RESUMEN
BACKGROUND: Common mental health disorders (CMHDs) are a leading cause of sickness absence. To address this, a Fit for Work Service (FFWS) was introduced in Greater Manchester, UK, in 2010, offering case-managed and multidisciplinary interventions to early-stage sickness absentees experiencing physical health conditions and/or associated psychosocial problems, to enable a speedy return to work. AIMS: To explore the illness experiences of employees who contacted or were referred to the Greater Manchester FFWS (GM-FFWS). METHODS: A qualitative in-depth study, using narrative interviews with GM-FFWS service users who experienced mental ill-health. Interviews were recorded, transcribed and analysed for key themes. RESULTS: There were 21 interviews available for analysis. Multiple disruptive life events overwhelmed employees' capacity to cope, triggering mental ill-health. For some individuals, the onset of mental ill-health was unexpected and had profound psychological effects on participants' sense of self and personal identity. In certain cases, previous bouts of emotional distress contributed to an underlying psychology of low self-esteem. Mobilizing resources was often a significant factor in supporting recovery. The illness experience led to a process of self-re-evaluation among some participants. CONCLUSIONS: Disruptive events at work have the potential to threaten an individual's sense of self. Employee's experiences of CMHDs can only be fully understood if there is awareness of how these experiences emerge from a person's biography and subsequently inform their responses to contemporary life events. The design of future clinical and non-clinical workplace interventions should take account of these biographical aspects of the illness experience.
Asunto(s)
Trastornos Mentales/psicología , Enfermedades Profesionales/psicología , Servicios de Salud del Trabajador/organización & administración , Reinserción al Trabajo/psicología , Lugar de Trabajo/psicología , Absentismo , Adaptación Psicológica , Adulto , Femenino , Humanos , Masculino , Trastornos Mentales/etiología , Persona de Mediana Edad , Investigación Cualitativa , Ausencia por Enfermedad , Reino Unido , Adulto JovenRESUMEN
This article describes the use of a device for assisting in identification of the direction of the arc of rotation while locating the transverse horizontal opening and closing axis of the mandible. Translucent disks are mounted on the point of the styli of a kinematic face-bow and centering magnets are aligned with them, with no overlapping of the colors. The direction of the arcing movement is enlarged by the overlapping of the translucent disk over the centering magnet. The different color value generated by the overlapping identifies the arcing direction. After correction on the microadjustable arm, the centering magnet is realigned on the translucent disk. This sequence is repeated until the disk no longer overlaps with the centering magnet during the opening and closing movements of the mandible. This device uses the different color generated by mixing the color of the disk against a template of darker color. The disk enlarges the point of the stylus, thus magnifies the direction of the arc of rotation, and potentially reduces the clinical time necessary to locate the points of pure rotation.