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“Kitty Genovese.”
The name tugs at the strings of your memory, then comes the
terrible recollection; Kitty Genovese was the young woman
infamously stabbed to death on a New York street, while dozens
of people listened or watched — and not one of them went to
her assistance or even called the police.
So what does Kitty Genovese’s murder have to do with lean
manufacturing and manufacturing excellence?
The same psychological principles that prevented those bystanders
from coming to her aid are affecting the workers at your facility,
preventing them from: enforcing safety rules, conducting effective
QA checks, reporting production and maintenance problems and
working together effectively. The better you and your management
team understand these psychological principles, the better
equipped you’ll be to reduce errors and improve manufacturing
performance.
Let’s start this journey by asking a fundamental question:
How could a group of normal, good-hearted people, witness
something so wrong and not take any action?
The answers are found in the psychological principles of ‘Social
Proof’ and ‘Dilution of Responsibility’. A firm understanding
these principles is critical to effectively shaping human
behavior.
Social proof is the psychological principle that states
that ‘people generally look to the behavior of others to determine
appropriate behavior’. In other words, as a cooperative species
that works together to survive, we have a natural tendency
to follow the behavior of those around us. This principle
holds especially true in situations that are threatening,
out of the ordinary or where we are confronted with a large
number of choices.
Marketing professionals have long understood the power of
Social Proof. When faced with a buying decision, consumers
minimize the risk of making the wrong choice by buying the
most popular brand. Consequently, marketeers spend a great
deal of money and effort trying to establish their product
as the ‘best seller’ in an effort to make us feel that “it
must be good because everyone else thinks it is”. This is
the principle of Social Proof.
Unfortunately, Social Proof doesn’t necessarily lead us to
make right choices. Indeed, looking to others — who may be
just as uncertain how to react as you are — can have costly,
even tragic consequences. This was the case with Kitty Genovese.
The fact that none of her neighbors visibly went to her aid
led to them individually concluding that not going to her
aid was the correct course of action
While Social Proof explains why none of Kitty Genovese’s neighbors
went to her aid, it doesn’t explain why no one called the
police. To understand this we need to look at the principle
of Dilution of Responsibility.
Dilution of responsibility is a psychological principle
that states that ‘the presence of multiple people results
in each individual feeling less responsible’. In other words,
as the sole witness to an event you realize that if you don’t
act, no one will — consequently you feel a strong sense of
responsibility. When multiple people are present, that sense
of responsibility is diluted as each person assumes that someone
else will act. Dilution of responsibility is why you have
a better chance of surviving a heart attack when only one
or two people are present, than you do if you to have a heart
attack on a busy downtown street.
In Kitty Genovese’s case, because so many people witnessed
the attack, responsibility for calling the police was diluted.
Each person in turn assumed that someone else would call the
police. Sadly, police investigating the murder determined
that had even one of her neighbors intervened or called the
police at the beginning of the attack, Kitty would be alive
today.
What types of
errors and problems in the workplace are caused by Social
Proof and Dilution of Responsibility?
Case Study: GMP at Pharmaceutical Plant
During a recent visit to a pharmaceutical company, a maintenance
worker entered a packaging room and — while exposed product
was being packed — he started drilling into the drywall to
install a new electrical switch. This was a clear violation
of good manufacturing practice and the dust released by the
drilling created an obvious contamination risk. The packaging
room operators present at the time were experienced employees,
trained in good manufacturing practice, with several years
of service.
So what happened?
The operators observed the maintenance worker and looked around
at each other. No one moved from their workstation. After
a little while, the operators shrugged and got on with their
job. No one approached the maintenance worker. Later that
shift, the incident was reported and the entire batch placed
on hold. Over $180,000 of product was compromised.
Why did these experienced employees take no action in the
face of something that was so obviously wrong?
In follow-up interviews operators were asked why they didn’t
act. Several people commented to the effect that:
- “While I thought
what he was doing was wrong, the fact that he was doing
it made me think ‘He must know something I don’t’ ”.
- “I figured
he had to have someone’s approval to do it”.
Most people also
said that they were afraid that stopping the workman might
offend him and damage their relationship. Lastly, the fact
that no one was willing to intervene, confirmed in their minds
that this was the correct course of action. Dilution of responsibility
and Social Proof had combined to produce a costly error.
Other examples of problems caused by Dilution of Responsibility
and Social Proof include:
Absenteeism - “If I’m not here, someone else
will take care of it”. (Dilution of Responsibility). “Everyone
else does it” (Social Proof). The larger the organization,
the more dilution.
Errors in reviews by multiple people – This
is particularly the case where a document is filled in by
one person, checked by another, then released by another and
each level checks and corrects errors from the previous level.
“If I make a mistake someone else will pick it up” (Dilution
of Responsibility). The more people involved in the checking
process, the greater the dilution.
Turning a blind eye to safety – similar to the
example in our case study
So,
how do you address these issues?
Initially, you will need to “combat” Social Proof and Dilution
of Responsibility until you change the group norms. This means
creating high personal accountability and enforcing it. For
example: in the case of absenteeism, there has to be personal
contact with the absent individual, preferably during the
period of their absence, to leave no doubt that their absence
was noticed and that their presence was missed by their team
mates.
In the case of multiple people checking documentation, the
process of checking should include a feedback and recording
loop which records which errors were made by the previous
individual and feedback given as soon as possible back to
that individual. Merely correcting the errors diminishes the
person’s responsibility, but if the person knows that their
errors will be detected, recorded and communicated, they will
feel personally responsible and accountable.
A powerful tool in dealing with people turning a blind eye
is a set of learning principles called “Permission to Care”
that are applied to Talsico’s learning programs. Permission
to care imbeds psychological principles specifically designed
to combat Dilution of Responsibility and Social Proof. For
more information, please contact your Talsico representative.
Who
is Talsico?
We
are a group of engineers and psychologists dedicated to improving
manufacturing performance by improving the transfer of knowledge
in the workplace. With offices in the United States,
Puerto Rico, Australia and South Africa,
we provide learning strategies and tools to leading manufacturers
world-wide.
Copyright
Talsico ©
2004.
All rights reserved.
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