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Will ‘moral burnout’ become the next workplace epidemic?

Wellbeing experts believe that this contagious condition could be fuelling harmful trends such as quiet quitting – and they don’t expect the number of cases to fall any time soon
Illustration, employees suffer with moral burnout

The con­cept of moral burnout may be new to most peo­ple, but it is thought to be behind some of the most sig­nif­i­cant work­place trends of recent times, such as the so-called great res­ig­na­tion and qui­et quit­ting.

It man­i­fests itself after some­one has sus­tained a moral injury, gen­er­al­ly over a pro­longed peri­od. A moral injury is a cog­ni­tive and emo­tion­al response that occurs when they under­take, wit­ness and/or fail to pre­vent behav­iour that vio­lates their per­son­al val­ues.

“The sit­u­a­tion starts as moral stress,” explains Cara de Lange, founder and CEO of employ­ee well­be­ing con­sul­tan­cy Soft­er Suc­cess. “If it goes on for months, it becomes a moral injury, which can then lead to burnout.”

She believes that such “trau­ma-infused burnout” – cas­es of which have pro­lif­er­at­ed in a “mas­sive” way in recent years and are unlike­ly to have peaked – is caused by a blend of “emo­tion­al exhaus­tion, cyn­i­cism and moral injury”. 

Moral burnout in the workplace

While the extent to which this con­di­tion has always been present among the work­ing pop­u­la­tion is unclear, de Lange is con­vinced that the prob­lem has wors­ened since the pan­dem­ic start­ed. She esti­mates that between 10% and 20% of all employ­ees are affect­ed by moral burnout. 

Although it’s a rel­a­tive­ly new con­cept in a busi­ness set­ting, the term has been in use for some time in oth­er con­texts. Tra­di­tion­al­ly, moral burnout has been more asso­ci­at­ed with the kind of trau­ma com­mon­ly expe­ri­enced by peo­ple in the mil­i­tary, which is where most psy­cho­log­i­cal research into the sub­ject has focused. But in May the Uni­ver­si­ty of Sheffield, Soft­er Suc­cess and the Affin­i­ty Health at Work con­sul­tan­cy pub­lished a study explor­ing the impact of moral burnout in a busi­ness set­ting. 

Don’t under­es­ti­mate the pow­er of lis­ten­ing. Once peo­ple feel heard, most can nav­i­gate to a bet­ter place in their minds them­selves

The research found that employ­ees expe­ri­enced moral injury and burnout in organ­i­sa­tions where they or their col­leagues had been sub­ject­ed to pro­longed mis­treat­ment. This includ­ed bul­ly­ing, abu­sive lead­er­ship prac­tices and the repeat­ed use of racist, misog­y­nis­tic and/or homo­pho­bic lan­guage.

Dr Kara Ng, pres­i­den­tial fel­low in organ­i­sa­tion­al psy­chol­o­gy at the Uni­ver­si­ty of Man­ches­ter, explains the mech­a­nism: “We all have inter­nalised moral norms that are socialised into us when we’re younger. In com­plex social sit­u­a­tions, it may not be pos­si­ble to cor­rect a moral vio­la­tion imme­di­ate­ly. It’s stress­ful to be in this kind of envi­ron­ment, which is detri­men­tal to people’s men­tal health.” 

Because moral norms are inher­ent­ly “very sub­jec­tive”, an act that’s moral­ly inju­ri­ous to one per­son may not even reg­is­ter with some­one else. This makes the sit­u­a­tion par­tic­u­lar­ly hard for busi­ness lead­ers to recog­nise and tack­le, accord­ing to Ng. But they must do so if the com­mon out­comes of moral burnout, such as reduced employ­ee engage­ment and increased staff turnover, are not to harm the bot­tom line, she argues. 

Traditional burnout versus moral burnout

Moral burnout dif­fers from the more tra­di­tion­al occu­pa­tion­al burnout as defined by the World Health Orga­ni­za­tion. The lat­ter is a syn­drome “result­ing from chron­ic work­place stress that has not been suc­cess­ful­ly man­aged”. Suf­fer­ers tend to feel exhaust­ed and men­tal­ly dis­tance them­selves from, or become cyn­i­cal about, their work.

In cas­es of moral burnout, the emo­tion­al ill-effects are much deep­er and more pro­longed. Suf­fer­ers tend to rumi­nate con­stant­ly about their sit­u­a­tion and com­mon­ly expe­ri­ence feel­ings of help­less­ness, anger, embar­rass­ment, guilt, betray­al and mis­trust in their employ­er. 

Dr Eileen Ward is a char­tered psy­chol­o­gist and part­ner at the Lead­en­hall Well­be­ing con­sul­tan­cy. In her expe­ri­ence, peo­ple suf­fer­ing moral burnout tend to be more emo­tion­al than those expe­ri­enc­ing con­ven­tion­al burnout.

“They may become more with­drawn or have a more volatile tem­per than nor­mal, or they may start demon­strat­ing signs of per­fec­tion­ism or absen­teeism,” she says. “They may have prob­lems with their phys­i­cal health as a result of repress­ing their emo­tions.”

It will make lit­tle dif­fer­ence if the for­mal struc­tures are put in place but the cul­ture doesn’t sup­port them

Anoth­er unhealthy dynam­ic occurs when employ­ees “moral­ly dis­en­gage” as they become ever more uncom­fort­able with their envi­ron­ment, Ng says. They do this by “cog­ni­tive­ly recon­struct­ing sit­u­a­tions and how they inter­pret them so that things don’t seem as bad. This means that peo­ple can con­tin­ue to live with them­selves.”

But this kind of cop­ing strat­e­gy often serves to exac­er­bate a tox­ic sit­u­a­tion. Com­mon out­comes of such cog­ni­tive dis­so­nance include vic­tim-blam­ing, mak­ing excus­es for abu­sive behav­iour or using euphemistic terms such as ‘ban­ter’ to describe it. This approach not only nor­malis­es dam­ag­ing ways of inter­act­ing; it also makes moral burnout con­ta­gious. 

“It dif­fers great­ly from tra­di­tion­al burnout in that it can real­ly affect large num­bers of peo­ple,” Ng says.

What can leaders do?

So what can be done to pre­vent moral burnout from tak­ing hold and spread­ing in your organ­i­sa­tion? The first thing that con­cerned busi­ness lead­ers should do, Ward says, is sim­ply lis­ten. This should enable them to dis­tin­guish which kind of burnout indi­vid­ual employ­ees are expe­ri­enc­ing. It should also help them to alle­vi­ate some of their inter­nal con­flicts.

“Don’t under­es­ti­mate the pow­er of lis­ten­ing,” she urges. “Once peo­ple feel heard, most can nav­i­gate to a bet­ter place in their minds them­selves. You don’t have to be a qual­i­fied psy­chol­o­gist to help them with that.”

For this approach to be effec­tive, lead­ers must make peo­ple feel psy­cho­log­i­cal­ly safe enough to share their feel­ings with­out fear of reper­cus­sions. To achieve this lev­el of trust, they need to be con­sis­tent­ly open, hon­est, authen­tic and sup­port­ive to the employ­ees con­cerned. 

This is far eas­i­er said than done if the wider com­pa­ny cul­ture is already tox­ic. But, as Ng points out, most firms “don’t decide they want to be uneth­i­cal at the expense of employ­ee well­be­ing. They often just over­load peo­ple with work to hit quar­ter­ly tar­gets or pri­ori­tise short-term per­for­mance over employ­ee expe­ri­ence and engage­ment, which means that these fac­tors end up tak­ing a back seat.”

Going back to basics

Ng argues that it’s cru­cial for the lead­er­ship team to “go back to basics to intro­duce foun­da­tion­al change”. This means cre­at­ing for­mal struc­tures, such as codes of con­duct and process­es enabling staff to report behav­iour that con­cerns them, if these don’t already exist.

But it shouldn’t be a case of ‘do as I say, not as I do’. Lead­ers sim­ply have to be role mod­els of pos­i­tive behav­iour. If a CEO were to inter­act with employ­ees in ways that don’t com­ply with the organisation’s code of con­duct, for instance, it would under­mine the whole point of writ­ing one and, con­ceiv­ably, make mat­ters worse. 

“It will make lit­tle dif­fer­ence if the for­mal struc­tures are put in place but the cul­ture doesn’t sup­port them,” warns Ng, but she adds: “It can still be quite prob­lem­at­ic if you do have a car­ing cul­ture but no for­mal struc­tures to sup­port it.”

As fears of a deep glob­al reces­sion mount, it’s unlike­ly that cas­es of moral (and con­ven­tion­al) burnout will dimin­ish in num­ber. Employ­ees gen­er­al­ly become more reluc­tant to switch jobs and escape tox­ic envi­ron­ments in tough eco­nom­ic times – a sce­nario that’s unlike­ly to bode well over the com­ing year.

“My gut feel­ing is that more peo­ple may feel that they have to stick with their employ­ers because of all the eco­nom­ic uncer­tain­ty,” Ng says. “This sit­u­a­tion could well lead to high­er lev­els of burnout and low­er lev­els of engage­ment.”