UK Government Uses Psychology to Destroy Medical Profession?

BBC News and other media are reporting that NHS England claims about 10,000 junior doctors had reported for duty, out of 26,000 scheduled to work the day shift on Tuesday, despite the physicians’ strike.

Doubtless the figures are going to be disputed. BBC News says it appears many of those had agreed in advance to come in to make sure emergency coverage was provided.

While the day-long strike of UK junior doctors is now over, bar the shouting, at first glance, these numbers suggest a pattern which may have profound implications not just for the prospects of the dispute, but even the future of the UK National Health Service and the profession.

One possible interpretation of this preliminary data is that vast numbers of colleagues seem to have deserted from solidarity with the strikers. Perhaps those on the cusp of more senior appointments wobbled at the last moment when faced with career implications.

The previous overwhelming ballot percentages in massive favor of a strike suggested almost complete unanimity within the profession, so the actual turnout on the day appears surprising.

Strikes and Solidarity

The latest research into strikes and solidarity, warns these disputes could corrode relationships between colleagues with effects that could endure long after this dispute is over.

A study published in 2014 entitled, “The dark side of solidarity: social norms and social relations in the aftermath of strikes,” points to strikes having profound effects long after settlement.

Data drawn from the 2009 European Company Survey of approximately 6,000 companies, shows that firms experiencing a strike later report lower labor productivity afterwards. This effect stands even up to 12 months after the strike.

This new study by Kirsten Thommes, Agnes Akkerman, René Torenvlied and Marieke Born, reports that a strike, as a psychological stress, may also have negative effects on the occupational health and job satisfaction of employees.

Previous research had established that strikes impacted occupational health even six months after settlement of the industrial action itself.

Overt hostilities can persist after dispute settlement between the former strikers and non-strikers. The lack of solidarity in those who crossed picket lines induces sentiments of betrayal in strikers. Strong emotions surface in the form of terms such as “blacklegs” or “scabs.”

The problem, these authors point out, is that such sentiments split teams, organizations and sometimes whole communities.

The success of a strike will turn on the critical number of participating strikers. Non-strikers do not experience an income loss and other career implications during the strike, but do profit from the collective benefits yielded by the strike. The fear that there will be many free riding colleagues may be psychologically crucial, dissolving all enthusiasm for continuing with the protest.

It follows there is a strong psychological drive in strikers for controlling the behavior of colleagues during a dispute, ensuring a maximum turn-out.

The authors of this new study, argue that, crucially, during a strike, employees are able to observe their colleagues’ behavior in an exceptional situation. For example, the extent to which a doctor lives up to the solidarity norm is revealed uniquely during this physicians’ strike.

A medical colleague, who chooses to be a free rider while others strike for the collective good, will signal that his or her solidarity is weaker.

This new study found that the expected proportion of strikers directly affects the anticipated worsening of social relations after a strike. The higher the respondents’ expected proportion of strikers, the less they expect a worsening of social relations between colleagues.

If the turnout of UK doctors for the strike is viewed as surprisingly low, then this research is predicting a significant worsening of relationships within the profession as a direct result.

UK Government Uses Psychology to Destroy Medical Profession?

Dr. Raj Persaud & Dr. Peter Bruggen

Dr. Raj Persaud & Dr. Peter Bruggen are regular contributors to Psych Central Professional. Dr. Rajendra Persaud, also known as Raj Persaud, is a leading consultant psychiatrist, broadcaster and author of popular books about psychiatry. He is well known for raising public awareness of psychiatric and mental health issues in the general media. He has published five popular books and has received numerous awards. The Times recently placed him as one of the Top Twenty Mental Health Gurus in the world.

Dr. Peter Bruggen was part of the UK Royal College of Psychiatrist's Podcast Editor Team, with Dr. Persaud. From 1969 to 1994 he was a consultant psychiatrist at Hill End Adolescent Unit, St Albans. He was also a consultant psychiatrist from 1969-90 at the Tavistock Clinic. His work has featured family therapy at the death bed, working with families in the community rather than admitting adolescents to hospital, and staff relationships. Dr. Bruggen has also written three books, including Surviving Adolescence and Helping Families (both with Charles O'Brien), and Who Cares? True Stories of the NHS Reforms, for which he conducted face-to-face interviews with one-hundred people.


APA Reference
Dr. Peter Bruggen, D. (2019). UK Government Uses Psychology to Destroy Medical Profession?. Psych Central. Retrieved on July 9, 2020, from


Scientifically Reviewed
Last updated: 25 Sep 2019
Last reviewed: By John M. Grohol, Psy.D. on 25 Sep 2019
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