The Mobbing Encyclopaedia
Bullying; Whistleblowing
Sixty-four patients at a Swedish special clinic
Part 1: Description of the patients
© Heinz Leymann - file 32231e
The now-defunct Swedish clinic, "ViolenÒ, specialized
in treating patients with the diagnosis PTSD after years of heavy mobbing
in the workplaces. The 64 patients, described here, were the first 64 patients
who came to this clinic. What kind of patients were they? What occupational
branches did they represent? In what mental and physical condition did
they arrive? This will be discussed in two sections below regarding the
patients bio- and socio-economic situation (see below) as well as their
diagnostical data.
THE PATIENT´S BIO- AND SOCIO-ECONOMIC DATA
The number of patients and gender information: Of the 64 patients,
20 (31%) were men and 44 (69%) women. The gender distribution cannot be
interpreted in respect to conditions on a national scale, and indicates
only the percentual distribution between men and women among the patients
who happened to be referred to us.
Age: The majority of the patients were between 41 and 50 years
old (53% or 34 individuals). 23%, or 15 individuals, were between 51 and
60 years of age. 13%, or 8 individuals, are between 31 and 40 years. 5%,
or 3 individuals, were either over 61 years old or under 30 respectively.
For one individual, age information is missing. A correlation between age
and gender indicates that women and men had the same age distribution.
Position: Of 14 individuals, 22%, had work leadership assignments,
the other did not.
Occupation: The table below shows patient affiliation in 11 occupational
groups. These constitute a summary of the trade survey in Sweden's statistical
yearbook (1994). This yearbook´s table 204 deals with the gainfully
employed population according to branches of business or industry in November
1991). The column on the right gives the expected percentage according
to the country's population. The left column shows the patients´
occupational affiliations.
Table: The patients' trade affiliation compared with that of the gainfully
employed population's trade affiliation in Sweden. The patient group (64
persons) is not representative for Swedish conditions.
| Trade affiliation | The patient groups at the clinic | Sweden's working population | Over- or underrepresentation by comparison |
| 01 Industr. companies | 6.3% | 19.7% | - |
| 02 Trade, stockroom | 1.6% | 11.6% | - |
| 03 Public adm. & soc. work (child, elderly care etc.) | 23.4% |
12.5% |
+ |
| 04 Forest/Farming | 3.1% | 2.7% | |
| 05 Health care | 23.4% | 10.3% | + |
| 06 School/University | 6.3% | 6.2% | |
| 07 Religious organiz:s | 6.3% | 0.6% | + |
| 08 Administration and office | 7.8% |
(8+9 together: |
|
| 09 Technique/data | 7.8% | 11.8%) | |
| 10 Bank and auditing | 4.7% | 3.6% | |
| 11 Other | 9.4% | 21.0% | - |
It must be pointed out that public administration and social work (which
include care of children and the elderly), health care, and work in religious
organizations (which includes the Lutheran Swedish church) are overrepresented
regarding the number of mobbing victims, whereas industrial companies (manufacturing
and mechanical industry), trade and stockroom work together with other
branches of business or industry are underrepresented. Our patient group
was thus not nationally representative for all employees diagnosed with
PTSD due to victimization at work or other reasons. Other studies show,
nevertheless, trends that do correspond (Leymann, 1992a, 1992b, 1992c,
1992e, Leymann & Gustafsson in print, Leymann & Tallgren 1989,
Leymann & Lindroth 1992).
Diagnosis: In 59 individuals, PTSD
was diagnosed; the remaining 5 suffered from dystymi (popularly expressed
as psychological burnout). These 5 had the same scores in the PTSD
categories B to E, but lacked a traumatic course of events in their occupational
situations.
The patients' average strain period: By "strain time"
I mean the length of time during which the patients were subjected to mobbing
activities resulting in emotional strain. The strain time that the patients
had to experience was very long. This period was estimated from the time
at which the patient's psychosocial working environment had become mentally
disturbing until it became traumatic (see the chronological
description of mobbing phases).
In the table below, it can be seen that only 15% of the patients had
a strain period of less than one year. Just as many, namely 15% had a strain
period exceeding 8 years! Most of the patients, 54%, had a strain period
between 2 and 8 years. There was no difference between women and men.
Table: Strain period (mobbing) in number of months and according
to sex (n=61, 3 drop outs)
| Number of months | Total: n=61 | Men: n=19 | Women: n=42 |
| -11 | 9 (15%) | 11% | 17% |
| 12-24 | 10 (16%) | 21% | 14% |
| 25-48 | 12 (20%) | 21% | 19% |
| 49-96 | 21 (34%) | 32% | 36% |
| 97- | 9 (15%) | 16% | 14% |