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