Antimicrobial resistance is a growing threat to good health and well-being
Antimicrobial resistance is growing worldwide, rendering many "work horse" medicines ineffective. Without intervention, drug-resistant pathogens could lead to millions of deaths by 2050. Thankfully, companies like Pfizer are taking action.
Pfizer Corporate Responsibility develops programs that help expand global access to medicines by providing direct assistance to underserved populations. Our initiatives include providing product donations and steep discounts that help patients access the medicine they need. We also collaborate with Pfizer business teams and nonprofit organizations to help shape sustainable business models that address affordability and the vast differences in economies around the world.
- Antimicrobial-resistant pathogens are one of the largest threats to global health today.
- As we get older, our immune systems age, increasing our risk of life threatening infections. Without reliable antibiotics, life expectancy could decline for the first time in modern history.
- If antibiotics become ineffective, common infections could result in hospitalization or even death. Life-saving interventions like cancer treatments and organ transplantation would become more difficult, more often resulting in death. Routine procedures would become hard to perform.
- Without intervention, resistant pathogens could result in 10 million annual deaths by 2050.
- By taking a multi-faceted approach—inclusive of adherence to good stewardship, surveillance and responsible manufacturing practices, as well as an emphasis on prevention and treatment—companies like Pfizer are fighting to help curb the spread.
Antibiotics have revolutionized healthcare.
With the advent of modern medicine, life threatening diseases such as smallpox, pertussis (whooping cough), tetanus (lockjaw) and measles have essentially been eradicated. More importantly, complicated procedures that increase our risk of infections—including plastic surgery, joint replacement, cancer treatments, and organ transplant, among others—have become routine because any resulting infection can be treated effectively.
But modern medicine depends on antibiotics to treat and cure many kinds of infections—infections that could impact anyone from the premature baby to the elderly. Unfortunately, antimicrobial resistance (AMR) has made some infections impossible and others increasingly difficult to treat, threatening the progress we have worked so hard to achieve.
AMR causes 700,000 deaths annually across the globe, a number projected to skyrocket to 10 million by 2050 without intervention.
What is antimicrobial resistance?
Antimicrobial drugs target the microorganisms that cause infection, such as bacteria, viruses, fungi, and parasites, and either kills them or inhibits their growth.
Anytime an antibiotic is used, either appropriately or inappropriately, the 30 trillion or more bacteria that live in or on our bodies undergo selective pressure to become resistant. Any that are sensitive to the antibiotic are killed, while those that remain are resistant or immune from the effects of that antibiotic. This is called AMR. Once a bacterial pathogen has reached a state of resistance to several types of antibiotics, it is colloquially referred to as a "superbug."
The consequences of AMR can be stated simply: Commonly used antibiotics are rendered ineffective against that pathogen. If an infection caused by resistant bacteria is treated by that antibiotic, the bacteria are unaffected, resulting in disease persistence, worsening of the infection and/or even death. Treatments for both minor and serious infections are compromised, surgeries and other routine procedures become riskier, and the treatment of diseases like pneumonia and tuberculosis becomes very complicated. For example, according to the World Health Organization, resistance in Klebsiella pneumoniae—a common intestinal bacterium that is a major cause of hospital-acquired infections, bloodstream infections, and infections in newborns and intensive-care unit patients—has spread to all regions of the world. In some countries, because of resistance, carbapenem antibiotics (often the "last resort" treatments) do not work in more than half of people treated for these types of infections. This results in prolonged hospitalization, increased medical costs and higher rates of death for infections that were easily treated only a few years ago.
"What's more, AMR is a truly global issue—it can affect anyone, of any age, in any country," Jill Inverso, Pfizer's Vice President of Global Medical Affairs and Anti-Infectives, told Big Think.
AMR causes 700,000 deaths annually across the globe, a number projected to skyrocket to 10 million by 2050 without intervention. The rise of resistant pathogens is causing many countries to accrue significantly higher healthcare costs due to longer duration of illness, additional tests, and the need for different medicines to treat patients.
And these costs add up. The World Bank Group estimates that AMR could reduce annual global gross domestic product from 1.1–3.8 percent depending on severity, with up to $10.8 trillion in additional health expenditures.
At Pfizer, we take this growing threat very seriously and are driven by our desire to protect global public health and address the medical needs of people suffering from infectious diseases.
Giving antimicrobial resistance a helping hand
The development of bacterial resistance to antibiotics is a natural process. Unlike almost every other class of drugs, antibiotics drive their own obsolescence by selecting antibiotic-resistant bacteria, even when used appropriately according to guidelines. When this happens, resistant bacteria survive and continue to multiply, causing the infection to worsen. These resistant bacteria can then also spread to other patients, causing new infections with these bacteria that are difficult to treat.
Overuse and misuse of antibiotics accelerates this process without providing any benefit to the patient. This happens when patients take a drug without need, do not finish their dose or stop taking the medication mid-course; it could also happen when a drug is either overprescribed or prescribed for the wrong duration/type of illness. All of these misuses create environments in which pathogens are exposed to drugs more often, allowing them to acclimate and breed resistance without any benefit to the patient.
Hence, antibiotics must be used wisely and sparingly.
Fighting the resistance
WHO calls AMR an "increasingly serious threat to global public health" and one that "requires action across all government sectors and society." Its widespread growth is threatening the United Nations General Assembly's Sustainable Development Goal of Good Health and Well-Being.
Companies like Pfizer are heavily committed to the fight against AMR, taking action across a variety of areas such as surveillance, stewardship, and prevention and treatment.
On the surveillance front, Pfizer is proud to sponsor one of the largest AMR surveillance programs in the world, the Antimicrobial Testing Leadership and Surveillance (or ATLAS). ATLAS monitors real-time changes in bacterial resistance and tracks these trends in real-time. Gathering information from more than 760 hospitals across 73 countries in many underserved areas, ATLAS has generated 14 years of continuous global data on bacteria. Researchers and healthcare professionals can access ATLAS's data—free of charge—to study resistance trends, even in emerging market countries like Africa, Asia, and Latin America.
"At Pfizer, we take this growing threat very seriously," Inverso added, "and are driven by our desire to protect global public health and address the medical needs of people suffering from infectious diseases."
Pfizer also encourages good stewardship practices and supports education and training programs to help ensure patients receive the correct antibiotic only if needed, at the right dose and for the right duration.
"We believe that everybody can play a part in AMR stewardship by not taking an antibiotic unless provided by a healthcare professional, sticking to antibiotic regimens when prescribed, and keeping their vaccinations up to date," said Inverso. She added, "Vaccines are administered to help prevent infections from happening in the first place, thereby reducing the need for antibiotic usage that can lead to the development of resistance."
To date, several studies have demonstrated the beneficial role vaccines play in the reduction of AMR, such as reducing the use of antibiotics by preventing bacterial infections which may, in turn, prevent antimicrobial resistant infections from developing. Pfizer is committed to continue the development of new, innovative vaccines to help prevent infectious diseases globally.
We believe that everybody can play a part in AMR stewardship by not taking an antibiotic unless provided by a healthcare professional, sticking to antibiotic regimens when prescribed, and keeping their vaccinations up to date.
Given this, we should ask ourselves the following:
- Have I ever not finished an antibiotic given to me by my doctor?
- Have I ever used an antibiotic given to someone else?
- Am I up-to-date on my vaccinations that prevent infections that would need antibiotics?
- Have I ever demanded an antibiotic for myself or a child that the doctor thought was caused by a virus?
- Have I ever saved antibiotics given to me for one infection and used it at a different time?
The key takeaway? AMR is a pervasive, growing threat that cannot be tamed without the collective efforts of government, industry, health systems, society and others. Working together, we may have a fighting chance.
In a joint briefing at the 101st American Meteorological Society Annual Meeting, NASA and NOAA revealed 2020's scorching climate data.
A dead heat<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ2MDU4Ny9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzNzM0MzIwNH0.3NrKDBoOdpFL5IXF3cDbom-Dp2RlrzJgvAciXcb0GDE/img.jpg?width=980" id="69d06" class="rm-shortcode" data-rm-shortcode-id="886a2617e756181e6a11e20a00b65dff" data-rm-shortcode-name="rebelmouse-image" data-width="1266" data-height="654" />
A graph showing the global mean temperatures from 1880–2020 (with the years 1951–1980 serving as the mean baseline).
(Photo: NASA and NOAA)<p>For <a href="https://data.giss.nasa.gov/gistemp/" target="_blank">its 2020 analysis</a>, NASA gathered surface temperature measurements from more than 26,000 weather stations. This data was incorporated with data from satellites as well as sea-surface temperatures taken from ship and buoy instruments. Once tallied, NASA's data showed 2020 barely edged out 2016 has the warmest year on record, with average global temperatures 1.02°C (1.84°F) above the baseline mean (1951-1980).</p><p>In a separate analysis of the raw data, NOAA found 2020 to be slightly cooler than 2016. This distinction is the result of the different methodologies used in each—for example, NOAA uses a different baseline period (1901–2000) and does not infer temperatures in polar regions lacking observations. Together, these analyses put 2020 in a statistical dead heat with the sweltering 2016 and demonstrate the global-warming trend of the past four decades.</p><p>"The last seven years have been the warmest seven years on record, typifying the ongoing and dramatic warming trend," <a href="http://email.prnewswire.com/ls/click?upn=OXp-2BEvHp8OzhyU1j9bSWuwMvMWelqIco5RbfBrouY-2BQCsSv6FnrhBjR9xReGqV57KGOs0rVc5GKMmgs-2FJKbOzjb0sJ6yjzUvrv2w75ulYk3EUck8pSjkzYhoy5ADXO0eOcn7LDjqsHyK2gp2NRf2UysMK-2F9SN4oYUmRylQcRtSUo6-2FcYeK-2B9naUetByXNCR2gF8u_FU3lc-2FvIcVOtjb4iEuBVjFYoW0IRF5dtM-2FDfzzkhmYHO5IVgq387-2BxdHEMunBZ1-2Fy0-2BJDgXnZEYvN604G1TWJfy4M4HKnIouyasgRyWEHIYmPTiDXeFrd9FqRmsl0JQfksEElkp2ITvgyFkkivWV3GiFH7z7tl1cTZ2rNh2c-2FbCRKQxkH4-2BChgYT6uWeYOvXusiC4cDsZkEBvw7lOEdPsPq78JT8F5x5gc5cMRaRJY-2FZ8q8peaKsS7Mfc5OQ6yjyEU5YUHR4QKJ1Fn-2FDuwJ5jk4Gm28sxJZNXX9IEO-2FOHlhyRcJbl6rMWcoeJZDEd-2BM8UJ5ZY-2FYqc1DHevd1Mz-2B1fQ-3D-3D" target="_blank">Gavin Schmidt</a>, director of the NASA Goddard Institute for Space Studies, <a href="https://www.sciencedaily.com/releases/2021/01/210115103020.htm" target="_blank" rel="noopener noreferrer">said in a release</a>. "Whether one year is a record or not is not really that important—the important things are long-term trends. With these trends, and as the human impact on the climate increases, we have to expect that records will continue to be broken."</p><p>And they are. According to the analyses, 2020 was the warmest year on record for Asia and Europe, the second warmest for South America, the fourth warmest for Africa and Australia, and the tenth warmest for North America. </p><p>All told, 2020 was 1.19°C (2.14°F) above averages from the late-19<sup>th</sup> century, a period that provides a rough approximate for pre-industrial conditions. This temperature is closing in on the Paris Climate Agreement's preferred goal of <a href="https://unfccc.int/process-and-meetings/the-paris-agreement/the-paris-agreemen" target="_blank" rel="noopener noreferrer">limiting global warming to 1.5°C</a> of those pre-industrial conditions.</p>
2020's hotspot was—the Artic?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ2MDU5My9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyMTA5OTU1MH0.0ZCixGwhHbjmyO6By_eaMI-cXrM2-rsPq32J-pAVWPs/img.jpg?width=980" id="34c94" class="rm-shortcode" data-rm-shortcode-id="846b12bfa65c6d1b8d0a5b0d0214e091" data-rm-shortcode-name="rebelmouse-image" data-width="1106" data-height="672" />
A map of global mean temperatures in 2020 shows an scorching year for the Arctic.
(Photo: NASA and NOAA)<p>Heatwaves have become more common all over the world, but a region that really endured the heat in 2020 was the <a href="https://nsidc.org/cryosphere/arctic-meteorology/climate_change.html#:~:text=Over%20the%20past%2030%20years,climate%20change%20in%20the%20Arctic." target="_blank">Arctic</a>.</p><p>"The big story this year is Siberia; it was a hotspot," Russell Vose, chief of the analysis and synthesis branch of NOAA's National Centers for Environmental Information, said during the briefing. "In May, some places were 18°F above the average. There was a town in Siberia […] that reported a high temperature of 104°F. If that gets verified by the World Metrological Organization, it will the first there's been a weather station in the Arctic with a temperature above 100°F."</p><p>The Arctic is warming at three times the global mean, thanks to <a href="https://nsidc.org/cryosphere/arctic-meteorology/climate_change.html#:~:text=Over%20the%20past%2030%20years,climate%20change%20in%20the%20Arctic." target="_blank">a phenomenon known as Arctic Amplification</a>. As the Arctic warms, it loses its sea ice, and this creates a feedback loop. The more Arctic sea ice loss, the more heat introduced into the oceans; the more heat introduced, the more sea ice loss. And the longer this trend continues, the more devastating the effects.</p><p>For example, since the 1980s, there's been a 50 percent decline in sea ice, and this loss has exposed more of the ocean to the sun's rays. That energy then gets trapped in the ocean as heat. As the <a href="https://www.climate.gov/news-features/understanding-climate/climate-change-ocean-heat-content" target="_blank" rel="noopener noreferrer">ocean heat content</a> rises, it threatens rising sea levels and the sustainability of natural ecosystems. In 2020 alone, 255 zeta joules of heat above the baseline were introduced into Earth's oceans. In (admittedly) dramatic terms, that's <a href="https://www.mprnews.org/story/2020/01/14/twin-cities-scientist-heat-of-5-to-6-hiroshima-atom-bombs-per-second-into-earths-oceans" target="_blank" rel="noopener noreferrer">the equivalent of introducing 5 to 6 Hiroshima atom bombs</a> worth of energy every second of every day.</p><p>Looking beyond the Arctic, the average snow cover for the Northern Hemisphere was also the lowest on record. Like the Arctic sea ices, such <a href="https://nsidc.org/cryosphere/snow/climate.html#:~:text=Snow's%20effect%20on%20climate,especially%20the%20western%20United%20States." target="_blank" rel="noopener noreferrer">snow cover</a> helps regulate Earth's surface temperatures. Its melt off in the spring and summer also provides the freshwater ecosystems rely on to survive and farmers need to grow crops, especially in <a href="https://bigthink.com/surprising-science/too-many-trees?rebelltitem=2#rebelltitem2" target="_self">the Western United States</a>.</p>
Natural disasters get a man-made bump<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ2MDU5NS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY2MjUwMjE0Mn0.R_juvxCWUw-S9RDkAobjXeMn2qMHg-XVgsOHW74Uz-s/img.jpg?width=980" id="51830" class="rm-shortcode" data-rm-shortcode-id="7b3e734e1d03eaec341dca40df0939f0" data-rm-shortcode-name="rebelmouse-image" data-width="1123" data-height="672" />
A map of 2020's billion-dollar weather and climate disasters, which totaled approximately $95 billion in losses.
(Photo: NASA and NOAA)<p>2020 was also a record-breaking year for natural disasters. In the U.S. alone, there were 22 billion-dollar disasters, the most ever recorded. Combined, they resulted in a total of $95 billion in losses. The western wildfires alone consumed more than 10 million acres and destroyed large portions of Oregon, Colorado, and California.</p><p>The year also witnessed a record-setting Atlantic Hurricane season with more than 30 named storms, 13 of which were hurricanes. Typically, the World Meteorological Organization <a href="https://www.nhc.noaa.gov/aboutnames_history.shtml#:~:text=Instead%20a%20strict%20procedure%20has,is%20repeated%20every%20sixth%20year." target="_blank">names storms</a> from an annual list of 21 selected names—one for each letter of the alphabet, minus Q, U, X, Y, and Z. For only <a href="https://www.npr.org/2020/09/18/914453403/so-2020-new-storm-forms-named-alpha-because-weve-run-out-of-letters" target="_blank" rel="noopener noreferrer">the second time in history</a>, the Organization had to resort to naming storms after Greek letters because they ran out of alphabet.</p>
For the record, there's a consensus about the record<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="9bb94f5d5a58d40f03e1515f3c2e467c"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/gzksqQDI_kE?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>Such records are a dramatic reminder of climate change's ongoing effect on our planet. They make for an eye-catching headline, sure. But those headlines can sometimes mask the fact that these years are part of decade-long trends, trends providing a preview of what a climate-changed world will be like. </p><p>And in case there was any question as to whether these trends were the result of natural processes or man-made conditions, Schmidt and Vose did not mince words. </p><p>As Schmidt said in the briefing: "Many, many things have caused the climate to change in the past: asteroids, wobbles in the Earth's orbit, moving continents. But when we look at the 20<sup>th</sup> century, we can see very clearly what has been happening. We know the continents have not moved very much, we know the orbit has not changed very much, we know when there were volcanoes, we know what the sun is doing, and we know what we've been doing."</p><p>He continued, "When we do an attribution by driver of climate change over the 20<sup>th</sup> century, what we find is that the overwhelming cause of the warming is the increase of greenhouse gases. When you add in all of the things humans have done, all of the trends over this period are attributable to human activity."</p><p>The data are in; the consensus is in. The only thing left is to figure out how to prevent the worst of climate change before it's too late. As bad as 2020 was, it was only a preview of what could come.<strong></strong></p>
A new study proposes mysterious axions may be found in X-rays coming from a cluster of neutron stars.
Are Axions Dark Matter?<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="5e35ce24a5b17102bfce5ae6aecc7c14"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/e7yXqF32Yvw?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span>
New research suggests you can't fake your emotional state to improve your work life — you have to feel it.
What is deep acting?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ1NDk2OS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYxNTY5MzA0Nn0._s7aP25Es1CInq51pbzGrUj3GtOIRWBHZxCBFnbyXY8/img.jpg?width=1245&coordinates=333%2C-1%2C333%2C-1&height=700" id="ddf09" class="rm-shortcode" data-rm-shortcode-id="9dc42c4d6a8e372ad7b72907b46ecd3f" data-rm-shortcode-name="rebelmouse-image" data-width="1245" data-height="700" />
Arlie Russell Hochschild (pictured) laid out the concept of emotional labor in her 1983 book, "The Managed Heart."
Credit: Wikimedia Commons<p>Deep and surface acting are the principal components of emotional labor, a buzz phrase you have likely seen flitting about the Twittersphere. Today, "<a href="https://www.bbc.co.uk/bbcthree/article/5ea9f140-f722-4214-bb57-8b84f9418a7e" target="_blank">emotional labor</a>" has been adopted by groups as diverse as family counselors, academic feminists, and corporate CEOs, and each has redefined it with a patented spin. But while the phrase has splintered into a smorgasbord of pop-psychological arguments, its initial usage was more specific.</p><p>First coined by sociologist Arlie Russell Hochschild in her 1983 book, "<a href="https://www.ucpress.edu/book/9780520272941/the-managed-heart" target="_blank">The Managed Heart</a>," emotional labor describes the work we do to regulate our emotions on the job. Hochschild's go-to example is the flight attendant, who is tasked with being "nicer than natural" to enhance the customer experience. While at work, flight attendants are expected to smile and be exceedingly helpful even if they are wrestling with personal issues, the passengers are rude, and that one kid just upchucked down the center aisle. Hochschild's counterpart to the flight attendant is the bill collector, who must instead be "nastier than natural."</p><p>Such personas may serve an organization's mission or commercial interests, but if they cause emotional dissonance, they can potentially lead to high emotional costs for the employee—bringing us back to deep and surface acting.</p><p>Deep acting is the process by which people modify their emotions to match their expected role. Deep actors still encounter the negative emotions, but they devise ways to <a href="http://www.selfinjury.bctr.cornell.edu/perch/resources/what-is-emotion-regulationsinfo-brief.pdf" target="_blank">regulate those emotions</a> and return to the desired state. Flight attendants may modify their internal state by talking through harsh emotions (say, with a coworker), focusing on life's benefits (next stop Paris!), physically expressing their desired emotion (smiling and deep breaths), or recontextualizing an inauspicious situation (not the kid's fault he got sick).</p><p>Conversely, surface acting occurs when employees display ersatz emotions to match those expected by their role. These actors are the waiters who smile despite being crushed by the stress of a dinner rush. They are the CEOs who wear a confident swagger despite feelings of inauthenticity. And they are the bouncers who must maintain a steely edge despite humming show tunes in their heart of hearts.</p><p>As we'll see in the research, surface acting can degrade our mental well-being. This deterioration can be especially true of people who must contend with negative emotions or situations inside while displaying an elated mood outside. Hochschild argues such emotional labor can lead to exhaustion and self-estrangement—that is, surface actors erect a bulwark against anger, fear, and stress, but that disconnect estranges them from the emotions that allow them to connect with others and live fulfilling lives.</p>
Don't fake it till you make it<p>Most studies on emotional labor have focused on customer service for the obvious reason that such jobs prescribe emotional states—service with a smile or, if you're in the bouncing business, a scowl. But <a href="https://eller.arizona.edu/people/allison-s-gabriel" target="_blank">Allison Gabriel</a>, associate professor of management and organizations at the University of Arizona's Eller College of Management, wanted to explore how employees used emotional labor strategies in their intra-office interactions and which strategies proved most beneficial.</p><p>"What we wanted to know is whether people choose to engage in emotion regulation when interacting with their co-workers, why they choose to regulate their emotions if there is no formal rule requiring them to do so, and what benefits, if any, they get out of this effort," Gabriel said in <a href="https://www.sciencedaily.com/releases/2020/01/200117162703.htm" target="_blank">a press release</a>.</p><p>Across three studies, she and her colleagues surveyed more than 2,500 full-time employees on their emotional regulation with coworkers. The survey asked participants to agree or disagree with statements such as "I try to experience the emotions that I show to my coworkers" or "I fake a good mood when interacting with my coworkers." Other statements gauged the outcomes of such strategies—for example, "I feel emotionally drained at work." Participants were drawn from industries as varied as education, engineering, and financial services.</p><p>The results, <a href="https://psycnet.apa.org/doiLanding?doi=10.1037%2Fapl0000473" target="_blank" rel="noopener noreferrer">published in the Journal of Applied Psychology</a>, revealed four different emotional strategies. "Deep actors" engaged in high levels of deep acting; "low actors" leaned more heavily on surface acting. Meanwhile, "non-actors" engaged in negligible amounts of emotional labor, while "regulators" switched between both. The survey also revealed two drivers for such strategies: prosocial and impression management motives. The former aimed to cultivate positive relationships, the latter to present a positive front.</p><p>The researchers found deep actors were driven by prosocial motives and enjoyed advantages from their strategy of choice. These actors reported lower levels of fatigue, fewer feelings of inauthenticity, improved coworker trust, and advanced progress toward career goals. </p><p>As Gabriel told <a href="https://www.psypost.org/2021/01/new-psychology-research-suggests-deep-acting-can-reduce-fatigue-and-improve-your-work-life-59081" target="_blank" rel="noopener noreferrer">PsyPost in an interview</a>: "So, it's a win-win-win in terms of feeling good, performing well, and having positive coworker interactions."</p><p>Non-actors did not report the emotional exhaustion of their low-actor peers, but they also didn't enjoy the social gains of the deep actors. Finally, the regulators showed that the flip-flopping between surface and deep acting drained emotional reserves and strained office relationships.</p><p>"I think the 'fake it until you make it' idea suggests a survival tactic at work," Gabriel noted. "Maybe plastering on a smile to simply get out of an interaction is easier in the short run, but long term, it will undermine efforts to improve your health and the relationships you have at work. </p><p>"It all boils down to, 'Let's be nice to each other.' Not only will people feel better, but people's performance and social relationships can also improve."</p>
You'll be glad ya' decided to smile<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="88a0a6a8d1c1abfcf7b1aca8e71247c6"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/QOSgpq9EGSw?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>But as with any research that relies on self-reported data, there are confounders here to untangle. Even during anonymous studies, participants may select socially acceptable answers over honest ones. They may further interpret their goal progress and coworker interactions more favorably than is accurate. And certain work conditions may not produce the same effects, such as toxic work environments or those that require employees to project negative emotions.</p><p>There also remains the question of the causal mechanism. If surface acting—or switching between surface and deep acting—is more mentally taxing than genuinely feeling an emotion, then what physiological process causes this fatigue? <a href="https://www.frontiersin.org/articles/10.3389/fnhum.2019.00151/full" target="_blank">One study published in the <em>Frontiers in Human Neuroscience</em></a><em> </em>measured hemoglobin density in participants' brains using an fNIRS while they expressed emotions facially. The researchers found no significant difference in energy consumed in the prefrontal cortex by those asked to deep act or surface act (though, this study too is limited by a lack of real-life task).<br></p><p>With that said, Gabriel's studies reinforce much of the current research on emotional labor. <a href="https://journals.sagepub.com/doi/abs/10.1177/2041386611417746" target="_blank">A 2011 meta-analysis</a> found that "discordant emotional labor states" (read: surface acting) were associated with harmful effects on well-being and performance. The analysis found no such consequences for deep acting. <a href="https://doi.apa.org/doiLanding?doi=10.1037%2Fa0022876" target="_blank" rel="noopener noreferrer">Another meta-analysis</a> found an association between surface acting and impaired well-being, job attitudes, and performance outcomes. Conversely, deep acting was associated with improved emotional performance.</p><p>So, although there's still much to learn on the emotional labor front, it seems Van Dyke's advice to a Leigh was half correct. We should put on a happy face, but it will <a href="https://bigthink.com/design-for-good/everything-you-should-know-about-happiness-in-one-infographic" target="_self">only help if we can feel it</a>.</p>
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