We appreciate the important academic discussions that our article (Kensbock, Alkærsig, and Lomberg, 2022) has initiated. Replying to the commentaries by Keyes and Shaman (2022) and Pierce and Rider (2022), we reiterate the goal and purpose of our research questions, including the use of a metaphor. We address theoretical arguments that a “normalization” or “matching” mechanism might account for our findings, and we present additional empirical evidence against these arguments. We address concerns about methodological decisions made and demonstrate that altering those decisions would have little or no effect on our findings and conclusions. In doing so, we reaffirm that the contagion mechanism that we proposed based on a large strand of prior research is the most likely one. Finally, we discuss how and why our study results can prevent (rather than increase) stigmatization of individuals with mental disorders. We encourage future scholarly and societal discussions to bring unhealthy organizations into focus and to develop interventions that prevent the accumulation of mental disorders in organizations.

我们感谢我们的文章（Kensbock、Alkærsig 和 Lomberg，2022 年）发起的重要学术讨论。回应 Keyes and Shaman (2022) 和 Pierce and Rider (2022) 的评论，我们重申我们研究问题的目标和目的，包括使用隐喻。我们解决了“标准化”或“匹配”机制可能解释我们的发现的理论论点，并且我们提供了反对这些论点的额外经验证据。我们解决了对方法决策的担忧，并证明改变这些决策对我们的发现和结论几乎没有影响。在这样做的过程中，我们重申我们基于大量先前研究提出的传染机制是最有可能的。最后，我们讨论了我们的研究结果如何以及为什么可以防止（而不是增加）对精神障碍患者的污名化。我们鼓励未来的学术和社会讨论使不健康的组织成为焦点，并制定干预措施以防止组织中精神障碍的积累。