Religious attributions pertaining to the causes and cures of mental illness

In this Australian study, 126 Protestant Christian participants, 52 females and 74 males, were assessed for their beliefs about the importance of 26 causal variables and 25 treatment variables for two mental disorders: Major Depression and Schizophrenia. Factor analysis revealed four causal factors, common to both conditions, labelled as religious factors, physical factors, coping style and social/environmental stressors. Furthermore, four treatment factors emerged: religious means, professional help, help from others (non-professional) and self-initiated means. Explanatory variables for these beliefs were assessed using: a Religious Beliefs Inventory (RBI) to measure religious beliefs; a Values Survey (VS) including a measure of Christian religious values; and a Religion and Mental Health Inventory (RMHI) to measure cognitive dissonance (cf. Festinger, 1957 Festinger L 1957 A Theory of cognitive dissonance Evanston IL Row & Peterson  [Google Scholar]) between religious faith and perceptions of mental-health principles. The results revealed that religious beliefs, religious values and cognitive dissonance function as predictors of the attribution of the causes and treatments, for Major Depression and Schizophrenia, to religious factors. An additional finding of this study was that 38.2% of the participants endorsed a demonic aetiology of Major Depression, and 37.4% of the participants endorsed a demonic aetiology of Schizophrenia.     

Spatial distance and mental construal of social events

Construal-level theory proposes that increasing the reported spatial distance of events leads individuals to represent the events by their central, abstract, global features (high-level construal) rather than by their peripheral, concrete, local features (low-level construal). Results of two experiments indicated that participants preferred to identify actions as ends rather than as means to a greater extent when these actions occurred at a spatially distant, as opposed to near, location (Study 1), and that they used more abstract language to recall spatially distant events, compared with near events (Study 2). These findings suggest that spatially distant events are associated with high-level construals, and that spatial distance can be conceptualized as a dimension of psychological distance.     

Familiarity with and social distance from people with mental illness: Testing the mediating effects of prejudiced attitudes

The purpose of this study was to examine prejudiced attitudes as a factor associated with social distance from people with mental illness. A total of 289 university students from Greece completed written measures assessing social distance from, prejudiced attitudes about, and familiarity with mental illness. A structural equation model with manifest variables was tested. Participants who reported to be more familiar with mental illness held stronger social care and weaker prejudiced beliefs, and consequently expressed a less strong desire for social distance. Implications of the results and suggestions for future research are outlined. Copyright © 2011 John Wiley & Sons, Ltd.     

The stigma of having a parent with mental illness: Genetic attributions and associative stigma

Children often report associative stigma because they are ‘contaminated’ by association with a parent who has a mental illness. An exploratory study was conducted to investigate the role of genetic attributions in the aetiology of associative stigma. The first hypothesis was that genetic attributions would predict associative stigma over and above the contribution of biochemical and stressful‐event attributions, while the second hypothesis was that the relationship between genetic attributions and associative stigma would be mediated by the perceived likelihood that children would develop the same disorder as their parents. Two‐hundred‐and‐two individuals were asked to read a hypothetical scenario describing a teenage girl whose mother had been diagnosed with either schizophrenia or depression. Both hypotheses were supported. The findings of the study have implications for a number of professions working in the community such as teachers and psychologists. Additional avenues for future research are also explored.     

Self-efficacy and causal attributions for social feedback

The intent of this research was to determine whether an individual's sense of self-efficacy in a social situation influenced his or her causal attributions for outcomes. Male and female subjects were selected on the basis of high- or low-efficacy expectations for a social interaction and were provided with either positive or negative feedback on their social performance. The predicted self-efficacy-outcome interaction emerged, though only on the most salient causal factors. Feedback that was inconsistent with perceptions of efficacy was more likely to be attributed to external factors than was expectancy consistent information. Perceptions of self-efficacy were also associated with anxiety, raising the possibility that the self-efficacy-attribution relation was mediated by arousal. Causal explanations were collected in an open-ended pilot assessment process. The causal factor that emerged in this social task were compared to those identified in earlier studies of social situations.     

Knowledge and causal attributions for mental disorders in HIV-positive children and adolescents: results from rural and urban Uganda

Increasing availability of antiretroviral treatment (ART) has led HIV to be considered a chronic disease, shifting attention to focus on quality of life including mental wellbeing. We investigated knowledge and causal attributions for mental disorders in HIV-positive children and adolescents in rural and urban Uganda. This qualitative study was nested in an epidemiological mental health study among HIV-positive children and adolescents aged 5–17 years in rural and urban Uganda. In-depth interviews were conducted with caregivers of HIV-positive children (5–11 years) and adolescents (12–17 years) in HIV care. Interviews were audio recorded with permission from participants and written consent and assent sought before study procedures. Thirty eight participants (19 caregivers, 19 children/adolescents) were interviewed. Age range of caregivers was 28–69 years; majority were female (17). Caregivers had little knowledge on mental disorders ;only 3 related the vignette to a mental problem and attributed it to: improper upbringing, violence, poverty and bereavement. Five adolescents identified vignettes as portraying mental disorders caused by: ill-health of parents, bereavement, child abuse, discrimination, HIV and poverty. Caregivers are not knowledgeable about behavioural and emotional challenges in HIV-positive children/adolescents. Mental health literacy programmes at HIV care clinics are essential to enhance treatment-seeking for mental health.     

Physical symptoms and illness attributions in agoraphobia and panic.

The cognitive model of panic disorder proposes that panic patients interpret physical symptoms in a catastrophic way, thus precipitating panic attacks. This study describes the development of a questionnaire measure designed to assess beliefs about the health implications of various symptoms. Two groups, agoraphobics and normals, were compared on a variety of measures. Agoraphobics showed much higher panic frequency, fear of anxiety, and prevalence of frightening cognitions when anxious, but did not score higher than normals when assessing seriousness of symptoms. The implications of these results are considered.     

Virtual voices: social support and stigma in postnatal mental illness Internet forums

Many women with postnatal mental illness do not get the treatment they need and this is often because stigma prevents disclosure. The purpose of this study was to explore online social support for postnatal mental illness, how women experience stigma and potential disadvantages of using Internet forums. Interviews were conducted with fifteen participants who had suffered postnatal mental illness and had used forums. Systematic thematic analysis identified common themes in relation to social support, stigma and disadvantages of using forums. Most women felt they benefited from visiting forums by developing a shared understanding and discourse about their illness. Findings suggest future research should investigate if women benefit from using online social support provided by forums, if use challenges stigma and further explore potential concerns about using forums.     

Verbal accounts and attributions of social motives

The effects of verbal accounts offered by a threatener on targets' subsequent attributions of the threatener's social motives was studied. Following a standardized interaction in a Prisoner's Dilemma game the subjects' opponent offered one of three accounts for using threats: cooperative intent, establishment of transrelational equity, or ignorance. In a fourth condition the confederate offered no account for his actions. Attributions were assessed by having subjects rate each of four responses representative of the social motives of cooperation, competition, apathy, and deceit in five different situations. It was found that the type of account had specific attributional effects. A cooperative account led to a correspondent inference of a cooperative disposition, a transrelational equity account was apparently perceived as illegitimate and led to an attribution of a deceitful motive, and an excuse of ignorance was linked with apathy.     

Type of academic training and causal attributions for social problems

To provide evidence of the effects of academic training on causal attributions, university students in social science, commerce and engineering were compared at different points of their training in terms of their explanations of poverty and unemployment. Results of cross-sectional analyses showed no field differences in causal attributions at the beginning of the first academic year but significant differences at the end of the year, with social science students blaming the system more than commerce or engineering students. Longitudinal analysis showed that, within a six-month interval, the causal attributions of the students changed significantly as a function of their field of study. Differential employment prospects, while not accounting for the effects of academic training, were found to be related to attributional change. These results confirm the hypothesis that causal attributions are affected by socialization in a particular culture and that exposure to the culture of the social sciences reinforces a system-blame ideology. The implications of these findings for theories of the attribution process and theories of intergroup relations are discussed.     

Decisional capacity in mental illness and substance use disorders: empirical database and policy implications

Debates on decisional capacity in people with mental illnesses or substance use disorders have tended to be heated. Yet, they are often based not on empirical data but on personal opinions and experiences. The empirical database in this area is quite limited, but has been growing in recent years. The following discussion focuses on relevant clinical investigations. We consider variations across and within different diagnoses, barriers to decision-making, methods for assessing capacity—interview versus instruments, choosing from among different capacity instruments, decisional capacity—is it a state or a trait?, triggers for assessment of decisional capacity, methods for enhancing capacity, and decisional capacity in people with substance use disorders. Finally, we discuss some relevant health policy recommendations. Copyright © 2006 John Wiley & Sons, Ltd.     

Agency attributions of mental effort during self-regulated learning

Previous results suggest that the monitoring of one’s own performance during self-regulated learning is mediated by self-agency attributions and that these attributions can be influenced by poststudy effort-framing instructions. These results pose a challenge to the study of issues of self-agency in metacognition when the objects of self-regulation are mental operations rather than motor actions that have observable outcomes. When participants studied items in Experiment 1 under time pressure, they invested greater study effort in the easier items in the list. However, the effects of effort framing were the same as when learners typically invest more study effort in the more difficult items: Judgments of learning (JOLs) decreased with effort when instructions biased the attribution of effort to nonagentic sources but increased when they biased attribution to agentic sources. However, the effects of effort framing were constrained by parameters of the study task: Interitem differences in difficulty constrained the attribution of effort to agentic regulation (Experiment 2) whereas interitem differences in the incentive for recall constrained the attribution of effort to nonagentic sources (Experiment 3). The results suggest that the regulation and attribution of effort during self-regulated learning occur within a module that is dissociated from the learner’s superordinate agenda but is sensitive to parameters of the task. A model specifies the stage at which effort framing affects the effort–JOL relationship by biasing the attribution of effort to agentic or nonagentic sources. The potentialities that exist in metacognition for the investigation of issues of self-agency are discussed.     

Alterations of social attention in mental disorders: Phenomenology,scope, and future directions for research

Mental disorders often involve changes in the way subjects attend to other people. However, the nature of these modifications and how they unfold in different pathologies are not sufficiently clear. This article addresses these issues from the perspective of phenomenological psychopathology. The primary goal of the article is to suggest a new way of assessing and distinguishing the alterations of social attention in subjects with mental disorders. The first part of the article characterizes the essential properties of a capacity for social attention based on multidisciplinary evidence. This model is then used to examine anomalies in social attention in autism, schizophrenia, borderline personality disorder, and social anxiety disorder. The analysis of alterations in the way subjects with different types of pathologies attend to and with others is followed by a threefold typology, which clarifies the phenomenal nature of impairments of social attention in mental disorders.