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Getting your player ready...

“The doctor will see you now.”

“One sec,” I said. “I need to get this last sentence down.”

I had begged for an appointment because a scratch on my chin had become much more than a scratch. The lower half of my face was swollen to twice its normal size. I’d spiked fevers off and on all weekend.

But in spite of the fact that I was borderline septic, I had turned the doctor’s waiting room into a temporary office, spreading books, papers and interview notes across three chairs. When the doctor came in, he asked me what I was writing. “An article about workaholics,” I said. He raised an eyebrow. The irony of the situation finally struck me. I put my pen down.

“Workaholics are out of balance,” says Bryan E. Robinson, a therapist in Asheville, N.C., and author of “Chained to the Desk: A Guidebook for Workaholics, Their Partners and Children, and the Clinicians Who Treat Them” (New York University Press, 2001). “They don’t have many friends. They don’t take care of themselves. They don’t have any hobbies outside of the office. A hard worker will be at his desk, thinking about the ski slopes. A workaholic will be on the ski slopes thinking about his desk.”

Americans work almost 200 more hours every year than we did in 1970 – that’s about an extra month. According to Juliet B. Schor, an economist at Boston College in Massachusetts and author of the book “The Overworked American: The Unexpected Decline of Leisure” (Basic Books, 1993), putting in long hours isn’t necessarily problematic. After all, the rewards of hard work – a fatter paycheck, bonus points with the boss, satisfaction from your accomplishments – abound. It’s only when the daily grind eclipses other areas of your life that it’s time to stop and rethink your schedule.

Children of parents with emotional problems are often put on the path to workaholism when they must become responsible for their siblings, housework and sometimes even those checked-out parents. Kids learn that it’s much easier to focus on tasks than to deal with painful feelings, a kind of avoidance that’s often carried into adulthood – something Robinson is familiar with. After his father died when he was in college, he became obsessed with finishing three big papers rather than dealing with his grief. Workaholism, Robinson’s research has shown, is closely correlated with an inability to be intimate, and many of his clients enter treatment because their close relationships are falling apart.

People who are rigid and perfectionist, or those who are born achievers, are more likely to morph into workaholics.

Under the microscope

After almost two decades of research, Robinson has identified a few different breeds:

The All-or-Nothing Workaholic: He does things perfectly or not at all. He struggles to get started on projects for fear of not meeting his own impossible expectations. When he does get rolling, he binges to the point of exhaustion.

The Relentless Workaholic: These types don’t have problems getting started; it’s the stopping they have trouble with. They can’t say “no,” set priorities or delegate.

The Savoring Workaholic: She obsesses over details to the point of paralysis. She hates letting projects go and so will often create additional work whenever she gets close to finishing a task. She tells herself that no one could do it as well as she could.

Workaholics of all stripes are generally terrible team players, says Gayle Porter, a professor of management at Rutgers University in New Jersey. “They allow crisis situations to develop because it makes them look like a hero.”

The result is that workaholics are often not getting much accomplished. That’s why Porter thinks more bosses would do well to reward those who clock out at the end of the day. “The employee who wants to go home is the one who will be most efficient during the week, because she’s protecting her time off.”

Rein in the tendency

Cut your electronic leashes: Eat lunch out of the office without answering your cellphone. No laptops in bed or at the table. No e-mail on weekends.

Prioritize: Learn to decide what must come first. It’s a way to recognize that some things in life simply are more important than others.

Tame Your To-do List: Set a cutoff for the number of tasks that can reasonably be accomplished in a day – no more than five. If a new task must be added, knock another off that demands equivalent time. And schedule time for play.

Forced Resignation: Dire circumstances can push the most severe workaholic off the treadmill.

The top two calls for reform are:

“You’re Killing Yourself”: Workaholism can contribute to an array of health problems; a life-threatening illness is what it takes for some to slow down.

“Dad, Can I Be a Client?” When a child comes home with a drawing of her family that doesn’t include her father, for example, he may finally alter his schedule.

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