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정신장애인을 위한 직장편의

Job accommodation for workers with psychiatric disability

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정신장애인 고용 장해 요인에 대해 개인의 기술개발과 환경수정의 두 전략을 표방해온 전통적 직업재활접근이 실질적으로는 전자에만 치중해온 가운데, 대표적 환경수정전략인 직장편의(job accommodation)의 활성화가 절실히 요구되고 있다. 이를 위해 우선적으로 해결되어야할 과제는 전통적 재활접근의 철학적 배경이 되어온 장애에 대한 관점의 전환과 고용성과에 미치는 직장편의의 효과에 대한 경험적 뒷받침이다. 이러한 맥락에서 본 연구는 직장편의를 장애에 대한 새로운 관점을 근간으로 하는 지원패러다임의 개념적 틀에서 조명하고, 직장편의에 대한 경험적 연구의 가장 큰 걸림돌이 되어온 조작적 정의를 기존과는 다른 방식으로 시도하고자 하였다. 또한 직장편의의 요인구조와 고용성과에 대한 직장편의의 요인별 예측적 가치를 경험적으로 검증하고자 하였다. 연구결과, 직장편의의 하위요인으로 대인적 지원, 직무부담, 일정한 작업조건의 세 요인이 추출되었다. 고용성과 측정치로서 직무만족도와 직업기능 각각에 대한 세 요인의 전체적 설명량은 유의하였다. 특히 직무만족도는 세 요인 가운데 대인적 지원에 의해서만 유의하게 설명된 반면, 직업기능은 대인적 지원과 일정한 작업조건 둘 다에 의해 유의하게 설명되었다. 이러한 결과는 고용성과에 미치는 직장편의의 영향력 뿐 아니라 직장편의의 특정 하위유형이 특정 유형의 고용성과와 관련될 가능성을 시사한다. 그 밖의 연구결과의 의의와 미래 연구를 위한 제언이 논의되었다.

Abstract

Traditional vocational rehabilitation has advocated both individual skills development and environmental modification as its major intervention strategies. Ironically, however, practice has been predominated by skill-enhancement interventions. In the midst of a strong emphasis on such individual deficit-focused programs, the development of job accommodation, as an effective environmental modification technique for persons with psychiatric disability, is in the most compelling need. As the impetus to the developing process, this study proposed changes in the view of disability and empirical evidence regarding the positive impacts of job accommodation on employment outcomes. In this context, this study reconceptualized job accommodation from a support paradigm based on a new viewpoint of disability, operationalizing it differently from previous approach which has prevented various research questions from being scientifically investigated. Through the use of procedures more amenable to empirical testing, several research questions such as the subtype of job accommodation and their predictive value for employment outcomes were addressed. Results revealed three factors including in-person support, job demand, and consistency of job condition. Results also indicated that each of employment outcomes(i.e., job satisfaction and job function) was significantly predicted by those three factors. Whereas only in-person support of the three factors contributed significantly to prediction of job satisfaction, two of the three factors(in-person support and consistency of job condition) were significant predictors of job function. These findings suggest not only that accommodation positively affect employment outcomes, but that certain job accommodation are possibly associated with specific employment outcomes. Implications, limitations, and considerations for future study were discussed.

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