从颠覆童话创作传统到批判西方现代文明病——艾克絮佩里在《小王子》中的文体创新及思想

法国作家艾克絮佩里的《小王子》成为半个多世纪畅销书,其成功首先在于文体上大胆创新,颠覆了童话创作的传统,变写给儿童的童话为写给成人的童话;其次是它的两个思想内涵:一方面超前地批判了当时西方刚刚萌芽的现代文明病;一方面在古老而永恒的爱情主题中,倡导了新的生活艺术。作者是以赤子和童子的诚挚与清纯之心构建他的作品,字里行间浸透着作者的心路历程。     

Employee correlates of sickness presence: A study across four European countries

The model of sickness presence (SP) proposed by Aronsson and Gustafsson consists of two parts. The first postulates SP as an employee's reaction to his/her general state of health, and as depending on employee correlates relating to the individual and the job. The second proposes longitudinal relationships between SP and future health. The present study is the first to test the first part of the model outside Scandinavia. Positive sickness presence factors studied were work involvement and job satisfaction; negative presence factors were financial household contribution, time pressure at work, and perceived job insecurity. Control variables were general health, age, gender and autonomy. Data (N=2348) were gathered from a total of 110 organizations in four European countries (Belgium, Spain, Sweden and the UK) with differing welfare state regime, degree of employment protection, labour market and sickness absence-related indicators. The data were analysed by hierarchical multiple regression per country. The findings partially confirmed the Aronsson and Gustafsson model. In all countries, employee general health status was a prerequisite of SP, and time pressure at work related to SP. In Sweden and the UK, job satisfaction related to SP. In the UK, work involvement related to SP.     

Sickness and disability benefit programmes: What is driving policy convergence?

In this paper we explore the reasons for the apparent convergence in sickness and disability policies across the OECD, asking whether and to what extent policy convergence should be seen as a product of policy learning. We conclude that convergence is the result of policy imitation more than policy learning and that learning (from past mistakes) is more likely within countries than across borders. Given limited evidence on what really "works", when it comes to designing policies that both provide adequate income security and still encourage labour-force participation, governments look abroad or to bodies like the OECD for possible models and ideas to underlie a reform. However, translating those ideas into workable policies requires great sensitivity to the institutional and political-economic context — especially the role of the social partners and the nature of policies in existence. When it comes to policy implementation, such contextual learning may be crucial.     

Childcare involvement, job characteristics, gender and work attitudes as predictors of emotional exhaustion and sickness absence

Reports in the literature vary regarding the existence of gender differences in relation to burnout and sickness absence. To investigate this, the present study was aimed at investigating the role of several gender-relevant variables, particularly childcare obligations, job characteristics, and work attitudes in emotional exhaustion and sickness absence in 404 male and female nurses in an institution for people with learning difficulties. Questionnaires were administered reflecting demographic and job characteristics, work and non-work attitudes, and emotional exhaustion (as measured by the Emotional Exhaustion Scale of the Maslach Burnout Inventory). Female nurses were expected to report higher levels of emotional exhaustion and to be absent through sickness more often than men. Also, childcare investment, job characteristics, and (non) work attitudes were expected—via emotional exhaustion—to predict gender differences in sickness absence. It was found that women did not have higher sickness absence rates, and although a gender difference appeared in emotional exhaustion it was in the opposite direction from that predicted. For both genders, emotional exhaustion had a significant positive effect on sickness absence, and especially childcare investment and number of work hours appeared to contribute to both outcomes. These results are of interest because, despite current stereotypes, sickness absence was not higher in women, and neither were women more at risk for emotional exhaustion. In particular, load—workload as well as care load—appeared to predict emotional exhaustion and thus sickness absence.     

Exploring the Michigan model: The relationship of personality, managerial support and organizational structure with health outcomes in entrants to the healthcare environment

Few studies have examined the role of managerial support in the adaptation of entrants to healthcare. The purpose of this study was to identify the job characteristic and role-related variables that mediate the effects of managerial support and personality on the mental and physical health and sickness absence in two independent groups of new recruits to a healthcare organization. Entrants to a healthcare environment (student nurses) were surveyed 25 weeks after entry. Latent variables represented neuroticism, demand, control, role clarity and affective outcome variables in a simplified version of the Michigan model of work stress (House, 1981). This study used a two-stage approach to structural equation modelling, exploring hypothesized structural models on an initial data set (N=195) prior to confirmation on an independent replication data set (N=239) using multi-sample methods. Finally the confirmed model of choice was evaluated using the combined data (N=434). Emotional distress reported at 6 months was found to be associated with dispositional characteristics of the entrant and indirectly, via job satisfaction, with managerial support from academic and clinical sources. Managerial support from academic and clinical sources had an indirect influence on job satisfaction, but by differing mechanisms involving role clarity and control. The demands perceived by the entrants arose from neuroticism and were independent of any other variable. Emotional distress had its deleterious association with sickness absence via somatic health. This study details a series of mechanisms that will subsequently be tested longitudinally.     

Activation,medicalisation and inter-organisational cooperation in health insurance – implications for frontline social work in Sweden

This paper focuses on tensions between activation principles and medicalisation in the Swedish sickness insurance and its implications for frontline caseworkers in Social Security Agencies and Public Employment Services. The right to sickness cash benefits has become stricter and more conditioned upon the person’s work ability and employability. The paper describes recent policy changes towards activation and stricter entitlement criteria for sickness benefits policy and explores the consequences of such new activation policies in terms of changed work modes for caseworkers dealing with long-term sick people’s return-to-work process. It is concluded that on the one hand frontline work contains a significant portion of discretion and professional assessment of work abilities, and on the other hand rule-bound administrative work. Furthermore, frontline workers need to apply organisational professionalism as inter-organisational cooperation is required in order to support long-term sick people to return-to-work. Medicalisation of ill-health, manifested in the right to sickness benefits has not been substantially circumscribed by new activation policies in the sickness insurance.     

多恩散文《突变引起的诚念》中“疾病”的解析

约翰·多恩的作品以“玄学之美”著称。用“疾病”作为他的散文的关键词在17世纪实属少见。多恩认为疾病来自于上帝,也结束于上帝。因为人有罪,疾病才会骚扰人类,同时,疾病让人忏悔,让人彻底醒悟。疾病既是对罪恶的惩罚,也是通往救赎的必经之路。多恩的长篇散文《突变引起的诚念》让人直面疾病这一悖论。     

Why are Swedes sick but Finns unemployed?

While the Finnish and Swedish social security systems are structurally quite similar, the two countries show marked differences both in the recipiency rates of sickness and work disability benefits and in the level of open un­employment. In Sweden, the usage of sickness-related benefits since the beginning of the 1990s has varied in inverse relation to the level of registered unemployment, whereas in Fin­land, recipiency rates of sickness and work disability benefits have remained fairly constant, registered unemployment having typically been more than twice the Swedish level. Using the available statistical data, the article explores the differences in the prevalences of sickness, work disability and unemployment benefits between Sweden and Finland. Factors that may explain the divergence between the two countries are sought and interpreted from the long-term differences in welfare-state strategies and the structural features of the social security systems under investigation.     

Young immigrants on long-term sick-leave

Sickness certification data for all immigrants 16–45 years of age on long-term sick-leave enlisted at a local health insurance office were studied. The diagnostic pattern was remarkably homogeneous, characterized by imprecise pain and/or imprecise mental disorders. Clinical data were provided by a multiaxial evaluation of 52 people (mean age 38 years, mean length of sick-leave 1 year, full-time). Ratings of pain behavior and functional ability regarding occupational duties were also included. Nearly half (44%) had few social contacts both within their ethnic group and Swedish society. Half (58%) were assessed as being exposed to moderate or severe psychosocial stressors, and many had an associated mild or moderate depressive disorder. Muscular pain was the most frequent physical disorder. Pain behavior was common and was associated with the length of sick-leave. Two-thirds were assessed as being able to work at least part-time. The multiaxial evaluation system proved useful for differentiating important incapacitating diagnostic factors. Nevertheless, the examining doctors seemed to have been influenced by the participants' pain presentations when rating their functional ability. The study thus illustrates the ease with which a vicious circle of pain behavior and further sickness certification could be created. In conclusion, social distress and iatrogenic factors may have played an important part in the sick-leave pattern seen in this group of young immigrants.     

Trends in long‐term sickness absence in Sweden 1992–2008: the role of economic conditions,legislation, demography,work environment and alcohol consumption

Lidwall U, Marklund S. Trends in long‐term sickness absence in Sweden 1992–2008: the role of economic conditions, legislation, demography, work environment and alcohol consumption Int J Soc Welfare 2011: 20: 167©179 © 2010 The Author(s), International Journal of Social Welfare © 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare. In Sweden, absence from work because of illness or injury has fluctuated considerably over time. This study aimed to identify potentially important factors behind variations in long‐term sickness absence. Aggregated data were used to assess factors correlated with the number of ongoing cases of sickness absence lasting more than 59 days. Trends were analysed using statistics from national social insurance records, labour force surveys and other official statistics. Although specific changes in the degree of generosity in the sickness insurance scheme were important in some cases, the results showed no consistent associations for the study period 1992–2008. Men were generally more sensitive to macroeconomic factors than women. Furthermore, compared with earlier findings, workforce composition had less impact on variations in long‐term sickness absence. Notably, public health indicators such as alcohol sales and working conditions were clearly related to long‐term sick leave during the period under investigation.