My Own Whistleblowing in an Narcissistic Workplace Culture:
It is hard to be optimistic about the role of advocacy in social care organizations – whether private or public. They have all found increasingly effective ways of defending themselves against both insiders and outsiders, who are being perceived as "the enemy" AKA those who speak Truth to their delusional, corrupt Power. They use gagging clauses in employment contracts; improve skills in public relations; and develop managerial cultures based only on loyalty to the organization, rather than any duties, or professional integrity / responsibiliy they have to clients, families or the public.
The whistleblower is presented with a false outer face by the organization that professes to value his or her activities, but behind this phony mask is an inner face that is increasingly hostile and vindictive and getting considerably cleverer at hiding their malicious behavior at dealing with any dissidents. Democracy is increasing failing particularly within healthcare systems. If you do have the integrity and courage and stand up as a professional and report a colleague's mal-practice be well prepared to have your career ended, as you will face exactly this:
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