PSYCHOLOGICAL FACTORS OF CHANGING THE PROFESSIONAL ORIENTATION OF THE PERSONALITY IN ADULTS

The article is devoted to the study of the specifics of professional orientation of the personality and the analysis of psychological factors that affect its change in the period of 30-36 years. The characteristic of this age period is given and the causesof disharmonies in the inner world of the personality are revealed, as well as their connection with the nature of the interaction of the vectors ideals-senses-values is explained and illustrated. It is noted that the divergence of ideals, senses and values predetermines uncertainty in the direction of professional self-realization, provokes an internal personal conflict, a certain dissonance, which we can call spiritual and professional dissonance. The essence of the concept of spiritual and professional dissonance of the personality is outlined and the stages of psychological assistance to the client in the process of working on his value-semantic sphere are revealed. The given material is summarized and promising directions of future research within the framework of the topic under study are revealed

Medicolegal Alienation in Physicians Practising in Informal Clinics Servicing Undocumented Migrants

Background Globally, undocumented migrants have relied on informal clinics for their healthcare services. Empirical explorations of physicians' moral, ethical, and legal consciousness surrounding practising within this context remain lacking. The present study sought to contribute to this gap. Methods Constructivist grounded theory was applied to qualitative interviews with 16 physicians working in informal humanitarian clinics in Sweden. Results Physicians' experiences were synthesised into three categories: Ambiguity in navigating illegality, due to awareness of vulnerabilities surrounding patient-safety and own involvement, whilst simultaneously feeling enriched through interactions in the clinic; Being exposed to patients' accounts of structural violence and social injustice; Experiencing isolation in practice, when discovering professional limitations and feeling severed from the conventional medical institution. In navigating the threshold between their societally commended role and structurally condemned undocumentedness, differing processes of alienation synthesised in physicians in medical, ethical, and legal terms; identified as a novel dimension of legal consciousness theory, a process coined medicolegal alienation. Conclusions The process of medicolegal alienation occurs when, functioning as arbiters of patients' rights within the conventional medical institution, questions surrounding undocumented migrants' deservingness force physicians into a position of moral, ethical, and professional dissonance. Struggling to dictate their own practice, they are propelled out into informal clinics, in search for congruence. Through this process, physicians become alienated from both their profession and from legality. Though able to navigate freely between the medical institution and humanitarian clinics, the burden of insight into the threshold between legal realms and the plight of the undocumented patient is heavily ambiguous, being both transformative and isolating. Key messages In navigating the threshold between their societally commended role and structurally condemned undocumentedness, differing processes of medical, ethical, and legal alienation synthesised in physicians. When undocumented migrants’ deservingness is questtioned, physicians are forced into a position of moral, ethical, and professional dissonance, giving rise to the process of medicolegal alienation.

Professional Dissonance

This article examines the working lives of creative-class professionals in the Global South using two case studies: university educators and museum professionals employed in Qatar. A small country on the Arabian Peninsula, Qatar is an ideal site for the study of professionals in a developing yet authoritarian nation. We argue that the cultural attributes of the professorial and curatorial communities, including creativity, autonomy, and intellectual freedom, are in conflict with the authoritarian political context, giving rise to professional dissonance. Professional dissonance occurs when the norms, values, and ideas embraced by a particular occupational group conflict with the norms, values, and ideas in the settings in which they work. To cope, university educators and museum professionals turn to five strategies—resistance, subversion, submission, conversion, and exit—although variations in the content and institutional structures of their work lead each group to deploy them in somewhat different ways. These strategies may be replicated in other contexts of high professional dissonance, caused by authoritarianism or otherwise.