Being in recovery from bipolar disorder involves work-related concerns. The specific aims of this study are to: 1) understand the role of work in recovery from bipolar disorders, and 2) understand how people with such disorders deal with work-related challenges. These topics are examined from the stance of the recovery process, in which work-related activities were explored. Semi-structured, qualitative interviews were conducted with persons who had experienced recovery from bipolar disorder. Analysis was performed through thematic and phenomenological analysis, with hermeneutic phenomenology and reflexive methodology as a framework. The findings are presented through the following themes: 1) many types of work – finding meaning and a focus; 2) helpful roles and contexts – to be much more than a person with an illness; 3) making work possible – the role of supportive relationships and supportive medications, and 4) the costs of working too much – finding a meaningful and healthy balance.
AlvessonMSköldbergK (2000) Reflexive Methodology: New Vistas for Qualitative Research. Thousand Oaks, CA: SAGE.
2.
AnthonyWA (1993) Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal. 16(4): 11–21.
3.
AnthonyWAJensenMA (1984) Predicting the vocational capacity of the chronically mentally ill: Research and policy implications. American Psychologist. 39(5): 537–544.
4.
Borg M and Davidson L (2008) Recovery as lived in everyday experience. Journal of Mental Health 17(2): 129–141.
5.
Borg M and Kristiansen K (2008) Working on the edge. Everyday life research from Norway on the meaning of work for people recovering in psychosis. Disability & Society 23(5): 511–523.
6.
BoyceMSeckerJJohnsonRFloydMGroveBSchneiderJSladeJ (2008) Mental health service users’ experiences of returning to paid employment. Disability & Society. 23(1): 77–88.
7.
CreswellJW (1998) Qualitative Inquiry and Research Design: Choosing Among Five Traditions. Thousand Oaks, CA: SAGE.
8.
DavidsonL (2003) Living Outside Mental Illness: Qualitative Studies of Recovery in Schizophrenia. New York: New York University Press.
9.
DavidsonLDrakeRESchmutteTDinzeoTAndres-HymanR (2009) Oil and water or oil and vinegar? Evidence-based medicine meets recovery. Community Mental Health Journal. 45: 323–332.
10.
DavidsonLRoeD (2007) Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery. Journal of Mental Health. 16(4): 459–470.
11.
DavidsonLStaynerDALambertSSmithPSledgeWH(2001) Phenomenological and participatory research on schizophrenia. In: TolmanDLByron-MillerM (eds) From Subjects to Subjectivities: A Handbook of Interpretive and Participatory Methods. New York: New York University Press, 163–179.
12.
DeeganPE (2005) The importance of personal medicine: A qualitative study of resilience in people with psychiatric disabilities. Scandinavian Journal of Public Health. 33(66): 29–35.
13.
GewurtzRKirshB (2009) Disruption, disbelief and resistance: A meta-synthesis of disability in the workplace. Work: A Journal of Prevention, Assessment, and Rehabilitation. 34(1): 33–44.
14.
JonesMM (2005) The experience of Bipolar Disorder at work. International Journal of Psychosocial Rehabilitation. 10(1): 61–70.
15.
Karlsson B (2004) The Phenomena of Mania and Suffering–Patients’ and Nurses’ Experiences as a Basis for Knowledge Development in Psychiatric Nursing. Doctorial thesis, Faculty of Medicine, University of Oslo, Norway.
16.
KristensenPMehlumISGravsethHM(2009) Arbeid og yrke: Helsefremmende og helseskadelige faktorer. In: MæhlandJGElstadJINæssøWestinS (eds) Sosial Epidemiologi. Sosiale årsaker til sykdom og helsesvikt (Social epidemiology. Social factors in illness and in health problems). Gyldendal, pp. 152–169.
17.
KrupaT (2004) Employment, recovery and schizophrenia: Integrating health and disorder at work. Psychiatric Rehabilitation Journal. 28(1): 8–15.
18.
KvaleSBrinkmannS (2008) InterViews: Learning the Craft of Qualitative Research Interviewing. London and Thousand Oaks, CA: SAGE.
19.
MarwahaSJohnsonS (2005) Views and experiences of employment among people with psychosis: A qualitative descriptive study. International Journal of Social Psychiatry. 51(4): 302–316.
20.
MichalakEEYathamLNMaxwellVHaleSLamRW (2007) The impact of bipolar disorder upon work functioning: A qualitative analysis. Bipolar Disorders. 9: 126–143.
21.
PerkinsRFarmerPLitchfieldP (2009) Realising Ambitions: Better Employment Support for People with a Mental Health Condition. London, UK: Department for Work and Pensions.
22.
PostRLeverichG (2006) The role of psychosocial stress in the onset and progression of bipolar disorder and its comorbidities: The need for earlier and alternative modes of therapeutic intervention. Development and Psychopathology. 18: 1181–1211.
23.
RalphROCorriganPW (2005) Recovery in Mental Illness: Broadening our Understanding of Wellness. Washington DC: American Psychological Association.
24.
ResnickSGFontanaALehmanAFRosenheckRA (2005) An empirical conceptualization of the recovery orientation. Schizophrenia Research. 75: 119–128.
25.
SladeM (2009) Personal Recovery and Mental Illness. A Guide for Mental Health Professionals. Cambridge: Cambridge University Press.
26.
SmithJA (1994) Towards reflexive practice: Engaging participants as co-researchers or co-analysts in psychological inquiry. Journal of Community & Applied Social Psychology. 4: 253–260.
StarrinBJönssonLR(2006) The finances-shame model and the relation between unemployment and health. In: KieselbachTWinefieldAHBoydCAndersonS (eds) Unemployment and Health – International and Interdisciplinary Perspectives. Brisbane: Australian Academic Press, pp. 75–97.
29.
SutoMMurrayGHaleSAmariEMichalakEE (2010) What works for people with bipolar disorder? Tips from the experts. Journal of Affective Disorders. 124: 76–84.
30.
TewJ(2005) Core themes of social perspectives. In: TewJ (ed.) Social Perspectives in Mental Health: Developing Social Models to Understand and Work with Mental Distress. London: Jessica Kingsley Publishers, pp. 13–32.
31.
Topor A, Borg M, Di Girolamo S and Davidson L (2009) Not just an individual journey: Social aspects of recovery. Journal of Social Psychiatry. Online publication. October 15.
32.
van ManenM (1990) Researching Lived Experience: Human Science for an Action Sensitive Pedagogy. New York: State University of New York Press.
33.
Veseth M, Binder PE, Borg M and Davidson L (2011a) Toward caring for oneself in a life of intense ups and downs. A reflexive-collaborative exploration of recovery in bipolar disorder. Qualitative Health Research. First published on June 8, 2011 as http://qhr.sagepub.com/content/early/2011/06/07/1049732311411487.
34.
Veseth M, Binder PE, Borg M and Davidson L (2011b). How I found out I had a bipolar disorder: A reflexive-collaborative exploration of participants’ experiences of identifying that they are struggling with a severe mental health problem. Manuscript submitted for publication.
35.
WaghornGLloydC (2005) The employment of people with mental illness. Australian e-Journal for Advancement in Mental Health (AeJAMH). 4(2, suppl): 1–43.
36.
WarnerR (1994) Recovery from schizophrenia. Psychiatry and Political Economy. London, UK: Routledge.
