Maija Korhonen, Katri Komulainen
University of Eastern Finland, Joensuu, Finland.
Sociol Health Illn. 2019 Feb;41(2):219-233. doi: 10.1111/1467-9566.12816. Epub 2018 Aug 26.
Being on sick leave due to burnout entails a high level of accountability. Persons suffering from burnout do not automatically play a legitimate sick role because of the fuzziness of the burnout concept. In addition, while being on sick leave, they are in a non-working position, which is against the ideals of work-centred society. Therefore, they are required to explain their 'deviant' situation. Drawing on the interview data, the article explores how sick leave is explained and justified in narrative accounts by Finnish burnout sufferers. Results show that sick leave makes the moral orders of work, health and illness visible. Sick leave as a process involves negotiation of one's status and worth in the categories of 'respectable employee' and 'credible patient'. A transition to sick leave requires causal explanations of burnout, which aim to legitimate ill-being. Being on sick leave creates an obligation for activity and productivity that is 'work-like' management of health. The study shows the fundamental level at which work structures everyday life, routines, and habits in the work-centred society. In this context, burnout sufferers struggle to legitimise their work-related distress and absence from work and restore their morally worthy identities.
因职业倦怠而休病假需要承担很高的责任。由于职业倦怠概念模糊，患有职业倦怠症的人不会自动扮演合理的患病角色。此外，在休病假期间，他们处于非工作状态，这与以工作为中心的社会理念相悖。因此，他们需要解释自己的“异常”情况。本文利用访谈数据，探讨了芬兰职业倦怠症患者在叙述中如何解释和说明休病假的情况。结果表明，病假使工作、健康和疾病的道德秩序变得可见。病假作为一个过程，涉及到在“体面员工”和“可信患者”类别中对自身地位和价值的协商。向病假的转变需要对职业倦怠进行因果解释，目的是使患病状态合理化。休病假产生了一种类似工作的健康管理活动和生产力的义务。该研究表明了工作在以工作为中心的社会中构建日常生活、日常事务和习惯的基本层面。在这种背景下，职业倦怠症患者努力使与工作相关的痛苦和缺勤合法化，并恢复他们在道德上有价值的身份。
