When a person becomes injured at work, there are a number of
factors that will come into play allowing a person to rehabilitate and
successfully return to work. Many of the
insurance industries across Canada work feverously to develop work place safety
and education programs to prevent injuries; however, even with this attitude of
“an ounce of prevention” we still struggle with workplace injury as a
nation. We only need to look to
statistics from the Association of Workers Compensations Boards of Canada to
realize that workplace injury is still a concern in Canada. http://awcbc.org/common/assets/nwisptables/table36-fat-ind-jur.pdf
There are various tools used to determine how long it will
take before an injured worker can return to work. As well, there are considerations such as the
amount of time it will take for the injury to heal, a persons age and the
physical nature of the persons occupation. The ultimate goal of a workplace
insurance board is a person’s successfully and safe return to work. However,
there are some pitfalls that can hinder a person’s return to work goal, and
“identity” can play a role.
Klenk noted (as cited by Crossman, 1997) that athletes who have
a “strong self identity or sense of worth
through the single social role of sport may experience a particularly difficult
time adjusting to being injured.” The
same can be said for individuals who have a strong identity attachment or sense
of worth thorough their employment. Brewls
stated “A stronger connection between athletes and self identity is created as
the athlete invests more time in the sport, for this reason emotional
disturbance may be greater..” In relating this statement to employment, if
you are a workaholic and have no life outside of work, you will have a
particularly hard time adjusting to an injury because this injury is a threat
to your very identity.
When an injury takes longer than expected to heal this may further
threaten a person’s identity and increase emotional disturbance. For example, if a person is told that an
injury will take 4 weeks to heal, and there is little improvement after 4 weeks,
that persons anxiety level may increase because the worker fears that they will not be able to
return to work. Bracker’s statement that
“individuals with more complex identity
structures have fewer depressive symptoms and less stress than individuals with
less complex structures” (Bracher, 2006) seems to support that a person who
sees their identity in a single social role, such as that of “athlete” or
“nurse”, will have more stress if they sustain an injury.
If a person is deemed not capable of returning to work, due to the
physical nature of their employment, they may have to seek other employment
within their physical limitations. This
can be difficult for most individuals; however, if your identity is entrenched
in your work this can be devastating. “In a real sense, job loss marks an
interruption in the natural process of reaffirming identity that is essential
to maintaining mental health (Burke, 1991; Thoits, 1991).” When we work, we
are constantly seeking to reaffirm our identities through recognition. If a person is unable to return to this environment
they may feel a loss of identity. “These
identity interruptions are stressful, and the key to preventing their negative
consequences is to allow a new identity to be affirmed. If people are able to
negotiate new identities that are satisfactory, the negative effects of job
loss may be minimized”
Allowing someone time to negotiate a new identity may not always be
possible. Factors such as family responsibility, employers, doctors and
insurance companies control and direct timelines with regards to how much time
you have to negotiate a new identity. If
a person’s identity is entrenched in their pre injury employment / community of
practice, the process of negotiating a new identity can take years. If an
individual is not provided with the time necessary to negotiate a new identity,
they can adopt the one that is the easiest to relate to which is often that of
injured worker or victim. This would be especially prevalent in those individuals
who’s identity is that of a single social role. Once the new identity of “injured
worker” has been established the person will fight hard to maintain that
identity as this has become their newly defined self.
References
Klenk, C.A., (2006). Psychological
Response to Injury, Recovery, and Social Support: A Survey of Athletes at an
NCAA Division 1 University. Retrieved from http://digitalcommons.uri.edu/cgi/viewcontent.cgi?article=1008&context=srhonorsprog
Price, R.H., Friedland, D.S., & Vinokur, A.D. (1998).
Job loss: Hard times and eroded identity.
In J.H. Harvey (Ed.)
Perspectives on loss: A sourcebook (pp. 303-316). Philadelphia, 23
PA: Taylor & Francis. Retrieved from http://www.isr.umich.edu/src/seh/mprc/Job%20Loss%20Hard%20times%20and%20eroded%20identity.pdf
Bracher, M (2006). Radical
Pedagogy: Identity, Generativity, and Social Transformation. New York, NY:
Palgrave MacMillan
Hi Dina
ReplyDeleteI could definitely relate to this blog. Approximately 10 years ago I suffered a back injury at work. I experienced a tear in my rhomboid muscle. I would suggest I experienced an identity interruption because of this injury.
My life circumstances were different at that time. I was a divorced, single mother of a young toddler. My identity was defined by these two roles. With my back injury, I was unable to do the simplest tasks; I could not lift my child, could not bathe her. My injury was on the right side and I am right handed, for several weeks I could not brush her hair. With family support and therapy, I made a quick recovery and returned to work. However, I will never forget how scared I was after the injury. My identity as I knew it was threatened. My thoughts focused on what would happen if I could not “nurse” again, if I could not lift again.
Thankfully, the disability was short term, but I can imagine how completely wrecked I would have been if I was not able to return to work. Bracher (2006), states, “such overinvestment in a single identity produces two negative consequences”… “Identity vulnerability” and “the cultivation of a victim identity” (p. 114). This statement supports the information you put forth in your blog. Thanks for posting
Sheri