08.01.2015 Views

Employmentweb_low

Employmentweb_low

Employmentweb_low

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

EmpLoymEnT, work, And HEALTH inEquALiTiES - a global perspective<br />

working conditions fol<strong>low</strong>ing civil service restructuring predicted<br />

increased rates of sickness absence (Head et al., 2006). Intervention<br />

studies can provide the best evidence for a causal link between<br />

working conditions and health. In addition, intervention studies may<br />

offer indications of how best to implement improvements to working<br />

conditions. So far, intervention studies that evaluate the effect of<br />

changing working conditions on health have tended to be conducted in<br />

small samples, and findings have not been conclusive. More recently,<br />

findings from workplace intervention studies have demonstrated that<br />

interventions aimed at improving psychosocial working conditions lead<br />

to short-term reductions in sickness absence and reduced mental<br />

health problems. Further research is needed in this area, including<br />

evaluation of the development and implementation of workplace<br />

interventions, as well as their effectiveness.<br />

Workplace trends in developed countries resulting in part from<br />

economic globalisation, such as the growth of job insecurity,<br />

contingent (temporary and part-time) work, and new systems of<br />

work organisation, appear to be increasing work stress (Kompier,<br />

2006). European surveys show continuing increases in work<br />

intensity and job demands between 1990 and 2005, but no changes<br />

or slight declines in job control or autonomy (Eurofound, 2006),<br />

suggesting an increase in the prevalence of job strain. Overall the<br />

body of evidence on psychosocial working conditions and health has<br />

led to recognition by policy-makers of work stress as a workplace<br />

hazard and calls to begin discussions on setting reference values<br />

(Benavides, Benach, & Muntaner, 2002) similar to standards already<br />

existing in many countries for physical workplace hazards.<br />

Case study 39. Managerial pressure and mental illness: an avoidable achievement. - carles muntaner and haejoo chung<br />

the workers of hitech rcd Korea have the typical "bad luck" with traditional holidays that they share with their fel<strong>low</strong><br />

citizens. some of them received letters indicating their dismissal right before the new year's holiday in 2003 (lee, 2005).<br />

this is a common practice among employers, where getting fired during holidays is a common company strategy designed<br />

to minimise negative reactions in the community.<br />

two years later, hitech management did it again. on the day before the 2005 chu suk holiday, the biggest holiday in<br />

south Korea, workers received word of the decision that they would be denied compensation for a work-related debilitating<br />

illness (park, 2005). once again, on a holiday during which workers had looked forward to spending time with their families,<br />

it was instead an occasion for anger and sadness. the debilitating illness that was the subject of the compensation decision<br />

was "adjustment disorder," a disease recognised by the american psychiatric association (apa) and the Who as “ad, with<br />

co-morbid depression”. the question was, can it be caused by the work environment according to the apa's diagnostic and<br />

statistical manual of mental disorders (dsm-iv), ad is a maladaptive reaction to identifiable stressful life events, such as<br />

divorce, job loss, physical illness, or natural disaster. this diagnosis assumes that the condition will remit when the stress<br />

ceases or when the patient adapts to the situation. it is our observation that ad can be produced by working conditions,<br />

particularly in a country with such strong anti-labour legislation as south Korea’s.<br />

actually, in occupational health, it is widely known that mental disorders such as depression or adjustment disorders are a<br />

common consequence of work stress (see, for example, the ilo encyclopedia of occupational safety and health). two disciplines,<br />

psychiatric epidemiology and sociology of mental health, study the effects of work organisation on mental disorders. by "work<br />

organisation" we mean the social organisation of work involving aspects such as autonomy, workload, management style, or<br />

worker-management relations. For example, manual workers often show high rates of psychiatric disorders. the use of this job<br />

200

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!