Felton J S
Department of Community and Environmental Medicine, University of California, Irvine.
Occup Med. 1988 Oct-Dec;3(4):707-17.
The in-plant operation of an Occupational Health Service offers numerous opportunities to the physician for observation of persons manifesting unusual behavior or aberrant work practices. At times of placement, periodic reexamination, or dispensary visitation, personality flaws can be detected that might cause the worker at a later date to file a claim for psychiatric injury. Through good communicative skills, the physician in industry must work closely with managers and trade union representatives in the prevention of untoward responses to work-environment stressors. Behavioral patterns indicative of withdrawal from the work role, as seen in absenteeism, tardiness, repetitive injury, or psychophysiologic illness, can be identified early and the employees manifesting such behavior can, and should, be referred for appropriate counseling or therapy. The occupational physician plays multiple roles and none is more important than recognizing workers alleging or experiencing true stress disorders.
职业健康服务的厂内运作，为医生提供了诸多机会来观察表现出异常行为或异常工作习惯的人员。在入职时、定期复查时或到医务室就诊时，可能会发现一些性格缺陷，这些缺陷日后可能导致工人提出精神损伤索赔。通过良好的沟通技巧，企业医生必须与经理和工会代表密切合作，以预防对工作环境压力源的不良反应。旷工、迟到、重复性损伤或心理生理疾病等表明从工作角色中退出的行为模式，能够被早期识别，表现出此类行为的员工可以且应该被转介接受适当的咨询或治疗。职业医生扮演着多种角色，而其中最重要的莫过于识别那些声称或正在经历真正压力障碍的工人。
