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Returning to work or working on one’s rehabilitation: Social identities invoked by impaired workers and professionals in health care and employment services
Sociology of Health & Illness ( IF 2.957 ) Pub Date : 2021-02-26 , DOI: 10.1111/1467-9566.13241
Tone Alm Andreassen 1 , Per Koren Solvang 2
Affiliation  

For persons with a long-term illness or impairment, return-to-work decisions involve considerations about work capacity, opportunities in the labour market, the impact of injuries, further treatment requirements, physical and cognitive rehabilitation, and mental health recovery. These considerations are undertaken by the affected individuals as well as by professionals in health care and employment services. Drawing upon institutional theories of organisations, especially the understanding that institutional logics provide different social identities to injured individuals, we study rehabilitation processes following multi-trauma or traumatic brain injury (TBI) within the Scandinavian welfare model. We identify which social identities are activated in professionals’ considerations and in the stories of the injured individuals. The aim is to understand how professionals’ reasoning about the clients’ problems influences return-to-work processes. Our primary finding is that the wageworker identity, invoked by the injured individuals themselves, is subordinated by the professionals to the logic of profession and the associated patient identity. Consequently, not only is impaired people’s anti-discrimination right to reasonably adjusted work ignored, ignored is also a possible resource in the rehabilitation process. Additionally, individuals who view themselves as wageworkers tend to be left unserved.

中文翻译:

重返工作岗位或从事康复工作:受损工人和医疗保健和就业服务专业人士所援引的社会身份

对于患有长期疾病或损伤的人,重返工作岗位的决定涉及对工作能力、劳动力市场机会、受伤影响、进一步治疗要求、身体和认知康复以及心理健康恢复的考虑。这些考虑由受影响的个人以及医疗保健和就业服务的专业人员进行。借鉴组织的制度理论,特别是制度逻辑为受伤个体提供不同社会身份的理解,我们研究了斯堪的纳维亚福利模型中多发创伤或创伤性脑损伤 (TBI) 后的康复过程。我们确定在专业人士的考虑和受伤人员的故事中激活了哪些社会身份。目的是了解专业人员对客户问题的推理如何影响重返工作流程。我们的主要发现是,由受伤个人自己调用的工资工人身份,由专业人员从属于职业逻辑和相关的患者身份。因此,不仅被削弱的人们合理调整工作的反歧视权利被忽视,被忽视也是康复过程中的一种可能资源。此外,将自己视为雇佣工人的个人往往得不到服务。专业人员服从于职业逻辑和相关的患者身份。因此,不仅被削弱的人们合理调整工作的反歧视权利被忽视,被忽视也是康复过程中的一种可能资源。此外,将自己视为雇佣工人的个人往往得不到服务。专业人员服从于职业逻辑和相关的患者身份。因此,不仅被削弱的人们合理调整工作的反歧视权利被忽视,被忽视也是康复过程中的一种可能资源。此外,将自己视为雇佣工人的个人往往得不到服务。
更新日期:2021-02-26
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