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CONTENTS

ABBREVIATIONS

CHAPTER 1 THE PARADOX OF WHISTLEBLOWING

Patterns of paradox

Living with paradox

What this book is about

Terms used

CHAPTER 2 WHISTLEBLOWING: GOOD, BAD AND UGLY

Fables, fantasies and facts

What whistleblowing is

Who is likely to whistleblow and about what?

Weighing up the pros and cons of whistleblowing

Codes and woes

UK whistleblowing in law

Paradoxes in whistleblowing policy and procedures

What happens when people whistleblow?

Retaliation and retribution

Facing into fear

The smell of Salem

Ostracism and outcasts

CHAPTER 3 ORGANIZATIONAL CULTURE AND THE WHISTLEBLOWER

Organizational climate and culture

Layers of culture

Undiscussables of organizational life

Fragmented cultures

Socialization, rationalization, normalization

Ethics and human agency

People are social animals

Groups: Not always your friend

Minority influence can make a difference

Bad apples, bad barrels

Cultures are critical

CHAPTER 4 SILENCE AND DEVICES OF DENIAL

Keeping quiet

The sound of silence

Spiral of silence

Black sheep and walls of silence

Obedience to authority

Denial

Strategies of denial

Doublespeak and denial: Rotherham, England

CHAPTER 5 BYSTANDERS, BLEACH AND BLIND SPOTS

Bystanders and the aversion of the gaze

Self-deception, the slippery slope and ethical degradation

Exercising the moral muscle

We think we’re more moral than we mostly are

The evil that is done

Organizational blind spots

Health and social care disasters

Systematic attention deficit disorder

CHAPTER 6 HOW NOT TO ENCOURAGE WHISTLEBLOWING

Cash for whistleblowing

A duty to report

Individual autonomy, individual liability

Problems of a ‘duty to whistleblow’

Compliance, confidence and codes

Trusting the confidence apparatus

Prevention is better than cure

CHAPTER 7 WHISTLEBLOWING IN ETHICAL HEALTH AND SOCIAL CARE SYSTEMS

Defining ethics and morality

The whistleblower as ethical canary

Integrity and the codes

Whistleblowing as ethical right action

An ethic of care

Whistleblowing and the emperor’s clothes

The whistleblower and an ethic of care

Embedding an ethic of care into health and social care practice and systems

Ethics and care throughout health and social care systems

Attentiveness

Responsibility

Competence

Responsiveness

CHAPTER 8 ETHICAL LEADERSHIP AND WHISTLEBLOWING

The art of leadership

Romancing the leader

Ethical leaders

Ethical leadership and an ethical organizational culture

Designing ethical leaders

Emotional intelligence and the ethical leader

Emotional intelligence in the workplace

CHAPTER 9 THE ETHICAL POINT OF WHISTLEBLOWING

Leadership, Anti-Bathsheba style

The virtue of whistleblowing

POSTSCRIPT FOR THE WHISTLEBLOWER

REFERENCES

SUBJECT INDEX

AUTHOR INDEX

Whistleblowing and Ethics in Health and Social Care

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