the dilemma: work as cause and solution in work related psychological complaints prof. dr. roland...

The dilemma:Work as cause and solution in work related psychological complaints

prof. dr. Roland W.B. Blonk

prof. dr. Roland W.B. BlonkThe dilemma

Work related psychological complaints

Common mental disorders

Burnout

Adjustment disorders (anxiety, depressive, behavior)

8-12% report complaints related to burnout

Week against workstress

From manufacturing and agriculture to services

prof. dr. Roland W.B. BlonkThe dilemma

Work as Cause

Michigan Stress Model (one dimensional)

Karasek’s Job Demands Control Model (two dimensions)

Effort Reward Imbalance Model

Warr’s Vitamin Model

Encompassed by

Job Demands Resources Model

prof. dr. Roland W.B. BlonkThe dilemma

Work as a cause

prof. dr. Roland W.B. BlonkThe dilemma

Development

From a focus on prevention

To

A focus on being healthy and productive

A shift from work as something you should avoid, something that is

bad for your health

To

Work that is good for your health

prof. dr. Roland W.B. BlonkThe dilemma

Meta-analysis

Klink, J.J.L. van der, Blonk, R.W.B., Schene, A.H., & Dijk, F.J.H. van (2001). American Journal of Public Health, 91, 270-286.

prof. dr. Roland W.B. BlonkThe dilemma

Work as solution

Cognitive Behavior Therapy

Graded exposure in vivo, in vitro

Hours

Tasks

People

The concept of self-efficacy

Sources of information

Our own behavior

Behavior of others

Rewarding feedback

prof. dr. Roland W.B. BlonkThe dilemma

Work as solution

Klink, J.J.L. van der, Blonk, R.W.B., Schene, A.H., & Dijk, F.J.H. van. (2003). Occupational and Environmental Medicine, 60, 429-437.

prof. dr. Roland W.B. BlonkThe dilemma

Work as solution

RCT:

Dual focus: Labour expert trained in

CBT based Stress Management 5-6

sessions in 4 months

Clinical psychologist CBT protocol (11

sessions in 4 months)

No treatment control

Blonk, R.W.B., Lagerveld, S. E., Brenninkmeijer, V. & Houtman, I.L.D. (2006). Work & Stress, 20, 129-144.

prof. dr. Roland W.B. BlonkThe dilemma

Work as solution

Partial RTW within 3 months, Combined intervention, Professional efficacy beliefs, Needed

on the job

prof. dr. Roland W.B. BlonkThe dilemma

Work as solution

Lagerveld SE, Blonk RWB, Brenninkmeijer V, Wijngaards-de Meij L, Schaufeli WB. (2012). Journal of Occupational Health Psychology, 17, 220-234.

prof. dr. Roland W.B. BlonkThe dilemma

Work as solution

Cognitive Behavior Therapy

Graded exposure in vivo, in vitro

Hours

Tasks

People

The concept of self-efficacy

Sources of information

Our own behavior

Behavior of others

Rewarding feedback

prof. dr. Roland W.B. BlonkThe dilemma

Work as solution

Dual focus

Partial RTW as soon as possible

Time contingent rather than complaints contigent

Knowledge about the process of behavior change

Small steps to success

Techniques of cognitive change

Variety of work aspects in graded exposure

Tailored to the person

Emphasizing the value of work in health and well being

prof. dr. Roland W.B. BlonkThe dilemma

The next step

Changing (perspective on) work: work is good for your health

We need to rethink the value and the content of work

Work as resource for health and health as a resource to do the

things people value

Living

Creativity

Being part of

prof. dr. Roland W.B. BlonkThe dilemma

Amartya Sen

Applying the Capability Approach for (is) Sustainable Employability

Three meanings of the word can

Can: capacity

Can: opportunity or possibility

Can: facilitate, allow

Capabilities: a set beings and doings people have reason to value

prof. dr. Roland W.B. BlonkThe dilemma

Sustainable employability

Sustainable employability implies that workers throughout their

working life have real opportunities / a set of capabilities - and the

necessary conditions - that allows them to achieve valuable work

functioning in current and future work with preservation of health and

welfare. This implies a work situation (task and context) that facilitates

them, as well as the attitude and motivation to exploit these

opportunities

prof. dr. Roland W.B. BlonkThe dilemma

Thank you