Personal Myths about Work and Mental Illness: Response to Lysaker and Bell

Explores several points of convergence between this inquiry into how mental illness impacts the employment experience, & that of Paul Lysaker & Morris Bell (see abstract in SOPODA 18:1). Through different processes of investigation, both research attempts found that the problems of volition...

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Bibliographic Details
Published in:Psychiatry (Washington, D.C.) D.C.), 1995-11, Vol.58 (4), p.401-404
Main Authors: Bebout, Richard R., Harris, Maxine
Format: Article
Language:English
Subjects:
Adult
Combined Modality Therapy
Delusions - diagnosis
Delusions - psychology
Delusions - rehabilitation
Employment
Employment, Supported
Female
Goals
Hallucinations - diagnosis
Hallucinations - psychology
Hallucinations - rehabilitation
Humans
Internal-External Control
Job Performance
Male
Mental disorders
Mental Illness
Mental Patients
Motivation
Psychology
Psychotherapy, Group
Rehabilitation, Vocational - psychology
Religion and Psychology
Schizophrenia
Schizophrenia, Paranoid - diagnosis
Schizophrenia, Paranoid - psychology
Schizophrenia, Paranoid - rehabilitation
Social research
Treatment Methods
Vocational Rehabilitation
Washington, D.C
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Summary:Explores several points of convergence between this inquiry into how mental illness impacts the employment experience, & that of Paul Lysaker & Morris Bell (see abstract in SOPODA 18:1). Through different processes of investigation, both research attempts found that the problems of volition & meaning, & work inhibition in schizophrenia, are fundamentally matters of identity & identity disturbance associated with the illness. Secondly, both experiences indicate that such volitional disturbances may be treated successfully with appropriate rehabilitative efforts. Described here are participants in an employment project in Washington, DC, all of whom had histories of severe & persistent mental illness; many had histories of substance abuse, & few had more than a high school education. Five recurrent themes emerged regarding how individuals reacted to employment, many of which reflected problems of limiting definitions of self & inflated expectations regarding the rewards that jobs would produce. The role of the patient's self-understanding, & how the clinician responds to that, is probed further. 1 Reference. K. Cilmi
ISSN:0033-2747
1943-281X
DOI:10.1080/00332747.1995.11024744