Attributions of Blame and Responsibility in Relation to Distress and Health Behavior Change in People with AIDS and AIDS-related Complex1

There are conflicting views expressed in the literature about whether and under what conditions attributions of self-responsibility or self-blame for one's health affect such variables as distress, emotional adjustment, and adaptive coping. This study examined the impact of attributions of blame and responsibility for the cause and course of disease in 103 persons with the Acquired Immune Deficiency Syndrome (AIDS) and AIDS-related complex (ARC). Attributing the cause of disease to the self was significantly positively correlated with dysphoria (a combined measure of depression, anxiety, and negative mood) in persons with ADS, whereas possible improvement attributed to the self was significantly negatively correlated with dysphoria in the ARC group. Persons with AIDS who attributed more responsibility for improvement to themselves also made more health behavior changes. Conversely, in the ARC group, health behavior change was not associated with attributing possible improvement to the self. We found no relationship between self-blame and any of the distress or behavior measures. Our findings that the pattern of association between attribution of responsibility are different between persons with AIDS and ARC underscores the need to examine psychological processes within the context of particular health conditions. The results also suggest that attributing self-responsibility for improvement does not have the negative psychological effects of “blaming the victim” as does attributing responsibility for the cause of AIDS to the self.     

The role and relevance of theory in careers professionalisation and practice

ABSTRACT

A new qualification benchmark, the Qualification and Credit Framework (QCF) Diploma Level 6 in Career Guidance and Development was established in the UK in 2011. This study was conducted to ascertain whether a theoretical nexus is necessary for practice and how this could contribute to the professionalisation of the adult careers sector in England. The study was undertaken with practitioners, all of whom had trained either through the work-based competency route or the academic route. Practitioners were asked to consider their theoretical modalities and how this influenced the embedding of theory within their professional practice. Analysis of survey and case study data revealed that degrees of exposure to theory during initial training affect capacities for theoretical integration during ongoing practice and development.     

The influence of practicum supervisors’ facilitation styles on student teachers’ reflective thinking during collective reflection

Student teachers’ reflective thinking is closely associated with learning and improving practice. Novice student teachers require adequate support to reflect more deeply. The role of ‘others’ in collective reflection and knowledge generation as an outcome creates a platform for deep reflection, addressing both the processes and premises of reflective thinking. Facilitation styles of practicum supervisors could influence the level of student teachers’ reflective thinking during collective reflection. This is a case study using purposeful sampling involving a Malaysian teacher training institution that conducted an undergraduate early childhood programme in collaboration with a UK university. Sources of evidence were interviews, direct observations and documents. Data collected were analysed using both inductive and deductive methods. It was found that facilitation styles influence the depth of student teachers’ reflective thinking during group dialogic reflection. A continuum of facilitation styles from collaborative to instructive typologies was constructed. The implications of these findings are discussed.     

Moving beyond “shame is bad”: How a functional emotion can become problematic

Shame research has been divided. At present, the shame literature can be broadly dichotomized into whether it argues for a problematic or functional view of shame. Shame is commonly linked, for example, to aggression, poor health and wellbeing, and psychopathologies such as post‐traumatic stress disorder, eating disorders, and depression. Some researchers, however, suggest that shame is functional as it serves the purpose of gauging when one's social self is threatened, because of a loss of status or social bonds. To resolve this conflict, shame has been redefined in a variety of ways in an attempt to distinguish functional shame from problematic shame. However, approaches that ever more narrowly define the construct can lead to a defining away of the complexity of the lived experience of shame. In this review, we integrate the conflicting research on shame, examining how shame, as an emotion that evolved for a functional purpose, can become problematic. Avoidance in response to shame can move shame from being a functional social gauge that motivates repair to a problematic emotion, and avoidance is more likely to the extent that shame seems irreparable. Therefore, understanding what factors impact on perceived reparability will be important for understanding how shame can become problematic. How we see ourselves, others, our actions, and the costs of repair are all likely to impact on whether or not shame becomes functional or problematic.     

Issues in psychoneuroimmunology research

Careful design of studies is crucial for meaningful progress in this area of inquiry. Along with systematic evaluation of immunologic factors, clear understanding of antecedent factors is also important. Age, sex, and other sociodemographic factors might play a major role in how an individual reacts to a given situation when compared with another individual. Assessment of the impact of these factors on the immune system might be further complicated by immunosuppressive viruses like HIV or by the use of many common medications such as beta-blockers for hypertension (Kiecolt-Glaser & Glaser, 1988). Longitudinal studies are needed to understand the process of change and the dynamic patterning of psychosocial and immunologic relationships over time. Additionally, use of multimodal measures to assess psychological events such as stress is imperative (Baum, Grunberg, & Singer, 1982). It will not serve our understanding of psychological influences on the immune system to jump to the conclusion that an event is "stressful" because it seems as if it should be. Finally, establishing a "core" battery of widely accepted immune tests will be important in establishing comparability across studies. The standardization and acceptance of specific biochemical measures will facilitate the infusion of talented clinical and basic scientists into the area of psychoneuroimmunology.     

Predicting support for social action: How values, justice-related variables, discrete emotions, and outcome expectations influence support for the Stolen Generations

The Stolen Generations are Indigenous Australians who were taken from their homes by the State and placed in children??s homes or foster care. This study investigated relations between the values held by Non-Indigenous Australians and willingness to support a hypothetical organization set up to repair the damage caused. Participants (N?=?235) completed the Schwartz Portrait Values Questionnaire followed by items concerning their perceived responsibility; Indigenous deservingness; feelings of pleasure, anger, guilt, regret, shame, and sympathy; their support for the organization; and how efficacious they expected their support would be. It was found at the bivariate level that support was positively associated with self-transcendence values (universalism, benevolence) and negatively associated with both self-enhancement (power, achievement, hedonism) and security values. A path analysis implied that universalism values influenced support via the justice-related variables of perceived responsibility and undeserved treatment, outcome expectations, negative emotions, and sympathy. This study contributes new information about the effects of values on personal willingness to repair past wrongs.     

Flashbulb memories in social groups: A comparative test–retest study of the memory of French President Mitterrand's death in a French and a Belgian group

Flashbulb memories are vivid and long-lasting memories for the reception context of an important public event (Brown & Kulik, 1977). They are assumed to be triggered by emotional factors (i.e., intensity of emotional feeling, appraisal of the original event) and by social factors (i.e., social sharing of the news, following media debate about the event). The present study investigated the memory for the death of the former President of France F. Mitterrand in two social groups, i.e., French and Belgian people. This study tests whether the flashbulb memory attributes, the memory for the original event, and the impact of the emotional and social determinants of flashbulb memory differed across groups. The results indicated that the flashbulb memory for Mitterrand's death is affected by group provenance, as French people showed higher levels of recall for the flashbulb memory attributes and their determinants than Belgian people. Time impaired recollections in both groups, so that flashbulb memories appear prone to decay and share the same destiny as ordinary memories. The theoretical construct of concern - as the most basic antecedent of emotional experiences and its related appraisal (Frijda, 1994) - is discussed in order to explain the differences in memory of the two social groups.