Tag Archives: mental health

Back to basics: how employers can help solicitors’ well-being

Law is one of the most popular degree choices, forming part of the ‘big triad’ along with medicine and finance in terms of a career of choice. But does a career in law come at a cost, and if so, what can employers do about it? Lucinda Soon, Solicitor and PhD student at Birkbeck’s Department of Organizational Psychology, highlights key findings from her research with co-authors, Dr James Walsh, Professor Almuth McDowall and Dr Kevin Teoh.

Over the past five years, the well-being of solicitors in England and Wales has become a topic of growing concern. In part, this was triggered by the disciplinary case of Sovani James. James, a junior solicitor, was struck off the Roll of Solicitors by the High Court for acting dishonestly at work, despite the Court acknowledging her behaviour may have arisen because of toxic work conditions and the stress she was under as a result. This decision sent an immediate shockwave through the solicitors’ profession, and an increased urgency developed to take the well-being of solicitors more seriously.

The Law Society of England and Wales has launched several surveys on the well-being of its junior members. Its latest survey, published in 2019, revealed that over 90% felt stressed in their role, with almost 25% feeling severely or extremely stressed. Last year, a study by the charity LawCare reported considerable risks of burnout, particularly relating to exhaustion.

These reports point towards a problem, but there is little evidence to inform us of what factors might be contributing to it and, importantly, how firms and organisations can help to address it. In our study, we sought to shed some light on this by looking at some possible aspects of work. Drawing on self-determination theory, we investigated how solicitors’ well-being might be affected by job autonomy, perceived belonging (or relatedness) at work, feelings of competence, and levels of mindfulness. To do this, we analysed responses from an online survey of 340 trainee and qualified solicitors practising in England and Wales.

The ABC’s of solicitors’ well-being

According to self-determination theory, we all have three basic psychological needs which must be satisfied if we are to flourish, thrive, and be well at work. These are the needs for autonomy (feeling we are in control of and have choice in our work), belonging or relatedness (feeling socially connected and supported at work), and competence (feeling we are effective in what we do, that we have mastery and skill, or that we can develop them). As the core psychological requirements for well-being, these factors also form a memorable acronym; to help solicitors’ well-being, do we need to go back to the basics of their ABCs?

We found the more that solicitors felt satisfied in their autonomy, belonging, and competence at work, the higher their well-being. This was observed regardless of gender, level of post-qualification experience (PQE), or type of organisation. In other words, common to all the solicitors we surveyed, feeling supported in their ABCs at work was important to their well-being.

Does mindfulness play a role?

Our study also found that solicitors with higher mindfulness experienced greater well-being. Again, this was the case regardless of gender, level of PQE, or where a solicitor worked, suggesting the benefit of mindfulness may be generally applied.

Interestingly, not only did higher mindfulness alone correspond with greater well-being; solicitors who were more satisfied in their needs for autonomy, belonging, and competence at work had higher levels of mindfulness, which in turn contributed to their well-being. Having the basic ABC building blocks in place appeared to cultivate mindfulness, amplifying the well-being benefits for solicitors.

What does this mean for managers and leaders?

While a clear link was found between mindfulness and solicitors’ well-being, our study points towards the importance of ensuring solicitors are satisfied in their ABCs at work. These basic and fundamental work factors play a direct role in solicitors’ well-being and may also help to facilitate the development of mindfulness to strengthen it even further. This places the work environment and work conditions of solicitors firmly into the spotlight.

Solicitors need to feel they have autonomy, that they belong, and are supported and cared for at work. They equally need to feel they are competent and effective in their jobs. Without these basic elements, their well-being will suffer. Our findings raise the possibility that had Sovani James been supported by her firm in terms of her ABCs at work, her mental health and well-being may not have deteriorated to the extent that it did, ultimately resulting in the end of her legal career.

The impact of Covid-19 and beyond

The changing context of work arising from Covid-19 cannot be ignored. Remote working and a greater appreciation for more flexible ways of working may have given many solicitors more autonomy in terms of when, where, and how they work; however, it has also introduced new challenges into the mix.

Our study shows that feeling connected and cared for, and competent and effective at work, matters for solicitors’ well-being. These work conditions can be easily frustrated when solicitors work in isolation from colleagues, mentors, and leaders, especially over a prolonged period of time. This may be particularly so for trainees and junior solicitors, who are less experienced and may need more frequent support from others.

Social-networking tools and formal and informal virtual catchups can help solicitors feel connected and supported by their work community even when they are working from home. Likewise, regular access to learning and development opportunities, agreed channels for feedback, and effective supervision can all be achieved using technology to facilitate communications. Remembering the need for autonomy, management and leadership practices which respect individual circumstances are also critical. One size will not fit all. Understanding people’s differing needs and wants and giving them a degree of control and choice over their work will all feed into their well-being.

As the profession continues to adjust to a new hybrid way of working, being alive to the importance of solicitors’ ABCs is a crucial starting point for all law firms and organisations looking to safeguard the well-being of their staff.

Find out more

My PhD focuses on well-being in the legal profession. While the findings of this study highlight some of the ways in which employers can help to promote solicitors’ well-being, there is more to the story. Please get in touch at l.soon@bbk.ac.uk, on LinkedIn or Twitter, if you’d like to discuss this study or share your thoughts.

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BEI Research Year in Review

2019 was a busy year for the School of Business, Economics and Informatics. Here are some of our research highlights.

BEI Research Year in Review

Improving Diversity on Sport Boards

Improving diversity on sport boards

Dr Richard Tacon and Dr Geoff Walters from the Department of Management worked with Sport England to improve the diversity of board members in the sport and physical activity sector. The programme, unveiled in September, follows a series of studies demonstrating that sports governance lacks diversity, particularly with regards to ethnicity and disability.

Richard and Geoff have designed and implemented training materials as part of the initiative, which will identify and develop a pool of suitable candidates from under-represented groups. The intention is that sports organisations will then be able to turn to these people when recruiting for new board positions.

Diagnosing Gaming Disorder

Gaming

Researchers led by Bruno Schivinski, Lecturer in Marketing, developed the first psychological test to check for ‘gaming disorder’, a new type of mental illness now recognised by the World Health Organisation.

Now accessible online, the test provides participants with feedback on their video game habits in comparison with the rest of the population. Research is ongoing to understand the point at which gaming becomes a health problem and the factors which contribute to the development of gaming disorders to promote responsible gaming.

Sticking up for Parents in the Performing Arts

Paloma Faith is among those calling for better support for parents in the performing arts

Academics from the Department of Organizational Psychology developed a survey of workers and work-life balance in the performing arts in partnership with Parents and Carers in Performing Arts (PiPA).

Over 2500 UK workers from the performing arts, including 1000 parents and carers, took the survey. It found that 43% of performing artists who left their careers did so because they became parents. Carers pay a significant penalty in terms of well-being and remuneration in order to maintain a career in the performing arts and are far more likely to leave the industry than non-carers, leading to a drain in talent and reduced diversity in the arts. Professor Almuth McDowall, Head of Department, added her voice to the call for change alongside leading figures in the sector such as actor Cate Blanchett and singer Paloma Faith.

Understanding Text Data

Researchers from the Department of Computer Science and Information Systems developed a tool to simplify the process of understanding and using data from text. Called Samtla API, the new service can automatically annotate words and phrases from digital text documents with named entities and sentiments using machine learning and text mining technologies.

Spearheaded by Dr Mark LeveneDr Martyn Harris, and Dr Andrius Mudinus, the initiative grew in response to the growing need for easily understandable annotations on the large volumes of text data, generated by media, businesses and individuals all over the world.

A Prizewinning Contribution

Dr Alexey Pokrovskiy was awarded the European Prize in Combinatorics

In August, Dr Alexey Pokrovskiy from the Department of Economics, Mathematics and Statistics was awarded the European Prize in Combinatorics. The prestigious award is made once every two years, recognising excellent contributions in Combinatorics, Discrete Mathematics and their Applications by young European researchers aged 35 or under.

Adapting to Climate Change

Strategic management experts from the Department of Management and the Cass Business School at City, University of London found that greater collaboration between the insurance industry and state policy makers could improve society’s ability to recover from disasters linked to climate change.

Using insurance is a step away from crisis towards risk management, strengthening socio-economic resilience under a changing climate. Birkbeck’s Dr Konstantinos Chalkias, the Cass Business School’s Professor Paula Jarzabkowski and their co-authors put forward seven recommendations to the Global Commission on Adaptation to maximise the benefits of insurance for climate adaptation.

Supporting Sustainable Return to Work following Mental Ill-health Absence

Dr Jo Yarker from the Department of Organizational Psychology and Professor Karina Nielsen from the University of Sheffield have been researching how to support employees who are returning to work following mental ill-health absence.

In the UK alone, stress, anxiety or depression accounts for 57% of all working days lost to ill-health in 2017-18. Yarker and Nielsen developed a toolkit for employees, colleagues, line managers and HR professionals to support individuals to return to and stay in work.

Further information:

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Physical fitness linked to lower cognitive impairment in dementia

Dr Eddy Davelaar from the Department of Psychological Sciences discusses the importance of physical fitness in offsetting cognitive impairment in adults with dementia.

 

Dementia and cognitive impairment cost the UK economy approximately £26 billion per year. The number of people with dementia in England and Wales has been projected to increase by 57% from 2016 to 2040, primarily because of extended life expectancy. Finding ways to slow its severity and progression could have life-changing effects for the 800,000 people estimated to be living with dementia in the UK.

With the increased incidence in dementia, people are interested to know whether it could be prevented through changes in their lifestyle, such as eating habits, exercise, and decreased environmental stress. Research does suggest that a healthy lifestyle lowers the risk of dementia. We were interested in physical fitness as one of the lifestyle factors. In our recent article published in Frontiers in Public Health, we asked the question of whether self-reported physical fitness is associated with cognitive, or thinking ability in people with dementia.

To assess this, we used a cross-sectional design with two groups. The first group was made up of 30 older individuals (aged 65+ years) with dementia, who were attending the Alzheimer’s café social events. Those people in the dementia group have lower cognitive performance than the 40 age-matched participants from our control group, who do not have dementia.

We tested everyone on a wide range of cognitive tests, such as verbal fluency, prospective memory, and clock drawing. We also administered a 15-item questionnaire on physical fitness, which asked about strength (eg. ability to lift things), balance, and aerobic conditioning (eg. taking a brisk walk or taking the stairs instead of lifts). Many studies have shown strong correlations between self-report and objective measures of physical fitness. In addition, this questionnaire is available to everyone for self-assessment.

Our findings showed that in the group of dementia patients, those with greater physical fitness also had a greater general cognitive ability. Even those patients with the best cognitive performance still performed worse than the healthy individuals, who did not show this link between physical and cognitive fitness. Thus, physical fitness seems to buffer dementia-related cognitive deterioration.

We ran a number of checks on the results and found that the association did not change when we controlled for the age of the participants, the number of years since dementia diagnosis, the type of dementia, or even whether the person used to be physically active when they were younger. The latter finding suggests that the current state of being physically fit and capable is key to observing this cognitive benefit.

There are at least two explanations for these findings. First, the cardiovascular hypothesis states that physical activity stimulates blood circulation in frontal-striatal circuits (neural pathways that connect frontal lobe regions with the basal ganglia that mediate motor, cognitive, and behavioural functions within the brain), that are critical in executive functioning, such as planning and reasoning.

A second hypothesis suggests that physical fitness measures, such as strength and balance, require efficient brain representations of motor plans. The processes by which these motor representations become more efficient also leads to enhanced cognitive representations. Both hypotheses underscore the expression, ‘what is good for the heart is good for the brain’.

We are currently in the process of addressing the question of whether physical fitness (using both self-report and objective measures) is associated with cognitive decline or cognitive impairment in the absence of dementia. This would assess whether greater physical fitness is associated with greater mental fitness in general, or with cognitive fitness specific in the context of dementia.

Future research could also extend this work using longitudinal study designs in order to address the question of whether a change in physical fitness is associated with a change in the risk of dementia, which has important implications for health policy and age-appropriate physical intervention programmes for both healthy individuals and dementia patients.

Read the original, peer-reviewed article: Increased Physical Fitness Is Associated with Higher Executive Functioning in People with Dementia (2017).

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Gender and Class in English Asylums, 1890-1914

This post was contributed by Dr Louise Hide, Honorary Research Fellow in Birkbeck’s Department of History, Classics and Archaeology.

In July 1905, a young draper’s assistant from south-east London was admitted to Bexley Asylum. Gertrude L. was 25 and this was her third admission into a lunatic asylum.

Initially, she was described as ‘strange and irrational in manner’. But by January 1906, she was corresponding with her friends on the outside. One letter that was copied and left in her case file provides an intriguing insight into asylum life from the patient’s point of view:

in this so called asylum … you are … treated like the worst form of cattle … We work all the hours God sends without proper nourishment or a proper bed … our hours of work are from 8 in the morn to 20 or 30 minutes past 7 in the evening … and you never see the colour of a copper coin.

From the 1960s to the late ‘80s, Marxist and feminist scholars set out to disabuse Whiggish historians of the notion that the understanding and treatment of mental illness had followed an uninterrupted upward trajectory called ‘progress’ from the late 18th century. As a result of this work, we know a great deal about why and how people were admitted to asylums, but far less about what actually happened to them once the ward door had been shut and the key turned.

What was life like inside these vast ‘monster’ institutions? And how were relationships between doctors, nurses and attendants, and patients constructed by shifting ideas around masculinity and femininity?

Book coverMy book, Gender and Class in English Asylums, 1890-1914, sets out to answer these questions through a detailed analysis primarily of asylum case notes, committee minutes and annual reports. I have focused on two institutions, Claybury and Bexley. Each was built for 2,000 patients by the newly formed London County Council and opened in 1893 and 1898 respectively.

The turn of the century was an important moment in asylum history. Late Victorian psychiatry was experiencing a ‘clinical turn’ away from the old prison-like asylums towards the new mental hospitals, from the ‘lunatic’ to the mental patient, the attendant to the nurse. That, at least, was the idea even though the reality took some time to catch up.

Location is important, too. London had far higher lunacy rates than any other part of the country. Why?

Migration into the city was one reason. Lack of space and desperate poverty was another; families were simply unable to look after members who could not contribute to the household budget. But there was another reason, too: the abhorrent notion of degeneracy, which claimed that physical, mental and moral ‘defects’ (criminality, prostitution etc.) were passed on from one generation to another, creating an increasingly ‘unfit’ population. And this hereditary ‘taint’ was believed to be particularly prevalent in large, overcrowded urban areas, such as London.

Indeed, degeneracy theory fed directly into eugenics, making the early 20th century one of the darkest periods of psychiatric history.

My book looks at the impact of some of the overarching ideologies that were circulating at the time – degeneracy, feminism, socialism, science and the medicalisation of madness – on people in the asylum.

General hospitals had a powerful influence on the faltering discipline of psychiatry. Gradually, a new generation of well-qualified and scientifically-minded physicians, including a handful of women, started to take up asylum posts. Nurses began to receive formal training and gain recognised qualifications. And, perhaps most controversially, female nurses were moved into male wards shaking up these men-only bastions.

As a result, the highly gendered male doctor/female nurse binary was reinforced, marginalising many male attendants and reducing some to little more than nursing auxiliaries.

To return to Gertrude L., the patient experience is an important part of the book. During a period when virtually every aspect of asylum life was intended to act as ‘treatment’, I endeavour to reveal the effects on patients of the admission process, drugs, seclusion and restraint, the ward environment, work and amusements.

Why, for example, were the ‘rougher’ women put to work in the laundry? How were ward interiors designed in order to distract patients from their dark and troubling thoughts? In what way was food rationed according to a patient’s sex? And what were the consequences of forcing pauper patients to wear communal clothes?

There was, of course, no single patient experience. However, my book does, I hope, provide greater insights into how wider social and medical discourses influenced the lives of men and women living and working inside London’s late Victorian asylums at the most quotidian levels.

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