Background: Victims of sexual assault have been reported to blame themselves for the incident. They see themselves as having somehow contributed to the situation. Self-blame associated with a sexual assault is argued to be socially constructed, influenced by culture’s perception of sexual crimes. A specific behaviour that appears to contribute to victim’s self-blame is alcohol use during the sexual assault incident. Approximately half of sexual assaults are associated with alcohol consumption by one or both parties. Victims who consume alcohol during the incident are more likely to blame themselves for the event. Self-blame has been linked to a decreased likelihood of reporting a sexual assault to authorities, as victims predict that others will disapprove their behaviour and blame them for their victimization. Limited research has been conducted on attribution of blame to the female victims who have been under the influence of alcohol during the sexual assault incident. Objective: To examine the association between a female’s level of intoxication and the level of blame attributed to her, and how this is modified by initiation and severity of the event, in a hypothetical date-rape scenario. Methods: Secondary data analyses of 1004 quantitative telephone surveys completed in Sweden by randomly selected young adults aged 16-24. Date-rape vignettes were used and male’s and female’s levels of intoxication, severity of the outcome and the person initiating the sexual contact (perpetrator or victim) were manipulated. The depended variable was the amount of blame assigned to the female in the hypothetical date-rape scenario. The attribution of blame to the female was analysed using factorial ANOVA in SAS. Results: For female respondents, the level of blame attributed to the female in the hypothetical date-rape scenario depended on a three-way interaction between the inebriation level, initiation, and severity, controlling for female respondents’ living situation in the last 12 months, their frequency of drinking five or more drinks in the past 12 months, and their expectancy that ‘alcohol makes people more sexual’. For male respondents, however, the level of blame attributed only depended on the severity of the situation, controlling for male respondents’ mean number of standard drinks to feel the effects of alcohol and their attitude that ‘alcohol lessons control’. Conclusion: The inebriation level of the female in the date-rape scenario has been illustrated to impact the amount of blame attributed to her, by female respondents. This has implications for reporting rates of sexual crimes, and thus should be addressed by future policies and programs.

Thesis (Psy. D.)--Indiana University of Pennsylvania. / Includes bibliographical references.

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 73-75).

Thesis (M.A.)--Ohio University, August, 2009. / Title from PDF t.p. Includes bibliographical references.

Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro / O presente trabalho visa investigar o conceito de melancolia em psicanálise. Para tanto é preciso tomar parte em alguns debates teóricos que tem lugar no campo teórico-clínico psicanalítico no que diz respeito a este conceito. Partindo do estudo do lugar provisório legado à melancolia na obra de Freud, buscamos compreender a ação da culpa e da negação na queixa melancólica na expectativa de colher elementos que possam apontar para uma direção clínica em sua leitura nosográfica / This works aim is to investigate the concept of melancholy in psychoanalysis. To do so, one has to take part into the theoretical debates which takes place in psychoanalytical field on this concept. Since Freud has left melancholy in a provisionally place in his work, one tries to understand the work of blame and negation in melancholic plaint as a way to find elements which can help to find a clinical direction in a nosographic understanding

Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro / O presente trabalho visa investigar o conceito de melancolia em psicanálise. Para tanto é preciso tomar parte em alguns debates teóricos que tem lugar no campo teórico-clínico psicanalítico no que diz respeito a este conceito. Partindo do estudo do lugar provisório legado à melancolia na obra de Freud, buscamos compreender a ação da culpa e da negação na queixa melancólica na expectativa de colher elementos que possam apontar para uma direção clínica em sua leitura nosográfica / This works aim is to investigate the concept of melancholy in psychoanalysis. To do so, one has to take part into the theoretical debates which takes place in psychoanalytical field on this concept. Since Freud has left melancholy in a provisionally place in his work, one tries to understand the work of blame and negation in melancholic plaint as a way to find elements which can help to find a clinical direction in a nosographic understanding

For many, the course of major depressive disorder (MDD) is recurrent, with periods of remission between major depressive episodes (MDEs); those in remission are known to be at elevated risk of future MDEs. A common and distressing symptom of MDD is overgeneralised self-blame, and this also persists into remission. In order to study the involvement of self-blame in vulnerability to MDD, a large cohort of participants was recruited: a group with remitted MDD (rMDD) and a matched healthy control (HC) group with no personal or family history of MDD. Participants completed electrophysiological and neuropsychological tasks. The rMDD group also completed a 14-month follow-up period, during which symptoms were monitored at intervals; this was to study the predictive effects of electrophysiological and neuropsychological variables, with a view to development of a biomarker with predictive value. The main method was electroencephalography (EEG), chosen for its high temporal resolution in comparison to a commonly used technique, functional magnetic resonance imaging (fMRI). On a practical level, EEG is also more cost effective and widely available, making it more suitable for future clinical transfer of any biomarker developed. A task previously used in fMRI was adapted for EEG; in this task, short sentences designed to evoke negative feelings related to the self and others were presented. The theta signal was abnormally sustained over time during self-blame in the rMDD group relative to the HC group. Given the involvement of theta in temporal binding, this may represent a correlate of dysfunction within the neural network underpinning self-blaming emotions. Correlation of sustained theta with separately collected fMRI data indicated the dorsolateral prefrontal cortex (dlPFC) was involved in this network. In a source analysis of the EEG data, the dlPFC was identified again; it showed reduced activation in the rMDD group relative to the HC group during other-blame. In summary, activation of the dlPFC appears to be adaptive in both self- and other-blame, as the HC group showed higher activation than the rMDD group; further work is required to confirm the clinical relevance of this. For a separate study of memory overgeneralisation, a known feature of MDD, a novel associative memory task was designed. A loss of bias towards remembering positive memories was found in a subgroup of the rMDD cohort with early life stress (ELS). This reduced positive bias correlated with the number of past MDEs, indicating that the cumulative effect of MDEs reactivating early traumatic memories leads to selective loss of positive memory bias. In summary, although no electrophysiological or neurocognitive predictive markers of recurrence risk were found, clear effects were seen in the cross-sectional results. Importantly, EEG was also validated as a technique for detecting self-blame-selective neural correlates of depression vulnerability. There were clear effects in the temporal domain, which highlight the benefits of EEG above other imaging techniques. However, the sources identified did not correlate with parallel fMRI work, so further work is required to understand the temporal dynamics of these sources. This research provides a platform from which future EEG investigations can develop.

Rape is a highly prevalent crime, and it is one of the most severe traumatic events experienced by women. Previous researchers have found that, unlike other crimes, blame attribution in rape cases is inconsistent and influenced by many external elements (Bieneck & Krahe, 2011; Grubb & Turner, 2012; Masser, Lee, & McKimmie, 2010; Stewart & Jacquin, 2010). In this study, the influence of willing substance use and race on attribution of blame from a sample of 316 undergraduate students attending a large, Southeastern, public, urban university was examined. More specifically, results from this investigation described how the type of substance (alcohol, marijuana, and heroin) consumed by female survivors and survivors’ race/ethnicity (Black, Hispanic, and White) influenced the level of blame assigned to them. Additionally, the researcher explored the interactive effect of the drug type and survivors’ race. The results of the analysis of variance (ANOVA) revealed that both survivors’ substance use and race significantly influenced blame attribution. Survivors who consumed alcohol prior to the assault were blamed more than survivors who used heroin or marijuana and survivors who did not consume any substances. Regarding the influence of survivors’ race/ethnicity, White female survivors were attributed significantly higher levels of blame than Black and Hispanic female survivors. In addition to the examined conditions of substance use and race/ethnicity, the results of this study indicated that observers’ demographic characteristics influenced blame attribution as well. Observers’ gender, race, and knowledge of a person who has survived rape were all significant factors effecting attribution of blame.

Like the rest of the western world, the UK faces a significant increase in the prevalence of diseases associated with lifestyle. Smoking rates have reduced, but increasing obesity has contributed to alarming increases in diabetes. Discovery of the correlation between behaviour and poor health has, since the 1970s, resulted in public health policies emphasising behaviour change, and personal responsibility; an emphasis that survived later research which demonstrated social, genetic and psychological determinants on behaviour and health. The latest version of the NHS constitution exhorts us to ‘recognise that you can make a significant contribution to your own, and your family’s, good health and wellbeing, and take personal responsibility for it.’ This thesis seeks to clarify the meaning and extent of personal responsibility for health, and at its core are four papers published in peer-reviewed journals. The first clarifies the concept concluding that it is best understood in a tripartite conception of a moral agent having obligations and being held responsible if he fails to meet them. The following two papers discuss the nature of the obligations, using utilitarian reasoning and arguments from analogy. First, an exploration of the moral obligations for our own health is undertaken via an analysis of the practice of tombstoning, jumping from height into water. I conclude that the obligations are of process rather than outcome, consisting of an epistemic duty to determine the health related consequences of our acts, and a reflective duty to consider these consequences for us and for those who share our lives. Second, following an examination of the moral status of blood donation, I conclude that despite its presentation as a praiseworthy and supererogatory act, it is more properly regarded as a prima facie obligation, supported by arguments from beneficence and justice. The final paper discusses the final part of the tripartite conception of personal responsibility for health: being held responsible. I discuss the nature of blame and extend the tombstoning analogy as a way of testing my own intuitions in response to an imagined adult son who has undertaken this dangerous activity. I argue that the notion of blame is not generally allowed as part of the patient – professional relationship, and yet without considering blame, the concept of personal responsibility for health is incomplete. I conclude that if the epistemic and reflective duties, individually applied, conclude that an obligation is owed, it is owed to those within personal relationships, and holding people responsible for their health-effecting behaviour is also best undertaken within these relationships. I conclude the thesis by considering the implications for professional practice. Inevitably this leads to consideration of the promotion of personal autonomy in health care. A more relational account of autonomy is suggested. Facilitating the epistemic duty so that individuals are better able to understand the risks of their behaviour requires rethinking of the way that health promoting material and information are presented.

This thesis explores the post-war history of the British Meteorological Office (MO), which saw the development of public weather services and a more prominent profile for the organisation in British public life. Situated within a post-war growth in the scientific civil service and the government’s use of science in policy making, the emergence of MO extreme weather warnings and forecasts afforded the organisation an authoritative expert position. Part of meteorology’s twentieth century professionalisation, the services developed through the application of advances in meteorological practice and technologies, significantly altered the organisation’s public profile and status as a scientific expert body.By considering these developments the thesis illuminates how, as the MO increasingly presented forecasts and warnings to all sectors of British society, they became managers of the risks posed by extreme weather. Through exploring these historical developments at the MO, we see a broader narrative emerge on how the communication of risk by scientific experts interacts with public expectations and manifestations of blame. Central to the narrative presented is the role of extreme weather events themselves in affecting response, policy developments, new MO warning services, and the manifestation of blame.