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Disclosure dilemmas: how people with a mental health condition perceive and manage disclosure at work.

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Title: Disclosure dilemmas: how people with a mental health condition perceive and manage disclosure at work.
Authors: Toth, Kate E., Yvon, Florence, Villotti, Patrizia, Lecomte, Tania, Lachance, Jean-Philippe, Kirsh, Bonnie, Stuart, Heather, Berbiche, Djamal, Corbière, Marc
Source: Disability & Rehabilitation. Dec2022, Vol. 44 Issue 25, p7791-7801. 11p.
Subjects: Disclosure, Work environment, Psychotherapy patients, Employee attitudes, Social support, Labor productivity, Vocational guidance, Research methodology, Motivation (Psychology), Interviewing, Social stigma, Qualitative research, Self-efficacy, Psychosocial factors, Health, Information resources, Decision making, Sound recordings, Interpersonal relations, Employment, Job satisfaction, Research funding, Supervision of employees, Judgment sampling, Content analysis, Management styles, Supported employment, Mental illness, Goal (Psychology)
Abstract: Little research has explored the process of disclosure decision-making from antecedents to outcomes. This paper presents a model of decision-making about disclosure of a mental health condition to the immediate supervisor in the workplace shortly after starting a new job. A qualitative descriptive design was employed to explore participants' experiences of the disclosure decision-making process, the disclosure event itself (if applicable), and their perceptions of the impact of the decision on personal, interpersonal, and organizational outcomes. The transcripts were coded and analyzed using directed content analysis. Twenty-eight participants were purposively selected to represent different disclosure decisions, sex, diagnoses, and maintenance of employment. Analysis identified goals and conditions/context were important antecedents for the disclosure decision. All participants discussed concerns about prejudice and discrimination if they disclosed, and, for those who chose to disclose, high stress and anxiety were described during the disclosure event; however, supervisor reactions were generally described as positive. Regardless of the disclosure strategy adopted, participants reported that their disclosure decision helped to support their self-acceptance and recovery. For those who disclosed, most perceived a positive response by their supervisor. However, the pervasive concerns of prejudice indicate there is still much work to be done. Decision-making about disclosure of a mental health condition to the immediate supervisor in the workplace is a complex process. Disclosure goals, the relationship with the supervisor and the workplace context are important antecedents to the disclosure decision. Careful consideration should be given to the planning of disclosure, particularly related to what information will be shared, how it will be shared, and an appropriate level of emotional content to enhance the likelihood of a positive response from the supervisor. Disclosure planning should take the supervisor's style and organizational norms into account. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Disclosure dilemmas: how people with a mental health condition perceive and manage disclosure at work.
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  Data: <searchLink fieldCode="AR" term="%22Toth%2C+Kate+E%2E%22">Toth, Kate E.</searchLink><br /><searchLink fieldCode="AR" term="%22Yvon%2C+Florence%22">Yvon, Florence</searchLink><br /><searchLink fieldCode="AR" term="%22Villotti%2C+Patrizia%22">Villotti, Patrizia</searchLink><br /><searchLink fieldCode="AR" term="%22Lecomte%2C+Tania%22">Lecomte, Tania</searchLink><br /><searchLink fieldCode="AR" term="%22Lachance%2C+Jean-Philippe%22">Lachance, Jean-Philippe</searchLink><br /><searchLink fieldCode="AR" term="%22Kirsh%2C+Bonnie%22">Kirsh, Bonnie</searchLink><br /><searchLink fieldCode="AR" term="%22Stuart%2C+Heather%22">Stuart, Heather</searchLink><br /><searchLink fieldCode="AR" term="%22Berbiche%2C+Djamal%22">Berbiche, Djamal</searchLink><br /><searchLink fieldCode="AR" term="%22Corbière%2C+Marc%22">Corbière, Marc</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Dec2022, Vol. 44 Issue 25, p7791-7801. 11p.
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  Data: Little research has explored the process of disclosure decision-making from antecedents to outcomes. This paper presents a model of decision-making about disclosure of a mental health condition to the immediate supervisor in the workplace shortly after starting a new job. A qualitative descriptive design was employed to explore participants' experiences of the disclosure decision-making process, the disclosure event itself (if applicable), and their perceptions of the impact of the decision on personal, interpersonal, and organizational outcomes. The transcripts were coded and analyzed using directed content analysis. Twenty-eight participants were purposively selected to represent different disclosure decisions, sex, diagnoses, and maintenance of employment. Analysis identified goals and conditions/context were important antecedents for the disclosure decision. All participants discussed concerns about prejudice and discrimination if they disclosed, and, for those who chose to disclose, high stress and anxiety were described during the disclosure event; however, supervisor reactions were generally described as positive. Regardless of the disclosure strategy adopted, participants reported that their disclosure decision helped to support their self-acceptance and recovery. For those who disclosed, most perceived a positive response by their supervisor. However, the pervasive concerns of prejudice indicate there is still much work to be done. Decision-making about disclosure of a mental health condition to the immediate supervisor in the workplace is a complex process. Disclosure goals, the relationship with the supervisor and the workplace context are important antecedents to the disclosure decision. Careful consideration should be given to the planning of disclosure, particularly related to what information will be shared, how it will be shared, and an appropriate level of emotional content to enhance the likelihood of a positive response from the supervisor. Disclosure planning should take the supervisor's style and organizational norms into account. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09638288.2021.1998667
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        Text: English
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    Subjects:
      – SubjectFull: Disclosure
        Type: general
      – SubjectFull: Work environment
        Type: general
      – SubjectFull: Psychotherapy patients
        Type: general
      – SubjectFull: Employee attitudes
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      – SubjectFull: Labor productivity
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      – SubjectFull: Vocational guidance
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Social stigma
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      – SubjectFull: Qualitative research
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      – SubjectFull: Self-efficacy
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      – SubjectFull: Psychosocial factors
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      – SubjectFull: Health
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      – SubjectFull: Information resources
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      – SubjectFull: Decision making
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      – SubjectFull: Sound recordings
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      – SubjectFull: Mental illness
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              Text: Dec2022
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