Abstract

A symposium on Expatriate Stress and Breakdown was held on 27 October 1983 in London under the auspices of Guy's Hospital and Charter Medical to bring together psychiatrists, psychologists, sociologists and physicians with an interest in occupational health. Since the 1920s, when one-fifth of the British employees of the Anglo-Persian Oil Company suffered from ‘tropical neurasthenia’, little has been published on this topic.

Highlights

  • A symposium on Expatriate Stress and Breakdown was held on 27 October 1983 in London under the auspices of Guy's Hospital and Charter Medical to bring together psychiatrists, psychologists, sociologists and physicians with an interest in occupational health

  • It has been claimed that one major British company consistently select one-third more employees for overseas service than it requires, while another company allocates an extra 30 per cent of its annual expatriate budget to cover the cost of failures

  • While frank psychiatric breakdown will account for a significant proportion of these failures, by far the majority will not be seen by psychiatrists and many returnees will have problems with alcohol, substance abuse, marital breakdown, psychosomatic illness or poor work performance

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Summary

Introduction

A symposium on Expatriate Stress and Breakdown was held on 27 October 1983 in London under the auspices of Guy's Hospital and Charter Medical to bring together psychiatrists, psychologists, sociologists and physicians with an interest in occupational health. It has been claimed that one major British company consistently select one-third more employees for overseas service than it requires, while another company allocates an extra 30 per cent of its annual expatriate budget to cover the cost of failures. D. Wickenden (Director of Army Psyohiatry) said that the Army enforces rigorous screening procedures and while the total numbers are small, psychiatric disorder still accounts for the second largest source of medical evacuation and medical discharge.

Results
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