Abstract
There is little knowledge on how sickness absentees experience encounters with rehabilitation professionals. This paper explores and describes negative emotions (“shame” in a broad sense) experienced by individuals on sick leave in their interactions with rehabilitation professionals. We performed a qualitative analysis of data from five focus-group interviews. The participants had experience of sickness absence with back diagnoses and discussed factors that facilitate or impede return to work. Reports of demeaning experiences in encounters with rehabilitation workers were frequent and could be divided into two major categories: 1) subjects perceived the behavior of rehabilitation professionals as distanced in a negative way, and felt that they were treated in an indifferent and nonchalant manner or fairly routinely; 2) subjects felt that they were disqualified, which included being discredited or belittled. This explorative study indicates the need for further, more directed investigations of emotional aspects of interactions between sickness absentees and rehabilitation professionals.
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REFERENCES
Marmot M, Feeney A, Shipley M, North F, Syme S. Sickness absence as a measure of health status and functioning: from the UK Whitehall II study. J Epidemiol Commun Health 1995;49:124-130.
Bloch FS, Prins R, eds. Who returns to work and why? A six-country study on work incapacity and reintegration. London: Transaction Publishers, 2001.
Alexanderson K. Measuring health. Indicators for working women. In: Kilbom å, Messing K, Bildt Thorbjörnsson C, eds. Women's health at work. Stockholm: National Institute for Working Life, 1998, pp. 121-161.
Alexanderson K. Sickness absence; a review of performed studies with focus on levels of exposures and theories utilized. Scand J Soc Med 1998; 26(4): 241-249.
Popay J, Williams G. Public health research and lay knowledge. Soc Sci Med 1996; 42(5): 759-768.
Mishler E, Norwood N. The discourse of medicine: Dialectics of medical interviews. Norwood, NJ: Ablex, 1984.
Fisher S. Institutional authority and structure of discourse. Discourse Processes 1984;7:201-224.
Agar M. Institutional discourse. Text 1985;5:147-168.
Silverman D. Communication and medical practice. Social relations in the clinic. London: Sage, 1987.
Waitzkin H, Britt T. A critical theory of medical discourse: How patients and health professionals deal with social problems. Int J Health Serv 1989; 19(4): 577-597.
Östlund G, Alexanderson K, Cedersund E, Hensing G. “It was really nice to have someone”: Lay people with musculoskeletal disorders request supportive relationships in rehabilitation. Scand J Public Health 2001; 29(4): 285-291.
Lewis H. Shame and guilt in neurosis. New York: International University Press, 1971.
Hochschild A. Emotion work, feeling rules and social structure. Am J Soc 1979;85:551-575.
Hochschild AR. The managed heart. Berkeley: University of California Press, 1983.
Heiss J. The social psychology of interaction. Englewood Cliffs, NJ: Prentice-Hall, 1981.
Scheff T. Microsociology. Discourse, emotion and social structure. Chicago: University of Chicago Press, 1990.
Shott S. Emotion and social life: A symbolic interactionist analyzis. Am J Soc 1979; 84(6): 1317-1334.
Scheff T. Emotions, the human bond and social reality. Cambridge, UK: Cambridge University Press, 1997.
Nathansson D. Shame and pride. Affect, sex and the birth of the self. New York: W.W. Norton, 1994.
Taylor G. Pride, shame and guilt: Emotions of self-assessment. Oxford: Clarendon Press, 1985.
Davitz J. The language of emotion. New York: Academy Press, 1969.
Nathansson D. The shame/pride axis. In: Lewis H, ed. The role of shame in symptom formation. Hillsdale, NJ: Erlbaum, 1987.
Goffman E. Interaction ritual. New York: Anchor Books, 1967.
Scheff T. Shame and conformity: The deference-emotion system. Am Sociol Rev 1988;53:395-406.
Borg K, Hensing G, Alexanderson K. Predicitive factors for disability pension. An 11-year follow-up of young persons on sick leave due to neck, shoulder, or back diagnoses. Scand J Public Health 2001; 29(2): 104-112.
Östlund G, Alexanderson K, Cedersund E, Hensing G. Developing a typology of the “duty to work” as experienced by lay persons with muscelosceletal disorders. Int J Soc Welfare 2002;11:150-158.
Kjellman G, Alexanderson A, Hensing G, Öberg B. The course of neck, shoulder, or low back pain. A retrospective 12 year follow up. Physiother Res Int 2001; 6: 61-73.
Ringsberg K, Alexanderson K, Hensing G. The health line–-A method for collecting data on self-rated health over time–-Pilot study. Scand J Public Health 2000; 29(3): 233-239.
Alexanderson K, Hensing G, Borg K. Sickness absence with low-back, shoulder, or neck diagnoses-a 12 year follow-up regarding sickness absence and disability pension. Manuscript Submitted for publication.
Nordqvist C, Holmqvist C, Alexanderson K. Views of laypersons on the role employers play in return to work when sick-listed. J Occup Rehabil 2002; 13(1): 11-20.
Krueger R. Focus groups. A practical guide for applied research. London: Sage, 1994.
Nordqvist C, Holmqvist C, Cedersund E, Alexanderson K. Att komma igen [To return to work]. Socialmedicinsk tidskrift 1999;76(4):347-356. (in Swedish).
Patton M. Qualitative evaluation and research methods. Newbury Park, CA: Sage, 2002.
Scheff T. The shame-rage spiral: A case study of an interminable quarell. In: Lewis H, ed. The role of shame in symptom formation. Hillsdale, NJ: Erlbaum, 1987.
Stevens P. Focus groups: Collecting aggregate-level data to understand community health phenomena. Public Health Nurs 1996; 13(3): 170-176.
Kitzinger J. Introducing focus groups. B M J 1995;311:299-302.
Wilkinson S. Focus groups in health research exploring the meanings of health and illness. J Health Psychol 1998; 3(3): 329-348.
Morgan D. The focus group guidebook. London: Sage, 1998.
Wilhelmsson S. Psychosocial working conditions among general practitioners and district nurses. Linköping, Sweden: Linköping University, 2001.
Kemper T. A social interaction theory of emotions. New York: Wiley, 1978.
Lincoln Y, Guba E. Naturalistic inquiry. Newbury Park, CA: Sage, 1985.
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Svensson, T., Karlsson, A., Alexanderson, K. et al. Shame-Inducing Encounters. Negative Emotional Aspects of Sickness-Absentees' Interactions with Rehabilitation Professionals. J Occup Rehabil 13, 183–195 (2003). https://doi.org/10.1023/A:1024905302323
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DOI: https://doi.org/10.1023/A:1024905302323