Living with chronic mental illness: Understanding the role of work
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This paper is based upon an exploratory study designed to examine the role of work within the lives of those with severe, persistent mental illness (SPMI). Indepth, open ended interviews were conducted with a small number of consumers (n=10) who attend a clubhouse for those with SPMI where emphasis is placed upon preparation for work. Given that little is known about how work impinges upon or enriches the lives of consumers we asked consumers about their experience of mental illness and work throughout their life trajectories. This paper describes these work experiences, the effect of mental illness and treatment compliance upon their ability to work, and the relationship of work to stress. We found that in general some kind of meaningful activity was important to these consumers, but many had found work experiences to be stressful and were cautious about their subsequent abilities to sustain meaningful employment. We suggest that subsequent research needs to examine the nature of the work environment, and that work environments may be usefully distinguished in terms of level of expressed emotion.
- Bachrach, L.L. (1991). Perspectives on work and rehabilitation.Hospital and Community Psychiatry, 42, 890–891.
- Bayley, M. (1991). Normalization or ‘social role’ valorization: An adequate philosophy? In S. Baldwin and J. Hattersley (ED.)Mental Handicap: Social Science Perspectives (pgs. 87–99). New York: Routledge.
- Cook, J.A. (1992). Outcome assessment in psychiatric rehabilitation services for persons with severe and persistent mental illness. Prepared for the National Institute of Mental Health, Contract No. 91MF23474902D.
- Dilling, H. and Weyener, S. (1980). Psychiatric illness and work capacity. In L.N. Robins, P.J. Clayton and J.K. Wing (EDS.)The Social Consequences of Psychiatric Illness (pgs 229–247). New York: Brunner/Mazel.
- Estroff, S. (1989). Self, identity, and subjective experience of schizophrenia: In search of the subject.Schizophrenia Bulletin, 15, 189–196.
- Gerhart, U.C. (1990).Caring for the Chronically Mentally Ill. Itasca, Il: F.E. Peacock, Inc.
- Greenfeld, D., Strauss, J.S., Bowers, M.B. and Mandelkern, M. (1989). Insight and interpretation of illness in recovery from psychosis.Schizophrenia Bulletin, 15, 245–252.
- Greenley, J. (1986). Social control and expressed emotion.The Journal of Nervous and Mental Disease, 174, 24–30.
- Hansen, J.C., Berman, S.P., Babcock, C.W. (1991). The relationship of family and staff expressed emotion to resident's functioning in community residences.Psycho-social Rehabilitation Journal, 14, 85–89.
- Hartmann, J., Bahr, B., Dickenbert, D. (1993). Occupational and vocational rehabilitation of psychiatric patients: A control and attribution theory approach to examining the effect of working conditions.Rehabilitation, 32, 26–39.
- Hirsch, S.W. (1989). Meeting the vocational needs of individuals with psychiatric disabilities through supported employment.Journal of Rehabilitation, 55, 26–31.
- Jenkins, J.H. and Karno, M. (1992). The meaning of expressed emotion: Theoretical issues raised by cross-cultural research.American Journal of Psychiatry, 149(1), 9–21.
- Karasek, R. and Theorell, T. (1990).Healthy Work: Stress, Productivity, and the Reconstruction of Working Life. New York: Basic Books, Inc.
- Lang, S.K., and Cara, E. (1989). Vocational integration for the psychiatrically disabled.Hospital and Community Psychiatry, 40, 890–892.
- LaRocco, J.L., House, J.H., and French, J.R.P. (1980). Social support, occupational stress, and health,Journal of Health and Social Behavior, 21, 202–218
- Leete, E. (1989). How I perceive and manage my illness.Schizophrenia Bulletin, 15, 197.
- Link, B.G., Dohrenwend, B.P., Skodol, A.E. (1986). Socio-economic status and schizophrenia: Noisome occupational characteristics as a risk factor.American Sociological Review, 51, 242–258.
- Linsky, A. and Strauss, M.A. (1986).Social Stress in the United States. Dover, Mass: Auburn House Publishing Co.
- Mancuso, L. (1990) Reasonable accommodation for workers with psychiatric disabilities.Psychosocial Rehabilitation Journal, 14, 3–19.
- Massel, H.K., Liberman, R.P., Mintz, J., Jacobs, H.E., Rush, T.V., Giannini, C.A., and Zarate, R. (1990). Evaluating the capacity to work of the mentally ill.Psychiatry, 53, 31–43.
- Midgley, G. (1990). The social context of vocational rehabilitation for ex-psychiatric patients.British Journal of Psychiatry, 156, 272–277.
- Rochefort, D.A. (1989).Handbook on Mental Health Policy in the U.S. New York: Greenwood Press.
- Rosenfield, S. (1992). Factors contributing to the subjective quality of life of the chronically mentally ill.Journal of Health and Social Behavior, 33, 299–315.
- Ryan, T.M. (1993). Shame and expressed emotion: A case study.Sociological Perspectives, 36, 167–183.
- Schwalbe, M.L. (1986).The Psychosocial Consequences of Natural and Alienated Labor. Albany, N.Y. State University of New York Press.
- Storey, K. and Horner, R.H. (1991). Social interactions in three supported employment options: A comparative analysis.Journal of Applied Behavior Analysis, 24, 349–360.
- Strauss, J.S. (1989) Subjective experiences of schizophrenia: Toward a new dynamic psychiatry-II.Schizophrenia Bulletin, 15, 179–187.
- Sullivan, W.P. (1993) “It helps me to be a whole person”: The role of spirituality among the mentally challenged.Psychosocial Rehabilitation Journal, 16: 125–134.
- Tessler, R. and Goldman, H. (1982).The Chronically Mentally Ill: Assessing Community Support Programs. Cambridge, Mass: Ballinger.
- Wansbrough, N. and Cooper, P. (1980).Open Employment After Mental Illness. London: Tavistock Publications.
- Warner, R. (1985).Recovery From Schizophrenia: Psychiatry and Political Economy. London: Routledge and Kegan Paul.
- Warr, P. (1987).Work, Unemployment, and Mental Health, Oxford: Clarendon Press.
- Wing, J.K. and G.W. Brown. 1970.Institutionalism and Schizophrenia. Cambridge, MA: Cambridge University Press.
- Living with chronic mental illness: Understanding the role of work
Community Mental Health Journal
Volume 31, Issue 2 , pp 163-176
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