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从事残障人士就业工作:一项对精神分裂症诊断患者经历的诠释现象学研究。

Working in disability employment: An interpretative phenomenological study of experiences of people with a diagnosis of schizophrenia.

作者信息

Ottewell Namino

机构信息

The Health Care Science Institute, Minato-ku, Japan.

出版信息

Br J Occup Ther. 2022 Jul;85(7):541-548. doi: 10.1177/03080226211039429. Epub 2021 Aug 23.

Abstract

AIM

To understand how employees with schizophrenia in disability employment interpret their work experience.

METHOD

Nine people with schizophrenia were interviewed. Data were analysed with the interpretative phenomenological analysis.

RESULTS

All participants regarded themselves as 'persons with mental illness'. Some participants developed their mental illness identity by realising that working without accommodations is difficult. Although participants found working in the current company comfortable because the supervisors provided appropriate accommodations, they were dissatisfied with low salary. A proportion of the participants felt dissatisfaction with the menial work, which led to low levels of self-esteem as they viewed non-disability employment of higher value. In addition, the present study noted a difference between self-labelling and labelling by others; although participants regarded themselves as 'persons with mental illness', they felt reluctant to be viewed as such by others. Most of the participants wanted to work in non-disability employment in future for financial and personal reasons, such as to increase self-esteem.

CONCLUSION

It is imperative that benefits and other issues in disability employment for people with psychosocial disability relating to mental illness are explored more broadly in future research. Further, employers must create healthy workplaces, for all employees regardless of disability can benefit from it.

摘要

目的

了解残疾就业中患有精神分裂症的员工如何解读他们的工作经历。

方法

对九名精神分裂症患者进行了访谈。采用解释现象学分析方法对数据进行分析。

结果

所有参与者都将自己视为“患有精神疾病的人”。一些参与者通过意识到在没有便利条件的情况下工作很困难,从而形成了他们的精神疾病身份认同。尽管参与者因主管提供了适当的便利条件而觉得在当前公司工作很舒适,但他们对低薪感到不满。一部分参与者对琐碎的工作感到不满,这导致他们自尊心低落,因为他们认为非残疾就业更有价值。此外,本研究指出了自我标签与他人标签之间的差异;尽管参与者将自己视为“患有精神疾病的人”,但他们不愿被他人这样看待。大多数参与者出于经济和个人原因,例如提高自尊心,希望未来从事非残疾就业工作。

结论

未来的研究必须更广泛地探讨与精神疾病相关的心理社会残疾者在残疾就业中的福利及其他问题。此外,雇主必须营造健康的工作场所,因为所有员工,无论是否残疾,都能从中受益。

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