Self-blame, compliance, and distress among burn patients

This study addressed self-blame and adaptation by using data collected from 49 patients hospitalized for the treatment of acute burn wounds. Nurses and physical therapists rated patients' compliance with the therapeutic activities essential for proper healing, and they rated pain behavior. After controlling for burn severity and time since admission, regression analyses showed that behavioral self-blame for the burn accident was a significant predictor of poorer compliance with nurses, more pain behavior, and greater depression. People with a prior psychiatric history were also more depressed and more likely to blame themselves for the accident. These data are contrasted with research on the adaptive features of self-blame.     

Self-blame attributions,control appraisals and distress among cardiac rehabilitation patients

This study examined associations between self-blame attributions, control appraisals and distress among cardiovascular disease patients participating in a cardiac rehabilitation (CR) programme. Questionnaire data were collected from 129 patients at the beginning and end of CR. We found little evidence that characterological self-blame (CSB) affects distress symptoms, but behavioural self-blame at the beginning of CR was positively associated with distress symptoms concurrently, and 12 weeks later. Furthermore, diet- and exercise-focused self-blame was only modestly, positively related to control appraisals concurrently, while CSB was negatively associated with control. Prospectively, we found few significant associations between self-blame and control. Results imply that making any type of self-blame attribution during CR does not aid in adjustment or enhanced control appraisals. Our findings suggest that CR staff should encourage patients to recognise their control over reducing risk for recurrence, but should discourage patients from looking backward and ruminating about factors that may have contributed to disease onset.     

Physiological evidence of an arousal-based motivational bias in the defensive attribution of responsibility

Previous research has indicated only indirectly that arousal may serve to mediate the defensive attribution of responsibility to a victim. Results of two experiments presented here, however, provide direct evidence of this relationship. Specifically, female observers' sympathetic autonomic arousal in response to another's apparent sexual victimization was positively associated with their subsequent attribution of responsibility to the victim. Data in the second experiment further demonstrated that the source of this arousal must be correctly perceived, otherwise the need to attribute responsibility in a defensive manner may be diminished.     

I feel you feel what I feel: Perceived perspective‐taking promotes victims' conciliatory attitudes because of inferred emotions in the offender

In the context of bullying in a nursing workplace, we test the argument that an offender's perspective‐taking promotes victim conciliation, mediated by perceived perspective‐taking, that is, the extent to which the victim perceives the offender as taking their perspective. Perceived perspective‐taking facilitates the attribution of moral emotions (remorse, etc.) to the offender, thereby promoting conciliatory victim responses. However, perceived perspective‐taking would be qualified by the extent to which the severity of consequences expressed in the offender's perspective‐taking matches or surpasses the severity for the victim. In Studies 1 and 2 (Ns = 141 and 122, respectively), victims indicated greater trust and/or forgiveness when the offender had taken the victim's perspective. This was sequentially mediated by perceived perspective‐taking and victim's inference that the offender had felt moral emotions. As predicted, in Study 2 (but not Study 1), severity of consequences qualified victims' perceived perspective‐taking. Study 3 (N = 138) examined three potential mechanisms for the moderation by severity. Victims attributed greater perspective‐taking to the offender when the consequences were less severe than voiced by the offender, suggesting victims' appreciation of the offender's generous appraisal. Attributions of perspective‐taking and of moral emotions to the offender may play an important role in reconciliation processes. Key outcome: To the extent that victims perceive the offender as taking their perspective (perceived perspective‐taking), they infer that the offender feels more moral emotions, prompting victims to be more conciliatory. Perceived perspective‐taking benefits from the offender over‐stating the consequences to the victim.     

Patterns in Blame Attributions in Maltreated Youth: Association with Psychopathology and Interpersonal Functioning

This investigation explored patterns of blame attributions in 128 youth, primarily (87%) female, with maltreatment histories. Second, the study also evaluated the relative variance in posttraumatic stress disorder (PTSD) symptom severity, emotional distress, and interpersonal functioning outcomes, accounted for by age, abuse characteristics, and blame attribution patterns. Cluster analyses revealed distinctive blame profiles: high perpetrator blame, moderate perpetrator blame, high self-blame, high perpetrator/high self-blame, and low perpetrator/low self-blame. Regression analyses yielded significant models, accounting for 15% to 34% of the variance of outcomes. Most notably, youth endorsing a high perpetrator/high self-blame (i.e., compounded blame) attribution pattern reported poorer outcomes as compared to youth presenting with other blame profiles. Maltreatment type and age differences were not demonstrated across clusters. Implications and limitations are discussed.     

Self-blame attributions in women with newly diagnosed breast cancer: a prospective study of psychological adjustment.

Associations between self-blame and anxiety and depression symptoms in a sample of 76 women with breast cancer were investigated. At diagnosis, behavioral self-blame was associated with increased distress; at 3 months postdiagnosis, characterological self-blame was positively associated with affective symptoms and behavioral self-blame approached significance (p = .07); and at 6 months, behavioral self-blame was related to increased distress. Prospective analyses revealed that characterological self-blame at diagnosis approached significance in predicting distress at 3 months (p = .055) and was significant in predicting distress at 6 months and at 1 year after diagnosis. These data indicate that behavioral self-blame is a correlate of concurrent affective symptoms, whereas characterological self-blame predicts increased distress over time. Implications for social-cognitive processes in adaptation to breast cancer are discussed.     

An Attributional (Causal Dimensional) Analysis of Perceptions of Sexual Harassment1

Female and male subjects read one of three scenarios depicting a social-sexual interaction between a man and a woman. The scenarios varied in severity of the stimulus male's behavior according to whether sexual harassment had occurred. Subjects then rated the offensiveness of his behavior and whether it constituted sexual harassment. Subjects also rated the stimulus male's behavior on Weiner's (1986) three basic dimensions of causality: locus of causality, or the perceived cause of the behavior as internal or external; stability, or the likelihood of its recurrence; and controllability, or the amount of volitional influence he exercised during the interaction. Additionally, subjects reported their anger at the target male and sympathy for the target female. Findings generally indicated that for both women and men, as the scenarios increased in severity, these ratings were elevated. Gender comparisons also showed elevations in these ratings for female but not for male subjects, and only in the scenarios of lesser severity. Regression analyses revealed attribution variables—control, stability, and anger—as reliable predictors of perceived offensiveness and harassment in the most severe scenario, whereas affects were the most reliable predictors in scenarios of lesser severity. The implications of these findings for perception of sexual harassment are discussed.     

Terror management and attributions of blame to innocent victims: reconciling compassionate and defensive responses

In this article, 4 studies test the hypothesis that reminders of personal death bias the normative attribution process and increase the motivation to blame severely injured, innocent victims. In Studies 1 and 2, primes of death led to greater attributions of blame to severely injured victims but did not significantly influence attributions of blame to either mildly injured victims or negatively portrayed others. In Study 3, primes of death led to greater attributions of blame to victims of circumstance but did not influence attributions of blame to victims who were explicitly responsible for their condition. In Study 4, innocent victims who were severely injured elicited more death-related cognitions than did victims who were responsible for their condition or who were only mildly injured. These findings indicate that the predictions of normative models of attribution may be moderated, and even overturned, when observers are reminded of their personal death such that defensive needs override rational inferential processes.     

Why are hispanics at greater risk for PTSD?

Several studies have found that Hispanic Americans have higher rates of posttraumatic stress disorder (PTSD) than non-Hispanic Caucasian and Black Americans. The authors identified predictors of PTSD symptom severity that distinguished Hispanic police officers (n=189) from their non-Hispanic Caucasian (n=317) and Black (n=162) counterparts and modeled them to explain the elevated Hispanic risk for PTSD. The authors found that greater peritraumatic dissociation, greater wishful thinking and self-blame coping, lower social support, and greater perceived racism were important variables in explaining the elevated PTSD symptoms among Hispanics. Results are discussed in the context of Hispanic culture and may be important for prevention of mental illness in the fastest growing ethnic group in the United States.     

The Contribution of Attributional Style to Perceived Disability in Rheumatoid Arthritis: A Longitudinal Study

The current study investigated the influence of general causal attributions on self-reported physical disability over the course of 1 year in a sample of 42 patients with rheumatoid arthritis (RA). Participants completed measures of attributional style, pain, and disability; physician assistants completed objective measures of disability on two occasions, approximately 1 year apart. Results indicated that internal attributions for disease-unrelated negative events assessed at Time 1 were associated with lower perceived physical disability, whereas stable attributions for negative events were associated with greater perceived physical disability 1 year later. These findings are discussed in terms of behavioral and characterological self-blame models, respectively. Implications of our findings for clinical management of RA are also discussed.     

Differential effects of avoidant and attentional coping strategies on adaptation to chronic and recent-onset pain

Examined the effectiveness of attentional and avoidant coping strategies for somatic, behavioral, and psychological adaptation to clinical pain. Subjects were 30 chronic and 30 recent-onset pain patients who used either attentional or avoidant coping strategies in response to their pain. Based on a review of the coping literature, it was hypothesized that subjects with recent-onset pain would demonstrate greater adaptation (lower anxiety, depression, lower pain severity and somatization ratings, and higher levels of social activity) when employing avoidant rather than attentional strategies. Chronic pain subjects using attentional strategies were predicted to demonstrate greater adaptation than chronic pain subjects using avoidant strategies. The results supported this "time x strategy" hypothesis. Implications for pain treatment programs are discussed, and suggestions are made for matching pain duration with patient coping style.     

PERCEIVING PERVASIVE DISCRIMINATION OVER TIME: IMPLICATIONS FOR COPING

This study provides evidence that the effects of perceived pervasive discrimination may be dynamic over time. It was expected that participants who perceived discrimination to be highly pervasive would initially be more likely to engage in inactive coping strategies than those who perceived low pervasiveness; however, those who continued to perceive high pervasiveness over time were expected ultimately to engage in more active strategies than those perceiving low pervasiveness. Using a 28-day diary, women and ethnic minorities described their daily experiences of discrimination and indicated their appraisals of its pervasiveness as well as their coping strategies. Results showed that participants who initially perceived low pervasiveness reported more active coping and religion use as well as less behavioral disengagement than those initially perceiving high pervasiveness. However, this pattern was reversed by the end of the study. Implications for integrating time into the assessment of coping with discrimination are discussed.     

Characterological versus behavioral self-blame: inquiries into depression and rape

Two types of self-blame--behavioral and characterological--are distinguished. Behavioral self-blame is control related, involves attributions to a modifiable source (one's behavior), and is associated with a belief in the future avoidability of a negative outcome. Characterological self-blame is esteem related, involves attributions to a relatively nonmodifiable source (one's character), and is associated with a belief in personal deservingness for past negative outcomes. Two studies are reported that bear on this self-blame distinction. In the first study, it was found that depressed female college students engaged in more characterologial self-blame than nondepressed female college students, whereas behavioral self-blame did not differ between the two groups; the depressed population was also characterized by greater attributions to chance and decreased beliefs in personal control. Characterological self-blame is proposed as a possible solution to the "paradox in depression." In a second study, rape crisis centers were surveyed. Behavioral self-blame, and not characterological self-blame, emerged as the most common response of rape victims to their victimization, suggesting the victim's desire to maintain a belief in control, particularly the belief in the future avoidability of rape. Implications of this self-blame distinction and potential directions for future research are discussed.     

The Perceived Benefits of Religious and Spiritual Coping Among Older Adults Living with HIV/AIDS

Although religious and spiritual beliefs and practices have been frequently associated with greater psychological well-being among illness populations, little is known about the specific benefits individuals perceive they receive from these beliefs and practices. This issue was examined in interviews with 63 older HIV-infected adults. Participants reported a variety of benefits from their religious and spiritual beliefs and practices, including: (1) evokes comforting emotions and feelings; (2) offers strength, empowerment, and control; (3) eases the emotional burden of the illness; (4) offers social support and a sense of belonging; (5) offers spiritual support through a personal relationship with God; (6) facilitates meaning and acceptance of the illness; (7) helps preserve health; (8) relieves the fear and uncertainty of death; (9) facilitates self-acceptance and reduces self-blame. These perceived benefits suggest potential mechanisms by which religion/spirituality may affect psychological adjustment.     

Is Rape-Related Self Blame Distinct From Other Post Traumatic Attributions of Blame? A Comparison of Severity and Implications for Treatment

Rape treatment generally takes the form of standard trauma intervention, which may limit its ability to resolve rape-specific symptoms. For the sake of optimizing such treatment, the present study seeks to distinguish specific post-rape symptoms from those observed following other forms of trauma, particularly in respect to self-blame and related PTSD. Given typical societal victim-blaming following rape, self-blame is expected to be considerably more extreme among survivors of rape than in other victims, and predictive of relatively elevated post-trauma symptoms. Three hundred and four participants completed measures of blame attribution and PTSD, substantiating the hypotheses. Implications for rape treatment and social change are discussed.     

Differences in attributions of mental illness and social distance for portrayals of four mental disorders

For individuals with mental illness, others' perceptions of mental illness often limit integration into communities. Perceptions of mental illness manifest as social stigma in the form of social distance and may depend on individuals' attributions of the origins of mental illness. 180 university students completed a survey on attribution of mental illness and social distance across several disorders (psychiatric and physical). Participants indicated greater social distance for severe mental illness (i.e., schizophrenia) than less severe mental illness and physical illness. More desire for social distance may be related to unfamiliarity with severe mental illness rather than less severe mental and physical illnesses. Greater understanding of how individuals perceive mental illness can inform efforts to educate the public.     

Behavioral and Physiological Consequences of Crowding in Humans1

The purpose of this study was to investigate the effects of crowding on human performance. Results generally supported the hypothesis that crowding acts as a stressor which may be mediated by overarousal. Moderate decrements in complex but not simple task performance were found for crowded subjects as compared to uncrowded controls. Poorer performance on a group cooperation task and less tolerance for frustration as an aftereffect of the crowded experience were reported. Crowded subjects in comparison to controls also exhibited significant elevations in blood pressure and pulse rate and manifested additional behavioral indices of stress, which included greater behavioral stereotypes, increased defensive postures, more remarks toward the door of the experimental room, and self reports of greater discomfort and hostility.