gender differences in incarceration cannot be explained by the observed criminal characteristics of offense and offender. We also find evidence of considerable heterogeneity across judges in their treatment of female and male offenders. There is little evidence, however, that tastes for gender discrimination are driving the mean gender disparity or the variance in treatment between judges.,

A 2017 study by Knepper found that "female plaintiffs filing workplace sex discrimination claims are substantially more likely to settle and win compensation whenever a female judge is assigned to the case. Additionally, female judges are 15 percentage points less likely than male judges to grant motions filed by defendants, which suggests that final negotiations are shaped by the emergence of the bias."

Education

Women have traditionally had limited access to higher education. In the past, when women were admitted to higher education, they were encouraged to major in less-scientific subjects; the study of English literature in American and British colleges and universities was instituted as a field considered suitable to women's "lesser intellects".

Educational specialties in higher education produce and perpetuate inequality between men and women. Disparity persists particularly in computer and information science, where in the US women received only 21% of the undergraduate degrees, and in engineering, where women obtained only 19% of the degrees in 2008. Only one out of five of physics doctorates in the US are awarded to women, and only about half those women are American. Of all the physics professors in the country, only 14% are women. As of 2019, women account for just 27% of all workers in STEM fields, and on average earn almost 20% less than men in the same industries.

World literacy is lower for females than for males. Data from The World Factbook shows that 79.7% of women are literate, compared to 88.6% of men (aged 15 and over). In some parts of the world, girls continue to be excluded from proper public or private education. In parts of Afghanistan, girls who go to school face serious violence from some local community members and religious groups. According to 2010 UN estimates, only Afghanistan, Pakistan and Yemen had less than 90 girls per 100 boys at school. Jayachandran and Lleras-Muney's study of Sri Lankan economic development has suggested that increases in the life expectancy for women encourages educational investment because a longer time horizon increases the value of investments that pay out over time.

Educational opportunities and outcomes for women have greatly improved in the West. Since 1991, the proportion of women enrolled in college in the United States has exceeded the enrollment rate for men, and the gap has widened over time. As of 2007, women made up the majority—54%—of the 10.8 million college students enrolled in the United States. However, research by Diane Halpern has indicated that boys receive more attention, praise, blame and punishment in the grammar-school classroom, and "this pattern of more active teacher attention directed at male students continues at the postsecondary level". Over time, female students speak less in a classroom setting. Teachers also tend to spend more time supporting the academic achievements of girls.

Boys are frequently diagnosed with ADHD, which some see as a result of school systems being more likely to apply these labels to males. A recent study by the OECD in over 60 countries found that teachers give boys lower grades for the same work. The researchers attribute this to stereotypical ideas about boys and recommend teachers to be aware of this gender bias. One study found that students give female professors worse evaluation scores than male professors, even though the students appear to do as well under female professors as male professors.

Gender bias and gender-based discrimination still permeate the education process in many settings. For example, in the teaching and learning process, including differential engagement, expectations and interactions by teachers with their male and female students, as well as gender stereotypes in textbooks and learning materials. There has been a lack in adequate resources and infrastructure to ensure safe and enabling learning environments, and insufficient policy, legal and planning frameworks, that respect, protect and fulfil the right to education.

Fashion

Louis XV as a boy wearing a pink dress.
Louis XV in 1712, a boy wearing a pink dress
 
A Chinese woman shows the effects of foot binding on her feet.
Chinese woman shows the effect of foot binding

Feminists argue that clothing and footwear fashion have been oppressive to women, restricting their movements, increasing their vulnerability, and endangering their health. Using thin models in the fashion industry has encouraged the development of bulimia and anorexia nervosa, as well as locking female consumers into false feminine identities.

The assignment of gender-specific baby clothes can instill in children a belief in negative gender stereotypes. One example is the assignment in some countries of the color pink to girls and blue to boys. The fashion is recent one. At the beginning of the 20th century the trend was the opposite: blue for girls and pink for boys. In the early 1900s, The Women's Journal wrote that "pink being a more decided and stronger colour, is more suitable for the boy, while blue, which is more delicate and dainty, is prettier for the girl". DressMaker magazine also explained that "[t]he preferred colour to dress young boys in is pink. Blue is reserved for girls as it is considered paler, and the more dainty of the two colours, and pink is thought to be stronger (akin to red)". Today, in many countries, it is considered inappropriate for boys to wear dresses and skirts, but this is also a relatively recent view. From the mid-16th century until the late 19th or early 20th century, young boys in the Western world were unbreeched and wore gowns or dresses until an age that varied between two and eight.

Laws that dictate how women must dress are seen by many international human rights organizations, such as Amnesty International, as gender discrimination. In many countries, women face violence for failing to adhere to certain dress codes, whether by the authorities (such as the religious police), family members, or the community. Amnesty International states:

Interpretations of religion, culture, or tradition cannot justify imposing rules about dress on those who choose to dress differently. States should take measures to protect individuals from being coerced to dress in specific ways by family members, community or religious groups or leaders.

The production process also faces criticism for sexist practices. In the garment industry, approximately 80 percent of workers are female. Much garment production is located in Asia because of low labor costs. Women who work in these factories are sexually harassed by managers and male workers, paid low wages, and discriminated against when pregnant.

Conscription

Three armed female soldiers
Israeli female soldiers

Conscription, or compulsory military service, has been criticized as sexist. Prior to the late 20th century, only men were subjected to conscription, and most countries still require only men to serve in the military.

In his book The Second Sexism: Discrimination Against Men and Boys (2012), philosopher David Benatar states that "[t]he prevailing assumption is that where conscription is necessary, it is only men who should be conscripted and, similarly, that only males should be forced into combat". This, he believes, "is a sexist assumption". Anthropologist Ayse Gül Altinay has commented that "given equal suffrage rights, there is no other citizenship practice that differentiates as radically between men and women as compulsory male conscription".

Only nine countries conscript women into their armed forces: China, Eritrea, Israel, Libya, Malaysia, North Korea, Norway, Peru, and Taiwan. Other countries—such as Finland, Turkey, and Singapore—still use a system of conscription which requires military service from men only, although women may serve voluntarily. In 2014, Norway became the first NATO country to introduce obligatory military service for women as an act of gender equality and in 2015, the Dutch government started preparing a gender-neutral draft law. The gender selective draft has been challenged in the United States.

Bullying in nursing

From Wikipedia, the free encyclopedia
https://en.wikipedia.org/wiki/Bullying_in_nursing

The nursing organization workplace has been identified as one in which workplace bullying occurs quite frequently. It is thought that relational aggression (psychological aspects of bullying such as gossiping and intimidation) are relevant. Relational aggression has been studied amongst girls but not so much amongst adult women. According to a finding, 74% of the nurses, 100% of the anesthetists, and 80% of surgical technologists have experienced or witnessed uncivil behaviors like bullying by nursing faculty. The nursing organisation workplace has been identified as one in which workplace bullying occurs quite frequently. There have been many incidents that have occurred throughout the past couple of years. OSHA, which stands for “Occupational Safety and Health Administration” stated that from 2011 to 2013, the United States healthcare workers experienced  15,000 to 20,000 significant injuries while in the workplace (ECRI, 2017, para. 4).

Various bullying permutations are possible, such as:

  • doctor or management bullying a nurse
  • nurse bullying another nurse
  • nurse bullying a patient
  • patient bullying a nurse
  • nurse bullying other healthcare providers

There was a study that was done that showed 25% of registered nurses reporting physical abuse by a patient or their family members while more than 50% of nurses have reported exposure to verbal abuse.  In 2019, there was also a study conducted on the presence of verbal abuse in nursing and this study concluded that 42.9% of nurses were exposed to this. This proves that this is an ongoing concern in the nursing field. As stated before, the statement goes into a more depth explanation of what nurses are dealing with in their everyday work lives. The main problem in the nursing world that is currently trying to be solved is the issue of nurse abuse. Taking care of patients during vulnerable times of their lives can lead to an increase in the risk of workplace violence. This gives us a reason as to why nurses are dealing with violence at work. Years ago this is not an issue that would have been brought up due to people not talking about it.

There was a lot of research done on healthcare workers and the abuse that they are dealing with at work. Across all of the studies in the different articles, studies were taken on how many nurses are dealing with abuse in their everyday lives. Some of the studies lead to the side effects that the nurses deal with due to workplace violence. All studies were done by professional researchers and the data found was based on nurses. Between the articles the researchers all agree that nurse abuse is an issue that needs to be dealt with, so there is no disagreement.

Bullying acts

The following are identified as bullying acts in nursing:

Such acts are frequently insidious, continuing over periods of time that may be years. Bullies are often serial bullies. The bullies are invariably aware of the damage they are doing. They undertake such actions basically to gain control and power.

Pariona (2020) talks about how somewhere between sixty and ninety percent of nurses have to deal with physical or verbal abuse at some point in their work-life (p. 1). This just shows people how much nurses deal with abuse daily at work. Whereas, Havaei (2020) mentions that since patients do not know how to express their emotions it might lead to violent and aggressive attacks on their nurses”(p. 2). Not that this is an excuse for patients to get violent towards their nurses, it does explain why it happens in some situations. The patient’s emotions are not an excuse for how they treat their nurses. No nurse should have to go to work worried about being verbally or physically abused.

Causes

According to various studies, possible causes of bullying may include the following:

  • insufficient staff
  • stressful situations
  • unfavorable condition in a patient
  • use of alcohol
  • poor enforcement of policies

Incivility

Workplace incivility can have a tremendous impact on the quality of nursing care. This can cause stress on nurses, and can cause them to have job dissatisfaction. Laschinger, Leiter, Day, and Gilin found that among 612 staff nurses, 67.5% had experienced incivility from their supervisors and 77.6% had experienced incivility from their coworkers. Rude remarks from a patient or family member can distract healthcare professionals and cause them to make mistakes and to provide suboptimal healthcare. A study done by Kanitha and Naik found that 91% of nurses who experience workplace incivility are females, and that 77% of nurses have experiences incivility in their workplace.

Bullying of nurses by managers

The bullying of nurses by their managers is called hierarchal violence, wherein a person of power bullies a less powerful person. An example of this would be a manager to a staff nurse. Often, this occurs with the main purpose of disempowering the person in lesser power. Hierarchal violence involves frequent, intentional humiliating and destructive actions toward a person. According to a study done by Ebrahimi, this can include:

  • verbal abuse
  • humiliation
  • excessive criticism
  • sarcasm
  • intimidation
  • denial of access to opportunities
  • discouragement

In 2003 the Community Practitioners' and Health Visitors' Association in the UK carried out a survey showing that half of the health visitors, school nurses and community nurses working in the National Health Service (NHS) have been bullied by their managers. One in three of the 563 people questioned said the bullying was so bad they had to take time off work. Constant criticism and humiliation were the most common complaints. Others said they were shouted at or marginalised. During Ebrahimi's study done in 2017, it was found that a majority of nurses, typically new graduate nurses, experience some type of bullying by someone in a greater power of position to them.

Nurses deal with abuse from their leaders in the workplace as well as their patients. When bullying is allowed in the workplace it can lead to workplace burnout and complications between coworkers.

Dealing with abuse

Dealing with abuse can lead to professionals not wanting to come to work. Researchers have found out that 13% of missed workdays are because of workplace violence and how it could affect the quality of care that the patients are getting. Another major effect of the abuse is that the nurses are getting very burnt out. Burnout occurs by being mentally exhausted and detached with negative attitudes towards work. It has also been found that 1/3 of the nurses that endure some type of mistreatment end up suffering a physical health consequence.

Consequences

Not only does incivility in nursing has a negative influence in the well-being of staff, the delivery of quality care, and the culture of safety, but also contributes to the nursing faculty shortage. There is an increase in nurses' dissatisfaction in their jobs, which is contributing to the ongoing struggle with nurses leaving faculty positions and taking early retirement. Therefore, it is necessary for all healthcare faculty members to have a clear understanding of the cause and effect of incivility and possible strategies to reduce incivility rate. The possible consequences of workplace violence for nurses includes:

  • health: mental, psychological, emotional, physical, social
  • anxiety and depression
  • loss of appetite
  • weight loss/gain
  • nausea or vomiting
  • nightmares
  • sleep difficulty
  • menstrual disturbances
  • feelings of shame/embarrassment
  • loss of self confidence
  • feeling of helplessness
  • feelings of isolation
  • destroyed self esteem
  • afraid of physical threats
  • feelings of inadequate support
  • high anxiety levels
  • shorter employment duration
  • lack of self confidence
  • reduced work performance
  • feeling unsafe
  • anger
  • anxiety
  • distress
  • injuries

Nurse bullying inventory

In order to further investigate and understand the impact of workplace bullying on the nursing work environment, an inventory was developed to address specific workplace bullying constructs within the nursing context.

Associated terms

Horizontal violence is often the same term used when referring to bullying in nursing. This term describes the appalling behavior shown by colleagues in the nursing field. Such demeaning behavior makes the work place stressful and unpleasant. Another term associated to bullying in nursing is hierarchal violence. This occurs when a person in a position of power, such as a nurse manager or head nurse, bullies a person in lesser power, such as a staff nurse. Lateral violence occurs when one staff nurse were to harass another staff nurse, with neither of them being in a higher position of power than the other.

Remedial action

Some health organizations are seeking to educate staff and health care team members on how to improve social interactions, proper business etiquette, and foster positive people skills in the work environment. Nurses are entitled to monetary compensation for bullying.

Workplace safety in healthcare settings

From Wikipedia, the free encyclopedia
https://en.wikipedia.org/wiki/Workplace_safety_in_healthcare_settings

Workplace safety in healthcare settings is similar to the workplace safety concerns in most occupations, but there are some unique risk factors, such as chemical exposures, and the distribution of injuries is somewhat different from the average of all occupations. Injuries to workers in healthcare settings usually involve overexertion or falling, such as strained muscles from lifting a patient or slipping on a wet floor. There is a higher than average risk of violence from other people, and a lower than average risk of transportation-related injuries.

Aggression in the healthcare

About one injury in eight is due to patients being aggressive or violent towards healthcare professionals (or towards other patients). Sometimes staff members being aggressive against patients. Patient-on-professional aggression commonly involves verbal abuse, although deliberate physical violence has been documented sometimes severe. Staff-on-staff aggression may be passive, such as a failure to return a telephone call from a disliked colleague, or indirect, such as engaging in backbiting and gossip.

Aggression was, in 1968, described by Moyer as "a behaviour that causes or leads to harm, damage or destruction of another organism". Human aggression has more recently been defined as "any behaviour directed toward another individual that is carried out with the proximate intent to cause harm".

The definition can be extended to include the fact that aggression can be physical, verbal, active or passive and be directly or indirectly focused at the victim–with or without the use of a weapon, and possibly incorporating psychological or emotional tactics. It requires the perpetrator to have intent, and the victim to attempt evasion of the actions. Hence harm that is accidental cannot be considered aggressive as it does not incorporate intent, nor can harm implicated with intent to help (for example the pain experienced by a patient during dental treatment) be classed as aggression as there is no motivation to evade the action. A description of workplace violence by Wynne, Clarkin, Cox, & Griffiths (1997), define workplace violence to be incidents resulting in abuse, assault or threats directed towards staff with regard to work–including an explicit or implicit challenge to their safety, well-being or health.

The rate of aggression within the health care varies by country, globally 24% of healthcare workers experience physical violence each year and 42% experience verbal or sexual abuse. This rate has been decreasing in North America and increasing in Australasia. In Europe, rates of verbal abuse have decreased and physical violence have remained stable over the past decade.

Aggression and violence negatively impact both the workplace and its employees. For the organisation, greater financial costs can be incurred due increased absences, early retirement and reduced quality of care. For the healthcare worker however, psychological damage such as post-traumatic stress can result, in addition to a decrease in job motivation. Aggression also harms patient care. Rude remarks from patients or their family members can distract healthcare professionals and cause them to make mistakes during a medical procedure.

A survey from the British National Audit Office (2003) stated that aggression and violence accounted for 40% of reported health and safety incidents amongst healthcare workers. Another survey looking into the abuse and violence experienced in 3078 general dental practices over a period of three years found that 80% of practice personnel had experienced self-reported verbal abuse, abuse or violence. It was reported that, over 12 months in Australian hospitals, 95% of staff had experienced verbal aggression. In the UK over 50% of nurses had experienced aggression or violence over a 12-month period. In the United States, the annual rate of nonfatal, job-related violent crime against mental healthcare workers was 68.2 per 1,000 workers compared to 12.6 per 1,000 workers in all other occupations.

In the United States, the emergency department is one of the most high-risk places to work in a hospital, which makes sense because most individuals in the emergency room are people who have just been injured and need to be rushed to the hospital. That situation is very stressful and scary for most people, so it may lead to emotions that are not truly meant, including aggressive emotions. Nurses' reports of patient aggression is not always taken seriously, which can make nurses less likely to report, ultimately leading to mental health issues.

It was stated that nonfatal injuries because of aggression were three times more frequent against health care professionals than private industry workers. With nurses dealing with these situations on a daily basis, it has led to many issues in their personal lives. It was stated that nurse suicide is the 10th leading cause of death in the United States.

Causes

Many factors are correlated with an increased risk of violence. Regarding workplace design, poor delineation of staff only areas, overcrowding, poor access to amenities and unsecured furnishing increase the risks of violence. Regarding work practices, waiting times, poor customer service, working alone, lack of training, low level of staff empowerment, lack of deescalation training, lack of straff training in the cause of violence, the use of physical restraint and the presence of cash on-site is correlated with violence. Physicians who are unprepared, lacking in education about violence including descalation, lacking in medical skills of social skills, less experienced, overworked are more likely to be involved in violence. The physicians interpersonal style, personality and emotional state are correlated with violence.

Patients who experience poverty or social exclusion, or lack the language of cultural competence to interact with physicians are more likely to be involved in violence. As well as those with certain injuries or disorders, such as head injuries, some psychiatric disorders, or thyroid disorders. Stressors, lack of respect and perceived respect, experience of poor healthcare historically, and intoxication are also risks for violence.

Regarding the interactions that preceded aggression, misunderstandings or disputes about medical issues, patients being or feeling dismissed, dissatisfaction with care, physical contact, frustration with the patients intention, and involuntary treatment are correlated with violence.

Ways of classifying aggression and violence

Most studies on violence in nursing are empirical in nature with little theoretical analysis. A systematic review on theoretical framings suggested an indisciplinary approach to capture the nuances of violence in a healthcare setting.

Classification
Patient-on-professional aggression can be classified as Type II; where the perpetrator commits a violent act whilst being served by the organisation, with which they have a legitimate relationship. It is uncommon for such attacks to result in death, however they are evidently responsible for approximately 60% of non-fatal assaults at work. Within this classification that is based on the relationship between the perpetrator and victim, Type I aggression involves the perpetrator entering the workplace to commit a crime–having no relationship to the organisation or its employees. Type III deals with a current/former employee targeting a co-worker or supervisor for what they perceive to be wrong-doing. Type IV aggression involves the perpetrator having an ongoing/previous relationship with an employee within the organisation.
Internal Model
The internal model associates aggression with factors within the person, including mental illness or personality. This model is supported by the numerous studies correlating a link between aggression and illness. A person's traits can relate to their expression of aggression–narcissists for example, tend to become angry and aggressive if their image is threatened. Sex tends to affect aggression–with certain provocations affecting each sex differently. It was found that males tend to prefer direct aggression, and females indirect. A study by Hobbs and Keane, 1996 says that patient factors commonly related to or causative of patient violence include; male sex, relative youth or the effects of alcohol or drug consumption. A study conducted amongst General Medical Practitioners in the West Midlands found that men were involved in 66% of aggression cases; rising to 76% with regard to assault/injury–the main male perpetrator being aged under 40 years of age. Patient anxiety, a particular problem associated with dentistry, tended to be the most likely instigator for verbal abuse and the second most likely reason for threatening verbal abuse.
External Model
This model is based on the idea that social and physical environmental influences affect aggression. This includes the provisions for privacy, space and location. Motivation for aversion, possibly due to pain during dental treatment, can increase aggression–as can general discomfort, such as that resulting from sitting in a hot waiting room or in an uncomfortable position (for example in a reclined dental chair). Alcohol intoxication or excessive caffeine intake tends to indirectly exacerbate aggression. The Hobbs & Keane (1996) study states the involvement of drugs and alcohol; in 65% of cases at one Accident & Emergency Department and in 27% of all general practice cases. The study denotes intoxication to be the main reason for assaults and injury (along with mental illness). Frustration, defined by Anderson and Bushman as "the blockage of goal attainment", can also contribute to aggression–whether the frustrations are fully justified or not. Such frustration-related aggression tended to be against the perpetrator and persons not involved in failure to reach the goal. Prolonged waiting times in A&E departments and general practice led to aggression due to frustration; it generally being directed towards receptionists–with approximately 73% of doctors becoming involved.
Situational/Interactional Model
This deals with factors involved in the immediate situation, for example interactions between patients and staff. There are numerous studies that support the correlation between staff with a negative attitude and patient aggression. Provocation has been said to be the most important cause of human aggression –examples include verbal and physical aggression against the individual. It was found that perceived injustice, in the context of equality amongst staff for example, positively correlated to workplace aggression.
Expressions of Hostility
This is related to "behaviours that are primarily verbal or symbolic in nature". In terms of Staff-on-Staff hostility, this can involve he perpetrator talking behind the targets back. With Patient-on-Professional hostility however, this can deal with the patient assuming false knowledge over the professional–with the patient belittling their opinions.
Obstructionism
This involves the perpetrator conducting actions that aim to "obstruct or impede the target's performance". Failures to pass on information or respond to phone calls for example, are ways in which Staff-on-Staff obstructionism can be demonstrated. Patient-on-Professional obstructionism can be demonstrated by a failure on behalf of the patient to comply with the professional conducting a certain task. An unwillingness to allow the professional to diagnose the patient and a failure to turn up to appointments are examples of such obstructionism.
Overt Aggression
This normally relates to workplace aggression, and involves behaviours including; threatening abuse, physical assault and vandalism. This again can occur with regard to both, Staff-on-Staff and Patient-on-Professional aggression.
Buss' Three-Dimensional Model of Aggression
Buss differentiated aggression into a three-dimensional model; physical-verbal, active-passive and direct-indirect–active-passive being removed in 1995 when Buss refined the categories. Physical assault would come under the category physical-direct-active, whereas obstructionism relates to physical-passive–be it direct or indirect. Verbal abuse or insults relate to verbal-active-direct aggression, whereas the failure to answer a question when asked, for example with regard to lifestyle choices or habits, can come under the verbal-passive-direct category–providing the reasons for not answering are directed at the healthcare worker (e.g. hostility), as opposed to fear for example.
Struggle for recognition theory
A theory of violence based on struggle for recognition has been applied in healthcare settings. In this theory, nonrecognition and misrecognition of facts about the patient are causes of interpersonal conflict and violence. In a study of the interpersonal factors preceding violent incidents, healthcare workers identified unmet needs, involuntary assessment and unsolicited touch as correlated.

Mental Health issues due to abuse

Nurses dealing with more mental health issues is something that has come from dealing with workplace violence. In a study, it was found that somewhere between sixty and ninety percent of nurses are exposed to physical or verbal violence at some point in their work. This shows how real it is within a nurse's daily work life. The violence can severely take a toll on someone's mental health. The article states, "A systematic review of 68 studies found workplace violence was most strongly associated with negative psychological outcomes, including post-traumatic stress disorder, depression, anxiety, sleep disturbances and fatigue". With this being stated, it gives the readers a good idea of why workplace violence is so dangerous for healthcare workers.

Interventions

When dealing with aggression and violence in the workplace, training and education are the primary strategy for resolution. There are a number or personal factors that can help reduce aggression within the healthcare setting, which include improved interpersonal skills, with an awareness of patient aggression and knowledge regarding dealing with emotional patients. Although assertiveness is crucial when it comes to the interpersonal skills possessed by healthcare workers, it has been shown by numerous studies that nurses tend not to be very assertive. Training is therefore usually offered by organizations with regard to assertiveness, and deals mainly with improving self-esteem, self-confidence and interpersonal communication.

The Health Services Advisory Committee (HSAC) recommends a three-dimensional foundation by which to deal with violence in the workplace. It involves "researching the problem and assessing the risk, reducing the risk and checking what has been done".

In 1997, HSAC provided the following guidelines as to what good training involves:

  • Theory: To understand the aggression within the workplace
  • Prevention: To assess the danger and take precautions
  • Interaction: With aggressive individuals
  • Post-Incident Action: To report, investigate, counsel, and follow up the incident

Identifying whether patients are currently at risk of violence

The STAMP violence assessment framework lists elements of patient behaviour that are correlated with violence, and was developed in 2005 by Luck, Jackson and Usher. This model was later extended by the authours into an 18-point violence assessment tool. Looking at the predictors in the violence assessment tool, resisting nonconsensual healthcare was found to be the best predictory of violence, followed by aggressive language and yelling.

Assertiveness training

Although many studies looking at the effectiveness of training have provided inconclusive results, a study by Lin et al. positively correlated the improvement of assertiveness and self-esteem with an assertiveness training programme. The programme targets difficult interactions that we may face in day-to-day life and includes both, behavioural and cognitive techniques. The effectiveness of training is measured using the Assertive Scale, Esteem Scale, and Interpersonal Communication Satisfaction Inventory.

Evaluating the effectiveness of training

It remains that training is not universally or consistently offered to healthcare workers. Beale et al. found that the levels of training offered ranged from nothing to high-level restraint/self-defense training. A report by the National Audit Office (NAO) in 2003 found that, within mental health trusts, a reactionary approach tends to prioritise over prevention. Although criticised by many; restraint, seclusion and medication are used (Wright 1999, Gudjonsson et al. 2004). Breakaway techniques, restraint, rapid tranquilisation or isolation tend to be recommended when violence is instigated with a failure to prevent aggression. This correlates to the level of training offered, which dominates in these areas, however lacks in situation risk assessment and customer care–methods that are vital in a preventative approach to prevent escalation of the situation, causing for reactionary measures to be brought into play.

The study by Beale et al. therefore provides the following advice as to good practice:

  • Training should emphasise prevention, calming and negotiation skills as opposed to confrontation
  • Training should be offered in modules, ranging initially from basic customer care and handling difficult patients to full control and restraint of patients.
  • Material relating to the causes of aggression, how to reduce risks, anticipation of violence, resolving conflict and dealing with post-incident circumstances should be provided to staff.
  • Physical breakaway skills should be taught–however an understanding as to situations in which such skills should be practiced must be appreciated.
  • Staff should be taught to control their own feelings
  • An understanding of normal/abnormal post-trauma reactions should be reached
  • Staff should be familiar with local arrangements and policies

How to cope with abuse

  • Nurses should properly report their abuse to their supervisors
  • If it is not properly dealt with go to individuals who are higher-up
  • It is completely up to the individual who is dealing with the abuse to report it, no one else
  • Try to contribute to a more positive work environment
  • Nurses can go to informational meetings to deal with the abuse

The American Nursing Association provides sources to be used if nurses are dealing with abuse, however, it is up to the individuals to report the incidents. Some more resources to help deal with abuse are going to informational classes if the place in which you work offers them.

Due to the individual being the one experiencing the violence, researchers can not fully understand the extent of the abuse. Future researchers could make a survey asking nurses about where most of the abuse occurred and ways it would be easier for them to report the abuse.

Right to property

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Right_to_property The right to property , or the right to own property ...