9.5
根据服从性研究,我们可能会在权威人物的强力压力下伤害他人(Milgram, 1974)。那么,如果这些不恰当的指令是以较弱的语气下达的呢?护士与医生之间日益增强的相互依赖关系促使霍夫林(Hofling)及其同事探究护士对被视为权威人物的医生所提出的潜在有害医疗请求的反应(Hofling, Brotz…
有时,人们愿意违背自己的个人准则,服从可能导致伤害的命令。这种社会影响形式被称为服从——即遵从被感知为权威人物的指令或要求。
例如,在一次原始的实地研究中——在真实的医院环境中——一位所谓的医生(本案例中的权威人物)向护士下达指令 通过电话 给予一种“未知”药物,即不在官方批准清单上的药物,且剂量超过了最大安全日剂量。实际上,该药物是安慰剂。
护士们——至少95%的护士——仍然执行了“医生”的指令,尽管这违反了操作规程,且这样做可能导致患者死亡。
有趣的是,在对照组中,护士只是被询问在类似情况下他们会如何做。同样有 95% 的护士表示,他们将不会服从所下达的指令。
因此,当人们处于真实情境中时,他们可能会违背自己的正确判断而行事。
Q1: What is obedience in social psychology?
Obedience is a form of social influence where people follow orders or requests from perceived authority figures, even when those commands conflict with personal standards. In a classic hospital field study, nurses administered an unapproved drug exceeding safe dosage limits when ordered by an alleged doctor, demonstrating how authority can override individual judgment and protocol.
Q2: Why do people obey harmful orders from authority figures?
Research suggests that situational pressures from authority figures compel obedience despite potential harm. In the Hofling study, 21 of 22 nurses complied with a doctor's phoned request to dispense an unfamiliar drug at dangerous dosages. Participants later reported embarrassment, anxiety, and guilt, indicating they acted against their better judgment under perceived authority pressure.
Q3: How do questionnaire responses differ from actual obedience behavior?
When asked hypothetically, 95% of nurses said they would not obey harmful orders. However, in actual field conditions, 95% of nurses complied with the dangerous drug request. This discrepancy reveals that people overestimate their ability to resist authority pressures when placed in real situations, suggesting self-awareness alone does not reduce compliance.
Q4: What workplace factors can reduce harmful compliance?
Research identifies several factors that decrease compliance with questionable orders. Opportunities to discuss decisions with colleagues successfully reduced compliance in replications of the Hofling study. Additionally, an increased sense of personal responsibility distinguished non-compliant nurses from compliant ones, suggesting that fostering autonomy and team communication strengthens ethical decision-making.
Q5: Why might nurses feel conflicted when obeying harmful medical orders?
Nurses experience competing pressures between duty to patients and need for acceptance by authority figures and their team. While a sense of duty to challenge questionable practices exists, the desire for team acceptance can override it. This internal conflict creates negative emotions like guilt and anxiety, even when nurses comply with orders, reflecting the psychological cost of obedience.
Q6: How does the interdependence between nurses and physicians affect obedience?
The increasing interdependence between nurses and physicians creates power dynamics that influence compliance. Doctors hold perceived authority, while nurses depend on them professionally, strengthening the likelihood of obedience. This hierarchical relationship, combined with workplace pressures, makes it difficult for nurses to resist harmful orders despite their medical training and ethical obligations.
Q7: Can awareness of social pressures prevent obedience to authority?
No. Later replications of obedience research strongly suggest that awareness of forces underlying social pressures does not necessarily reduce compliance to authority in actual situations. Even when people understand the mechanisms of social influence, situational factors and authority presence remain powerful enough to override conscious resistance and ethical judgment.