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Increasingly, workplace violence draws
the attention of the American public. After a postal
employee shot a number of his coworkers and then committed
suicide a few years ago, most post offices and many
other work sites felt the trepidation and the term going
postal was coined. Theories are quickly offered to explain
such events and include attacks on a harsh business
environment which has led to insecurity in the work
force, the rise of poverty, easy access to firearms,
and the growing use of alcohol and drugs, just to name
a few. Often the theories follow independent political
agendas and may not have much legitimate basis. The
fact is, however, that workplace violence is a serious
problem today and is probably a reflection of the mounting
violence in society generally. This is so much so that
the U. S . Department of Justice has described violence
as a public health emergency and even an epidemic.
Indeed, the statistics regarding workplace violence
are alarming.
Although accurate numbers may be hard to attain, a number
of public and private research studies have provided
insight into the prevalence and nature of workplace
violence. Understandably, fatal assaults create a high
profile, but are only one manifestation of a much broader
problem. Nonetheless, homicide is the second leading
cause of death in the workplace and twenty workers are
murdered each week in the United States. Most of these
are in the course of a robbery or involve employees
engaged in security work. High-risk occupations include
taxi cab drivers, chauffeurs, law enforcement personnel,
and retail workers. Men are the most likely victims.
On the other hand, non-fatal assaults account for twenty
times that of fatal ones. It is -2 -estimated that 15%
of workers will be attacked in the course of their working
lifetime, and 18% of those attacks will be with a lethal
weapon. Most victims of non-fatal assaults are women,
in particular those who are employed in the health industry
where patients are likely to be the assailants. Other
frequent scenarios include disputes with a co-worker,
former co-worker or supervisor; disagreements with customers
or clients; and following an altercation with a relative
of the victim. Sometimes there is no legitimate relationship
between the assailant and the victim and at other times
the assailant/victim relationship is the critical precipitant
to the incident.
From a legal standpoint, injuries following an assault
may be covered under workers' compensation statutes
as long as the injury arose out of and in the course
of employment. An employee may be compensable when an
assault was in response to a dispute involving the work
itself or the work brought the employee and assailant
together creating conditions for the dispute. In other
instances even personal disputes leading to an assault
may be compensable when the workplace contributed to
the strain or stress on the parties, or where the parties
had no relationship outside the work. Of course, assaults
that are purely personal and are unrelated to the employment
are not compensable so, an employee would not be covered
if employment duties did not add to the risk of harm,
the employee was not performing duties of employment
at the time, or the condition of employment did not
contribute to the assailant's plan. In other words,
there must be some work connection. While workers' compensation
may be an exclusive remedy, in some cases the employee
can file an independent claim against the employer for
intentional misconduct, negligent hiring, training,
supervision, and retention of employees who become violent,
or under implied contract theory where the employer
has a duty to protect employees from a hostile work
environment. Similarly, there may be implied covenants
of good faith and fair dealing which can be invoked
by employees against the employer, the doctrine of respondeat
superior imposes agency obligations on the employer,
and OSHA standards require that an employer do what
is necessary to protect the life, safety, and health
of employees. Finally, the criminal justice system has
a number of remedies that may be applied to potential
assailants including laws against threatening, hate
crimes, stalking, brandishing a weapon, and trespass.
At times obtaining a restraining order is an alternative
that a potential victim or that victim's employer should
consider.
Workplace violence is a complex phenomenon which requires
an examination of both the assailant, the victim, and
the setting in which the assault takes place. What causes
some individuals to become violent is not well understood.
Biological theories describe neurochemical linkage to
violent behavior. In particular, studies show that low
levels of the neurotransmitter serotonin or its bi-products
is a powerful predictor of future excessive aggression.
Psychological theories look at early childhood experiences
including abuse and/or reinforcement of violence as
perpetuating violent behavior. Sociocultural theories
explore the substrate of violence in the conditions
of the community from which the individual comes. While
mental illness is often associated with violence, only
a minority of persons with mental disorders are actually
violent and most violent offenders are not suffering
from mental illness. When individuals do become violent
due to a mental illness, they are usually more easily
recognized by their bizarre or unusual behavior and
may have a documented history of treatment or hospitalization.
The more problematic cases are those where individuals
have personality disorders which are not mental illnesses
but maladaptive patterns of thinking and behaving. In
robberies, for example, criminal activity may be perpetuated
by individuals who have anti-social personality
traits. Their lack of -guilt and non-compliance to social
norms has led to a lifetime pattern of disregarding
the rights of others. In addition, individuals with
other personality disturbances may be seen in the workplace
who not only create disruption to the organization but
may be prone to violent behavior. For example, people
with paranoid personalities may be perpetually
suspicious of the motives of others and feel that they
are unduly slighted. They may be prone to retaliate
against the perceived harm or injustice. Also, narcissistic
individuals, some of whom can become romantically obsessed,
may react violently when they are rejected or when their
inflated sense of self--importance is challenged. Borderline
personalities are those whose mood is quite unstable,
they, too, can create havoc within an organization and
overreact when frustrated or slighted. Often, personality
disturbance is of a non-specific type in which
an individual may have features of different types of
personality disorders with the common characteristic
of marginal interpersonal, social and occupational functioning.
In addition, there is good evidence that alcohol and
drug abuse play a role in workplace violence. One third
of all violent offenders generally are alcoholics, and
drug abuse increases the likelihood of aggressive and
violent behavior.
Along with work settings which are a high risk for violence
based on the nature of the employment, other workplace
characteristics may predispose to stress and conflict
leading to aggression. These can be divided into operational
stressors and employment security stressors. Operational
stressors include unrealistic demands on workers,
lack of regard for worker's needs, overly authoritarian
management, insufficient attention to physical environment
and security, inconsistent application of policies and
procedures, chronic labor management conflicts, preferential
treatment of some employees, ineffective employee grievance
procedures, lack of consistency by management, and monotonous
and unfulfilling work. Employment security stressors
include no opportunity for advancement, layoffs and
down-sizing, loss of benefits, reprimands, and fear
of termination. In an era where re-engineering of the
workplace has become popular, the employee often feels
dispensable and powerless. When constructive options
no longer exist, violence may be a perceived remedy.
A number of preventive strategies to deal with workplace
violence have been proposed. The first of these is to
ensure that there is an adequate assessment of the potential
for violence. This comes from understanding the peculiar
risks of the employment setting and accurate reporting
of violent incidents and threats. A formal policy for
violence prevention should be established and reviewed.
The cost of this is a fraction of what violent episodes
can incur to the organization. Establishing a zero
tolerance for violence or other risky behaviors
is an important part of the approach. Second, once a
risk is identified, it is necessary to design an environment
that is safe. This can be through natural surveillance,
control of access to the workplace, enhanced lighting
and low profile landscaping, reinforcement of territorial
boundaries of the work site, and providing security
patrol. Third, there should be adequate employee screening.
Since it is difficult even for professionals to identify
a potentially violent individual, employers are even
more at a disadvantage. However, minimum screening of
employee applicants for this possibility should be considered.
This can include obtaining a criminal record history,
credit check, prior employer feedback, verifying education
and professional credentials, drug screening, and obtaining
the driving record. Fourth, it is imperative that threats
are responded to adequately and in a timely fashion.
Managers may be afraid to respond or prefer to deny
that a violent episode will ever occur. In contrast,
an inappropriately angry response is also ineffective
and may reinforce the violence. A concerned confrontation
which tries in good faith to understand and help the
threatening individual, while at the same time focusing
on inappropriate behaviors, offers the proper balance
in response. Looking for solutions rather than blame
is a constructive and useful philosophy. Unfortunately,
solutions are not always readily available and, therefore,
workplace violence will continue to challenge managers,
lawyers, and psychologists in the years ahead. (See
Journal of Occupational and Environmental Medicine,
Vol. 38, No. 10, October 1996 and Occupational
Medicine; State of the Art Reviews - Vol. 1 1, No. 2,
April-June 1996, Philadelphia, Hanley and Belfus, Inc.)
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