Working on the edge: the meaning of work for people recovering from severe mental distress in Norway

Most citizens with long‐term mental distress want a real job, and both Norway and European policies agree that work is a crucial part of social inclusion goals. Yet we know little about the actual impact of work on the recovery process for people with severe and often enduring mental distress. This article reports findings from a qualitative study which used an everyday life orientation to explore what it means to have a job and be an employee in regular work settings and ways of integrating work into daily life. Thirteen Norwegian men and women with experience of long‐term mental distress were interviewed. The findings indicate some ways in which work supports the recovery process: having an active working role, being in ordinary work settings, balancing rest and activity and having a sympathetic work environment. Often what may seem trivial to others is crucial to individuals in recovery from mental distress, yet is turned into models and system level solutions, where the uniqueness of everyday life and ‘common sense’ approaches remain unrecognised.     

Some comments on ‘the structure of subjective well-being in nine western societies’ by andrews and inglehart

This paper makes a number of critical comments on a recent article by Andrews and Inglehart (1979), where the similarity of subjective well-being data from nine different countries was investigated. It is first shown that different MDS representations can be constructed for the data which differ considerably among each other and with respect to the similarity hypothesis. The goodness of the MDS solutions is discussed by using finer indices than overall Stress. Then, the measures of configurational similarity are evaluated statistically. Finally, it is shown that other, equally valid measures lead to completely different conclusions. It is argued that this poses an insurmountable problem. A facet theoretical approach which looks for prototypical structures rather than a single similarity index avoids this dilemma.     

The Danish psychosocial work environment and symptoms of stress: the main, mediating and moderating role of sense of coherence

The aim of this cross-sectional study was to explore the main, mediating and moderating role of sense of coherence (SOC) on stress symptoms and on the association between perceived psychosocial work environment and stress symptoms. The sample includes 2053 Danish employees from 52 workplaces. Hierarchical regression models were applied for each measure of stress. The results strongly supported the presence of a main effect for SOC. People with high levels of SOC experienced fewer stress symptoms. A mediating effect of SOC was also supported. Thus, SOC in part explained the association between work environment and stress symptoms. In addition, some support for a moderating effect of SOC was found, suggesting that people with higher SOC coped more efficiently with work environmental strain that people with lower SOC. Taken together the regression models explained 11-32% of the variance in stress symptoms. The results suggest that measures of individual factors such as SOC should be included in analyses of the effects of work environmental factors on stress and well-being.     

Risk of disability pension in relation to gender and age in a Swedish county; a 12-year population based, prospective cohort study

Residents of the county of Osterg?tland, Sweden, who were 16-64 years of age in December 1984 and not pensioned (n=229,864), were followed in a prospective, cohort, study of data collected between 1985 and 1996. Using survival methods as the method of analysis, the likelihood of being granted a disability pension was 14% for women, 11% for men, and increased with age. Women less than 54 years of age were at higher risk than men (P<0.001), 69% of disability pensions granted were full-time and 31% were part-time, more women received part-time pensions (P<0.001). Whether the differences observed are due to gender bias in social insurance practices, to disease patterns, to occupational and work-related factors, or to a cohort effect has yet to be determined.     

Social Monitoring as Social Control: The Case of Drug Testing in a Medical Workplace

While workplace drug testing has received considerable public and scholarly attention, little of this discussion has focused on the social context within which testing is likely to occur. This paper conceptualizes drug testing as social monitoring and examines testing within a framework suggested by Donald Black's theory of social control. The central idea is that the formality of social monitoring within a group is a function of its members' social status and the social distance among them. The paper evaluates this argument in one empirical setting. Analysis of data from U.S. departments of anesthesiology indicates that drug testing, an example of formal monitoring, most often emerges in a context marked by low normative respectability and a lack of intimate relationships. The paper concludes by suggesting how variations in monitoring procedures like drug testing may affect ensuing processes of social control.     

The Income-Fertility Relationship: Effect of the Net Price of a Child

This article examines the relationship between income and completed family size in empirical fertility models. The relationship, which is hypothesized to be positive, often is negative in empirical studies. This perverse result is thought to occur because of the many correlations between income and other factors that affect fertility. In this research, these other factors--such as the net price of a child, the opportunity cost of the wife's time, and supply factors--are statistically controlled, and the income effect is positive and significant. When the net price of a child is not controlled, however, the income effect becomes negative and significant.