Abstract
Bereaved individuals who had lost a spouse through death (on average 7.2 months previously) engaged in an “empty-chair” monolog task in which they imagined that they had one last opportunity to speak to their deceased spouse. The verbal content of their monolog speech was rated by judges on the appraisal categories deceased as blameworthy and self as blameworthy. As predicted, deceased as blameworthy was associated with greater anger toward the deceased, whereas self as blameworthy was related to greater guilt on a repeated measure assessing affective experience when thinking about the deceased in daily life. In addition, these appraisal categories were positively correlated with measures of symptomatic distress; specifically, deceased as blameworthy was related to general psychological symptoms, whereas self as blameworthy correlated with grief-specific symptoms. Furthermore, deceased as blameworthy was predictive of 14 months post-loss general psychological distress symptoms when statistically controlling for these symptoms at the time of the monolog in a hierarchical regression analysis, thus providing support for its mediating role in later adjustment. The implications of the findings for the assessment of grief outcome and directions for future research are discussed.
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REFERENCES
Abramson, J. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358-372.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.
Bonanno, G. A., Keltner, D., Holen, A., & Horowitz, M. J. (1995). When avoiding unpleasant emotions might not be such a bad thing: Verbal-autonomic repsonse dissociation and midlife conjugal bereavement. Journal of Personality and Social Psychology, 46, 975-989.
Bowlby, J. (1980). Attachment and loss. Vol. 3. Loss: Sadness and depression. London: Hogarth.
Carver, C. S., Pozo, C., Harris, S., Noriega, V., Scheier, M. F., Robinson, D., Ketcham, A., Moffat, F., & Clark, K. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. Journal of Personality and Social Psychology, 65, 375-390.
Costa, P., & McCrae, R. (1989). NEO PI/FFI: Manual supplement. Odessa, Florida: Psychological Assessment Resources.
Coyne, J. C., & Gotlib, I. H. (1983). The role of cognition in depression:Acritical appraisal. Psychological Bulletin, 94, 472-505.
Derogatis, L. R. (1983). SCL-90-R Administration, Scoring, and Procedures Manual II (second edition). Towson, Maryland: Clinical Psychometric Research.
Downey, G., Silver, R. C., Wortman, C. B., & Herrmann, C. (1990). Reconsidering the attribution-adjustment relation following a major negative event: Coping with the loss of a child. Journal of Personality and Social Psychology, 59, 925-940.
Faschingbauer, T. R. (1981). Texas revised inventory of grief manual. Houston: Honeycomb Publishing.
Field, N. P., & Horowitz, M. J. (1998). Applying an empty-chair monologue paradigm to examine unresolved grief. Psychiatry, 61, 279-287.
Freud, S. (1917). Mourning and melancholia. In Collected papers, Vol. 4. New York: Basic Books.
Frijda, N. H. (1993). The place of appraisal in emotion. Cognition and Emotion, 7, 357-387.
Futterman, A., Gallagher, D., Thompson, L. W., & Lovett, S. (1990). Retrospective assessment of marital adjustment and depression during the first 2 years of spousal bereavement. Psychology and Aging, 5, 277-283.
Greenberg, L. S., Rice, L. N., & Elliott, R (1993). Facilitating emotional change: The moment-by-moment process. New York: Guilford Press.
Horowitz, M. J. (1986). Stress response syndromes (2nd ed.). Northvale NJ: Jason Aronson Inc.
Horowitz, M. J. (1990). A model of mourning: Change in schemas of self and other. Journal of the American Psychoanalytic Association, 38, 297-324.
Horowitz, M. J., Marmar, C., Krupnick, N., Wilner, N., Kaltreider, N., & Wallerstein, R. (1984a). Personality styles and brief psychotherapy. New York: Basic Books.
Horowitz, M. J., Weiss, D. S., Kaltreider, N., Krupnick, J., Marmar, C, Wilner, N., & DeWitt, K. (1984b). Reactions to the death of a parent: Results from patents and field subjects. The Journal of Nervous and Mental Disease, 172, 383-392.
Horowitz, M. J., Wilner, N., Marmar, C., & Krupnick, J. (1980). Pathological grief and the activation of latent self images. American Journal of Psychiatry, 137, 1157-1160.
Kastenbaum, R. J. (1995). Death, society, and human experience (5th ed.). Boston: Allyn & Bacon.
Krupnick, J. L., & Horowitz, M. J. (1981). Stress response syndromes: Recurrent themes. Archives of General Psychiatry, 38, 428-435.
Lazarus, R. S. (1991). Emotion and adaptation. New York: Oxford University Press.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
Lindemann, E. (1944). Symptomatology and management of acute grief. American Journal of Psychiatry, 101, 141-148.
Lopata, H. Z. (1993). The support systems of American urban widows. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 381-396). New York: Cambridge University Press.
Martin, L. L., & Tesser, A. (1989). Toward a motivational and structural theory of ruminative thought. In J. S. Uleman & J. A. Bargh (Eds.). Unintended thought (pp. 306-326). New York: Guilford Press.
Middleton, W., Raphael, B., Martinek, N., & Misso, V. (1993). Pathological grief reactions. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 44-61). New York: Cambridge University Press.
Mikulincer, M., & Florian, V. (1996). Coping and adaptation to trauma and loss. In M. Zeidner & N. S. Endler (Eds.), Handbook of coping: theory, research, applications (pp. 554-572). New York: Wiley.
Parkes, C. M. (1993). Bereavement as a psychosocial transition. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 91-101). New York: Cambridge University Press.
Parkes, C. M., & Weiss, R. S. (1983). Recovery from bereavement. New York: Basic Books.
Perls, F., Hefferline, R., & Goodman, P. (1951). Gestalt therapy. New York: Dell.
Prigerson, H. G., Frank, E., Kasl, S. V., Reynolds, C. F. III, Anderson, B., Zubenko, G. S., Houck, P. R., George, C. J., & Kupfer, D. (1995). Complicated grief and bereavement-related depression as distinct disorders: Preliminary empirical validation in elderly bereaved spouses. American Journal of Psychiatry, 152, 22-30.
Prigerson, H. G., Bierhals, A. J., Kasl, S. V., Reynolds, C. F. III, Shear, M. K., Newsom, J. T., & Jacobs, S. (1996). Complicated grief as a disorder distinct from bereavement-related depression and anxiety: A replication study. American Journal of Psychiatry, 153, 1484-1486.
Raphael, B. (1983). The anatomy of bereavement. New York: Basic Books.
Roseman, I. J. (1991). Appraisal determinants of discrete emotions. Cognition and Emotion, 5, 161-200.
Roth, S., & Lebowitz, L. (1988). The experience of sexual trauma. Journal of Traumatic Stress, 1, 79-107.
Sanders, C. M. (1993). Risk factors in bereavement outcome. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 255-267). New York: Cambridge University Press.
Segal, Z. V., & Ingram, R. E. (1994). Mood priming and construct activation in tests of cognitive vulnerability to unipolar depression. Clinical Psychology Review, 14, 663-695.
Shuchter, S. R., & Zisook, S. (1993). The course of normal grief. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 23-43). New York: Cambridge University Press.
Smith, C. A., & Lazarus, R. S. (1993). Appraisal components, core relational themes, and the emotions. Cognition and Emotion, 7, 233-269.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15-28.
Stroebe, W., Stroebe, M., Abakoumkin, G., & Schut, H. (1996). The role of loneliness and social support in adjustment to loss: A test of attachment versus stress theory. Journal of Personality and Social Psychology, 70, 1241-1249.
Stroebe, M., Stroebe, W., & Hansson, R. O. (1993). Bereavement research and theory: An introduction to the handbook. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 3-19). New York: Cambridge University Press.
Tennen, H., & Affleck, G. (1990). Blaming others for threatening events. Psychological Bulletin, 108, 209-232.
Weiner, B. (1985). ''Spontaneous'' causal thinking. Psychological Bulletin, 97, 74-84.
Wortman, C. B., Silver, R. C., & Kessler, R. C. (1993). The meaning of loss and adjustment to bereavement. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 349-366). New York: Cambridge University Press.
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Field, N.P., Bonanno, G.A., Williams, P. et al. Appraisals of Blame in Adjustment in Conjugal Bereavement. Cognitive Therapy and Research 24, 551–569 (2000). https://doi.org/10.1023/A:1005514128798
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DOI: https://doi.org/10.1023/A:1005514128798