Emotional labour occurs when people in organizational and occupational roles are expected to display certain emotions, irrespective of their actual emotional feelings. Hochschild (1983) argued that emotional labour is more likely in jobs where: ‘First, they require face-face or voice-to-voice contact with the public. Second, they require the worker to produce an emotional state in another person - gratitude or fear for example. Third, they allow the employer, through training and supervision to exercise a degree of control over the emotional activities of employees (p. 147).’ A key idea for Hochschild (1983) is ‘feeling rules’. These comprise sets of shared rules that enable people to identify the emotions they should feel in particular situations and the degree they should be expressed. Hochschild (1983) suggests that: ‘Feeling rules are standards used in emotional conversation to determine what is rightly owed in the currency of feeling, through them we tell what is due in each relation, each role. We pay tribute to each other in the tribute of the managing act. In the tribute we pay, overpay, underpay, play with paying, acknowledge our due, pretend to pay, or acknowledge what is emotionally due another person (Hochschild 1983; p. 18).’ Through feeling rules therefore, emotional labour is linked to obligations and responsibilities within clinical settings. Hochschild draws on the work of Goffman and Stanislavski to describe people’s experience of emotions and distinguishes between surface acting and deep acting. She defines surface acting as the ability to ‘deceive ourselves about our true emotion as much as we deceive others (Hochschild 1983; p 33)’. In surface acting, the person merely paints on an effective display through various bodily gestures without actually feeling them. In deep acting however, the person learns to believe in the emotions they are expressing through ‘conscious mental work’ and modifies their inner feelings to match the emotion behaviour required by the organization. Underlying Hochschild’s work is the idea that emotions are exploited by organizations so that they can make a profit. Hochschild’s (1983) research examined the work of flight attendants in Delta Airlines and described how the company recruited and trained staff to sell the company through a particular image. People were selected for the company who could ‘project a warm personality’ and ‘convey a spirit of enthusiasm (Hochschild 1983, p. 97)’. During training, flight attendants were taught to treat passengers as though they were guests in their own home, learnt that passengers were always right, and taught that they should always have an agreeable manner, whatever people said to them. The underlying purpose of emotional labour in these situations was to promote the company image, increase sales and secure greater profit for the company. Emotions were thus seen as a commodity and allowed the exploitation of people within the market economy (Bone 2002). Moreover Hochschild (1983) argues that emotional labour is linked to gender, women’s work, status and power. She argues that women undertake more emotional labour than men in the home because they offer it to men as a gift in exchange for material support. Hochschild (1983) suggests that the comodification of emotion leads to staff experiencing an emotional dissonance between their ‘real/true’ self and their ‘false self’ that has consequences for their perception of authentic emotion. She argues that organizations subvert the employee’s true self through techniques they learn within organizational training programs that may later cause the employee difficulties.