Literature Review on the Relationship Between Employment and Autonomy of Individuals with Mental Illness

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Yumi Yuzawa
Jun Yaeda


autonomy, employment support, psychiatric disabilities


Four themes were identified from the literature review as factors of autonomy in the employment process of people with psychiatric disabilities. The results indicated that support for increasing autonomy might be basic and common to different interventions and its specific techniques are issue to be pursued in future research.

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Anthony, W. A., & Blanch, A. (1987). Supported employment for persons who are psychiatrically disabled: An historical and conceptual perspective. Psychosocial Rehabilitation Journal, 11(2), 5-23.
Becker, D.R., & Drake, R.E. (2003). A working life for people with severe mental illness. New York: Oxford University Press.
Choi, K.H., Fiszdon, J.M., & Bell, M.D. (2013). Beyond cognition: A longitudinal investigation of the role of motivation during a vocational rehabilitation program. The Journal of Nervous and Mental Disease, 201(3), 173–8.
Cabinet Office (Japan, 2019). 障害者白書, 障害者の状況 [Annual Report on Government Measures for Persons with Disabilities, Status of People with Disabilities].
Croft, B., Isvan, N., Parish, S.L., & Mahoney, K.J. (2018). Housing and employment outcomes for mental health Self-Direction participants. Psychiatric Services, 69(7), 819-825.
Davidson, L., Stayner, D. A., Lambert, S., Smith, P., & Sledge, W. H. (1997). Phenomenological and participatory research on schizophrenia: Recovering the person in theory and practice. Journal of Social Issues, 53(4), 767-784.
Deci, E. L., & Ryan, R. M. (2000). The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227-268.
Dunn, E.C., Wewiorski, N. J., & Rogers, E. S. (2008). The meaning and importance of employment to people in recovery from serious mental illness: Results of a qualitative study. Psychiatric Rehabilitation Journal, 32(1), 59–62.
Ellingsen-Dalskau, L. H., Morken, M., Berget, B., & Pedersen, I. (2016). Autonomy support and need satisfaction in prevocational programs on care farms: The self-determination theory perspective. Work, 53,73–85.
Employment Security Bureau of the Ministry of Health, Labour and Welfare (Japan, 2017). 障害者雇用の現状 [Current state of employment of people with disabilities in Japan].
Employment Security Bureau of the Ministry of Health, Labour and Welfare (Japan, 2019). 平成30年度障害者雇用実態調査結果 [Results of a survey on the employment of people with disabilities in Japan (FY2018)].
Foote, J., DeLuca, A., Magura, S., Warner, A., Grand, A., Rosenblum, A., & Stahl, S. (1999). A group motivational treatment for chemical dependence. Journal of Substance Abuse Treatment, 17(3), 181–192.
Halvari, H., Healey, J., Olafsen, A. H., Byrkjeland, R., Deci, E. L., & Williams, G. C. (2017). Physical activity and motivational predictors of changes in health behavior and health among DM2 and CAD patients. Scandinavian Journal of Medicine & Science in Sports, 27(11), 1454–1469.
Heerings, M., Bovenkamp, H., Cardol, M., & Bal, R. (2020). Ethical dilemmas of participation of service users with serious mental illness: A thematic synthesis. Issues in Mental Health Nursing, 41(4), 283–295
Iwanaga, K., Chan, F., Tansey, T. N., Strauser, D., Ritter, E., Bishop, M., & Brooks, J. (2019). Working alliance and stages of change for employment: The intermediary role of autonomous motivation, outcome expectancy and vocational rehabilitation engagement. The Journal of Occupational Rehabilitation, 29(2), 315-324.
Macias, C., Aronson, E., Hargreaves, W., Weary, G., Barreira, P. J., Harvey, J.,… Fisher, W. (2009). Transforming dissatisfaction with services into self-determination: A social psychological perspective on community program effectiveness. Journal of Applied Social Psychology, 39(8), 1835-1859.
Malmanche, J. & Robertson, L. (2015). The experience of KAI MAHI, an employment initiative for people with an experience of mental illness, as told by Zarna, Zeus, Lulu, Mary, Paul, and Hemi. Community Mental Health Journal, 51(8), 880-887.
Michalak, J., Klappheck, M. A., & Kosfelder, J. (2004). Personal goals of psychotherapy patients: The intensity and the “why” of goal-motivated behavior and their implications for the therapeutic process. Psychotherapy Research, 14(2), 193–209.
Ministry of Health, Labour and Welfare (Japan, 2018). Annual Health, Labour and Welfare Report - Achieve a society in which everyone can play an active role while coping with disabilities, illnesses or other hardships.
Moran, G. S., Russinova, Z., Yim, J. Y., & Sprague, C. (2014). Motivations of persons with psychiatric disabilities to work in mental health peer services: A qualitative study using self-determination theory. Journal of Occupational Rehabilitation, 24(1), 32-41.
Mutschler, C., Lichtenstein, S., Kidd, S. A., & Davidson, L. (2019). Transition experiences following psychiatric hospitalization: A systematic review of the literature. Community Mental Health Journal, 55(8), 1255–1274.
Nishimura, T. (2019). 自己決定理論 [Self-determination Theory]. In Ueno, H., & Ohashi, O. (Eds), 新動機づけ研究の最前線 [Frontiers of Motivational Research] (pp.45-73). Kyoto, Japan: Kitaoji Shobo Publishing.
Provencher, H.L., Gregg, R., Mead, S., & Mueser, K. T. (2002). The role of work in the recovery of persons with psychiatric disabilities. Psychiatric Rehabilitation Journal, 26(2), 132-144
Rodgers, B.L. (2000). Concept analysis: An evolutionary view. In Rodgers, B. L. & Knafl, K. A. (Eds.), Concept development in nursing: Foundations, techniques, and applications 2nd Ed (pp.77-102). Philadelphia: Saunders.
Ryan, R. M., & Deci, E. L. (2006). Self-regulation and the problem of human autonomy: Does psychology need choice, self-determination, and will? Journal of Personality, 74(6), 1557-1586.
Ryan, R. M., & Deci, E. L. (2008). A self-determination theory approach to psychotherapy: The motivational basis for effective change. Canadian Psychology, 49(3), 186–193.
Strong, S. (1998) Meaningful work in supportive environments: Experiences with the recovery process. The American Journal of Occupational Therapy, 52(1), 31-38.
Suijkerbuijk, Y. B., Schaafsma, F. G., van Mechelen, J. C., Ojajärvi, A., Corbière, M., & Anema, J. R. (2017). Interventions for obtaining and maintaining employment in adults with severe mental illness, a Network Meta‐Analysis. Cochrane Database of Systematic Reviews, 9(9): CD011867.
Tanaka K., & Davidson L. (2015). Meanings associated with the core component of clubhouse life: The work-ordered day. Psychiatric Quarterly, 86(2), 269-83.
Urlic, K., & Lentin, P. (2010). Exploration of the occupations of people with Schizophrenia. Australian Occupational Therapy Journal, 57(5), 310-317.