PSYCHIATRIC STUDY OF COAL MINERS IN EASTERN KENTUCKY AREA
CARL WIESEL M. D., and
MALCOLM ARNY 1
1 Psychiatric Social Worker, Harlan County Mental Hygiene Clinic, Harlan, Ky.
1. The social and cultural background of the Eastern Kentucky coal miner is described.
2. A "miner's syndrome" is commonly seen in the miner past 40. This is characterized by numerous somatic complaints, a passive dependent attitude, and an outstanding lack of anxiety, with rationalizations based upon having been exposed to "bad air," hard work, and "nerves being run down." Certain theories are advanced to explain the lack of anxiety.
3. The clinical picture of the younger miner is described. This differs from the older age group in that anxiety is manifested on a conscious level. This is related to changes occurring in the social and cultural background as well as an overt fear of occupational dangers.
4. Advantages and disadvantages of the United Mine Workers of America Welfare and Retirement Fund are discussed. The Fund serves as a source of security to the miner and offers definite benefits; at the same time it fosters dependency and a chronic invalid reaction based on fear of the hazards of mining as well as a desire for compensation.
