Paul Bellaby - Sick From Work

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SICK FROM WORK

Sick From Work

The body in employment

PAUL BELLABY

University of East Anglia

First published 1999 by Ashgate Publishing

Reissued 2018 by Routledge

2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN

711 Third Avenue, New York, NY 10017, USA

Routledge is an imprint of the Taylor & Francis Group, an informa business

Copyright Paul Bellaby 1999

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Notice:

Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.

Publishers Note

The publisher has gone to great lengths to ensure the quality of this reprint but points out that some imperfections in the original copies may be apparent.

Disclaimer

The publisher has made every effort to trace copyright holders and welcomes correspondence from those they have been unable to contact.

A Library of Congress record exists under LC control number: 99073631

ISBN 13: 978-1-138-34550-8 (hbk)

ISBN 13: 978-1-138-34551-5 (pbk)

ISBN 13: 978-0-429-43784-7 (ebk)

Contents

The work drawn together in this book has been carried out over a considerable period, and so I have many debts, some to referees reports on papers that have been or are about to be published:

(1986)Please boss, can I leave the line? A sociological alternative to stress and coping discourse in explaining sickness at work. International Journal of Sociology and Social Policy 6: 52-68.

(1987) The perpetuation of a folk model of the life cycle and kinship in a pottery factory, In Bryman, A., Bytheway, W., Allatt, P. and Keil, T. (eds), Rethinking the Life Cycle, Basingstoke: Macmillan.

(1989) The social meanings of time off work: a case study from a pottery factory, Annals of Occupational Hygiene, 33: 423-38.

(1990a) What is a genuine sickness? The relation between work-discipline and the sick role in a pottery factory, Sociology of Health and Illness, 12: 47-68.

(1990b) To risk or not to risk? Uses and limitations of Mary Douglas on risk-acceptability for understanding health and safety at work and road accidents, Sociological Review, 38: 465-83.

(1992) Broken rhythms and unmet deadlines: workers and managers time-perspectives, In Frankenberg, R.J. (ed), Time, Health and Medicine, London: Sage.

(1999) Spatiality, embodiment and risks encountered in the making of pots, Social Science and Medicine, 48: 1321-32.

(1999) (with Felix Bellaby) Unemployment and ill health: local labour markets and ill health in Britain 1984-1991, Work, Employment and Society, forthcoming.

Mildred Blaxter, as medical sociologist, and Theo Nichols, as industrial sociologist, were kind enough to provide comments in quick order on the almost completed manuscript of the book as a whole. My thanks also to Barbara Bellaby, Jill Maguire and Hazel Taylor who made it read better and sound more sensible. My valued research colleagues include Felix Bellaby, Sheila Cleverly, Diana Gilbert and, perhaps above all, Judith Sidaway. Mildred Blaxter and Ronnie Frankenberg encouraged me to write. All field workers depend on people who selflessly allow themselves to be observed and questioned. Though they must remain anonymous, I dedicate the book to them.

ACAS	Advisory, Conciliation and Arbitration Service (UK)
ADA	Americans with Disabilities Act 1990
AWOL	Absent Without Leave
BCMF	British Ceramic Manufacturers Federation
CATU	Ceramic and Allied Trades Union
DDA	Disabilities and Discrimination Act (UK) 1995
DIY	Do-It-Yourself
ESRC	Economic and Social Research Council (UK)
ESSP	Employers Statutory Sickness Payment (UK)
EU	European Union
FEV	Forced Expiratory Volume
GHS	OPCS (ONS) General Household Survey
GP	General Practitioner (Medical)
HALS	Health and Lifestyles Survey (GB)
HMSO	Her Majestys Stationery Office
HSE	Health and Safety Executive (UK)
HSWA	Health and Safety at Work Act (UK) 1973
ICD	International Classification of Diseases
ILO	International Labour Organization
JCC	Joint Consultative Council
LFS	Labour Force Survey (EU)
LS	OPCS (ONS) Longitudinal Study
ONS	Office of National Statistics (UK)
OPCS	Office of Population Censuses and Surveys (UK)
PMS	Pre-Menstrual Stress
PSSI	Personal Social Support Index
QC	Quality Circle
RGSC	Registrar Generals Social Class
RIDDOR	Reporting of Injuries, Diseases & Dangerous Occurrences Regs
SEG	Socio-Economic Group
SES	Socio-Economic Status
SMR	Standard Mortality Ratio
SWD	Single, Widowed, Divorced
TTWA	Travel to Work Area

When you come to a patients house, you should ask what sort of pains he has, what caused them, how many days he has been ill, whether the bowels are working and what sort of food he eats. So says Hippocrates in his work Affections. I may venture to add one more question: What occupation does he follow? Bernadino Ramazzini, 1633-1714 (1940, Preface).

In his Discourse on the Diseases of Occupations, Ramazzini claims to identify the mark left by each occupation. For example, a middle-aged tailor is known by his bent back, crooked legs, and short sightedness, produced by sitting cross-legged over his sewing in dim light. So exact is the correspondence between impairment and occupation that a physician might shortcut a diagnosis if he first finds out what a mans occupation has been.

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