Mental health
problems are on the rise among UK academics amid the pressures of
greater job insecurity, constant demand for results and an increasingly
marketised higher education system.
University counselling staff and workplace health experts have seen a
steady increase in numbers seeking help for mental health problems over
the past decade, with research indicating
nearly half of academics show symptoms of psychological distress.
"Culture of acceptance"
A recent
blog on the Guardian Higher Education Network blog,
which highlighted a "culture of acceptance" in universities around
mental health issues, has received an unprecedented response, pointing
to high levels of distress among academics.
The article, which reported instances of depression,
sleep issues, eating disorders, alcoholism, self-harming, and even
suicide attempts among
PhD
students, has been shared hundreds of thousands of times and elicited
comments outlining similar personal experiences from students and
academics.
But while anecdotal accounts multiply, mental health issues in
academia are little-researched and hard data is thin on the ground.
However, a
study published in 2013
by the University and College Union (UCU) used health and safety
executive measures, assessed against a large sample of over 14,000
university employees, to reveal growing stress levels among academics
prompted by heavy workloads, a long hours culture and conflicting
management demands. Academics experience higher stress than those in the
wider population, the survey revealed.
Tackling perfectionism
Pat Hunt, head of Nottingham University's counselling service for
staff and students and a member of the UK body for heads of university
counselling services, said all universities were experiencing an
increase in mental health problems.
"There are increasing levels of anxiety, both generalised and acute,
levels of stress, of depression and levels of what I would call
perfectionism," she says.
"By that I mean when someone is aiming for and constantly expecting
really high standards, so that even when there is a positive outcome
they feel they have fallen short. So instead of internal aspiration
helping them to do well it actually hinders them."
Academics
are also caught up in a range of cycles, from league tables and student
satisfaction surveys to research league tables, that dominate thinking,
she adds. In one case, a department's top position in a research
profile "became a poisonous thing because everyone then fights to
maintain that".
Hunt said higher education should not be stigmatised for the increase
in mental health issues, since it reflected a similar increase in wider
society. Figures show more working days are now lost to the mental
health problems than any other health issue.
Nottingham offers one-to-one and group help to students and staff,
including support specifically targeted at men, who make up only a third
of those seeking help, a figure likely to reflect the continuing stigma
over seeking help for mental illness.
Increased workloads partly to blame
Dr Alan Swann of Imperial College London, chair of the higher
education occupational physicians committee, blamed "demands for
increased product and productivity" for rising levels of mental health
problems among academics.
He says: "They all have to produce results – you are only as good as
your research rating or as good as your ability to bring in funding for
research."
Swann says most academics are stressed rather than mentally unwell:
"They are thinking about their work and the consequences of not being as
good as they should be; they're having difficulty switching off and
feeling guilty if they're not working seven days a week."
Academics and researchers can become isolated and not realise how "out of kilter" their working lives are, he says.
The intense pressure of doctoral and post-doctoral study, and
early-career academia can also reveal existing mental health problems,
he adds. Universities, including Imperial, have improved systems to
help, yet academia remains "pretty macho".
Uncaring academic environment
"There's still a degree of 'if you can't stand the heat, you
shouldn't be here'," says Swann. He says there are "still people in
senior positions in academia who actually don't care".
He adds: "But there are measures to counter that and there has been a
lot of change for the good. What we have not been able to get rid of
are the external pressures from government funding and the academic
marketplace."
Research
by Gail Kinman, professor of occupational health psychology at the
University of Bedfordshire, on behalf of the UCU, offers one of the few
pieces of data on mental health problems among academics.
Kinman used the health and safety executive's health and safety at
work framework to assess the views of some 20,000 academics, and found
"considerably higher" levels of psychological distress than in the
population as a whole.
She points to poor work-life balance as a key factor, with academics
putting in increasing hours as they attempt to respond to high levels of
internal and external scrutiny, a fast pace of change and the notion of
students as customers – leading to demands such as 24-hour limit for
responses to student queries.
Internalised values hard to shake
There are examples of good practice within universities which could
be shared across the sector, Kinman says, but, as an
independently-minded group who are strongly committed to their work,
academics are not always straightforward to support. "We don't like
being told 'you can't email at two in the morning'. You can't impose
solutions from other sectors – academics are quite different and there's
no 'one size fits all'."
And internalised values are hard to shake. Nadine Muller, lecturer in
English literature and cultural history at Liverpool John Moores
University, suggests that academia promotes the blurring of lines
between the personal and the professional – often described as "doing
what you love".
"This means that doctoral and early-career scholars are seldom
trained in how to firmly draw that line and value themselves beyond
their work," says Muller.
UCU says issues relating to mental health are frequently encountered
by its representatives. General secretary Sally Hunt says sufferers
experience particular prejudice at work. "Further and higher education
workers who experience issues relating to mental health face ignorance,
discrimination and stigma from their managers and colleagues.
"Negative and inflexible attitudes can often exclude those with
mental health conditions from being able to do their job. Often these
attitudes can intimidate a person away from feeling able to disclose
their mental health condition at all."
John Hamilton, head of safety, health and wellbeing at Leeds
Metropolitan University, says academics' problems are often a question
of burnout, which he defines as a "significant disengagement" with an
employer, in which a staff member no longer feels in charge of their
role.
Some universities, including his own, are working hard to offer
support, he says, but while many could "definitely do more", there
remains a fundamental problem that some academics simply do not like the
changes in their sector that have taken place over the last 20 years.
"For some, it's going to be a case of 'I'm sorry, but this is the way it
is, this is the political landscape'. So there's an element of putting
up with it."
If academics already in post must wrestle with the stresses of fast
change, what of their successors? Edward Pinkney, a mental health
consultant working in education, says: "Institutions have a broader
civic duty to educate potential academics about the university
environment, so that prospective academics can make a more informed
decision about whether or not to proceed.
"As universities become increasingly businesslike, there's a growing
need for them to be independently monitored to ensure that they are not
just meeting basic standards of support for their members, but also that
they are providing an accurate representation of academic life and not
misselling it."
Mental health in academia: experiences from around the world
PhD in health sciences at a Canadian university
"At the beginning of my PhD, the director of the department gave our
entire cohort a lecture about not getting pregnant and told one of my
friends when she applied for maternity leave that the PhD should be a
time of celibacy. Some of our supervisors publicly and proudly exchanged
stories of failed marriages as if this was the ultimate proof of their
devotion to research. Others gossiped about promising colleagues who
'would have achieved so much more' had they not had children. All of
these subtle and not so subtle hints guaranteed that no graduate
student, especially those with families, would ever sacrifice enough for
their research and would thus, by implication, always be a failure in
some respect."
Lecturer at the Open University, UK
"I had only been working for the university for two years when I
suffered a severe breakdown and was hospitalised. It was very difficult
indeed to even contemplate going back to work but thanks to transition
counselling from the union I was able to resume work after nine months.
The transition counselling was invaluable for a number of reasons; it
was linked to work so helped me to begin to think about going back; it
carried on during my first few weeks back in the workplace, so it was
invaluable in dealing with my feelings at returning to that environment
again; and it enabled me to see my mental health problem as being no
different to any physical one. One of the hardest things to face after a
breakdown is facing the stigma (both real and perceived) that occurs in
the workplace. The union gave practical and psychological support,
without which I would not have been able to return work."
University of Maine School of Law, US
"During my three years of law school, I had to come
to grips with my acceptance of and seeking treatment for depression and
PTSD. I've been lucky to have had a lot of support from close friends,
but I've never shared these issues with the faculty. The law school
culture is effectively one along the lines of 'suck it up'. When I
worked in the law school clinic, I actually hid and lied to my professor
about the fact that I was struggling with suicidal thoughts because I
was afraid of simply being booted out of a clinic I loved. While a very
large amount of law students I have known have coped with mental health
issues and even school-related nervous breakdowns, it's not talked
about, or even admitted beyond close friends."
PhD in chemistry, Bangor University, Wales
"In 2010 I started a PhD in chemistry. A year on, and the pressure
began to build, reaching the point where I had a nervous breakdown. I
spent time going to counselling for help, but then decided to take a
10-month break from the research I was doing. Upon returning I was able
to work for a few months before falling back into depression because I
felt I had no chance of gaining the qualification I desired. I
eventually got to the stage where I felt I was going nowhere and cleared
my desk late one Saturday, saying nothing to anyone that I was leaving.
While suffering from depression, I felt isolated, as everyone around me
was able to get on with their PhDs. I felt I was the problem. I feel I
received some support for my issues but more could have been done to
ease me back into full-time study after returning."
PhD in molecular biology, Uppsala University, Sweden
"My university and department supported me after I admitted I had
been diagnosed with depression. In the beginning I took advantage of
studenthälsan, the university's student health centre. Their team of
psychologists and psychiatrists helped me to find the right long-term
support. Later, my depression worsened and I was offered a private
psychologist at the cost of the department. Yes, my PhD studies are
still a demanding job full of stress, mentally as well as physically,
but I am glad that in the days where death was the only solution to
everything, my colleagues, supervisors and other officials became
friends that just wanted to help me."
If you have been affected by any of the issues mentioned in this piece, contact Samaritans or Nightline.
Are universities doing enough to support academics with mental
health issues? Share your thoughts in the comments below, citing any
relevant research.
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