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Balancing care and work: a case study of recognition in a social enterprise
- Authors:
- BLONK L., et al
- Journal article citation:
- Disability and Society, 35(6), 2020, pp.972-992.
- Publisher:
- Taylor and Francis
This paper discusses a case study of a Dutch work-integration social enterprise (WISE) to add to the debate on the contribution of employment to the citizenship of intellectually disabled people and those experiencing mental health conditions. In current welfare state policies, the value of labour market participation is narrowed down to regular employment, as workplace support and care provisions are seen as stigmatising and segregating. This paper argues that a more nuanced understanding is needed of the intersection of support arrangements with the benefits of employment. Building on ‘recognition theory’ by the German philosopher Honneth, the findings show that the work-integration social enterprise under study is successfully balancing the contrasting demands of logics of care and work, leading to experiences of ‘recognition.’ However, this balance is fragile and does not undo the misrecognition of disabled people as unable to live up to the productivity norms of a capitalist labour market. (Edited publisher abstract)
The contribution of working conditions and social support to the onset of depressive and anxiety disorders among male and female employees
- Authors:
- PLAISIER Inger, et al
- Journal article citation:
- Social Science and Medicine, 2(64), January 2007, pp.401-410.
- Publisher:
- Elsevier
Poor working conditions may be an important source of stress and may therefore contribute to the development of depressive and anxiety disorders. Social support may act as a buffer and protect against the development of depression or anxiety in the face of poor working conditions. With longitudinal data from the Netherlands Mental Health Survey and Incidence Study (NEMESIS), the effect of working conditions and social support on the incidence of depressive and anxiety disorders was examined among 2646 working men and women, aged 18 through 65 years. Three dimensions of self reported working conditions were assessed: psychological demands, decision latitude and job security. Social support was assessed through validated scales for daily emotional support. About 10.5% of working women and 4.6% among working men developed an incident depressive and/or anxiety disorder over 2 years. Psychological demands predicted the incidence of depressive and anxiety disorders in both men and women (RR per score increase=2.29, 95% CI: 1.44–3.63), whereas decision latitude and job security did not. Social support protected against the incidence of depressive and anxiety disorders. This effect was stronger for men compared to women. Social support did not buffer the unfavorable mental effect of working conditions. Women were more likely to report low levels of decision latitude, whereas men reported higher psychological demands. Working conditions did not explain sex differences in the incidence of depressive and anxiety disorders.
Patients with minor mental disorders leading to sickness absence: a feasibility study for social workers’ participation in a treatment programme
- Authors:
- BROUWERS Evelien P. M., et al
- Journal article citation:
- British Journal of Social Work, 36(1), January 2006, pp.127-138.
- Publisher:
- Oxford University Press
Minor mental disorders are common among patients who visit their general practitioner. In the Netherlands, they are associated with high costs due to absenteeism, disability benefits and medical consumption (consumption of drugs as well as expenditure of medical staff’s time). In the Netherlands, a protocol was developed for the treatment of minor mental disorders, based on the principles of brief cognitive behaviour therapy. The cost-effectiveness of this protocol was tested in a group of patients whose minor mental disorders had lead to sickness absence. The protocol was completed by Dutch social workers, one of whose core tasks normally is to provide psychosocial care. The main aims of the protocol are for the patient to regain functionality and to prevent long-term disability. The protocol emphasizes patients’ own responsibility and active role in the recovery process, includes homework assignments and stresses the importance of early work resumption. This article focuses on a discussion of the feasibility of this treatment for minor mental disorders. The evidence for or against the protocol’s cost-effectiveness will be discussed in future papers. The results show that patients, social workers and general practitioners were motivated to participate and that the protocol was well received by all three groups. If the treatment also proves to be cost-effective, it would appear to be a promising intervention for a frequently encountered problem in primary care.