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The Power Imbalance Personified: A Mixed-Methods Analysis of Senior-to-Junior Bullying in Indonesia's Medical Residency Programs Alex Putra Pratama; Henry Clifford; Ahmad Erza; Ericca Dominique Perez; Fakhrul Setiobudi; Dedi Affandi; Lestini Wulansari; Fachrudin Sani; Vita Amanda; Zahra Amir
Enigma in Education Vol. 3 No. 1 (2025): Enigma in Education
Publisher : Enigma Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61996/edu.v3i1.92

Abstract

Bullying within medical residency is a pervasive global issue with severe consequences for residents' mental health and patient safety. In Indonesia, where hierarchical structures in medicine are deeply entrenched, senior-to-junior bullying is a significant yet under-investigated problem. This study aimed to analyse the prevalence, forms, and lived experiences of bullying perpetrated by senior residents against their junior counterparts in Indonesian medical residency programs. A sequential explanatory mixed-methods design was employed. In the quantitative phase, an anonymous online survey was distributed to 584 junior medical residents across five major teaching hospitals in Indonesia. The survey included the validated Negative Acts Questionnaire-Revised (NAQ-R) and questions on demographics and specialty. In the qualitative phase, 25 junior residents who reported high levels of bullying were purposively selected for in-depth, semi-structured interviews to explore their experiences. Quantitative data were analysed using descriptive and inferential statistics, while qualitative data were subjected to reflexive thematic analysis. Quantitatively, 81.3% (n=475) of junior residents reported experiencing at least one bullying behaviour weekly. The most common forms were work-related, such as excessive workloads and meaningless tasks, and personal humiliation. Year of residency was significantly associated with bullying exposure. Qualitatively, four major themes emerged: (1) ‘The Hierarchy as an Unassailable Mandate for Abuse’; (2) ‘The Pedagogy of Fear: Bullying as a Misguided Educational Tool’; (3) ‘Silent Suffering and the Armour of Complicity’; and (4) ‘The Perpetuating Cycle: Victims on a Trajectory to Becoming Perpetrators’. The qualitative findings revealed that bullying was often rationalised by seniors as a necessary part of medical training. In conclusion, senior-to-junior bullying is alarmingly prevalent and deeply embedded in the culture of Indonesian medical residency programs. It is personified through a profound power imbalance, rationalised as an educational necessity, and sustained by a culture of silence. Urgent, multi-level interventions focusing on systemic change, faculty training, and robust confidential reporting systems are imperative to dismantle this destructive cycle.
Choreographies of Contagion: Mapping Virality and Performative Identity on TikTok Anies Fatmawati; Henrietta Noir; Shasa Indriyani; Jujuk Maryati; Fakhrul Setiobudi
Enigma in Cultural Vol. 3 No. 1 (2025): Enigma in Cultural
Publisher : Enigma Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61996/cultural.v3i1.100

Abstract

The rise of TikTok has inaugurated a new paradigm of digital culture centered on embodied participation. This study investigates viral dance challenges, proposing a novel framework—"choreographies of contagion"—to analyze them as structured, distributed performances that mediate identity. The framework moves beyond treating trends as mere content, instead examining the interplay between movement, affect, and algorithmic architecture. This study employed a six-month digital ethnographic approach, supplemented by a multi-modal analysis of a globally significant dance challenge (#WaveRider). A purposive sample of 500 videos and 20,000 associated comments were analyzed using a combination of kinesic analysis, to deconstruct the core movements, and reflexive thematic analysis, to map the patterns of creative deviation and affective response. The findings revealed a complex system of cultural production. A stable "kinesic blueprint" ensured replicability, acting as the trend's genetic code. This blueprint was then subjected to widespread "performative mutations," where users asserted agency and inscribed personal, cultural, and affective meaning onto the dance. These performances unfolded on an "algorithmic stage" that both disciplined and seduced users, shaping their actions. This process cultivated an "engineered communitas," a potent but transient sense of community forged through shared embodied practice and affective resonance. In conclusion, viral TikTok challenges are not spontaneous occurrences but sophisticated choreographic systems that harness the pleasure of mimesis and the desire for connection. The body on TikTok is a primary site for negotiating the tensions between individual agency and the logics of platform capitalism. This study concludes that virality is a deeply embodied, affective, and technologically mediated process, offering the "choreographies of contagion" framework as a critical tool for future scholarship.