Cover image for Mental health and productivity in the workplace : a handbook for organizations and clinicians
Title:
Mental health and productivity in the workplace : a handbook for organizations and clinicians
Publication Information:
San Francisco, Calif. : Jossey-Bass, 2003
ISBN:
9780787962159

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30000010045705 RC967.5 M45 2003 Open Access Book Book
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Summary

Summary

Mental Health and Productivity in the Workplace is a comprehensive and practical guide to identifying, understanding, preventing, and resolving individual and organizational mental health problems in the workplace. Originally published as Mental Health in the Workplace (Van Nostrand/Wiley, 1993), this completely revised, updated, and expanded edition represents the most current thinking in the field and contains contributions from an expert panel of organizational and occupational psychiatrists. With fifty percent more chapters, this new edition adds essential material on creating systems and cultures that encourage organizational productivity and employee mental health and on finding cost-effective,quality mental health care. The book focuses on problems that start "at the top" (executive dysfunction) as well as on the effects of organizational structure, office politics, chronic change, downsizing and employment uncertainty, office wide emotional crises, and aspects of organizational development. In addition, this helpful resource includes information about such basic issues as anxiety, stress, burnout, depression, drug and alcohol abuse, violence, and psychosis.


Author Notes

Jeffrey P. Kahn, M.D., is president of WorkPsych Associates
Alan M. Langlieb, M.D., M.B.A., is an assistant professor of psychiatry at The Johns Hopkins School of Medicine in Baltimore, Maryland


Table of Contents

Marcia Kraft GoinJeffrey P. KahnAlan M. Langlieb and Anne M. Stoline and Steven S. SharfsteinAlan M. Langlieb and Benjamin G. Druss and Robert RosenheckRobert C. LarsenLen Sperry and Alan A. McLeanJeffrey P. Kahn and Len SperryJeffrey P. Kahn and Mark P. UnterbergNick Kates and Barrie Sanford Greiff and Duane Q. HagenThomas H. ValkRoy H. Lubit and Robert P. GordonHoward E. BookGerald A. KrainesDavid E. Morrison and David A. DeaconSteven E. Pflanz and Stephen H. HeidelStephen H. HeidelRonald SchoutenRobert C. LarsenBrian L. Grant and David B. RobbinsSara Eddy and Ronald SchoutenLen SperryDan J. Stein and Eric HollanderPhilip M. Liu and David A. Van LiewMark P. UnterbergAvram H. Mack and Jeffrey S. Rosecan and Richard J. FrancesCarlotta Lief SchusterCorinne Cather and Kim T. Mueser and Donald C. GoffBrian L. Grant
Figures and Tablesp. xiii
Forewordp. xvii
Prefacep. xix
Part 1 The Workplace and Mental Healthp. 1
1 Workplace Mental Health Quality: Effective Recognition, Management, Evaluation, Treatment, and Benefitsp. 3
Recognition, Management, and Referral
Evaluation: Define the Problem to Define the Treatment
Treatment: Techniques of Psychotherapy and Consultation
Assessing Treatment and Consultation Response
Building a Better Benefit: Quality Mental Health Care Guidelines
2 Mental Health Care Providers and Delivery Systemsp. 28
Providers
Delivery Systems
3 Cost-Effectiveness, Cost Containment, and Worker Productivityp. 48
Cost-Benefit and Cost-Effectiveness
Cost-Offset
Cost Containment
Productivity
4 Mental Health Ethics and Confidentiality in the Organizationp. 60
Medical Ethics
Role of the Physician
Mental Health Referral Situations with Potential for Moral Conflict
Appendix
5 Psychiatry, Productivity, and Health: A Brief History of Psychiatry in the Workplacep. 71
Early History
1920s: Psychiatrists in the Workplace
1930s and 1940s: War Stress and Initial Academic Efforts
1950s and 1960s: Increasing Clinical Involvement
1970s, 1980s, and 1990s: Expanding Psychiatric Horizons
The Third Millennium: New Directions
Part 2 Common Occupational Concernsp. 89
6 Executive Development: Assessment, Coaching, and Treatmentp. 91
Executive Assessment
Leadership Development
Executive Coaching
Personal Treatment
Organizational Intervention
Appendix
7 Executive Distress and Organizational Consequencesp. 113
Narcissism: Patching over the Uncaring World
Competition Gone Awry: Intergenerational Oedipal Conflict
When It Looks Like Character Is Destiny: Rigid Personalities Under Stress
Hiding Away Those Pesky Emotions: Repression of Emotional Distress
8 Job Loss and Employment Uncertaintyp. 135
The Impact of Impending Job Loss
How the Effect of Job Loss Is Transmitted
An Integrated Model
Assessing the Impact of Impending Job Loss
Impact on Those Who Remain at Work
Intervention
Preventive Interventions
9 Sending Employees and Families Overseas: Mental Health in the Workplace Abroadp. 155
Mental Health and Psychosocial Issues in Expatriate Populations
Costs of Overseas Moves and Early Curtailment Rates
Mental Health Services and Legal Issues Overseas
Policy and Procedures to Minimize Disruption from Mental Health Issues
10 Office Politics: The Good the Bad, and the Uglyp. 171
Knowing and Understanding Personality Styles
Knowing and Understanding Leadership Styles
Issues in Managing Your Boss
Understanding What Motivates Leaders' Behavior
Attitudes Toward Authority
Organizational Culture
Hidden Agendas
Boundary Issues and Regression
Male-Female Relationships
Competition
Part 3 Common Organizational Issuesp. 203
11 How Leadership and Organizational Structure Can Create a Winning Corporate Culturep. 205
What Is Corporate Culture?
Organizational Cultures: The Two Extremes
How the CEO's Style Shapes Culture
How Organizational Structures Affect Culture
Other Factors That Influence Culture
12 A Comprehensive Overview of Organizational Changep. 233
Leveraging a Company's Potential
Moving to Action
Forging Psychological Contracts
Managing for Changing Realities
Adapting to Change
The Casualties of Change
Successfully Leading Change
Changing Times: What Is Coming Next?
13 Organizational Consequences of Family Problemsp. 254
Literature and Research
Family Problems: Cases and Discussion
Interventions
14 Psychiatric Causes of Workplace Problemsp. 276
Common Work Problems
Causes
Effects on the Employee and the Organization
Assessment
Interventions
Prevention
15 Emotional Crises in the Workplacep. 297
Disaster and Emotional Trauma
Traumatic Events at the Work Site
Substance Abuse Emergencies
Suicide
Psychotic Behavior
16 Violence in the Workplacep. 314
Defining Workplace Violence and Threat Assessment
Potential Roles for Mental Health Professionals in Threat Assessment
Knowledge Base for Threat Assessment and Violence in the Workplace
Responding to Workplace Threats and Violence
17 Psychiatric Fitness-for-Duty Examinationsp. 329
Fitness-for-Duty Guidelines
The Sensitive Nature of Psychiatric Information
Appropriate Situations for Psychiatric Examinations
Work Function Assessment
Information Exchange
Administrative Minefields
Appendix A
Appendix B
18 Disability and Workers' Compensationp. 347
Workplace Disability Problems and Definitions
The Treating Physician's Role
The Psychiatric Disability Consultative Examination
Determination of Causality
Administrative Medical Review
Adopting the Disability Role: A Psychological Process
Prevention of Disability
Work-Related Impairments and Workers' Compensation
19 Workplace Forensic Psychiatry: The Americans with Disabilities Act and the Family and Medical Leave Actp. 369
Understanding the ADA
Family and Medical Leave Act
Appendix
20 Organizational Ethics in the Company: Beyond Personal, Professional, and Business Ethicsp. 387
Ethics: Definitions, Classification System, and Ethical Perspectives
Commonly Encountered Ethical Issues in Corporations
Organizational Ethics in Action
Two Ethical Perspectives Germane to Organizational Ethics
Systemic Factors with an Impact on Organizational Ethics
Part 4 Common Employee Problemsp. 405
21 Anxiety and Stressp. 407
Adjustment Disorder with Anxiety, Generalized Anxiety Disorder, and Other Tension States
Panic Disorder: Intense Anxiety and Phobias
Social Anxiety Disorder: Stage Fright and Shyness
Obsessive-Compulsive Disorder
Posttraumatic Stress Disorder
22 Depression and Burnoutp. 433
Adjustment Disorder with Depressed Mood
Major Depression
Dysthymia and Atypical Depression
Bipolar Disorder
23 Personality: Personalities, Personal Style, and Trouble Getting Alongp. 458
Obsessive Compulsive: Overinvolved, Underachieving Employees
Histrionic: Overemotional, Overreactive Employees
Antisocial: Criminal or Aggressive Employees
Paranoid: Isolated or Litigious Employees
Borderline: Impulsive or Divisive Employees
Narcissistic: Grandiose or Demanding Employees
Passive-Aggressive: Compliant or Underachieving Employees
24 Drugs: Abuse and Dependencep. 481
Possible Causes of Workplace Drug Abuse
Workplace Management and Referral
Drug Use, Drug Abuse, and Addiction
Individual Drug-Dependence Syndromes
Testing for Drug Use
Public Policy and Law
Psychiatric Management
Appendix
25 Alcohol: Abuse and Dependencep. 502
Workplace Recognition and Referral
Causes and Effects of Alcoholism in the Workplace
Psychiatric Management
Return to Work
26 Psychosis: Peculiar Behaviors and Inflexible Bizarre Beliefsp. 517
Delusional Disorders
Affective Disorders with Psychotic Features
Substance-Induced Psychotic Disorder
Schizophrenia Spectrum Disorders
27 Emotion and Illness: The Psychosomatic Interfacep. 540
Somatoform Disorders: Physical Symptoms of Emotional Origin
Factitious Disorders and Malingering: Falsely Reported Symptoms
Psychiatric Disorders with Frequent Physical Symptoms
Controversial Medical Illnesses: Functional Somatic Syndromes
Emotional Aspects of Physical Disease
Organic Behavioral Syndromes
About the Editorsp. 569
About the Contributorsp. 571
Name Indexp. 579
Subject Indexp. 587