Job Stressors And Mental Health A Proactive Clinical Perspective 1st edition by Karen Belkic, Cedo Savic – Ebook PDF Instant Download/Delivery: 9814525553, 978-9814525558
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ISBN 10: 9814525553
ISBN 13: 978-9814525558
Author: Karen Belkic, Cedo Savic
The title of this book reflects the fundamental aim: to explore the relation between exposure to job stressors and mental health. This is done with the primary intention of developing a new clinical approach, one which takes a proactive stance, emphasizing the need for creating work conditions that are more in harmony with the needs of the human being. Pivotal to this endeavor is to provide an integrative and comprehensive methodology, for assessing work stressors and ameliorating them whenever possible. This methodology, the Occupational Stressor Index, the OSI, was developed by the authors, who have successfully applied the OSI over the years in the context of prevention-oriented clinical practice within neurology and psychiatry, as well as within cardiology, oncology and other medical disciplines. The OSI is grounded in cognitive ergonomics and brain research. The authors, as clinicians, have a special interest in and affinity with their colleagues, their fellow physicians. Consequently, the working conditions and mental health of physicians are strongly emphasized throughout the book. Gender considerations are also woven into the entire book.This book will be of value to readers at many levels and interests. It is written in such a way that a non-expert can learn a great deal about the topics. Readers at all levels can reflect on their own work situation and how it could be improved within the framework of enhanced mental health. For health professionals, particularly psychiatrists, occupational medicine specialists, clinical psychologists as well as physicians involved in primary care and rehabilitation, this book will represent a sorely-needed paradigm shift which will help them address a main source of their patients’ mental distress. It will be thought-provoking and yet also practical. Part I of the book provides the multi-faceted, scientific justification for this new clinical approach. The authors, as clinicians themselves, speak the clinical language and guide the reader step-by-step as to how this approach can be applied in practice.
Job Stressors And Mental Health A Proactive Clinical Perspective 1st Table of contents:
Chapter 1 Work as a Potential Source of Meaning versus of Stress: Implications for Mental Health
1.1 The need for an integrative clinical approach
1.1.1 Preventing and overcoming demoralization: a critical task
1.2 Insights from cognitive neuroscience
1.2.1 Work stressors vs. the stress response: a key distinction
1.3 The aims and organization of this book
Part I – Background: Evidence, Mechanisms, Current Standard of Care and Methodology
Chapter 2 The Work Environment’s Impact on Mental Health: Epidemiologic Evidence
2.1 Sociological models to assess the association between the psychosocial work environment and health outcomes
2.1.1 Job strain
2.1.2 Effort reward imbalance
2.2 The work environment and mental health outcomes
2.2.1 Depression, burnout and related mental health disorders
2.2.2 Suicide risk
2.2.3 Anxiety disorders
2.2.4 Occupations at risk for adverse mental health outcomes
2.3 Neurological disorders, cognitive function, cerebrovascular disease and work-related exposures
2.3.1 Headache
2.3.2 Epilepsy
2.3.3 Cognitive function and work hours
2.3.4 Neuropsychiatric consequences of physical/chemical exposures
2.3.5 Occupational groups at risk for cerebrovascular disease
2.4 Unhealthy behaviors associated with work stressors
2.4.1 Smoking
2.4.2 Obesity
2.4.3 Alcohol and drugs
2.4.4 Combined lifestyle related risk profile
2.4.5 Absenteeism and presenteeism
2.5 Other health outcomes related to the work environment
2.5.1 Coronary heart disease, hypertension, other cardiovascular disease
2.5.2 Peptic ulcer disease and diabetes mellitus
2.5.3 Vulnerability to malignancy
2.5.4 Musculoskeletal disorders
2.6 Mental health consequences of job insecurity, precarious employment, unemployment and retirement
Chapter 3 Work Stress Mechanisms and Mental Health: A Focused Overview
3.1 Gender, work stressors and health: a richer conceptualization
3.2 Econeurologic mechanisms: mental burden of work processes
3.2.1 A deeper understanding of psychological demands
3.2.2 Emotional dimensions of work
3.3 Burden upon mental resources and the recovery process
3.3.1 The role of cognitive appraisal
3.4 Event-related potentials, quantitative EEG and neuropsychiatry
3.4.1 Anxiety
3.4.2 Post-traumatic stress disorder
3.4.3 Depression, burnout and related disturbances
3.4.4 Bipolar disorder
3.4.5 Psychoses
3.4.6 Migraine headache
3.4.7 Epilepsy
3.5 The environment-brain-cardiovascular system: econeurocardiology
3.5.1 The glare pressor test
3.5.2 Further directions
Chapter 4 Work Fitness and Occupational Rehabilitation: The Current Standard of Care
4.1 Mental health disorders, work fitness and rehabilitation
4.1.1 General observations
4.1.2 Explicitly stress-related mental health disorders
4.1.3 Anxiety disorders
4.1.4 Depression
4.1.5 Bipolar disorders
4.1.6 Psychotic disorders
4.1.7 Alcohol and drug misuse
4.2 Neurological disorders
4.2.1 Migraine headaches
4.2.2 Epilepsy
4.2.3 Disorders of sleep and awareness
4.2.4 Disorders related to neurotoxicity exposure
4.2.5 Cerebrovascular disorders
4.2.6 Brain tumors
4.3 Experience regarding work fitness and rehabilitation from other areas of medicine
4.3.1 Oncology
4.2.2 Ischemic heart disease and hypertension
4.2.3 Rheumatologic/musculoskeletal disorders
4.2.4 Diabetes, peptic ulcer disease and other gastrointestinal disorders
4.2.5 Respiratory disorders
4.4 Experience regarding work fitness and rehabilitation from other areas of medicine
4.4.1 Further considerations about public safety
4.4.2 Women, work fitness and return to work
Chapter 5 The Occupational Stressor Index (OSI): A Comprehensive Model derived from Cognitive Egonomics for Clinical Practice
5.1 Basis and organization of the OSI
5.1.1 The axes of the OSI: formation of a twodimensional matrix
5.1.2 The OSI model in its entirety
5.2 The occupation-specific OSI instruments
5.2.1 Generic versus occupation-specific instruments
5.2.2 The process of developing occupationspecific OSI’s
5.2.3 Available occupation-specific OSI’s and those in development
5.3 Reliability of the OSI
5.4 Validity of the OSI
5.4.1 Construct validity of the OSI: theoretical/biological coherence
5.4.2 Face validity of the OSI
5.4.3 Criterion validity of the OSI: empirical results
5.4.4 Clinical validity of the OSI
Part II – The Clinical Case Studies
Chapter 6 Introduction to Part II: The Clinical Case Studies
6.1 A brief recapitulation
6.2 Aims, scope and organization of part II
6.2.1 The structure of the clinical case studies
Chapter 7 An Exhausted Psychiatrist Thinking about Suicide: Our First Clinical Case Study
7.1 The case: Dr. R is extremely fatigued and admits to thoughts of suicide
7.1.1 Objective findings
7.1.2 Initial assessment, management and clinical course
7.1.3 Additional psychometric and neurophysiologic evaluation
7.2 Dr. R’s case re-visited: insights from the OSI
7.3 How to proceed? Return to healthier work with bolstered coping strategies
7.3.1 Immediate steps
7.3.2 Step II–cognitive/behavioral therapy focusing on psychosocial work stressors
7.3.3 Step III–outreach: initial efforts towards improving work organization
7.4 Comments and further thoughts
Chapter 8 Middle-School Teacher with Panic Attacks and Migraine Headaches: Second Case Study
8.1 The case: M.A.’s panic attacks and severe migraines.
8.1.1 Objective findings
8.2 M.A.’s work situation: insights from the OSI
8.3 M.A. meets with the occupational neuropsychiatrist..
8.3.1 Assessment
8.3.2 Therapeutic measures: cognitive-behavioral therapy, immediate work-related and lifestyle changes and pharmacotherapy
8.3.3 Outreach: initial efforts towards improving work organization
Chapter 9 Computer Programmer with Epilepsy and Agoraphobia: Third Case Study
9.1 The case: S.P.’s epilepsy and agoraphobia
9.1.1 Objective findings
9.2 S.P.’s work situation: insights from the OSI
9.3 S.P. meets with the occupational neuropsychiatrist
9.3.1 Assessment
9.3.2 Integrative therapeutic approach: supportive/cognitive-behavioral therapy, disclosure and targeted workplace modifications
9.4 The outcome
Chapter 10 Oncology Nurse with Breast Cancer and Disturbed Sleep: Fourth Case Study
10.1 The case: C.G. has breast cancer and disturbed sleep
10.1.1 Objective findings
10.2 C.G.’s work situation: insights from the OSI
10.3 C.G. meets with the occupational neuropsychiatrist
10.3.1 Assessment
10.3.2 Integrative therapeutic approach: supportive/cognitive-behavioral therapy, disclosure and targeted worksite modifications
10.4 Comment
Chapter 11 Control Panel Worker with Paranoid Ideation: Fifth Clinical Case Study
11.1 The case: T.S. mistrusts his entire work collective
11.1.1 Objective findings
11.2 T.S.’s work situation: insights from the OSI
11.3 Intervention by the occupational neuropsychiatrist
11.4 Further thoughts and comments
Chapter 12 Tram Driver with Post-traumatic Stress Disorder: Sixth Case Study
12.1 The case: B.F. has post-traumatic stress disorder
12.1.1 Objective findings
12.2 B.F.’s work situation: insights from the OSI
12.3 Return to healthier work: the process for B.F
12.3.1 Immediately implementable modifications in work conditions
12.3.2 Outreach: initial efforts towards improving work organization
Chapter 13 Scientist with Bipolar Disorder: Seventh Clinical Case Study
13.1 The case: Dr. A. has bipolar disorder
13.1.1 Objective findings
13.2 Dr. A.’s work situation: insights from the OSI
13.3 What are the feasible options for Dr. A. vis-à-vis the work environment?
13.4 Healthy work for scientists?
Chapter 14 A Dysphoric Academic Physician near Formal Retirement Age: Concluding Case Study
14.1 Dr. L. is nearing formal retirement age and is dysphoric
14.2 Dr. L.’s work situation: insights from the OSI
14.3 The transition process for Dr. L
14.4 Comments and further thoughts
Part III – A New Clinical Approach to Neuropsychiatry Focusing upon the Work Environment
Chapter 15 The Need for a New Subspecialty: Occupational Neuropsychiatry
15.1 An occupational neuropsychiatry paradigm: mental health disorders as potential “occupational sentinel health events”
15.2 A larger framework for the occupational neuropsychiatrist
15.3 Can workplace modifications suggested by the clinician for individual patients help inform workplace intervention trials?
Chapter 16 Perspectives towards a Humane Work Environment: A Clinical View
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Tags: Karen Belkic, Cedo Savic, Job Stressors, Mental Health