ucalgary 2015 violato efrem - university of calgary in alberta

132
University of Calgary PRISM: University of Calgary's Digital Repository Graduate Studies The Vault: Electronic Theses and Dissertations 2015-01-08 The Role of the Justice Motive in Reactions to Illness and Injury Violato, Efrem Violato, E. (2015). The Role of the Justice Motive in Reactions to Illness and Injury (Unpublished master's thesis). University of Calgary, Calgary, AB. doi:10.11575/PRISM/28361 http://hdl.handle.net/11023/1998 master thesis University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission. Downloaded from PRISM: https://prism.ucalgary.ca

Upload: others

Post on 29-Nov-2021

4 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

University of Calgary

PRISM: University of Calgary's Digital Repository

Graduate Studies The Vault: Electronic Theses and Dissertations

2015-01-08

The Role of the Justice Motive in Reactions to Illness

and Injury

Violato, Efrem

Violato, E. (2015). The Role of the Justice Motive in Reactions to Illness and Injury (Unpublished

master's thesis). University of Calgary, Calgary, AB. doi:10.11575/PRISM/28361

http://hdl.handle.net/11023/1998

master thesis

University of Calgary graduate students retain copyright ownership and moral rights for their

thesis. You may use this material in any way that is permitted by the Copyright Act or through

licensing that has been assigned to the document. For uses that are not allowable under

copyright legislation or licensing, you are required to seek permission.

Downloaded from PRISM: https://prism.ucalgary.ca

Page 2: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

UNIVERSITY OF CALGARY

The Role of the Justice Motive in Reactions to Illness and Injury

by

Efrem Violato

A THESIS

SUBMITTED TO THE FACULTY OF GRADUATE STUDIES

IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE

DEGREE OF MASTER OF SCIENCE

GRADUATE PROGRAM IN PSYCHOLOGY

CALGARY, ALBERTA

JANUARY, 2015

© Efrem Violato 2015

Page 3: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

Abstract

Justice motive theory provides an account of people’s reactions to violations of their belief in a

just world and the variable ways they will attempt to maintain their view of the world as just.

Work in the area has extensively examined observer reactions to the fates of others. Less is

known about how people react to injustice associated with their own outcomes. The present

research examines justice relevant factors associated with experiencing injury or illness

including fairness, deservingness, and the potential moderating effects of severity and

responsibility. To assess these factors correlational, regression and MANOVA analysis were

used. The potential for injury and illness to give rise to fairness and deservingness concerns was

apparent for many but not all participants. In addition the hypothesized just world protective

strategies of self-blame, self-derogation, compensatory cognition, and reevaluating the outcome

were evident in participants’ reactions to infirmities.

Keywords: justice motive, belief in a just world, deservingness

ii

Page 4: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

Acknowledgments

My Parents

My Nonni

Dr. Ellard

iii

Page 5: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

Table of Contents

Abstract………………………………………………………………………………………...…ii

Acknowledgments……………………………………………………………………………..…iii

Table of Contents…………………………………………………………………………………iv

List of Tables……………………………………………………………………………………..vi

List of Figures………………………………………………………………………………...…viii

Introduction………………………………………………………………………………………1

Background………………………………………………………………………………..1

Justice Motivation and Reactions to Physical Health Affliction……………………..…...4

Justice Motive Reactions to One’s Own Injustice………………………………..……….7

Just World Beliefs and Health Outcomes………………………………………………....8

Justice Motivation and Health Outcomes………………………………………………9

Severity and Responsibility…………………………………………………………...11

Self Esteem……………….…………………………………………………………...12

Aims and Hypotheses………………………………………………….…………….….13

Aim 1………………………………………………………………………………….13

Aim 2………………………………………………………………………………….15

Aim 3………………………………………………………………………………….16

Method…………………………………………………………………………………………..19

Participants……………………………………………………….…………….………19

Procedure……………………………………………………………..………………..22

Measures…………………………………………………………………..……….......23

Results…………………………………………………………………………….…………….36

Preliminary Analysis……………………………………………….………………….36

Preliminary Analysis Discussion………………………………………..…………......43

Aim 1Results……………………………………………………………….………….48

Aim 1 Discussion………………………………………………………………..….….61

Aim 2 Results……………………………………………………….……………….…69

Aim 2 Discussion…………………………………………………….………..……….77

Aim 3 Results and Discussion………………………………………………………....83

General Discussion……………………………………………………………………………..87

References………………………………………………………………………………………100

Appendix1………………………………………………………………………………………110

iv

Page 6: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

Appendix 2…………………………………………………………………………………...…111

Appendix 3…………………………………………………………………………………...…112

Appendix 4…………………………………………………………………………………...…114

Appendix 5……………………………………………………………………………………...117

Appendix 6……………………………………………………………………………………...119

Appendix 7……………………………………………………………………………………...121

v

Page 7: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

List of Tables

Table

1………………………………………………………………………………………………………………

…………………………………..29

Table

2………………………………………………………………………………………………………………

…………………………………..37

Table

3………………………………………………………………………………………………………………

…………………………………..40

Table

4………………………………………………………………………………………………………………

…………………………………..43

Table

5………………………………………………………………………………………………………………

…………………………………..50

Table

6………………………………………………………………………………………………………………

…………………………………..51

Table

7………………………………………………………………………………………………………………

………………………………..…53

Table

8………………………………………………………………………………………………………………

……………………………..……54

Table

9………………………………………………………………………………………………………………

……………………………..……55

Table

10……………………………………………………………………………………………………………

……………………………….…58

vi

Page 8: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

Table

11……………………………………………………………………………………………………………

……………………………………60

Table

12……………………………………………………………………………………………………………

……………………………………77

Table

13……………………………………………………………………………………………………………

……………………………………85

Table

14……………………………………………………………………………………………………………

……………………………………86

vii

Page 9: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

List of Figures

Figure

1………………………………………………………………………………………………………………

…………………………………72

Figure

2………………………………………………………………………………………………………………

…………………………………74

Figure

3………………………………………………………………………………………………………………

…………………………………75

Figure

4………………………………………………………………………………………………………………

…………………………………76

viii

Page 10: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

1

How people think about and psychologically experience physical health afflictions has

long been understood to have implications for both their psychological adjustment and recovery

trajectory (Kiviniemi & Rothman, 2010; Rothman, Klein, Cameron, 2013; Salovey, Rothman,

Rodin, 1998; Taylor, 1984). The ways in which psychological processes can affect health

outcomes and the way people cope with disease is diverse. The research reported here examines

how perceptions of fairness and deservingness inform reactions people have to injury and illness.

The basic premise grounded in justice motive theory (Lerner, 1980; Ellard, Harvey, & Callan, in

press) is that injury and illness have considerable potential to threaten people’s sense of fairness

in so far as illness and injury are undesired “bad” outcomes, happening to people who

presumably most often see themselves as good people. When bad things happen to good people,

people unsurprisingly will feel like their sense of justice has been challenged. Justice motive

theory has stimulated extensive research into how people respond to perceived injustice and the

goal of this research is to examine how this research can shed light on psychological reactions to

injury and illness.

Background

Much of the research in this area has been in the area of stress and coping. Coping has

been defined as “the efforts to master, reduce, minimize or tolerate the negative consequences of

internal or external demands” (Lazarus & Folkman, 1984). Coping has focused largely on

individual differences particularly in terms of control with an internal locus of control producing

more problem focused approaches (Salovey, et al, 1998). The early focus in coping research was

on problem focused coping compared with emotion focused coping, with problem focused

coping being seen as more useful. More recent work has shown that rather than determining

which specific method is most adaptive the use of any one method that is able to produce

Page 11: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

2

positive change will be the most important for a person’s coping (Troy, Shallcross & Mauss;

2013).With this in mind various strategies for dealing with health issue such as denying the

adversity, remaining calm, personally dealing with the situation, or seeking a second opinion

have all been examined and found to be useful (Olff, Brosschot, Godaert, 1993).

Other individual difference research emphasizing human strengths focuses on qualities

such as resiliency (Rutter, 1987), optimism (Peterson, 2000), and hardiness (Maddi & Kobasa,

1984). Optimism for instance, has been associated with better surgical outcomes (Scheier et al.,

1989). In the case of resiliency, patients high in resiliency with worsening diabetes showed

better physical health after one year along with better self-care behaviours than those moderate

or low in resiliency (Yi, et al. 2008). A more complex individual difference with demonstrated

relevance for health following infirmity is spirituality and religious involvement. For instance,

people who say they believe in God appear to have a greater ability to recover from illness

(Koenig, McCullough, & Larson, 2001).

For the proposed research both individual differences and aspects of the infirmity and its

antecedents will be considered. This will help emphasize the importance of peoples’

understanding of what happened to them as well as with more general issues of meaning that

involve moral concerns such as blame and responsibility. How people make sense of disease or

injury will reflect both individual differences in beliefs and attributional strategy as well as the

particular circumstances of the disease or injury itself such as severity or the extent to which the

infirmity is the result of the victim’s behavior.

Presently the approach to examining how people make sense of their infirmity has drawn

most heavily on attribution theory (Salovey, Rothman, Rodin, 1998). Attribution theory

Page 12: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

3

describes how people determine the cause of outcomes and their inferences or judgments about

blame and responsibility for the outcomes in their social environment (Heider, 1958; Jones &

Davis, 1965; Kelley, 1967). The theory has been useful in providing insight into how important

people’s understanding of their infirmity is for how they deal with it. Blame for instance, has

been shown to have important consequences that are sometimes counterintuitive. Janoff-Bulman

& Lang-Gunn (1986) found that self-blame is a common attribution following severe illness but

they also found that blaming oneself was not necessarily negative. For parents of children with

perinatal complications self-blame was more common with greater perceived severity of the

outcome however self-blame was associated with higher perceived preventability of recurrence

and better emotional adaptation (Teenen, Glenn, Gershman, 1986). To explain the seemingly

contradictory effects of self-blame, Janoff-Bulman & Lang-Gunn (1986) and others have argued

that blaming oneself can restore a sense of control and enhance self-efficacy for managing future

health threatening situations.

An aspect of people’s efforts at making sense of their disease or illness that has

implications for further understanding of the role of blame but has yet to be explored is the

matter of how a health event impacts peoples’ sense of fairness. When one becomes ill or suffers

an injury, it is known based on an extensive literature on justice motivation that the reactions of

others will be informed by how “unfair” or “undeserved” the fate is perceived to be (Braman &

Lambert, 2001; Cataldo, Jahan, Pongquan, 2012; De Palma, et al., 1999). It is further known that

observers, for reasons that will be detailed below, can engage in various reactions including

blaming victims, based on a need to see the situation as “just.” The present research is designed

to examine the proposition that the same justice concerns that inform the reactions of third

parties may inform the reactions of victims themselves. From this perspective, reactions such as

Page 13: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

4

self-blame take on a different meaning: victims blame themselves not so much to regain a sense

of control but to accommodate their need to see all negative outcomes as fair. Examining how

people react to their illness or injury from a justice perspective has the further advantage of

providing potential insight into a variety of ways people make sense of their fate in addition to

self-blame.

Justice Motivation and Reactions to Physical Health Affliction

In so far as people do not desire to become ill or injured, when it happens it is not

surprising to see reactions that reflect fairness and deservingness concerns. The most transparent

expression of this is the question “why me?” Since most people are inclined to view themselves

as “good” and disease or injury as “bad” asking why me questions is understandable (Dalbert,

2001). It is predictable from the point of view of justice motive theory that people will find

themselves asking “why me?” in so far as their infirmity threatens the belief in a just world. In

situations where people do not have a way of seeing how or why they might deserve their

affliction and focus on the “why me?” the result can be depressogenic brooding, anxiety and

difficulties in physical health (Watkins, 2008) as well as leaving patients unable to assimilate

their belief systems with their experience (Dalbert, 2001; Park, et al., 2008; Holland & Reznik,

2005; Watkins, 2008).

Rumination about “why me?” is not the only response people have or necessarily the

most common one. The present research is based on the proposition that while explicit

unresolved concerns about justice and deservingness are the most apparent expression of justice

concerns, the same concerns can give rise to a variety of other reactions all of which reflect an

attempt at resolution of the “why me?” question. It is expected that the same strategies people

Page 14: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

5

use as observers for maintaining their sense of justice will be used when confronted with a

personal injustice. As such, the proposal draws on theory and research documenting the

importance of the justice motive in people’s lives.

Justice motive theory as developed by Lerner (1980) deals with people’s implicit need to

see and experience the world as a just and morally coherent place. This notion can be

summarized in the phrase “good things happen to good people and bad things happen to bad

people” or “people get what they deserve.” This is considered a fundamental delusion and people

will often deny being committed to such a belief, however their behaviour and cognitions often

betray them. Extensive evidence has accumulated attesting to the fact that people do in fact seek

to maintain the belief that the world is a just place (Lerner, 1991; Lerner, 1998). From a

psychological perspective, the belief in a just world is actually a metaphor for the dynamics of a

foundational assumption that rarely appears in consciousness the way conventionally understood

beliefs do. It is more psychologically precise to characterize the motive as a need to be able to

maintain the assumption that the world is a just place (Ellard, Harvey, Callan, in press).

According to Lerner, the motivated commitment to the assumption that the world is a just

place arises out of a personal contract associated with delay of gratification: “if I delay

gratification in the expectation that I will later get what I am entitled to, then I must at the same

time believe that I live in a world where other people get what they deserve too. Evidence to the

contrary threatens my own entitlements” (Ellard, et al., in press).

The importance of the justice motive is most apparent when people are confronted with

evidence suggesting the world is not just either because of someone else’s undeserved

circumstances or one’s own. In response to unjust circumstances, people have been shown to

Page 15: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

6

respond in a variety of ways designed to diminish or remove entirely the threat to the just world

assumption. The responses documented in the literature examining reactions of observers to the

fate of others can be either behavioural or cognitive.

The most straightforward behavioural response is to take action to redress the injustice.

In the third party literature this can take form in seeking compensation for victims and/or

punishment of perpetrators. The important constraint on this response is that people will only

take action if they believe their actions will in fact fully redress the injustice (White,

MacDonnell, & Ellard, 2012). As a result, observers often resort to cognitive strategies for

resolving the injustice in just world terms.

Documented third party cognitive strategies for maintaining the belief in a just world

include blaming or derogating the victim, re-evaluating the outcome, and invoking compensatory

assumptions that can include altering the time frame for justice to be done. Rape is a commonly

studied context for examining just world maintaining cognitive distortions or cognitive

reframing. By blaming and/or derogating a rape victim the just world threat can be diminished by

the observer to see the outcome as deserved. If the observer re-evaluates the outcome by insisting

that the rape was really not that traumatic they remove the existence of the injustice: no harm, no

injustice. Compensatory assumptions range from adopting the view that by virtue of suffering

the trauma of a rape, the victim will experience “silver linings” such as new wisdom or growth.

Alternatively, the observer may rely on the extended time frame of the ultimate justice view that

in a just world it is those who suffer who are most likely to be compensated in the future, either

in this life or an afterlife. In another example from early investigations of the derogation

response it was demonstrated that an innocent victim receiving a high level of electric shock was

derogated more than one receiving less shock (Lerner & Simmons, 1966). A sizeable body of

Page 16: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

7

evidence has accumulated documenting not only the existence of the different strategies but also

their implications in a variety of contexts (see Lerner & Miller, 1978; Hafer & Begue; 2005; &

Ellard, Harvey, & Callan, 2013 for reviews).

Justice Motive Reactions to One’s Own Injustice

Poor health outcomes are one of the cases where a basic violation of the belief in a just

world occurs and a solution is necessitated (Jensen & Petersson, 2002; Park, et al., 2008;

Westman, Bergenmar, Andersson, 2008). When damage to the belief in a just world occurs it can

be a primary cause of significant distress (Holland & Reznik, 2005) and can have varying

impacts on people’s coping with and observing tragedies (Anderson, Kay, Fitzsimmons. 2010).

The experiencing of these bad outcomes and peoples’ responses associated with deservingness

concerns is an area that is open to further study:

“…less research, however, has focused on whether the same processes operate in the

contexts of one’s own random experiences and deservingness. If the justice motive is essential

for people’s long-term goal pursuits, then one might expect to find that people’s reactions to their

own fates as deserved might parallel their reactions to the fates of others as deserved” (Callan,

2013).The existing literature specifically for personal just world threat and deservingness exists

almost entirely in the study done by Callan, and as identified by Callan (2013) and others

deservingness has been invoked as a mechanism for understanding good and bad outcomes but

has not been measured directly: “Such studies have not measured participants’ sense of

deservingness, so we cannot be sure that deservingness was important” (Wood, 2009, p. 364).

The proposed research draws on this limited literature examining how people maintain

their belief in a just world when they are the target of injustice. The approach is to examine the

Page 17: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

8

extent to which observer responses have parallels with how people react to their own fates. As

with the observer literature that began with a focus on victim derogation and blame, researchers

have been particularly interested in the extent to which the propensity for people to derogate or

blame themselves is a justice motive response.

Two distinct approaches to the conceptualization of the just world have emerged over the

years (Hafer & Begue, 2005; Ellard, et al., in press). The first, characterized by research

employing experimental techniques designed to assess various reactions people have when their

sense of a just world is threatened, assumes that the justice motive is sufficiently foundational

that it is a more or less universal component of human psychology. This is the approach adopted

for the present research. A larger body of research has focused on individual differences in just

world beliefs assessed with self-report measures. As efforts to link just world with health

outcomes has been most extensively pursued from this perspective the themes that emerged from

that literature will be considered first.

Just World Beliefs and Health Outcomes.

In the realm of health and illness it has been found that people’s justice beliefs affect

reactions to personal health outcomes (Lucas, 2009). Most of the research deals with how justice

beliefs affect coping with injury or illness. Threats to a person’s health threatens their just world

belief, a bad thing is happening to a good person (Tomaka & Blaskovich, 1994). It has been

shown that just world beliefs play a role in psychological and physical health challenges and

perceived fairness has been linked to measures of well-being and health benefits (Feather, 1991,

Lucas, 2008) while unfairness has been linked with negative health outcomes (Lucas, 2009).

Seeking to maintain the belief in a just world, such as by self-derogating, has been shown to have

Page 18: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

9

some positive byproducts including buffering against anger, stress and depression and helping

with coping with negative life events with the effect of buffering being to reduce or diffuse the

negative affective components of the emotion. (Dalbert, 2001, Feather, 1991, Lucas, et al. 2008,

Tomaka & Blascovich, 1991). The general pattern that emerges from this literature is that justice

beliefs tend to serve as a protective factor, preventing or mitigating, negative outcomes such as

depression, at least in the short term (Dalbert, 2001; Dalbert, 2002; Dzuka & Dalbert, 2002).

The relationship has been observed in diverse populations, from schoolchildren to prisoners, to

examine how they will see their world as a just place (Correia & Dalbert, 2007; Otto & Dalbert,

2005).

Justice Motivation and Health Outcomes.

The alternative approach to exploring the relationship between justice motivation and

health outcomes is based in the notion that people may adopt a number of different ways of

dealing with the deservingness implications of their disease or affliction that are not well

captured in self-report measures most importantly because they are outputs of unconscious

processes (Ellard, et al., in press). These outputs can be thought of as strategies to deal with

injustice (Hafer & Begue, 2005) such as blaming the victim. Parallels can be drawn between how

third parties deal with the just world threat posed by another’s suffering and how people make

sense of their own disease or injury. An important implication of the following analysis is that

the important individual differences between people may not be about their global beliefs about

justice but rather the particular just world protecting strategy they invoke in connection with

undeserved illness or injury. Even though people with a physical health affliction may not

explicitly ask “why me” or be upset about fairness that does not mean that deservingness

concerns have not been an influential factor in their reactions. Since the goal of the justice

Page 19: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

10

motive is to be able to assume the world is a just place, strategies that in some way preempt or

answer the “why me” question would be expected to be more common alternatives than

remaining preoccupied with unfairness. Some evidence does exist that is consistent with this

analysis. For instance in the case of self-blame, Dalbert (2001) found mothers who gave birth to

disabled children whose disability was unrelated to the mother’s behaviour when the child was in

utero were often inclined to blame themselves. As Dalbert noted “A fate viewed as self-inflicted

can no longer be unjust” (Dalbert 2001). While studies such as Dalbert’s provide evidence of a

particular just world protection strategy, no research has systematically attempted to examine a

variety of strategies in the same study of people who have experienced illness or disease. The

emphasis then is on strategies people use to deal with injustice rather than strength of justice

beliefs. Thus, the present research proposes to examine how deservingness concerns are

reflected in reactions to infirmity and in particular whether or not a number of just world

sustaining strategies can be found to be part of those reactions.

In so far as the strategies under investigation reflect the motivational concern with justice,

the relation between different strategies is expected to conform to some degree with established

principles of social cognition. First is the principle of equifinality, where equifinality refers to

the capacity of any of a number of different strategies to all be able to reduce just world threat.

Thus blaming oneself for an infirmity potentially achieves the same goal as construing the

experience in compensatory terms. In addition, while a set of strategies may be available the

strategy that best achieves the goal of reducing the threat and is most cognitively available is the

one expected to be chosen. The extent that one strategy is unable to achieve the goal and another

is available will determine the substitutability of the set. If one strategy is successful there will

not be a need to invoke other strategies (Kruglanski, et al., 2002). However, the substitutability

Page 20: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

11

of the set of means for achieving equifinality will be expected to be increasingly less apparent as

the magnitude of just world threat increases. Severe health outcomes that have no generally

understood links to the victim’s behavior can be enough of a threat to a just world that people

may show reliance on multiple means or strategies at once.

Severity and Responsibility

The level of severity of a disease or injury can vary widely as can the person’s

responsibility for their infirmity. These factors may have an effect on the justice coping

strategies that people use. By asking people to describe their illness or injury and evaluate the

severity of it and their responsibility for it the most complete analysis will be provided by

including these two major factors known to moderate just world threat. Since early experimental

investigations of reactions to just world threat these are the two most commonly manipulated

factors (Walster, 1966; Feigenson, Park, Salovey, 1997, Hanson, 2011). In general, justice

motive theory would predict that an outcome that is low in severity, or is perceived to be low in

severity, would minimally threaten a person’s just world beliefs as opposed to a high severity

case where a greater impact on just world beliefs would occur.

Illness and injury also vary with how they are understood to be the fault of the victim. In

the case of smoking and lung cancer where the correlation is strongly apparent those with lung

cancer can be expected to be more aware that others will view them as responsible for their fate

and thus be more likely to self-blame (Braman & Lambert, 2001). Finding cause or explanation

for an unwanted event or outcome gives a person the ability to understand the negative event that

has happened to them and allows them to maintain a consistent and just worldview regardless of

whether it is rational or practical (Faller, Schilling, Lang, 1995; Ferrucci, et al. 2011). The non-

Page 21: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

12

rational or practical can also be seen as normative and non-normative. For a person who obtains

lung cancer through smoking or injures themselves partaking in a risky activity it would be

rational and normal to blame themselves. In a case where responsibility is not readily apparent

for the outcome it would be non- normative to engage in self-blame. Yet if self-blame is

occurring in a situation such as this then it would likely be that we are observing the use of a

justice motive strategy. Some just world strategies may occur in both situations but it is where

the person is not responsible that their use will be most apparent. The implications for

moderation are that normative understanding of what happened and why will influence the just

world protective strategy.

Questions about the extent to which the infirmity felt unfair and undeserved at the time

and how much it feels that way now will be used to assess strategy use. This will also be done

with questions that ask how much the illness or injury made them feel diminished or think poorly

of themselves and how much they think it had a continuing effect on themselves. To do this they

will also be asked about the extent to which they believe they are responsible for the infirmity

and whether they ever felt that it was “punishment” for things they had done previously.

Compensatory cognition questions will ask participants the extent to which there were

unexpected positive outcomes associated with their affliction and when they first started to

recognize the positive aspects

Self Esteem

A deservingness related paradigm examined by Callan (2013) was self-esteem. Callan

(2013) along with others have found that those low in self-esteem will feel more deserving of

bad outcomes (Feather, 2006, Wood, Heimpel, Manwell, & Wittington, 2009), if a person who is

Page 22: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

13

low in self-esteem becomes injured or ill then they may feel deserving of that negative outcome

and evidence a lack of just world threat as the person is not seeing themselves as a good person

deserving good things. It has also been found that people may be situationally low in self-esteem

as the product of a negative event. Self-esteem can be measured to help to determine how

people’s self-esteem may be affected by their negative event and again if it is having any major

effect on perceived just world threat. The previously identified importance of self-esteem as a

factor in people’s sense of deservingness makes it an important metric to measure to determine

how self-esteem will function in the present context.

Aims and Hypotheses

Aim 1.

The initial aim of the research was to explore the extent to which people may experience

their own illness and injury as unfair and if so do they also demonstrate reactions predicted by

justice motive theory for how people use specific strategies to protect their need to believe in a

just world? Finally, are perceptions of fairness related to emotional experiences associated with

illness and injury and if so are these emotional reactions moderated by justice motive protective

strategies?

Aim 1 Hypotheses.

1. As suggested by justice motive theory, to the extent that people see themselves positively

and injury or illness as a bad outcome, participants are expected to evidence feelings of

unfairness in connection with their illnesses or injuries.

a. Perceived unfairness will be positively related to self-reported negative affect.

Page 23: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

14

2. Participants will evidence use of justice motive protective strategies that parallel

strategies used by observers perceiving the fates of others as unfair to diminish just world

threat: self-blame, self-denigration, re-evaluating the outcome, and compensatory

cognition. One of the strategies for testing this hypothesis will be to perform a

MANOVA analysis. If a latent variable, that relates all four strategies, is detected then

follow up univariate analysis will be done to determine how the use of strategies relates

to perceived fairness and deservingness. The MANOVA strategy is advantageous as

multiple dependent variables were being measured that are intercorrelated and relate to a

general latent variable, justice motive protection. The dependent variables are moderately

correlated and allow us to simultaneously analyze several quantitative variables over a

single IV. This will also help to address substitutability and equifinality by determining if

several strategies are used for addressing just world threat.

a. Use of justice motive protective strategies will be inversely related to perceived

fairness because reported unfairness is evidence of lack of successful application

of a just world protective strategy

b. Use of justice motive protective strategies will be inversely related to perceived

negative affect.

3. In so far as participants reports of deservingness reflect their sense of unfairness (i.e.,

unfairness = I didn’t deserve this) deservingness judgments are expected to yield

analogous relationships with protective strategies and emotional reactions as perceived

fairness does.

Page 24: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

15

Aim 2.

In the justice motive literature examining observer reactions to the suffering of others both

severity of the harm and victims’ responsibility for their fate have been found to be important

moderators of the extent to which observers’ are motivated to protect their belief in a just world.

For instance, the justice motivated tendency to blame and/or derogate victims is most apparent

when they are innocent and when the harm is severe. Thus a second aim of this project is to

examine the extent to which participants’ responses to their own fate are influenced by their

perceptions of responsibility for, and perceptions of seriousness of, their illness or injury.

Aim 2 Hypotheses.

1. As suggested by justice motive theory, the less participants feel responsible for their

injury, the more they will perceive it as unfair.

2. The more serious the injury or illness, the more participants will see their illness or injury

as unfair

3. Responsibility and severity are expected to interact in their effects so that the highest

levels of perceived unfairness will occur when participants don’t feel responsible and

severity is high.

4. Accordingly, strategies for protecting the belief in a just world will be most apparent

when severity is high, participant responsibility is low, and most apparent when

participants see their illness or injury as severe but also not something they are

responsible for.

5. In so far as participants reports of deservingness reflect their sense of unfairness (i.e.,

unfairness = I didn’t deserve this) deservingness judgments are expected to yield

analogous relationships with severity and responsibility as for perceived fairness.

Page 25: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

16

Aim 3.

The possibility that individual differences my play a role in justice motive reactions to

illness is explored through examination of relationships between relevant variables and the

primary constructs that are the focus of this research: perceived fairness and deservingness, and

justice motive protective strategies of self-blame, self-derogation, compensatory cognition, and

reevaluating the outcome.

Aim 3 Hypotheses.

1. In so far as self-esteem informs the extent to which people will experience outcomes as

unfair (e.g., people with low self-esteem are less likely to see bad outcomes as unfair),

self-esteem is expected to be inversely related to perceptions of fairness and

deservingness.

a. Self-esteem will be inversely related to self-blame and self-derogation

b. No a priori predictions are offered for the relation between self-esteem and re-

evaluating the outcome or compensatory cognitions.

2. Personal belief in a just world (PBJW) has been shown to serve as a protective factor

when people experience injustice. Fairness, deservingness and protective strategy use are

also psychological protective measures against just world threat and thus accordingly,

PBJW is predicted to be positively related to perceived fairness, deservingness, and

protective strategy use.

3. General belief in a just world (GBJW) has been shown to be an individual difference

moderator of just world belief effects. Violations of the just world beliefs would indicate

that the world is not a fair place and would coincide with a lack of fairness and

Page 26: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

17

deservingness. Accordingly, GBJW is expected to be inversely related to perceived

fairness and deservingness, but positively related to protective strategy use.

4. Immanent (IJ) and ultimate (UJ) justice individual differences reflect different styles for

maintaining the belief in a just world. Accordingly, IJ is predicted to be positively

related to self-blame, self-derogation, and reevaluating the outcome, whereas UJ is

expected to be positively related to compensatory cognition.

a. No predictions are offered for relationships between IJ, UJ and fairness or

deservingness

5. Individual differences in justice sensitivity are of two sorts: sensitivity to being unjustly

harmed or sensitivity to unjustly benefitting (getting more than one deserves).

Accordingly, justice sensitivity to harm is predicted to be inversely related to perceived

fairness and deservingness.

a. Sensitivity to the injustice of privilege is not expected to be related to any of the

variables of interest.

b. No a priori predictions are offered for the relation between the injustice of harm

and protective strategy use.

Justice motive theory has been shown to operate in variable ways when people are

addressing tragedy and illness and there are multiple protective, risk, coping, personality, social

contextual, normative and other specific conditions that will affect predictive outcomes for

people in dealing with critical life events (Dalbert, 2001; Furnham, 2003). However the

experience of justice and injustice has not been thoroughly explored in the context of specific

justice perceptions and in particular those related to health or the integration of mental and

Page 27: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

18

physical health (Dalbert, 2001; Lucas, et al., 2008). This research will apply recent, though

limited, developments in our understanding of the role of deservingness in reactions people have

to their own fates in a health context. While deservingness has been examined in people with

illness there is the need for further research and expansion of the study beyond the perception of

others and into a personal sense of deservingness (Braman & Lambert, 2001; Callan, et al. 2013;

Cataldo, Jahan, Pongquan, 2012; Park, et al., 2009; Switzer & Boysen, 2009; Tong, et al., 2010;

Zebrack, 2000). The proposed research will also develop knowledge around specific situations

and possible predictable outcomes; ie. If a person encounters a serious health issue how will this

affect their just world beliefs and how will this be manifested? Threats to people’s just world

beliefs can result in significant distress. If we develop an expectation around the JW threat posed

by a personally threatening, as opposed to a third party situation, and people’s reactions to the

situation then we will be better informed for future examinations of how to deal with distress

posed by just world threat.

The research may also be useful in the realm of public health. Debate exists in the

medical field about the allocation of health care resources depending on people’s responsibility

for their disease and outcome. This essentially is an issue of deservingness of care (Feiring,

2008). Understanding how people make personal attributions of deservingness will be useful in

the debate of lifestyle and the just allocation of health care. People’s personal sense of

deservingness affected by severity and responsibility may affect how they think about the ways

in which resources, care and attention should be allocated. If a person has been personally

affected by a certain health outcome the way in which they perceive the outcome in terms of

personal deservingness may affect how they think of others deservingness.

Page 28: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

19

Examining people’s reactions to their own fate will help to expand justice motive

research with a personal application of the theory and in addition the results will help to elucidate

the validity of theory proposed around people’s feelings of deservingness such as done by Callan

(2013).

Method

The purpose of present study was to examine the effect of a just world threatening

event in a personal context as opposed to a third party context. Having participants think of a

health event that disrupted their daily lives was done in order to make salient an event that may

have had just world implications. Various measures were used to examine if just world strategies

were being applied.

Participants

The various ways in which people might choose to deal with the just world implications

of a negative health outcome was examined using a survey of students taking psychology courses

for research participation credit as well as participants from the general population who were

accessed using the crowdsourcing website Crowdflower. The study population was expanded

beyond an initial student sample to a crowd sourced population in order to increase the sample

size as well as increase generalizability by using a sample that is more diverse and has been

shown to have equal to or greater reliability than a student sample (Behrend, et al. 2011; Best, et

al., 2001). Crowdsourcing has been defined as “a distributed problem-solving and production

model” where people are recruited through an online source to complete various tasks (Brabham,

2008). Crowdsourcing is an emerging and viable approach for research including health related

Page 29: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

20

research (Swan, 2012). Any user of this crowdsourcing site was eligible to participate in the

study.

It is expected in the student population overall health status will likely be high relative to

other age cohorts but participants will nonetheless have had experience with a variety of illnesses

or injuries varying in both severity and blameworthiness. This variability enables the

examination of the proposed moderator research questions. In university aged populations

illnesses such as respiratory tract infection are common and significant enough to cause missed

school days, doctor visits and poor test performance (Nichol, Heilly, Ehlinger, 2005). Young

Canadians are also more prone to injury or death from injuries, have rising obesity rates, and

have the highest rates of STIs (Public Health Agency of Canada, 2011). It will be made clear that

participants may report experience with a chronic condition if that is most relevant for them.

Three hundred and thirty eight participants were recruited for the study. Participants were

recruited through the University of Calgary Psychology Departments’ research participation

system (RPS) and Crowdflower. Students received 1 course credit for their participation while

the crowd sourced participants were compensated $1.

Eighty seven students were initially recruited for the study. Seventeen participants (20%)

were eliminated from the student population for indicating that their data should not be used

because they did not complete the survey with care while 5 (6%) others were eliminated for

careless responding1.

1Careless responses were considered cases where participants inserted a string of meaningless letters or

words to bypass the forced response written portion. Responses were also considered careless when

participants answered all of the scale items with the same value (e.g. 1).

Page 30: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

21

From the student sample 22 (25%) were removed in total leaving 65 participants. The mean age

for the student sample was 20.64 years with a range of 18-26 years. Of the student sample 26%

(17) indicated their sex as male and 74% (48) indicated female.

Two hundred and fifty one participants were recruited through crowdsourcing. Twelve

participants (5%) were eliminated from the sample for indicating that they did not complete the

survey with care while 29 (12%) others were eliminated for careless responding. Overall, 41

(16%) of the crowd sourced sample was removed leaving 210 participants.

The crowd sourced population had a mean age of 37.6 years with a range of 16-81 years.

From the crowd sourced population 48% participants indicated their sex as male, 50% female

and 2% selected the option Other.

A total of 63 participants were eliminated from the two sample sources for careless

responding such as entering non-sense responses in the written portion of the survey and or not

completing the majority of the questions. Participants were also eliminated for reporting that they

had not had any physical health issues or for reporting mental health issues such as depression or

reporting events that affected people close to them. From the combined sample 19% of

participants were removed. Careless responding has been identified to typically be in the range

of 10%-12% for students responding to long form surveys. For employee surveys this range is

typically up to 20%-50% in long form surveys (Meade & Craig, 2012). While the 19% rate of

elimination for this study seems high it falls within what is a normative range for the present

style of survey responses for the samples used. Two hundred and seventy five participants

remained with 65 (24%) coming from the student population and 210 (76%) coming from the

crowd sourced population. Forty three percent (118) of participants indicated they were male,

Page 31: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

22

56% (154) female, and 1% (3) selected Other. The mean age of the combined sample was 33.75

years with a standard deviation of 14.8 and a range of 16-81 years.

The two samples differed on age and sex with the student population being significantly

younger and with proportionately more females. The two samples did not differ on most

measures so results are reported combining both samples except where indicated.

Procedure

Participants were recruited to the study either through the University of Calgary SONA

research participation system or through a link accompanied by a description of the study on the

website Crowdflower. After providing consent to participate, participants completed a

questionnaire with six sections, always in the same order:

1. Demographic information

2. Health status, injury and illness experiences, and fairness judgments

3. A series of four justice individual difference premeasures

4. A description of a specific infirmity event

5. Illness or injury related emotions

6. Judgments about the event

After completion of the study participants were debriefed and thanked for their participation.

The questionnaires were identical for both samples excluding a question asking about program of

study that was eliminated from the crowd sourced sample questionnaire.

Page 32: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

23

Ethics approval for the study was granted in April of 2014 by the Conjoint Faculties

Research Ethics Board for the study. The ethics approval from the CFREB can be requested from

the researcher.

Measures

Demographics. Participants reported their age and sex. The student sample also reported

their program of study.

Health status, injury and illness experiences, and fairness judgments. Participants

answered a series of a questions that used a seven-point vertical “thermometer” type scale

ranging from 1 (bottom value) to 7 (top value). The three general status measures were:

1. How would you rate your general level of health? (with 1 being very poor and 7 being

very good)

2. To what extent are you concerned with your health? (with 1 being not at all concerned

and 7 being very concerned)

3. Do you feel that throughout your life you have generally been healthy?

Participants were asked to report experiences with injury and illness in the last five years. In

separate series of questions for illness and injury participants were asked: “Thinking about

injuries/illness you have experienced that resulted in you not being able to function (e.g. go to

work or school) for 5 days or more how often would you say this has happened in your life? (1 =

rarely, 7 = very often); “Sometimes when we are injured/ill it seems unfair. Have you ever felt

this way?” (yes, no); “ If you answered yes to the previous question: How unfair did the

injury/illness feel to you:” (1 = slightly unfair, 7 = extremely unfair).

Page 33: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

24

A parallel series of questions asked participants to reflect on infirmities experienced by

close others: “Thinking about injuries or illnesses people who are close to you have experienced

over your life, to what extent have their experiences impacted your life?” (1 = rarely, 7 = very

often); “Sometimes when someone close to us experiences injury or illness it seems unfair. Have

you ever felt this way?” (yes, no); “If you answered yes to the previous question: How unfair did

the other person’s injury or illness feel to you?” (1 = slightly unfair, 7 = extremely unfair).

Justice measures. The next section of the questionnaire involved completion of four

measures designed to assess participants orientation to justice: The General Belief and Personal

Belief in a Just world (GBJW, PBJW; Dalbert, 1987), Immanent and Ultimate Justice (IJ/UJ;

Maes, 1998), and Justice Sensitivity (Schmitt et al., 2005, 2010).

General and Personal Belief in a Just World. The General Belief in a Just World scale

(GBJW; Dalbert et al., 1987) is a six-item scale that assesses the extent to which the respondent

views the world as just by asking for degree of agreement with statements such as “I think the

world is basically a just place,” “I believe that, by and large, people get what they deserve,” and

“I am confident that justice always prevails over in-justice.” (See Appendix 1 for the complete

scale). Responses range from “strongly agree” (1) to “strongly disagree” (7). The scale

demonstrated adequate consistency (α = .88).

The Personal Belief in a Just World scale (PBJW; Dalbert, 1999) is a seven-item scale,

conceptually similar to the GBJW, but asks respondents to report the extent to which their own

world is just with items such as: “Overall events in my life are just,” “I believe that I usually get

what I deserve,” and “I believe that most of the things that happen in my life are fair.” The same

agree/disagree response format was used for this scale and the items for both the PBJW. The

Page 34: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

25

PBJW also demonstrated good internal consistency (α = .95). The PBJW and GBJW scales were

completed together mixed as a single just world belief scale.

Both the GBJW and PBJW have been shown to be psychometrically sound (Dalbert et

al., 1987; Dalbert 1999; Lipkus et al., 1996) and have been used widely in research concerned

with how justice world beliefs inform reactions people have to their own and others’ fates (see

Dalbert, 2001 and Hafer & Sutton, in press for reviews).

Justice Sensitivity 1 & 2. Participants were presented with two Justice Sensitivity (JS)

scales with the first, JS1, measuring the degree of injustice people experience in situations that

advantaged others but disadvantaged them. This scale contained 10 items such as “It bothers me

when others receive something that ought to be mine” and “It worries me when I have to work

hard for things that come easily to others”. Each question asked respondents for the extent of

their agreement with each item’s statement using a response scale ranging from 1 (not at all) to 5

(extremely).This scale demonstrated good internal consistency (α = .91).

The second justice sensitivity measure asked about the degree of injustice people felt in

situations that advantaged them but disadvantaged others. The JS2 scale also had 10 items and

the same response format as JS1. The scale included questions such as “It disturbs me when I

receive what others ought to have” and “It bothers me when things come easily to me that others

have to work hard for.” This scale also demonstrated good internal consistency (α = .90). (See

Appendix 3 for the complete scales).

The JS self-report scales for victim, JS1, and beneficiary sensitivity, JS2, have been

demonstrated to have strong psychometric properties for assessing individual differences for

differing justice perspectives. These scales have been frequently used to assess demographically

Page 35: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

26

differing groups and groups that vary on life experiences such as social inequalities (Schmitt et

al., 2005; Schmitt et al., 2010).

Immanent and Ultimate Justice. Participants were presented with an Immanent/Ultimate

justice (IJ/UJ) scale of 31 items with a disagree/agree response format ranging from -3 (disagree

very much) to 3 (I agree very much). People with an immanent justice orientation demonstrate a

need to see justice on an ongoing basis relying on the various strategies described in the justice

motive research to do so (e.g. victim blaming; see Lerner, 1980). Ultimate justice on the other

hand allows for less defensive reactions to ongoing injustice but aided by the assumption that

justice will be obtained “in the long run.” A score greater than zero on this scale indicate an

Ultimate Justice perspective while a low score would indicate an Immanent Justice perspective.

Examples of items included were “A badly lived life is directly followed by doom” (immanent)

and “At some point, everyone has to pay for their ill deeds.” (ultimate). (See Appendix 4 for the

complete scale.) Once again good internal consistency was demonstrated (α = .93).

As with the other justice measures the IJ/UJ scale has undergone rigorous psychometric

assessment and been demonstrated to be reliable. The present IJ/UJ scale has been repeatedly

used to assess the correlates of Immanent and Ultimate justice in varying conditions and

populations (Maes, 1998).

Rosenberg self-esteem scale. The Rosenberg self-esteem scale with integrated

deservingness items as developed by Callan (2013) was presented to participants in order to

assess the participant’s current levels of self-esteem as well as the participants’ general sense of

deservingness. The scale consisted of thirteen items that were assessed on a scale from strongly

agree, SA, to agree, A, disagree, D, to strongly disagree, D. The items from the Rosenberg scale

Page 36: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

27

included items such as On the whole, I am satisfied with myself, the items from Callan to assess

deservingness included items such as Right now I do not feel deserving of positive outcomes. The

deservingness items as presented on the scale include items 3,6 and 10. The Rosenberg scale

demonstrated adequate internal consistency (α = .83) while the Callan deservingness sub items

demonstrated poor internal consistency (α = .24). The Callan items were not used for any further

analysis.

The Rosenberg scale has undergone rigorous psychometric evaluation since its inception

(Crandal, 1973) unto the present and has been widely used for the assessment of self-esteem with

varying populations (Hatcher & Hall, 2009).

Description of injury or illness event. For the infirmity event, participants were asked

to recall a time in the past 5 years when they experienced an injury or illness that was serious

enough to disrupt their daily routine, see Appendix 6. Participants described their infirmity in a

brief paragraph following these instructions:

“We would now like you take a moment and think about an illness or injury in the last

five years that was serious enough to disrupt your daily routine (ability to work, go to

school, engage in routine activities). This can include, though is not limited to, anything

from an infectious illness to physical injury to cancer (please exclude any mental health

issues).”

They also indicated how long ago the event occurred using a slider scale with one year

increments from 0 to 1 and ending with > 10. As participants moved the slider the actual age for

each point on the scale appeared as a popup so that age was recorded to the year.

Page 37: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

28

Writing tasks in which participants are asked to write about an event in their lives have

been shown to increase emotional engagement (Marlo & Wagner, 1999) as well as reflexive

capacity for, and emotional engagement with, the event (Treasure & Whitney, 2010). Having the

participants highly emotionally engaged is important as they are being asked to think of a past

event and the event may have lost some of its impact and salience to them over time. When a

person becomes engaged in an event, such as through a writing task, and it becomes more salient

to them or there is a degree of emotional engagement they are likely to identify with it (Montada

& Schneider, 1989; Reed, 2004) If the participants are more emotionally engaged then it is more

likely the just world threat evoked by the situation will be apparent to them.

Illness or injury related emotions. A series of questions were developed to assess

participants’ affective responses to the health event they described. Participants were presented

with nine emotions and were asked to evaluate each one using a scale ranging from 1 (Very

Slightly) to 7 (Very Much). The evaluation was made for the emotions in the past and present.

The items can be seen in Table 1. below. These items were used in order to gain an

understanding of the emotional impact of the experience they described and if this impact

changed, or did not change, over time. Understanding changes in the emotional valence of the

health event described would help to determine if just world strategies were being used

successfully.

Page 38: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

29

Table 1

Affective items presented to participants.

Time 1: How did you feel when the event

occurred?

Time 2: How do you feel about the event now?

Distressed Angry

Upset Ashamed

Afraid Irritable

Guilty Sad

Scared

Judgments about the Illness or Injury. Participants made a series of judgments about

their infirmity designed to assess the manner in which participants dealt with any associated just

world threat. These measures included perceived details of the event and their reactions to it, see

Appendix 7.

Fairness. After participants finished writing about their illness or injury and reported

related emotions they were asked about the perceived fairness of the event. This was done by

asking a simple yes/no question: “Sometimes when people have a bad experience like illness or

injury they can feel the experience is unfair. Did you feel that way when this happened?”

Severity. In order to assess the perceived severity of the health event, several items were

constructed that asked about how serious the event was in terms of the impact on participants’

lives. These questions were developed in order to determine the severity of the event at the time

it occurred and the continued impact it had on participants’ lives. Participants responded to six

Page 39: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

30

items on a scale of 1 to 7 with 1 being not at all serious and 7 being very serious. The 6 items

presented to participants can be seen below.

1. How serious was your illness or injury event overall?

2. How serious was your illness or injury in terms of its effects on your health at the

time?

3. How serious was the illness or injury in terms of its effects on your daily life?

4. How serious was this illness or injury in terms of its effects on your long-term health?

5. How serious was this illness or injury in terms of its effects on other people in your

life?

6. How serious was this illness or injury in terms of its effects on your present

psychological well-being?

Deservingness. Participants were asked about the extent to which they felt deserving of

the health outcome that befell them. These items were inspired by items used by Callan (2013) to

assess perceptions of personal deservingness for specific outcomes. Three items utilizing a 1-7

Likert-type scale with 1 being not at all deserving and 7 highly deserving were used to measure

deservingness at the time of the event while a fourth question asked if participants still felt that

they were deserving of their outcome:

1. When your illness or injury happened did you feel at the time that you deserved what

happened to you?

Page 40: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

31

2. When you think now about the illness or injury do you feel at all that you deserved

what happened to you?

3. To what extent do you think that others may have thought that you deserved what

happened to you?

Do you feel now that you deserved the health outcome you described? Yes/No.

Responsibility. A 3 item measure was used to identify how responsible participants felt

for their injury or illness. As with the deservingness items a direct approach was taken in asking

the participants about their perceived responsibility for the outcome. The items were rated on a

1-7 scale with 1 being not at all responsible and 7 highly responsible.

1. To what extent do you feel responsible for your illness or injury?

2. To what extent do you believe others would think you are responsible for your illness

or injury?

3. To what extent do you feel someone else is responsible for your illness or injury?

Justice strategies. Four assessments of known justice motive strategies were taken.

Assessments of these constructs have not previously been used for experiences involving

personal just world threat all of the measures were constructed for this study. The measures were

based on conceptually analogous measures used to assess these third party strategies used in

reactions to other people’s fate.

Self/Other-blame. Three questions were used to determine the extent to which

participants felt they or someone else could be blamed for their outcome. The manner in which

this assessment of Self-Blame is measured can be described as self-reported. Before an inference

Page 41: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

32

can be made about potential evidence of strategy use an independent evaluation of the legitimacy

of the participant to Self-Blame will need to be made. The manner in which this will be done is

described below. The items used to measure self-blame were rated on a 1-7 scale with 1 being

not at all and 7 being highly.

1. To what extent do you feel you are to blame for your illness or injury?

2. To what extent do you believe others would blame you for your illness or injury?

3. To what extent do you believe someone else is to blame for your illness or injury?

The alpha coefficient with the third item included is .6, after deletion the alpha rises to

.83. For all subsequent analysis only the first two items were used.

Self-derogation. Three items were used to determine to what extent participants self-

derogated. The items were presented with a response scale ranging from 1 (not at all) to 7

(highly). The scale demonstrated adequate consistency (α = .83).

1. Do you feel that what happened to you has anything to do with who you are as a

person?

2. Did you feel diminished by this experience or feel less good about yourself as a person

after this happened?

3. Do you feel that as a result of your health outcome your self-perception was lowered?

Compensatory cognition. Compensatory cognition is viewed as a more positive strategy

for dealing with just world threat. Compensatory cognition can be seen as evaluating to what

degree participants are able to find a “silver lining” in their negative health outcome. If a positive

Page 42: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

33

interpretation can be found the event may no longer be unjust. Compensatory cognition was

measured with 4 items each rated on a 1 to 7 Likert-type scale. The scale demonstrated adequate

consistency (α = .86).

1. Do you feel that your health setback presented an opportunity for personal

growth? (1 = no personal growth; 7 = lots of personal growth)

2. Do you feel that your health situation had any positive outcomes? (1 = no positive

outcome; 7 = many positive outcomes

3. Do you feel that any positive outcomes of your health situation outweighed the

negative outcomes? (1 = not at all; 7 = very much so)

4. Do you think that given the suffering you went through that you experienced some

compensating “lucky breaks” or even now can expect can look forward to some

“lucky break”? (1 = not at all, 7 = very much so)

Re-evaluating the outcome. Finally the degree to which participants may have altered

their perception of the event that occurred was measured. Participants may have changed the

extent to which the negative health outcome was seen as such. As with Self-Blame the use of

independent raters to verify the veracity of Re-evaluating the outcome as a potential justice

motive strategy, and not simply an accurate assessment of the situation, must be done. Re-

evaluating the outcome was measured with 3 items:

1. Do you feel that your health outcome is not as severe as others perceived it to be? (1

= highly disagree; 7 = highly agree)

2. When you think about your own health outcome how would you rate the severity of

it if it occurred to another person? (1 = not at all severe; 7 = highly severe)

Page 43: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

34

3. When you think about your own health outcome how would you rate how much

someone deserved it if it occurred to another person? (with 1 being not at all deserved

and 7 being highly deserved)

The scale demonstrated an alpha level of .43, after the third item was removed the alpha

level rose to .60. For subsequent analysis the third item was removed.

Independent rater judgments of severity, responsibility, and blame. A difficulty inherent

in two of the justice restoring strategies, re-evaluating the outcome and self-blame, is knowing

the extent to which participants’ judgments reflect justice preserving motivated cognition or

reasonably “veridical” assessments of severity and culpability. One approach to addressing this,

adopted here, is to gather independent rater judgments of severity, responsibility, and blame after

reading each participant’s report of what happened. While imperfect given potential sources of

error, the strategy was designed to capture the everyday judgments of third parties to other

peoples’ experiences that are also limited with respect to the information available to the

observer. With respect to the responsibility and blame ratings, it was assumed that rater

judgments would reflect application of generally held normative understandings of moral

attribution (Shaver, 1985). The presence of discrepancies between rater and participant

judgments on these dimensions were expected to indicate participant application of the re-

evaluation of outcome and self-blame JW maintenance strategies

A group of three coders were used to make evaluations about the severity, blame and

responsibility of the events reported by participants. The coders consisted of the author and two

undergraduate assistants. The writing tasks that asked participants to describe an illness or injury

scenario used by the coders to make an evaluation of responsibility and severity for the health

outcome. For severity items 1 and 3 were used:

Page 44: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

35

1. How serious was your illness or injury event overall?

3. How serious was the illness or injury in terms of its effects on your daily life?

For responsibility items 1 and 2 were used:

1. To what extent do you feel responsible for your illness or injury?

2. To what extent do you believe others would think you are responsible for your illness

or injury?

For self-blame items 1 and 2 were used:

1. To what extent do you feel you are to blame for your illness or injury?

2. To what extent do you believe others would blame you for your illness or injury?

For frame of reference training, the coders evaluated 10 participants from each sample

using the same scales as presented to participants (reworded to reflect the raters’ 3rd

party

perspective). Following discussion of inconsistencies in ratings of the initial 20, each coder read

and evaluated each of the 275 participants’ written responses and then made an evaluation of the

responsibility and severity of each case. An inter- class correlation (ICC) was performed to

assess inter-rater reliability of the coders assessments. An ICC of .855 was found with

confidence intervals of .781-.899, α = .880 indicating an acceptable level of inter-rater reliability.

Differences between the mean rater rating and the mean participant rating on each dimension

were used as indices to evaluate the use of just world strategies.

Page 45: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

36

Results

Preliminary Analyses

Justice measures. Participants were given five scales in order to measure various just

world perceptions the results of which can be seen in Table 2. Participants completed measures

of their Personal Belief in a Just World and General Belief in a Just World consisting of 10 items

each that ask respondents for the extent of their agreement with each item’s statement using a

response scale ranging from 1 (strongly disagree) to 6 (strongly agree). The student and crowd

sourced samples differed on the Personal Belief in a Just World (PBJW) scale with the student

sample scoring higher than the crowd sourced population, t(262)=3.53, p<.001. The samples did

not differ on the General Belief in a Just World. Participants were also presented with two

Justice Sensitivity (JS) scales; the groups were not significantly different on either of the scales.

Finally participants were presented with an Immanent/Ultimate justice (IJ/UJ) once again the

groups did not significantly differ.

The PBJW and GBJW scales were highly correlated (r=.731, p<.01) indicating that

participants sense of personal justice coincided with their general sense of justice. The IJ/UJ

scale was moderately correlated with the PBJW and GBJW scales, r=.496, p<.05, and r=.648,

p<.01, respectively. The two Justice Sensitivity scales were only weakly correlated r=.283,

p<.01. Justice Sensitivity Two was also weakly correlated with the IJ/UJ scale, r=.262, p<.01.

Page 46: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

37

Table 2

Results for Just World Measures scales

Mean/SD Skew/SES Student

M/SD

Student

Skew/SES

Crowd

M/SD

Crowd

Skew/SES

PBJW** 4.22/1.02 -.545/.150 4.7/.66 -.330/.304 4.2/1.1 -.384/.171

GBJW 3.52/.87 -.179/.150 3.63/.654 .379/.314 3.5/.93 -.179/.170

JS1 2.9/.93 -.207/.150 2.91/.78 -.446/.311 2.9/.96 -.167/.170

JS2* 2.81/.92 .006/.151 2.80/.74 -.484/.316 2.92/.97 .065/.171

IJ/UJ .26/.96 .087/.160 .32/.79 .294/.333 .23/1.01 .08/.181

Note. Significant differences between the crowd sourced and student populations are indicated

by an asterisk, *=p<.05, **p<.01.

Health status. Possible ratings for these measures ranged from one to seven, with seven

indicating healthiness. The majority of participants felt that they were generally healthy, with the

student sample having a mean score of 5.74 (SD=.871) and the crowd sourced sample having a

mean score of 5.01 (SD=5.01), and had been so for most of their lives (M=5.2, SD=1.4).

Participants were moderately concerned with their health (M=4.34, SD= 1.73). For participants

overall ratings of health throughout their lifetime significant differences were found with the

crowd sourced population having a lower mean rating (M=5.01, SD=1.21) compared to that of

the student population (M=5.74, SD=.871), t(263)=4.32, p<.001.

Page 47: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

38

Lifetime experience with injury and illness. Essential to answering the hypothesis of

the first aim it was necessary to find whether or not experiences with illness and injury can also

include the sense that such experiences can be unfair. Participants provided information in two

ways that speak to this. First, participants reported the frequency with which they had been

injured or ill and the extent that their lifetime experiences with injury and illness included

unfairness. Secondly they were asked about the unfairness of the particular injury or illness they

described. The first step is detailed below while the unfairness of a particular injury or illness is

expounded on in Aim 1.

Participants were asked about the lifetime incidence of injury that had kept them from

work, school or regular activities for more than 5 days on a scale of 1-7 with 1 being rarely and 7

being very often. The incidence rate for injuries that kept them from work, school or regular

activities for more than five days was low with the crowd sourced population having been

injured more frequently (M=2.33, SD=1.55) than the student population (M=1.77, SD=1.41),

t(260)=-2.45, p=.015. The rate of illness that had kept participants from work, school or regular

activities for more than 5 days was also low (M= 2.67, SD=1.71) though higher than the rate of

injury that had the same consequences (M= 2.19, SD=1.71), t(248)= -4.99, p<.001.

Illness and Injury for Others. Participants felt that when people around them were ill or

injured it had affected them at a moderate rate (M=4.17, SD=1.82). Seventy seven percent of

participants had felt that the injuries or illness that occurred to others around them were unfair.

Types of Illness and Injury. Participant’s illness and injury were coded into 5 different

groups to categorize the type of illness and injury. The majority of participants reported some

kind of acute injury or trauma, 49.1%; the second largest group was comprised of those who

reported a type of infectious illness, 26.2%. These two groups were followed by those who had a

Page 48: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

39

type of autoimmune issue, 17.1%, then surgery, 4.4%, and cancer, 3.3%. A Chi Square analysis

found no significant differences between types of illness and injury and the experience being

perceived as unfair.

Experience with specific injury or illness. Participants described a specific illness or

injury they experienced. The subsequently rated the severity of the illness or injury and related

emotions.

Severity. Given the high correlation among the six perceived severity items, they were

combined into a single index (α = .87). Participants’ reported severity of their experience was in

the mid-range of the scale (M= 4.1, SD=2.1) with 1 being not at all serious and 7 being very

serious.

Affect associated with injury or illness. Participants were given a series of affective

measures related to the specific injury or illness they described that asked about past as well as

present affective state. The results for each of the individual scale items can be seen in Table 3.

Significant changes were found for overall affective state from the past to present for the student

and crowd samples. A paired samples t-test found the student samples overall recalled affect

decreased from when the event occurred, Mean=2.81, SD=.9, to the present, Mean=1.54,

SD=.84, t(61)=12.4, p<.001. The crowd sourced sample showed a similar pattern with a decrease

in affect from the past Mean=2.95, SD=1.03, to the present Mean=1.85, SD=.96, t(195)=14.75,

p<.001

.

Page 49: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

40

Table 3

Mean scores for affective components and past to present affective change

Past Rating Present Rating Past to

Present

t-test

Item Sample Mean/SD Mean/SD Sig Diff p value

How did

you feel?

Distressed*

Student 3.48/1.12 1.52/.937 Yes p<.001

Crowd 3.53/1.27 2.09/1.31 Yes p<.001

Combined 3.51/1.24 1.96/1.26

How did

you feel?

Upset*

Student 3.58/1.13 1.69/1.05 Yes p<.001

Crowd 3.57/1.28 2.02/1.28 Yes p<.001

Combined 3.57/1.24 1.94/1.23

How did

you feel?

Afraid

Student 2.56/1.4 1.56/1.02

Crowd 2.98/1.55 1.85/1.13

Combined 2.88/1.52 1.78/1.11 Yes p<.001

How did

you feel?

Guilty

Student 1.74/1.21 1.35/.82

Crowd 1.77/1.16 1.53/.99

Combined 1.76/1.17 1.49/.95 Yes p<.001

Page 50: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

41

How did

you feel?

Scared*

Student 2.57/1.4 1.46/.95 Yes p<.001

Crowd 2.92/1.5 1.84/1.11 Yes p<.001

Combined 2.84/1.5 1.75/1.10

How did

you feel?

Angry*

Student 2.75/1.50 1.48/.959 Yes p<.001

Crowd 2.83/1.45 1.81/1.3 Yes p<.001

Combined 2.81/1.46 1.74/1.21

How did

you feel?

Ashamed

Student 2.09/1.4 1.32/.86

Crowd 1.99/1.32 1.51/.99

Combined 2.01/1.4 1.47/.97 Yes p<.001

How did

you feel?

Irritable

Student 3.15/1.3 1.63/1.03

Crowd 2.99/1.33 1.8/1.2

Combined 3.03/1.32 1.76/1.15 Yes p<.001

How did

you feel?

Sad*

Student 3.05/1.24 1.47/1.04 Yes p<.001

Crowd 2.99/1.38 2.0/1.40 Yes p<.001

Combined 3.00/1.35 1.87/1.30

Note. Those scales marked with an asterisk had significantly different ratings between the two

samples at p<.05

Page 51: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

42

For the affective measures an exploratory factor analysis was conducted to examine

relationships among the items. Principle axis factoring was applied with varimax rotation. For

feelings participants experienced at the time of the event there were three factors with the first

accounting for 48% of the variance, eigenvalue = 4.35, and comprised of distressed, upset, angry,

and irritable. The second was comprised of afraid and scared, accounting for 15% of the

variance, eigenvalue = 1.4. The third component was comprised of guilty and ashamed

accounted for 12% of the variance, eigenvalue = 1.07. The analysis had a KMO of .813 with the

three factors comprising 75% of the total variance. The results for past affective impact for the

three components can be seen in Table 4.

Factor analysis of the same items for current feelings revealed two with the first factor

comprised of distressed, upset, afraid, scared, angry, irritable and sad. The second factor was

comprised of guilty and ashamed. The analysis had a KMO of .879 and with the two components

comprising 78% of the variance with the first accounting for 66% of the variance, eigenvalue =

5.95, and the second component accounting for 11%, eigenvalue = 1.0. The results for present

affective impact can be seen in Table 4.

Page 52: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

43

Table 4

Affective impact for EFA components

Components Mean SD Range

Past 1 3.23 1.06 1-5

Past 2 2.86 1.44 1-5

Past 3 1.9 1.13 1-5

Present 1 1.81 1.02 1-5

Present 2 1.47 .89 1-5

T-tests were performed to examine if there were any differences between the student and

crowd samples for the three identified components for past affect. No significant differences

were found. T-tests were also performed to examine sample differences for present affect. A

significant difference was found for component one for present affect, t(1,256)=-2.32, p=.021,

where the crowd sample scored higher (M=1.89, SD=1.1) than the student sample (M=1.53,

SD=.89) This result is consistent with the majority of the individual affect items.

Preliminary Analyses Discussion

Health Status.

Based on the demographic information gathered regarding lifetime experience with

illness and injury our sample can be characterized as finding themselves generally healthy and

have been so for most of their lives. They have not experienced a high degree of injuries or

Page 53: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

44

illnesses that have significantly disrupted their lives and they are concerned with their health, if

only moderately so. Interestingly participants found illness or injury that occurred to those close

to them as being unfair at higher rate than for personal injury or illness as well as rating the

unfairness at a higher level. This rate was significantly greater than unfairness for personal injury

X2= 33.1, p<.001; or illness X

2= 35.4, p<.001. Participants rated the unfairness of injury or illness

for others at a mean of 4.99 (SD=1.72) on a 1-7 Likert scale with 1 being not at all unfair and 7

being highly unfair. When asked about fairness associated with personal lifetime experiences

with injury and illness, 54.4% reported feelings of unfairness associated with injuries and 63.8%

with illnesses, see Aim 1 for further discussion. This outcome may be due to being able to better

personally understand deservingness, fairness, justice and control personally than we are for

other people. When a negative event occurs to another person, particularly when we do not have

any control over the outcome, it becomes harder for us to understand the event and we are likely

to perceive the event as being more unfair. This would coincide with JM literature regarding

third parties (Dalbert, 2001; Lerner, 1980). If this is in fact the case it is also likely a greater use

of JW maintenance strategies would be used when thinking about experienced illness or injury

for others. The area of justice motive theory in the personal sense however is nascent in the just

world literature and the comparison of personal and third party justice concerns for similar

negative outcomes is an area for future study.

Justice Measures

Participant samples varied significantly on the Personal Belief in a World Measure with

the student sample scoring higher than the crowd sample and also being significantly negatively

skewed. This result can be expected as younger populations tend to score higher on the PBJW

scales. This is a product of differences in life experiences. The PBJW is partially an experiential

Page 54: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

45

construct and as a younger sample is less likely to have experienced as many violations to their

PBJW they will score higher on the scale than an older sample (Dalbert, 2009). No differences

existed between the samples for the GBJW. People tend to more strongly endorse the PBJW and

the GBJW and they exist as separate constructs. Thus the sample differences on the PBJW and

not on the GBJW are because the PBJW is a stronger held belief and younger people tend to hold

the belief to a greater extent than older people. The differences are expected then for the PBJW

while for the separate construct of GBJW the belief is not as strongly endorsed and not more so

by youth versus a more aged population so no differences between the samples are expected

(Dalbert, 2009). The same sample differences occurred for the second Justice Sensitivity scale

and again can be expected as younger participants perceive greater justice in their own lives

(Dalbert, 2001; Dalbert, 2009). In general participants scored on the higher end of the scales for

PBJW, GBJW and JS1 and JS2 indicating they find their lives and the world to generally be just

places. On IJ/UJ scales the scores above zero would indicate that participants tend to have an

ultimate justice perspective, which is expected as people age they tend to move from an

immanent towards an ultimate justice view (Lerner, 1980).

Experience with a specific injury or illness

The factor analysis regarding the affective measures regarding the specifically described

illness or injury reveals that each of the set of scales is measuring common affective outcomes

related to the event. People will have to deal with the results of their health outcome and these

results may be discomforting; this forms the first component comprised of distressed, upset,

angry, and irritable. This component is likely measuring some aspect of negative emotion related

to consequences surrounding the health outcome. The second component made up of afraid and

scared likely relates to fear from not knowing what the ultimate result of your current affliction

Page 55: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

46

would be and to a degree lacking some control over what will happen. The third component

comprised of guilty and ashamed may be related to moral affect related to embarrassment and

acknowledgment of having some influence on the negative health outcome or stigma related to

it.

For when the event was considered presently two components were identified with the

first comprised of distressed, upset, afraid, scared, angry, irritable and sad. The second

component again likely deals with moral affect and embarrassment and possible stigma related to

the event as identified when the event is thought of retrospectively. The first component contains

all the other affective results related to the event. These may be all related as distress and

discomfort become one component, as opposed to two when thought of retrospectively, as the

event loses impact over time and the emotions become washed out. Finally the two components

that were found when participants were asked about their emotions presently as opposed to the

three found for thinking about them in the past supports the aforementioned changes in

emotional perception of negative health events over time.

For both groups there was a significant decrease for each scale on the overall scores from

the past to the present. The affective impact of the event lost power over time. This is reasonable

and can be expected as memory and emotions tend to degenerate over time (Hassan, 2005). The

crowd sourced population experienced a significantly greater present affective impact for the

health event as compared to the student sample on both scales. This is interesting as the two

groups did not differ on the past affective impact of the event. This may indicate the presence of

some kind of coping mechanism that is present in the student population as compared to the

general population. A potential mechanism at work is the PBJW. The student sample scored

significantly higher on the PBJW than the crowd sourced population did. A stronger sense of

Page 56: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

47

personal justice has been related to positive coping with negative life events (Dalbert, 2001). So

while the injuries and illness were equally impactful the youth populations PBJW may have been

a protective factor that reduced the emotional impact over time. Alternately the student

population may be better equipped with resources such as family and community support, access

to health care; higher SES and better general resiliency that allow them to better manage the

impact of the experienced event. This is an area that demands further study to determine how

justice beliefs function in regards to various demographic factors when personal violations of

justice occur.

For the first set of affective components, for both samples, the highest scores were found

for distressed and upset and the lowest for guilty. As may be expected participants were unhappy

and concerned by their negative health outcome. The scores for afraid and scared were not

significantly different and these two items may be regarded as semantically different expressions

of the same emotion. This pattern held for the past and present iterations. The second scale had

the items of angry and irritable as the strongest and ashamed with the lowest scores. As with

afraid and scared angry and irritable may be semantic variations. It is interesting that on both

scales the two items related as a singly component on factor analysis, guilty and ashamed had the

lowest scores. Participants did not score highly on these two items that may be associated with

some kind of stigma. It may be understood that participants did not feel violations of their

personal moral standards of values of conduct regarding the event. Stigma tends to be an

externally induced feeling (Cataldo, et al., 2010), if our participants were not experiencing the

related emotions of guilt and shame then it may be inferred that those around them were not

imposing such connotations on the health event. As well it may simply be that what occurred

Page 57: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

48

would not contain any reason for the participants to feel guilty or ashamed; the participant was

able to rationally understand what occurred.

When the scores for the EFA derived components are examined the highest scores are for

emotional concern related to the outcome of the event followed by fear and moral affect. As with

the item scores the participants are most concerned with, and may initially be dealing with, the

negative emotions caused by the event, secondly they face fear regarding the possible outcomes.

Lastly and most weakly they are concerned with the moral affect and potential shame or stigma

as discussed above. The first component for present affect found significant differences in the

sample scores with the crowd sample scoring higher. This likely is occurring because of the

difference scores on the individual items for present scores and for the same potential reasons.

Though three factors exist for the past and only two for the present the same pattern as item

scores exist and there is a decrease from affective impact in the past to the present.

Aim 1 Results

Fairness, Deservingness, Just World Threat, and Protective Strategies

Fairness. Participants’ fairness judgments provided support for hypothesis 1: illness and

injury can be accompanied by feelings of unfairness. When asked about fairness associated with

lifetime experiences with injury and illness, 54.4% reported feelings of unfairness associated

with injuries and 63.8% with illnesses. When those reporting unfairness associated with injury

were asked how unfair on a scale ranging from one, slightly unfair to seven extremely unfair,

responses ranged from one to seven with a mode of five and a mean of 4.59. A similar pattern

obtained for those seeing their illness as unfair. Responses ranged from one to seven, with a

mode of five and a mean of 4.67. In sum, feelings of unfairness associated with injury and

Page 58: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

49

illness were common and the most common rating of magnitude of unfairness on a five-point

scale with seven being extremely unfair was five.

Interestingly, participants reporting more experiences with injury were also more inclined

to report the injuries as unfair, r = -.37, p <.001 and the same was true for illness, r = -.36, p

<.001. It was also the case that participants reporting their injuries as unfair, were also more

likely to report their illness as unfair, X2(1) = 58.03, p <.001.

When asked if the specific reported illness or injury was experienced as unfair at the

time, 38.7% of the respondents said yes. When those who said yes were asked if they still felt

the experience was unfair, 46.2% (17.9 % of total sample) said yes. Reporting the experience as

unfair either at the time or presently was unrelated to time since the event. In addition,

perceptions of fairness did not depend on whether the participant reported an illness or an injury,

X2(1) =1.4, p=.237.

Hypothesis 1a predicted a relation between perceived unfairness and reports of negative

emotions and this was supported as well. As shown in tables 5 and 6, perceived unfairness at the

time of the illness or injury was related to negative emotions at the time except for guilt and

shame. Although emotions at the time tended to be more negative (excluding guilt and shame)

for those who still experience their infirmity as unfair, only for upset was the difference reliable.

Current emotions were related to perceived fairness at the time of the event (excluding guilt and

scared) and current unfairness (except guilt).

Page 59: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

50

Table 5

Mean Emotions at the Time for Perceived Infirmity Fairness at the Time and Currently

Fairness at the time

N = 274

Fairness Now

N = 106

Emotions at the time Fair Unfair Fair Unfair

Distressed 3.13 4.13*** 4.02 4.27

Upset 3.17 4.20*** 3.91 4.53**

Afraid 2.43 3.60*** 3.38 3.84

Guilty 1.76 1.77 1.88 1.65

Scared 2.40 3.54*** 3.50 3.59

Angry 2.45 3.40*** 3.18 3.65

Ashamed 1.90 2.20 2.31 2.06

Irritable 2.77 3.46*** 3.44 3.48

Sad 2.59 3.65*** 3.48 3.85

Note: aThe fairness now sample includes only those who perceived unfairness at the time.

* p <. 05, ** p <. 01, *** p <. 001

Page 60: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

51

Table 6

Mean Current Emotions for Perceived Infirmity Fairness at the Time and Currently

Fairness at the time

N = 274

Fairness Nowa

N = 106

Current Emotions Fair Unfair Fair Unfair

Distressed 1.76 2.26* 1.79 3.08***

Upset 1.64 2.41*** 1.91 3.26***

Afraid 1.58 2.09*** 1.83 2.51*

Guilty 1.48 1.49 1.36 1.69

Scared 1.60 1.97 1.76 2.33*

Angry 1.48 2.13*** 1.63 2.97***

Ashamed 1.40 1.57* 1.31 2.00*

Irritable 1.58 2.05** 1.66 2.69***

Sad 1.61 2.27*** 1.70 3.26***

Note: aThe fairness now sample includes only those who perceived unfairness at the time.

* p <. 05, ** p <. 01, *** p <. 001

Deservingness. The hypothesis three prediction that deservingness judgments would

parallel fairness judgments received mixed support. When asked, yes or no, if they feel now that

Page 61: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

52

specific reported illness or injury was deserved, only 11.3% said yes. Responses to scaled

responses were more varied. In each case the modal response was “not at all deserved” and

responses were positively skewed away from the mode. When asked if they felt at the time that

they deserved what happened, 42.1% of participants said not at all with the remainder reporting

that they at least somewhat deserved what happened (M = 2.45). Perceived current

deservingness was similar with 42.3% seeing the illness or injury as not at all deserved (M =

2.49). Interestingly, when asked if they thought others may have thought they deserved what

happened, the pattern was very similar, with 45.2% saying not all (M = 2.42).

For purposes of examining the relationship between deservingness and emotional

reactions to the illness or injury, a deservingness index was created as the correlations among the

deservingness items was high (α = .91). As shown in Table 7, deservingness was most strongly

related to the moral emotions of guilt and shame both at the time and currently. Other negative

emotions at the time of the event were either unrelated or inversely related. At the time of the

survey, some but not all negative emotions were positively related to deservingness, which is the

reverse of what might be expected from hypothesis 3. Overall, the judgment that one deserved

the illness or injury was associated generally with negative emotions, particularly moral

emotions.

Page 62: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

53

Table 7

Correlations Between Perceived Deservingness and Emotions at the

Time of Illness or Injury and Currently.

Emotions At the time Currently

Distressed -.20** .18**

Upset -.22*** .11

Afraid -.08 .19**

Guilty .41*** .41***

Scared -.09 .21**

Angry .06 .15*

Ashamed .36*** .32***

Irritable .02 .18**

Sad .03 .11

Note: * p <. 05, ** p <. 01, *** p <. 001

Fairness and Deservingness. When the yes or no assessment of current deservingness

was cross-tabulated with the choice of fair or unfair at the time of the illness or injury, there is no

relationship (χ2 = 0). However, point biserial correlations between perceived fairness or

unfairness at the time, do correlate moderately with perceived deservingness at the time (r = .30,

p < .001) currently (r = .24, p < .001), and with perceptions that others would see the illness or

injury as deserved (r = .15, p < .05). In each case perceived fairness is associated with perceived

Page 63: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

54

deservingness as predicted by hypothesis three. These moderate relationships indicate that some

but not all of the variance in participants’ judgments of the fairness of their illness or injury is

based in the extent to which they believe they deserved what happened.

Just world protective strategies. As shown in Table 8, and consistent with hypothesis

two, participants did evidence the same sort of justice world protective strategies employed by

observers. The scores for each are significantly positively skewed, except for compensatory

cognition, indicating that most participants scored toward the lower end of the scales.

Table 8

Univariate results for the Justice Motive Strategy Measures

Sample Mean

Score

Standard

Deviation

Median Range Skew Standard

Error of

Skew

Self-Blame Combined 2.77 1.74 2.5 1-7 .695 .153(.306)

Self-

Derogation

Combined 2.5 1.54 3 1-7 .7 .155(.310)

Compensatory

cognition

Combined 3 2.02 4 1-7 .223 .156(.312)

Re-evaluating

the Outcome

Combined 3.19 1.16 3 1-7 .352 .155(.310)

Note. Each measure employed a 7-point scale with larger values indicating higher levels of the

construct. No significant differences were found between the two samples

Page 64: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

55

The relationships among the strategies as shown in Table 9 indicate that the tendency to engage

in one strategy was related to the tendency to use the remaining three

Table 9

Summary of Justice Motive Strategies Intercorrelations and Reliability Coefficients

Measure 1 2 3 4

1. Self-Blame α=.603 r=.395** r=.433** r=.397**

2. Self- Derogation r=.395**

α=.834 r=.495**

r=.291**

3. Compensatory

Cognition

r=.433**

r=.495**

α=.862 r=.432**

4. Reevaluating the

outcome

r=.397**

r=.291**

r=.432**

α=.602

Note. A significance level of p<.05 is indicated by *, a significance level of p<.01 is indicated

by**

In order to explore the relationship between the JW strategies a factor analysis was

conducted. Principle axis factoring was applied with varimax rotation that revealed a single

component that comprised all four of the JW strategies with a KMO of .788 and accounting for

63% of the variance. This would indicate that self-blame, compensatory cognition, self-

derogation and re-evaluating the outcome share significant common variance suggesting the

presence of a latent just world protective strategy variable.

Page 65: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

56

To assess average differences between strategies in the magnitude of their use, the scores

on each of the justice maintenance measures were converted to z scores in order to standardize

them. A two way repeated measures ANOVA was then performed to test the rate of use of

justice motive strategies. The four strategies were analyzed across the two samples and time. No

significant main effect was found for differences in strategy use nor was an interaction found for

sample, crowd sourced vs. student, and time, present vs past.

Just world protective strategies and independent rater assessment. The relation

between fairness and self-blame was examined taking into account differences between

participants’ self-reports of culpability and independent rater judgments of the same experience

as reported by the participant. This was done for both ratings of blame and responsibility. As

positive scores on the difference score indicate more self-reported self-blame than the raters

assigned, in the present context positive scores would be indicative of self-blame as a protective

strategy2.

With perceived fairness as the predictor and responsibility difference scores as the criterion,

fairness was found to be positively related with the tendency to assign more responsibility to

oneself, than others would, t(1,249)= 2.9, β=.181, R2=.033 p=.004. No relationship between

fairness and the blame difference scores was present.

2 The participants tended to rate themselves as being more responsible for the event (M=2.94, SD=1.68)

than did the coders (M=1.61, SD.95), t(524)= 11.21, p<.001. For blame the coders issued higher ratings

of blame (M=5.19, SD=2.98) than did the participants (M=2.73, SD=1.7), t(522)= -11.26, p<.001.

Page 66: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

57

In the case of re-evaluating the outcome raters did not use the same rating scales as

participants so direct difference scores could not be used. However, differences in perceived

severity were examined as the basis for inferring possible re-evaluation of outcome.

In this case because higher scores indicate more perceived severity than the judgment of

raters, negative values are treated as indicative of re-evaluating the outcome in a positive

direction. In this case the tendency to view the illness or injury as less severe than others might

was associated with more perceived fairness, t(1,257)= -3.0, β=-.184, R2=.034, p=.003

3.

MANOVA Analyses. To examine the relationship between the JM strategies and fairness

and deservingness two MANOVAs were conducted. a MANOVA strategy was used as multiple

dependent variables were present that were associated with a more general, or latent variable,

that was being measured, justice world protection. The categorical dichotomous fairness was

used as the independent variable.

Fairness at the time of the illness injury. A Hotelling’s T2

or two group between subjects

multivariate analysis of variance was conducted on four dependent variables: self-blame, self-

derogation, compensatory cognition and re-evaluating the outcome. The independent variable

was whether the described health event was seen as fair or unfair.

Using Wilks Lambda as the criterion, the composite dependent variate was significantly

affected by fairness, Wilks Lambda = .817, F(4,228) = 12.784, p<.001. This would indicate the

presence of justice motive protection is significantly affected by fairness perceptions.

3 For the severity comparison a significant difference was found, t(532)=10.99, p<.001, where the

participants rated their health event as being more severe (M=3.86, SD=1.61) than did the coders

(M=2.60, SD=.99).

Page 67: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

58

Univariate ANOVA’s were conducted on each dependent measure separately.

Statistically significant univariate effects were found for (see also Table 10):

Self-derogation F(1,231)= 39.66, p<.001, η2= .147, where those who found the situation

to be unfair self-derogated at a greater rate than those who did not find it unfair.

Compensatory cognition F(1,231)= 7.787, p= .006, η2= .033; where those who found the

situation to be unfair used compensatory cognition at a greater rate than those who did not find it

unfair.

Re-evaluating the outcome F(1,231)= 13.385, p<.001, η2= .055; where those who found

the situation to be unfair re-evaluated the outcome at a greater rate than those who did not find it

unfair. No effect was found for self-blame. The univariate ANOVAs support that those who

found their situation unfair showed greater just world protection.

Table 10

Descriptive statistics for MANOVA univariate analysis of fairness

Unfair Fair

Mean SD Confidence

Interval

Mean SD Confidence

Interval

Self-

derogation

9.15 4.69 8.42,9.89 5.53 3.79 4.66,6.39

Compensatory

cognition

12.82 6.1 11.81,13.83 10.62 5.71 9.44,11.81

Re-evaluating

the outcome

7.6 2.44 7.19,8.01 6.42 2.42 5.93,6.9

Note. Confidence Intervals are measured at 95%

Page 68: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

59

Fairness now of illness or injury. A Hotelling’s T2

or two group between subjects

multivariate analysis of variance was conducted on four dependent variables: self-blame, self-

derogation, compensatory cognition and re-evaluating the outcome. The independent variable

was whether they presently felt the health event they described was fair or not.

Using Wilks Lambda as the criterion, the composite dependent variate was not

significantly affected by fairness, Wilks Lambda = .514, F(4,228) = 19.4, p=.87. This would

indicate that no justice motive protection for present feelings of fairness for the illness or injury

is apparent.

Deservingness at time of illness or injury. A median split was performed in order to

categorize the continuous variable deservingness into a categorical one with values falling on the

median of nine or above categorized as being feeling deserving of their outcome and participants

falling below the median categorized as being undeserving of their outcome.

A Hotelling’s T2

or two group between subjects multivariate analysis of variance was

conducted on four dependent variables: self-blame, self-derogation, compensatory cognition and

re-evaluating the outcome with the dichotomized deservingness measure as the predictor

variable.

Using Wilks Lambda as the criterion, the composite dependent variate was significantly

affected by deservingness, Wilks Lambda = .546, F(4,228) = 47.436, p<.001. This would

indicate the use of JM strategy is significantly affected by deservingness perceptions.

Univariate ANOVA’s were conducted on each dependent measure separately. Statistically

significant univariate effects were found for (see also Table 11):

Self-blame F(1,231)= 130.73, p<.001, η2= .361, where those who felt they were

deserving used self-blame at a greater rate than those who did not feel deserving.

Page 69: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

60

Self-derogation F(1,231)= 75.178, p<.001, η2= .246, where those who found themselves

to be deserving self-derogated at a greater rate than those who did not feel deserving.

Compensatory cognition F(1,231)= 73.768, p<.001, η2= .242; where those who found

themselves to be deserving used compensatory cognition at a greater rate than those who did not

find their illness or injury to be deserved.

Re-evaluating the outcome F(1,231)= 24.102, p<.001, η2= .094; where those who found

themselves to be deserving re-evaluated the outcome at a greater rate (M= 8.04, SD = 2.23, 95%

CI(7.55,8.53)) than those who did not find it deserved (M= 6.47, SD = 2.47 95% CI(6.08,6.88)).

Those who felt deserving of the outcome evidenced the use of just world protection.

Table 11

Descriptive statistics for MANOVA univariate analysis of deservingness

Deserving Undeserving

Mean SD Confidence

Interval

Mean SD Confidence

Interval

Self-blame

8.03 2.74 7.46,8.6 3.81 2.74 3.35,2.27

Self-

derogation

10.5 4.74 9.64,11.306 5.74 3.57 5.06,6.42

Compensatory

cognition

15.52 5.29 14.45,16.60 9.48 5.23 8.6,10.36

Re-evaluating

the outcome

8.04 2.23 7.55,8.53 6.47 2.47 6.08,6.88

Note. Confidence Intervals are measured at 95%

Page 70: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

61

Aim 1 Discussion

Fairness

Participants showed evidence of feelings of unfairness in connection with their illnesses

and injuries as predicted in Hypothesis 1. At the time of the negative health event slightly over

one third of participants found it to be unfair. If there is an issue of fairness regarding the illness

or injury that has occurred then it is likely that some threat to the participant’s view of the world

as just is occurring. The main issue with the fairness, as well as the other measures such as

deservingness, is the extent to which it is occurring as a consequent of the event or is a reflection

of persistent fairness concerns. Though this fairness as an antecedent or consequence is an issue

the group level changes in fairness concerns between when the event occurred and not suggest

that the measures are likely capturing fairness at the time of the event and fairness now.

The emotional impact of the fairness of the event also followed the expected pattern.

Some of these emotions may be expected to be the product of the event itself, such as distress,

but they may also be related to the violation of the view of the world as just and fair. Yet as

emotions at the time are not reliably related to current perceived emotions present affect is not

impacted by the fairness issues experienced at the time of the event; the way emotions are

experienced currently are likely related to general distress regarding the event. The negative

emotions participants experienced at the time are associated with fairness however the moral

emotions of shame and guilt are not related. This result indicates that unfairness is adding to

general psychological distress caused by the event but moral implications are related to other

elements of the negative event. This is discussed in the following two sections.

Page 71: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

62

Deservingness

Participant’s deservingness perceptions somewhat followed the expectation that they

would mirror participants fairness perceptions. Though similar to emotional concerns with

fairness deservingness was related to fewer aspects of emotional affect. This may be the result

of perceptions of control of the situation. If participants have a feeling of deservingness then the

participant will likely be feeling that they impacted the outcome of the situation. If the

participant was the effector of their outcome then it may be that the participant will not

experience the same emotions as someone who sees the situation as unfair as it is unfair due to

the lack of effect they had on the outcome. The that are most related to deservingness at the time

of the event are moral ones that could be expected to be related to a negative outcome that a

person brought upon themselves, or deserved, such as guilt and shame (Cataldo et al. 2012).

Fairness and Deservingness

The positive correlations between fairness and deservingness indicate that participants

who perceive the situation as fair also see themselves as more deserving. Due to the design of the

question measuring fairness if participant’s perception of the situation was that it was unfair a

negative correlation would indicate a relationship with greater deservingness. While hypothesis

three is supported in that deservingness is related to fairness perceptions it is such that if a

participant perceives their situation as fair there will be a moderate correlation with feeling that

they are deserving of the situation. Interestingly only between 2% and 9% of the variance in

fairness is associated with deservingness. This may be due to participants thinking about their

own deservingness, participants become more narrowly focused on the extent to which they are

morally culpable for their outcome with respect to responsibility and blame as opposed to the

Page 72: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

63

general fairness of the situation. This aligns with the justice motive literature for a third party

observer: of primary concern to observers is assessing deservingness of the outcome, preferably

in terms of antecedent behavior (e.g. blaming the victim) or in terms of character (self-

derogation) (Lerner, 1980). For fairness though observers may differ when it comes to perceived

fairness versus when an event occurs personally. Personally fairness may well be related to a

variety of other factors such as timing and counterfactuals, the extent to which the single

experience of illness or injury is yet another instance of an increasingly unfair pattern. The latter

is supported somewhat by the finding that the more participants experienced illness and

unfairness, the more they found these things to be unfair.

Just World Protective Strategies

The participants appeared to evidence the use of just world strategies, though participants

scored on the low end of the scales. If these strategies are available to participants when third

party threat occurs then it is reasonable to assume they would be available when threat occurs

personally. The previous work done by Callan (2013) that identified deservingness concerns and

the deservingness and fairness concerns identified in this study that would indicate just world

threat is occurring make it reasonable to assume that the scales used to measure the strategies are

indeed identifying the use of these strategies.

The single component found by the factor analysis with all four strategies being related as

a common factor also supports the presence and use of the four strategies The single component

though allows confidence that self-blame, self-derogation, compensatory cognition and re-

evaluating the outcome are all psychological processes with the common goal of maintaining the

sense that the world is just. The lack of significant differences found by the 2 way repeated

Page 73: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

64

measures ANOVA indicates that none of the strategies were being used at a greater rate than any

of the others as well as there was no difference based on the sample. The context and conditions

where each strategy is used though is a place for further investigation. For prediction of strategy

use it would be necessary to elicit more specific detail about an experienced injury or illness or

take an experimental approach and create conditions that may provoke variable strategy use.

Just World Protective Strategies and Independent Rater Assessment

Participant’s assessment of seeing the health outcome as being more fair when they

assign more responsibility to themselves than the independent raters did would support the

notion that they are reassessing the situation in some manner. This association can be seen as

support for self-blaming however the lack of relationship between fairness and blame difference

scores makes the suggestion tenuous. Evaluation of responsibility however may be a better

evaluation than blame itself. The difference in blame may be affected by participant’s knowledge

of the event versus the rater as well as by connotations related to the word blame. While saying

they are responsible the participant may not want to assign blame to themselves and this

becomes lost in their description of the event that the raters used to make a decision on blame.

Where participants viewed the situation as being more fair when they rated it as less severe than

the independent evaluators provides support for re-evaluating the outcome. As the participant

sees the situation as not being as severe as others would the participant is making a re-evaluation

of the outcome, a just world strategy is being used.

The difference scores for the independent raters related to perceived fairness in the cases

of self-blame and re-evaluating the outcome were somewhat as predicted. The more participants

rated themselves as responsible compared to the raters, the more fair; the less severe the outcome

Page 74: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

65

compared to the raters, the more fair. These findings support the univariate findings and the

factor analysis that participants are using just world strategies. This provides further confidence

in stating that when there are fairness concerns and subsequent just world threat that participants

will use the available strategies to restore a perception that the world is a just place.

MANOVA

Justice Motive strategy use was significantly affected by participants’ fairness

perceptions however their reporting of concern with unfairness and strategy use ran contrary to

the hypothesis. Those who indicated that they found their situation to be unfair evidenced

strategy use at a significantly greater level than those who did not. It had been expected that

those who found their situation to be unfair would not have successfully dealt with the just world

threat created by the lack of fairness and they would not show that they were using any

strategies. The opposite was found and there were effects for self-derogation, compensatory

cognition and re-evaluating the outcome when the situation was unfair. No effect was found for

self-blame. When participants were asked to think of the event presently and their fairness

concerns no just world strategies were apparent. It may be that as participants think

retrospectively about their health event the writing task may be effective enough in eliciting a

stimulus that they are able to think of the JM strategies used to deal with the event at the time.

Alternately it may be that for the self JM strategies are temporally fluid and if a person used any

JM strategy to deal with an issue in the past when they recall it the person will present evidence

of its use. For example a person is indicating that they are using self-derogation because as they

think of the past scenario the fairness concerns are now present and any resolution is

momentarily rescinded. As well it may be that they are able to accurately distinguish past from

present: when asked about the past they report what was going on then, which is in turn different

Page 75: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

66

from their current experience. Relatedly it may also be that as participants think of and write

about their own past experience when they have to respond to questions about strategy use the

participants perspective is more that of a third party observer than personal. The third party

perspective though seems unlikely as a review of the material produced in the writing task shows

that participants were highly engaged with the past event. This is a case where it would be

beneficial to continue the research using a sample that is presently experiencing a personally just

world threatening situation.

The lack of an effect for self-blame may be the product of participants not associating

fairness issues with blame as a product of fairness. Deservingness and blame are moderately

correlated, r=.633, while deservingness and fairness are not as strongly correlated. Self-blame

may only be apparent when there are deservingness concerns and so it does not appear when it is

only related with fairness.

Ultimately the unexpected results could be a measurement issue. Participants were asked

about fairness using a dichotomous response. This is advantageous in terms of parsimony and

being able to delineate on diametrically opposing viewpoints. If a situation was not fair then it

must be unfair, however participant’s perceptions of their event are likely to be more complex

than this. The participants may have felt limited by having to choose yes of no and the use of a

scale would have been beneficial. Participants may not have seen the situation as fair but it was

not unfair either.

Justice motive strategy use was significantly affected by feelings of deservingness. In

terms of feelings of deservingness at the time of the event those who found the event to be

deserved evidenced strategy use to a greater degree than those who felt their situation was

undeserved. This aligns with the hypothesis and the theoretical explanation that those who have

Page 76: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

67

used JM strategies to deal with the deservingness issues will no longer show evidence of those

strategies. Participants are showing that when the outcome is deserved they are using any of the

four strategies at a greater rate than those who see it as undeserved. Those who are stating that

the situation is undeserved have not dealt with the justice issue presented by the undeserved

situation through the use of maintenance strategies. While this aligns with what may be expected

by the JM theory the evaluation of the resolution of justice issues in this manner is problematic.

By stating that the participants have dealt with the justice threat, with deservingness being a

proxy for threat, by observing the significantly higher rates of use when participants say they are

deserving may be affirming the consequent. The problem arises because participants are

thinking retrospectively about the event and then a declaration is being that because they no

longer evidence JW strategies for the undeserved case it means they must have successfully used

the just world maintenance strategies to successfully deal with the threat.

Nonetheless, the hypotheses are based on an a priori assumption that is challenging due

to the difficult nature of retrospectively distinguishing antecedent from consequence and no post

hoc interpretations are made based entirely on these assumptions. Thus it is reasonable to state

that some of the patterns in the present findings reporting perceptions of fairness and

deservingness are more consistent with them being consequences rather than antecedents of

strategy use and are in need of further investigation.

It will be necessary to deal with these problems by discerning what in fact the appropriate

causal model for personal justice violations is. The resolution of this issue exceeds the scope of

the present research and it would be necessary to use a sample that is currently undergoing some

kind of just world threat. For example people who are experiencing an injury or illness, accessed

as a clinical sample, could be presented with the same, or similar, measures for assessing strategy

Page 77: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

68

use as done here. The evaluation and change in just world threat levels as maintenance strategies

are applied could be observed longitudinally. An experimental design could also be used to

resolve this issue.

Though there is the problem of interpretation presented by presently inherent issues this

does not necessarily void the findings of the present study. The intention of the research was to

take an exploratory approach towards personal just world threat and it appears that there are

theoretically consistent findings that support further study of the issue. A basic or general

understanding of the use Just World strategies has been garnered through Aim 1.

Substitutability and Equifinality

The univariate shown in Tables 8 demonstrate that all strategies are available to

participants in so far as it was demonstrated that all were actively used by participants. The

correlations of Table 9 show all of the strategies were significantly correlated and the factor

analysis shows them as being parts of a related construct. This supports the notion that all of the

strategies may be used. The repeated measures ANOVA used to determine if there were

differences in the rate of use of the strategies by participants did not yield significant results.

Again this support the principal of substitutability, when all of the potential justice motive

strategies are available to participants none take eminence and all of the strategies will be used at

an equal rate. Finally the MANOVA analysis shows that to deal with the JW threat that was

represented by fairness and deservingness all of the strategies were used. As each of four

strategies; self-blame, self-derogation, compensatory cognition and re-evaluating the outcome,

were invoked when fairness and deservingness issues arose and changes were seen in past and

present deservingness then it can be reasoned that each of the strategies was able to deal with the

Page 78: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

69

just world threat fulfilling the principle of equifinality, any strategy or combination of strategies

can be effective in mitigating just world threat.

Based on the results of the Aim 1 analysis it does appear that people do experience illness

and injury as a just world threat. Participants use of just world maintenance strategies are related

to fairness perceptions however it is in the opposite manner as predicted, the more participants

reported their situation as unfair the more likely they were to evidence strategy use. As expected

participants who saw themselves as deserving of their outcome evidenced greater strategy use

than those who felt undeserved.

Aim 2 Results: Severity, Responsibility, and Perceived Fairness

To test for evidence of just world threat for the health event being moderated by

responsibility and severity experienced, unfairness of the event was used as an indicator of just

world threat (Hafer & Begue, 2005). The scores for participants on severity of the event and

responsibility for the event were centered to reduce mutlicollinearity (Gamst, Guarino, Meyers,

2013). An interaction term for the two variables was then created by calculating their product. As

perceived unfairness was a dichotomous response (Yes, No), logistic regression analysis was

performed on perceived unfairness as outcome and severity, responsibility, and their interaction

as predictors. A test of the full model against a constant only model was statistically reliable, χ2

(3, N = 241) = 35.39, p < .001, indicating that the predictors, as a set, reliably distinguished

participants who saw their illness or injury as unfair, from those who did not. Prediction

accuracy was 44.4% for participants who said their experience was unfair, and 84.5% for those

who said fair, for an overall success rate of 68%. According to the Wald criterion, both severity,

Wald χ2 (1, N = 241) = 17.96, p < .001, and responsibility Wald χ

2 (1, N = 241) = 9.83, p < .01,

reliably predicted perceived unfairness. The interaction term was not a reliable predictor. As

Page 79: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

70

hypothesized the more severe the experience (β = -.08) and the less responsible participants felt

(β = .14), the more the illness or injury was perceived to be unfair.

One of the problems interpreting the responsibility findings is the extent to which

judgments of responsibility were influenced by the self-blame self-protective strategy (the

responsibility and self-blame correlation is .90, p < .001). There is no way with these data to

know whether participants responsibility judgments reflect their best understanding of what

transpired that others would agree with, or is the output of efforts at protecting just world beliefs

by self-blaming. To address this issue, coder assessments of responsibility were used as a proxy

for normative judgments of responsibility, see footnote 2 for the means and standard deviations

of the coder ratings. Interestingly, coder ratings of responsibility were unrelated to participants

own responsibility judgments (r = .05, ns). Using a median split on these ratings, the same

logistic regression analysis was done separately for participants who were judged to be high or

low in responsibility for their infirmity. These analyses indicate that the overall effect for

responsibility was more strongly apparent for participants coders perceived to be not responsible

for their illness or injury, χ2 (3, N = 143) = 29.26, p < .001 than for participants raters thought

were responsible for what happened, χ2 (3, N = 98) = 9.16, p = .03. In addition, whereas both

responsibility and severity remain significant predictors of perceived unfairness for those

participants the raters found to be low in responsibility (responsibility Wald χ2 (1, N = 143) =

6.91, p < .01, severity Wald χ2 (1, N = 143) = 16.68, p < .001) the same was not true for those

participants raters thought were more responsible for their infirmity (responsibility Wald χ2 (1, N

= 98) = 3.39, p = .06, severity Wald χ2 (1, N = 98) = 3.13, p = .08). These findings suggest that

the moderating effects of responsibility and severity for perceptions of fairness are strongest

under conditions of low responsibility and high severity.

Page 80: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

71

Severity, Responsibility, and Deservingness.

A linear regression analysis that included severity and responsibility as predictors of

deservingness yielded a significant overall model, F(3,237)=63.1, p<.001 accounting for 44

percent of the variance, Adjusted R2 = .440.

There was no significant main effect for severity

t(3,237)=.334, p=.739, β= .016; but a significant responsibility effect t(3,237)=13.376, p<.001, β

= .653 and a significant interaction, t(3,237)=2.05, p=.042, β = .101. As shown in Figure 1, the

tendency for more perceived responsibility to result in more deservingness was unaffected by

severity at moderate and low levels of responsibility but was most apparent when both

responsibility and severity were high.

Page 81: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

72

Figure 1. Interaction effects for the centered Severity score and Responsibility on participants

sense of Deservingness

Severity, Responsibility, and Protective Strategies.

Multiple regressions were performed to test the potential moderating effects of severity

and responsibility on just world protective strategy use. Severity and responsibility were entered

into a multiple regression along with each protective strategy and a severity by responsibility

interaction term. To create the interaction term the scores for participants on severity of the event

and responsibility for the event were centered to reduce mutlicollinearity (Gamst, Guarino,

Meyers, 2013). An interaction term for the two variables was then created by calculating their

Page 82: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

73

product. Severity and responsibility both predicted strategy use as did the interaction term for all

strategies but self-blame and re-evaluating the outcome. For self-blame, only the responsibility

main effect was significant t(3,235)=36.56, p<.001, β= .925. As might be expected, participants

blamed themselves more when they felt responsible. For self-derogation there was a significant

main effect for severity t(3,230)=8.31, p<.001, β= .445; a significant main effect for

responsibility t(3,230)=6.71, p<.001, β= .359 and a significant effect for the interaction term

t(3,230)=2.59, p=.01, β= .414. Participants self-derogated more when they felt responsible and

when their experience was severe (see below for discussion of interaction). Similarly,

participants engaged in more compensatory cognition when the infirmity was severe,

t(3,231)=5.34, p<.001, β= .294; and when they felt responsible, t(3,231)=8.053, p<.001, β=

.440. The interaction term t(3,231)=3.67, p<.001, β= .203 was also significant (see below for

interpretation. Severity did not influence participants’ tendency to reevaluate the outcome,

t(3,237)=.571, p=.569, but they were more inclined to reevaluate if they felt responsible

t(3,237)=6.84, p<.001, β=.402 and the interaction was also significant t(3,237)=2.72, p=.007, β=

.161.

Figures two through three describe the severity by responsibility interaction for each of

the three strategies where the interaction was significant. For self-derogation, compensatory

cognition, and reevaluating the outcome, the highest level of strategy use occurred when both

perceived responsibility and severity were high, the lines for high responsibility trend in the

positive direction with increasing severity on the x axis. At moderate and low levels of

responsibility the influence of severity varied by strategy. Use of self-derogation and

compensatory cognition increased as severity increased at moderate levels of responsibility , this

can be observed as the lines for moderate responsibility rise over the increased severity on the X

Page 83: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

74

axis. At low levels of responsibility, only self-derogation increased as severity increased, the

line for low responsibility increases as severity increases over the x axis. For reevaluating the

outcome, higher levels of severity resulted in less reevaluating at moderate and low levels of

responsibility, the lines for low and moderate responsibility trend in the negative directions with

increasing severity. Also see Table 12.

Figure 2. Interaction effects for the centered Severity score and Responsibility on the use of self-

derogation.

Page 84: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

75

Figure 3. Interaction effects for the centered Severity score and Responsibility on the use of

compensatory cognition.

Page 85: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

76

Figure 4. Interaction effects for the centered Severity score and Responsibility on the use of re-

evaluating the outcome.

Page 86: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

77

Table 12

Interaction effects for the centered Severity score and Responsibility on Just World Strategy use

and Deservingness.

Strategy Low

Responsibility R2

Linear

Low

Responsibility r

High

Responsibility R2

Linear

High

Responsibility r

Self-derogation .253 .502 .240 .489

Compensatory

cognition

.005 .071 .281 .53

Re-evaluating

the Outcome

.008 .089 .091 .302

Deservingness .002 .134 .034 .184

Aim 2 Discussion

The hypothesized influence on fairness of severity and participants’ perceptions of their

responsibility for their illness or injury received partial support in the severity effect: the more

severe participants perceived the event to be the greater they saw it as unfair. This finding is

theoretically consistent. People do not expect bad things to happen to them. If an event is not that

severe, such as a cold, then people will not view it as a particularly terrible outcome and their

expectations of good things happening to them is not significantly violated and fairness concerns

are minimal. If an event is highly severe, such as a broken leg or serious illness, the event is, and

Page 87: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

78

will likely be perceived as, very bad. This challenges people’s notion that bad things shouldn’t

happen to good people, and hence is a violation of their just world beliefs.

The lack of effects for participants’ responsibility for their illness or injury was not

expected so aim 2 hypotheses one and three were not supported. This finding does not align with

the theoretically expected outcome. When people are not responsible for a negative outcome that

befalls them it would be expected that the event be viewed as unfair: “If I did not do anything do

bring this outcome upon myself then I do not deserve it and it is thus unfair.” An important

consideration in understanding this finding is the extent to which participants’ perceptions of

responsibility align with normative understandings of responsibility. The infirmities reported,

particularly injuries, varied in the extent to which independent raters’ viewed the reported event

as something the participant was responsible for. Conceivably, participants’ own judgments of

fairness may have incorporated normative standards of responsibility that varied across the

sample, making any systematic relationship between responsibility and fairness to emerge. In

other words, if participants actually were responsible for what happened according to normative

understandings for assigning responsibility, they would be less expected to see their infirmity as

unfair in the same way observers wouldn’t.

A related issue is the extent to which judgments of responsibility were influenced by the

self-blame self-protective strategy. There is no way with these data to know whether participants

responsibility judgments reflect their best understanding of what transpired, or is the output of

efforts at protecting just world beliefs by self-blaming.

It is also conceivable that for the majority of the health outcomes reported by

participants, particularly illness, they understand that becoming ill for the most part is not

something that they have a high degree of control over, it is a random occurrence that happens to

Page 88: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

79

everybody. As the negative outcome is expected and common then there are no fairness issues.

“I did not do anything to deserve this outcome however it is a typical human experience and is

therefore not unfair”. This reasoning would likely not hold for more severe events such as a form

of cancer where there is no etiological responsibility and is hence more likely to be seen as

unfair. An example of this can be seen in our sample:

“I have dysmenorrhea. The main symptoms were pain concentrated in the lower

abdomen, as well as in the thighs and lower back accompanied by nausea, vomiting,

diarrhea, and headache, dizziness, fainting, and resulting in fatigue in the later days. In

addition, experienced hypersensitivity to sound, light, smell, touch, and made me sad,

frustrated. Nauseating, burning, or shooting pain usually lasted 2 full days during which I

could not function / do anything and occasional sharp pain the following days. Had to

take time off school and work. Was really terrible during junior high/high school years.

Occasionally had to go to the emergency and go by ambulance because of the loss of

blood, electrolytes, and overall functioning… its cause is genetic so much can't be

done… Other women don't experience it and I just find it extremely unfair, particularly

when other don't see how lucky they really are. It isn't fair when other women don't

experience it. They go about their days and can never tell when they are PMSing. The

other women feel small if no pain and aren't affected much. It makes me depressed.”

(Participant 54)

Most negative health outcomes though, as observed in this studies sample, are not severe

enough to cause a person to think of responsibility and thus there is only minor evidence of

unfairness at the group level. This may also be thought of in terms of the variance being taken up

Page 89: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

80

by severity as severity is more impactful for fairness concerns. Finally contrary to what was

hypothesized there does not appear to be an interaction between severity and responsibility for

the health event as predictors of participant’s fairness perceptions. This supports the notion that

severity is singularly more important than responsibility for fairness concerns.

Severity was found to be a significant predictor of self-derogation, compensatory

cognition and re-evaluating the outcome, none of these relationships were moderated by fairness

perceptions. While as stated above it appears fairness is related to severity in most cases for

participants this is a justifiable and rational reaction and there is no need to inquest just world

strategies. An event that causes a great deal of suffering or has a major impact on our health and

well-being would not be seen as fair however when the etiology is clear and present to a person

the fairness issues can be dealt with in terms of understanding the event and it is not necessary to

use any strategies to restore just world perceptions damaged by unfairness. Independent of

fairness though as an event has a more severe impact on a person’s health they may feel that

while they can deal with the fairness issues surrounding an event they are still not able to

understand it in terms of being justified and must use strategies.

Looking at strategy use when both severity and responsibility are invoked the eminence

of severity as a predictor of strategy use is changed. Main effects were found for both severity

and responsibility for self-derogation and compensatory cognition and for responsibility alone

for self-blame and re-evaluating the outcome. A significant interaction existed between

responsibility and severity for self-derogation, compensatory cognition and re-evaluating the

outcome. Interactions existed for severity and responsibility when participants self-derogated,

Page 90: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

81

used compensatory cognition and re-evaluated the outcome. For re-evaluating the outcome this

effect was marginally significant and weak.

For self-derogation the interaction between severity and responsibility is produced as

would be hypothesized. When severity is high and responsibility is low participants find it

necessary to use a just world strategy as an unjustified and negative event is happening to them.

As a highly severe event that the person is not responsible for occurs then the person will return

justice to the situation by saying that what happened had something to do with who they are as a

person. It is not possible to explain why the negative outcome is occurring thus they must be the

kind of person who deserves bad things.

The relationship changes though for compensatory cognition. The use of the strategy

increased with increases in both variables. It may be that as participants find themselves more

responsible for a more severe outcome they view their future selves as behaving in a manner that

can control the outcome and will produce more positive outcomes for themselves. A learning

experience is occurring and while this was an unpleasant and undesirable event the participant is

better off for having it happen. The person will be able to make better decision in the future that

will prevent something similar from occurring again.

The main effect of responsibility on re-evaluating the outcome is possibly a product of

the participant trying to find an alternate explanation for why the illness or injury occurred. They

are a good person and a good person would not be so irresponsible as to do something that would

have a negative outcome, therefor they view what happened as not being as bad as it seems. If

the negative event was not actually negative then they can maintain their just world view. A bad

event is not happening to a good person.

Page 91: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

82

The main effect of responsibility on self-blame and the absence of severity as a

contributing variable may fit the idea of a rational participant in that it is logical to blame

yourself for an event you are responsible for. As well if a person understands themselves to be

responsible for the event the level of severity will not matter and becomes washed out.

Regardless of how bad the illness or injury was the only thing that matters is that the person

knows they caused what happened. As a bad event happens to us and we understand the genesis

participants will self-blame but it is not a just world strategy it is a product of ratiocination.

Participant’s deservingness reactions to the events may mirror those of self-blame and the

idea of the rational participant. The main effect for responsibility, and lack of effect for severity,

is because participants are largely able to understand what happened and if they were responsible

they will feel that they were deserving of what happened to them. The person did something to

bring about their outcome and thus deserve what happened to them. An interaction of severity

and responsibility on deservingness does exist, however it is marginally significant with a weak

effect and any major conclusions should not likely be drawn from it.

It appears that severity and responsibility moderate just world threat and strategy use to a

certain degree. In certain cases varying levels of severity and responsibility affected evidence of

strategy use and coping with just world threat. For other scenarios only severity or responsibility

individually impacted coping strategies. Participant’s sense of deservingness was primarily

impacted by responsibility while severity was not found to be an influence on deservingness

perceptions. Just world threat is affected by severity and responsibility though not always in the

manner expected.

Page 92: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

83

Aim 3 Results and Discussion

Tables 13 and 14 summarize the correlational analysis findings for purposes of assessing

aim three hypotheses. The predictions for self-esteem set out in hypothesis one received little

support except for the prediction that self-esteem would be inversely related to self-derogation.

Thus self-esteem does not seem to figure prominently in justice related responses to injury and

illness.

The predicted protective properties of personal belief in a just world were apparent both

in the fairness and deservingness relationships. Stronger belief that one’s world is just was

associated with more perceived fairness and deservingness. How this is achieved is apparent in

the justice motive strategy correlations: those with stronger personal belief in a just world self-

blamed more, invoked more compensatory cognitions, and reevaluated the outcome more. Thus

Dalbert’s (2001, 2002) argument that PBJW functions as a resource for buffering the effects of

experienced injustice received support.

The expectation that GBJW would correlate negatively with fairness and deservingness

did not receive support and in the case of deservingness the opposite was true: those with

stronger GBJW actually saw their infirmity as more deserved. This was possibly the result of

GBJW also being positively related to both compensatory cognition and reevaluating the

outcome. Thus, this is another instance where the relationships make sense if one assumes that

the deservingness judgments are the outputs rather than antecedents of justice motive protective

strategies.

The pattern for IJ was very similar to GBJW except participants higher immanent justice

beliefs appeared to use all four protective strategies in the service of seeing their infirmity as

Page 93: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

84

deserved, whereas this orientation was not predicted to involve compensatory cognition.

Although UJ is conceptualized as a different orientation for maintaining the belief in a just world

that involves reliance on an extended time frame, the pattern of findings for UJ were essentially

the same as they were for IJ thus not supporting the prediction that UJ would be uniquely linked

to compensatory cognition.

The findings for justice sensitivity did support the predicted pattern at least for fairness.

Sensitivity to the injustice of harm but not sensitivity to unjust benefit was inversely related to

both perceived fairness: higher justice sensitivity to unjust harm was related to perceiving more

unfairness associated with illness and injury. No predictions were made for any relationship

between justice sensitivity and justice motive strategy use and none were found.

In sum, justice related individual differences moderately correlated with the justice

variables examined in this research in ways that were in some instances predicted but in others

not. As elsewhere, the unexpected reverse findings for fairness and deservingness are

interpretable if it can be assumed that the fairness and deserving judgments are the result rather

than the antecedent of justice motive protective strategy use.

Page 94: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

85

Table 13

Individual Difference Measure Correlations with Fairness and Deservingness

Scale Fairness

Lifetime

injury

Fairness

Lifetime

illness

Infirmity

Fairness

Then

Infirmity

Fairness

Nowa

Infirmity

Deserving

Then

Infirmity

Deserving

Now

Self-esteem .04 .08 .00 .00 .03 -.05

PBJW .22** .11 .16** .22* .15* .16*

GBJW .09 .09 .08 .16 .19** .14*

IJ .07 .09 .08 .16 .35*** .30**

UJ .04 .03 .03 .15 .22** .18**

JS - harm -.14* -.18** -.17** -.23** -.07 -.05

JS – privilege -.03 -.04 -.02 .00 .04 .04

Note. a N= 106 for this analysis as only those who saw the event unfair initially answered

this question. PBJW = Personal Belief in a Just World, GBJW = General Belief in a Just

World, IJ – Immanent Justice, UJ = Ultimate Justice, JS – harm = Justice Sensitivity to

unjust harm, JS – privilege = Justice Sensitivity to unjust benefit.

* p < .05, ** p < .01. *** p < .001

Page 95: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

86

Table 14

Individual Difference Measure Correlations with Justice Motive Protective Strategy

Scale Self-blame Self-derogation Compensatory

Cognition

Reevaluate

Outcome

Self-esteem -.09 -.13* -.05 -.04

PBJW .16* -.11 .23** .14*

GBJW .13 .08 .34** .23**

IJ .26** .20** .43** .33**

UJ .14* .21** .43* .25**

JS - harm .03 .12 -.01 .05

JS – privilege .01 .07 .06 .05

Note. PBJW = Personal Belief in a Just World, GBJW = General Belief in a Just World, IJ –

Immanent Justice, UJ = Ultimate Justice, JS – harm = Justice Sensitivity to unjust harm, JS –

privilege = Justice Sensitivity to unjust benefit.

* p < .05, ** p < .01. *** p < .001

Page 96: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

87

General Discussion

The results of this study generally support the hypotheses made. Overall a good cursory

understanding of the way that the justice motive functions when threat occurs personally and

how it affects our sense of deservingness and fairness has been garnered. The results of this

study generally support the previous research for personal just world threat in that people do

experience fairness and deservingness concerns in ways that are consistent with how threat is

experienced for third parties. As such, the findings are consistent with existing literature on

personal just world threat (Callan, 2013) and extend that work in documenting how particular

justice motive protective strategies operate when the threat takes the form of injury or illness.

The participants in this study had a good degree of experience with injury and illness

throughout their lifetime and were able to provide specific events that had affected their health.

Overall the participants had been healthy for most of their lives and as a group did not present

any apparent trends for health that appeared non-normative. The student and crowd sourced

samples did differ on some measures however most of these could be attributed to demographic

characteristics particularly age, for example the crowd sourced sample had more experience with

injury and illness. The specific illness participants were asked to think about was shown to be

psychologically impactful through the affect measures and could be reduced to a few categories.

The findings of Aim1suggest that experiencing injury or illness as unfair or undeserved is

not uncommon and people will use justice motive strategies in order to deal with their injury or

illness. Initial correlations and univariate analysis support that participants are using the

strategies to some extent. Inferences about re-evaluating the outcome and self-blame were

strengthened through the use of independent rater assessment of responsibility, blame, and

Page 97: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

88

severity. To continue to examine if participants were using justice motive strategies three

MANOVAs were conducted. The relationships between fairness, deservingness and the

strategies were examined. It appeared that fairness was related to the use of three strategies, self-

derogation, compensatory cognition, and re-evaluating the outcome, such that when participants

perceived the situation to be more unfair they tended to use the strategies at a greater rate. This

was contrary to the hypothesized results; however it may be that while completing the writing

task participants are reconstructing their experience of the event and are responding to their

experienced unfairness by invoking strategies as they would have when the event occurred. This

recalls the causal model issue, is the unfairness the cause of or is it antecedent to the use of

strategies. The deservingness findings show the participants who feel they were deserving of

their experience used all of the strategies at a greater rate than those who did not feel deserving

of their situation. This aligned with the hypothesized results that those who had used the

strategies to successfully deal with deservingness issues would not evidence use of the strategies.

When participants would think of their current feelings of fairness regarding the issue there was

no relation to any of the strategies. It is possible that current feelings of unfairness would not be

expected to be relevant with strategies that were present at the time. Participants successfully

used the just world strategies at the time of the event when the unfairness was present and no

longer need to invoke the strategies. If people are still showing unfairness concerns though it

may be the result of a failure to effectively utilize the strategies at the time of the event. This

again leads to the issues of post-hoc assumptions about the process of the use of strategies in

relation to the presence, or absence of fairness concerns. Further research is necessary to make

any affirming claims about this process.

Page 98: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

89

In Aim 2 it was found that severity did impact participant’s fairness perceptions while

responsibility, taking into account independent rater assessment did not have the same effect.

The lack of an effect may be the result of alignment with normative understandings of

responsibility and blame for the event where it is reasonable for others and yourself to see what

happened to you as being your fault. In some way you are responsible for the outcome and it is a

rational explanation. When severity and responsibility were used as predictors for strategy use

changes in the two variables aligned with the expected results for each strategy. If a situation is

unfair and a person is not responsible for it then it is reasoned there will be violations of just

world beliefs.

In Aim 3 support was found for the Personal Belief in a Just World acting as a protective

buffer for negative life events. Results for the General Belief in a Just World and

Immanent/Ultimate justice did not function as expected in relation to deservingness and

protection strategies however they do make sense if deservingness is taken to be a product of

justice motive protection strategies. Participants with higher sensitivity to justice showed more

susceptibility to unfairness. These results are interesting regarding the distinction made in the

introduction about the two interpretations of just world and the appropriate manner to study it.

Aim 3 uses the approach suggested by Dalbert and colleagues that the belief in a just world is a

trait that can act as a buffer against negative life events that are just world threatening. This is

opposed to the position, which is taken in this study, that people have a largely unconscious

motivation to maintain their view of the world as a just place and will use various strategies to do

so. Due to the prominence of the prior approach in the literature the various justice measures

were taken and appear to show to some extent that they function as would be hypothesized by

Dalbert (2001). Support is also found though for justice motivation and strategy use. This result

Page 99: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

90

implies that both positions have merit and should be considered. People will use strategies in

order to deal with just world threat and the use of these strategies may be informed by peoples

justice beliefs as measured in this aim; as person who is stronger in the PBJW or is more

sensitive to justice may apply a just world strategy like compensatory cognition to a greater

extent than someone who would score lower on those measures.

As discussed in the introduction one of the implications of participant’s use of just world

strategies is the use of the strategies for coping. As discussed in some cases self-blame can be

adaptive and in the case of various injury and illness as explored presently it may be thus so. If a

person blames themselves for an injury or illness, then it is possible that in the future they will

take action to mitigate the chances of the same event occurring in the future. Self-blame may

lead to better future health practices on the part of participants as they take responsibility for

their health. Conversely if a person is unable to have an impact on what occurred to them or self-

blames but does not take steps towards better future health practices the use of this strategy may

only result in depressogenic effects. Similar effects could result from self-derogation, if a person

sees what happened to them to be a product of who they are then the person may take steps to

change this self-perception. If the person views the reason that they became injured as being

because they are reckless and foolhardy then in order to change this self-derogating perception

they will act in a more careful manner in the future. Again though, as for self-blame, if a person

is not inclined or is not able to use the self-derogation to change in a positive manner potential

negative future outcomes may result such as damage to the self-esteem. If a person uses the two

strategies that tend to be viewed as more positive for justice motive protection, compensatory

cognition and re-evaluating the outcome, there could also be positive and negative results. If a

person is re-evaluating the outcome and is downgrading the severity of an illness or injury in

Page 100: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

91

order to maintain their view of the world as just it may result in them not taking the proper

actions to deal with their situation. In cases such as a cold or flu this may not matter for long

term health however if a person is afflicted with a more serious condition such as cancer there

could be serious consequences to re-evaluating the outcome in a manner that downgrades the

severity, such as not taking proper and prudent steps to deal with the situation. People’s personal

health beliefs tend to be one of the primary factors in their behavior in dealing with illness

(Kondryn, 2012) and if they are using the strategy of re-evaluating the outcome then it may be a

health belief that could negatively impact outcomes. Compensatory cognition could also have

potential positive and negative effects. If a person views what happened to them as having been

positive because it had a beneficial impact on their lifestyle choices or health behaviours then it

is a useful coping strategy. If though the person views what happened to them as being

something positive but does not experience any learning or counter strategies to deal with

negative health events then the person may be more likely to repeat behaviours that led to their

outcome. If it was the case where it was not a situation that they initially could have impacted,

using compensatory cognition may still lead to a more external locus of control where the person

may not be as likely to take positive steps towards ensuring future health.

The way in which people use just world strategies as coping mechanisms, whether

positively or negatively, likely comes down to individual difference factors such as resiliency,

self-esteem, self-worth and demographic factors such as education and access to health care. The

way in which just world protective strategies are used not only to cope with just world threat but

also how they function as coping mechanisms in relation to positive or negative health

behaviours is an interesting avenue for future study. It is likely that how the strategies are used

Page 101: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

92

and the effectiveness in which they are used to deal with just world threat will be a major factor

in peoples coping and health behaviours.

The results of this study have more general implications for justice motive theory and

social psychology overall. The finding that fairness and deservingness may exist as separate

constructs when people perceive just world threat personally is important. Previously it was

expected that peoples’ fairness concerns were initiated when they experienced something they

didn’t deserve. Yet when people experience an event personally deservingness concerns do not

overlap entirely with fairness concerns, possibly as a product of other context associated with the

event. For instance, whereas deservingness was construed by respondents to refer primarily to

things they did or didn’t do that resulted in injury or illness, fairness was informed by additional

considerations such as timing. If the illness or injury occurred at a point in time that extended

the impact for the person (e.g., getting sick just before an important performance) then perceived

unfairness was enhance. For JMT as a whole this is important because it suggests that the

psychological experience of fairness/unfairness includes factors other than deservingness. If in

fact there are differences in fairness and deservingness fore personally experienced threat then it

is possible that in certain contexts fairness and deservingness may also be separate constructs for

third party threat. This result along with the findings of the results of Aim 3 where just world

measures were shown to be in some cases related to just world protective strategies, and the

general findings of personal just world threat, show the justice motive theory phenomena to be

dynamic and potentially more diverse than found up to this point.

For social psychology in general the present research proves interesting in providing

reinforcement for the frame of reference for social psychological theory. In general, social

psychology is concerned with how the social context influences our thoughts and behaviours.

Page 102: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

93

Social psychology has also highlighted the importance of construal: it matters greatly how

perceive their context, with construal being influenced by both individual difference and

situational factors (Ross & Nisbett, 1991). This study aligns with this perspective by linking

construal patterns inform how being injured or ill is experienced psychologically.

This work also contributes to a long-standing interest in social psychology with how

actors’ construals align or don’t align with those of observers. In general, to the perceptions of

injustice and related reactions that occur for others, bear considerable resemblance to how people

experience unfairness themselves. At the same time, important contextual considerations such as

the severity of the injury or illness and perceived responsibility for it turned out to be factors

where personal judgments didn’t always align with third party judgments. In this context, these

differences provided insight into possible sources of construal for instance when participants’

sense of responsibility exceeded that of observers, suggesting justice motivated self-blame as a

source of construal.

There were several limitations to the study as it was conducted. Some of these arose from the

exploratory nature of the study while others came to light only upon examination of the results.

Order effects may have been present as the items that were presented to the participants in order

to gauge participants general overall health and experience with negative health events may have

had an effect on the individual difference measures. The individual difference measures, such as

Personal Belief in a Just World and Justice Sensitivity scales, are intended to assess stable

dispositions however by having preceding questions related to fairness perceptions around health

events participants may have been primed to think in justice terms creating bias in their

responding. It has been found that participant’s responses to justice scales can be affected by

presenting a justice perception inducing scenario to participants prior to completion of BJW

Page 103: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

94

scales (Dalbert, 2001). To deal with the potential order effects the individual difference measures

could be placed prior to any demographic or general justice questions, however this may create

order effects in the opposite direction and placing the individual difference measures variably

throughout future studies may mitigate the effects or at least allow for assessment of the

influence of prior justice related questions or information on these measures.

The retrospective nature of this research in terms of asking participants to recall past events

carries the inherent methodological issue of recall bias. Asking participants to think of an event

that may have happened months or years prior is problematized by the inherent shortcoming and

failing’s related to human memory (Hassan, 2005). The fact that participants were asked to recall

an issue that was highly impactful in their lives may diminish some of these effects. A negative

health event that had a great impact on a person’s life may be expected to be remembered with a

greater degree of clarity. Though this may be the case even memories that are highly salient and

important to people are often misremembered or improperly recalled (Robinson & Bridget,

2012). Though recall bias may be occurring it may not be a major issue. More so than an

accurate and precise recollection of the health event that occurred this study is interested in how

it impacted the participants. Even if the details of the event are not wholly recalled with exact

verisimilitude so long as the participants are able to become engaged with the event and have a

degree of emotional connection with what happened it is likely that the answers received from

the participants will in fact evidence some sort of justice motivation response.

The overall severity of the negative health outcomes, as measured in this study, was found to

be moderate to mild. This may be perceived as a determent to identifying the expected effects of

fairness, deservingness and protective strategies. Despite these concerns there was the detection

of fairness and deservingness concerns and the use of protective strategies. Particularly when

Page 104: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

95

regression analysis was performed in Aim 2 variability was found for the measures of fairness,

deservingness and protective strategies at varying levels of severity as well as responsibility;

specifically higher severity was related to greater unfairness and strategy use. While the group

mean for severity was on the lower end of the scale the there was sufficient variability to detect

differences for high and low severity.

While the retrospective approach taken in this study holds validity for the exploration of the

construct of interest further steps could be taken in the future, using the present research as

groundwork, to examine people’s personal justice perceptions and sense of deservingness. While

Callan (2013) has already begun to explore the issues through an experimental approach further

work may be done with participants experiencing real just world threat in their lives. The role of

justice motive processes in responses to injury and illness would be even more compellingly

established through research conducted at the time of the experience. If pursued longitudinally,

such research would also help clarify causal sequences that remain unclear in the cross-sectional

findings reported here.

Future populations examined for the effects of personal violations of justice can and should

be expanded beyond health scenarios. Health events are a convenient paradigm as everyone

experiences illness and injury in their lives however examining other situations where the

potential justice threat is variable will support the idea that people’s justice motivation is a

universal characteristic that is enacted and employed throughout various situations and events in

people’s lives. For instance, it may be expected that when another form of just world threat

occurs personally, such as a negative outcome in an educational situation where the participants’

preparation for an exam would have them expecting to achieve a good grade, it would be

Page 105: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

96

expected that they would experience the same fairness and deservingness concerns. The

participant would then use protective strategies to resolve the just world threat.

It would also be interesting to extend the research into cross cultural realms. Cultural

variation in belief systems related to justice would make for an interesting extension of justice

motive theory. The study of groups that hold more karmic or fatalistic belief systems would

make for particularly interesting study. People who hold a fatalistic view of the world may be

less likely, if at all, to show fairness and deservingness concerns. If in general a person does not

see themselves as having an influence on the outcomes of their lives if a negative outcome

occurs there will be no violation of expected fairness. If a person is good they will not be

expecting good things to happen to them thus when a bad thing happens it is not a bad thing

happening to a person who deserves good things, it is just something that happens. The

alternative to the fatalistic perspective would be where if all of one’s future outcomes are

expected to be a form of recompense for previous good or bad deeds a violation of this cycle will

be a gross contravention of their world view. If this occurs then those people who hold more

karmic beliefs will evidence stronger beliefs in a just world, that may be measured through the

PBJW and GBJW, and violations that occur will result in greater fairness and deservingness

concerns and subsequently more powerful attempts at restoring their just world view.

The measures used to evaluate the participant’s use of just world strategies were not

developed through rigorous psychometric assessment. Each measure was assessed to determine

inter-item reliability and in the case where items were not valid they were dropped from the

measure that was used for assessment. Callan (2013) developed and evaluated measures used to

assess deservingness and the measures, or variations thereof, of deservingness which were used

in this study. While it would have been ideal to use measures of self-blame, self-derogation,

Page 106: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

97

compensatory cognition and re-evaluating the outcome that had undergone assessment for

validity these did not exist in the prior literature. Previous studies had developed questions and

measures to look at just world strategy use in terms of third parties and guidance was drawn from

these to develop the items to evaluate participant’s personal strategy use. While this does not

present an ideal situation it is necessary as this research is one of the first forays into assessing

personal just world threat. As well the development and use of novel measures to assess an

operationalized psychic property is one of the persistent methods, and issues, in psychology

(Winston, 2004). Beginning with the basis of the present research it will be possible in the future

to develop measures with greater validity for the assessment of justice motive strategies when

personal violations of justice occur.

The actual method of conducting the study may have been a limitation. For pragmatic

reasons participants were provided with a link to an online survey to participate in the study.

While this is a common method used for sampling populations it may not be the most effective.

The experimenter secedes a degree of control over the conditions the study is conducted in and it

may be that participants do not complete the study with the same care and attention if they were

to be physically present in a testing environment with the researcher. Methods were used to

determine if participants were not completing the study with care particularly by inserting a

question that directly asks if their data should be included in the study. It is interesting to note

that the student population responded at a greater absolute rate, 17, that their data should not be

included compared to the crowd sourced population, 12, despite the fact that there were a greater

total number of participants from the crowd sourced population. The data was also combed to

determine if there were other careless responders who may not have indicated that their data

should not be included. Sixty three participants in total were eliminated from the study. If the

Page 107: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

98

testing had been conducted in person it is possible that less data would have been lost to careless

responding. By using an online survey though a far wider and more diverse population was

accessed and through a perfunctory assessment of the data retained particularly the written

response data it appears participants were putting effort into responding to the study questions in

a thoughtful and careful manner.

A strength of the current research was the use of the dual population sample. Participants

were recruited from both a university undergraduate population as well as a sample from the

general population. A current issue in the methods of psychology is the primary use of student

populations when conducting research. This sample of convenience raises numerous issues about

the generalizability of the findings of research based on a sample of convenience that has been

characterized as western, educated, industrialized, rich and democratic, W.E.I.R.D (Norenzyan,

2012). By using two samples that completed identical questionnaires further insight was

garnered regarding these population biases. Differences arose on the Personal Belief in a Just

World scale, some of the affective scales and on some demographic questions regarding

experience with illness and injury. Most of these can be attributed to the mean age differences in

the samples, see Preliminary Results. While the samples differed on these few measures overall

the samples were nearly identical in their responses. Both groups had experienced similar types

of illness and injury that caused some type of just world threat, an impact on deservingness and

elicited maintenance strategies. That both samples were on the whole largely identical would

imply that perhaps the university samples are not as different and W.E.I.R.D. as thought. This is

important for future research, specifically that surrounding the BJW but also in psychological

research in general. For the matter of convenience and simplicity it may not be inappropriate to

continue relying on student samples while also keeping an eye to obtaining a diverse and more

Page 108: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

99

“general” sample whenever possible. A related topic is the sampling method used. The general

population sample was accessed through a crowdsourcing website. This sampling method has

been shown to produce results that are at a level of equal or greater reliability to student samples

(Behrend, et al. 2011; Best, et al., 2001). The ease of accessing such a large sample very quickly

balances out some of the misgivings regarding the attentiveness and care that the people

completing the study may be giving to their participation; though in the present study it seems

that the crowd sample actually completed the study more assiduously than the student sample.

This presents positive bearing for the use of crowdsourcing in the future for balancing student

sampling with sampling from the general population and improving the generalizability of

psychological studies.

The nature of this study was exploratory. A single experimental study had been done

previously to examine personal just world violations and people’s reactions to this threat (Callan,

2013) and so this work was carried out to gain a better understanding of personal just world

threat in more personally experienced situations. The general hypotheses of the study were met

and it appears that a personal negative life event can be just world threatening in a similar

manner to how threat is experienced by third parties. Interesting differences were also found

particularly for how fairness and deservingness may be separate constructs when personal threat

occurs. The results of this study support further research into personal just world threat as a

promising area of inquiry for enhancing our understanding of how justice informs how people

react to the good and bad things that happen in their lives.

Page 109: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

100

References

Anderson, J. E., Kay, A. C., & Fitzsimmons, J. M. (2010). In Search of the Silver Lining: The

Justice Motive Fosters Perceptions of Benefits in the Later Lives of Tragedy Victims.

Psychological Science, 20, 1-6.

Braman, A. C. & Lambert, A. J. (2001). Punishing individuals for their infirmities: Effects of

personal responsibility, just-world beliefs, and in-group/out-group status. Journal of

Applied Social Psychology, Vol.31, 1096-1109.

Behrend, T. S., Sharek, D. J., Meade, A. W., & Wiebe, E. (2011). The viability of crowdsourcing

for survey research. Behavior Research Methods, Vol.43, 800-813.

Best, S. J., Krueger, B., Hubbard, C., & Smith, A. (2001). An assessment of the generalizability

of Internet surveys. Social Science Computer Review, Vol.19, 131-145.

Callan, M. J., Kay, A. C., & Dawtry, R. J. Making sense of misfortune: Deservingness, self-

esteem, and patterns of self-defeat. Journal of Personality and Social Psychology, 104(1),

142-162.

Cataldo, J. K., Jahan, T. M., & Pongquan, V. L. (2012). Lung cancer stigma, depression, and

quality of life among ever and never smokers. European Journal of Oncology Nursing,

16, 264-269.

Correia, I., Dalbert, C. (2007). Belief in a just world, justice concerns, and well-being at

Portuguese schools. European Journal of Psychology in Education, 22, 421-437.

Page 110: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

101

Crandal, R. (1973). The measurement of self-esteem and related constructs. In J.P. Robinson &

P.R. Shaver (Eds.), Measures of social psychological attitudes, revised edition (pp. 80-

82). Ann Arbor: ISR.

Dalbert, C. (2001). The Justice Motive as a personal resource. New York: Kluwer

Academic/Plenum Publishers.

Dalbert, C. (1999). The world is more just for me than generally: About the personal belief in a

just world scale's validity. Social Justice Research, 12, 79-98.

Dalbert, C. (2002). Beliefs in a just world as a buffer against anger. Social Justice Research, 15,

123-145.

Dalbert, C. (2009). Belief in a Just World. Handbook of Individual Differences in Social

Behaviour (pp. 288-297). New York: Guilford Publications.

Dalbert, C., Montada, L., & Schmitt, M. (1987). Belief in a just world: Validation correlates of

two scales. (Trans. German). Psychologische Beitrage, 29, 596-615.

De Palma, M. T., Madey, S. F., Tillman, T. C., & Wheeler, J. (1999). Perceived patient

responsibility and belief in a just world affect helping. Basic and Applied Social

Psychology, 21, 137.

Dzuka, J. & Dalbert, C. (2002). Mental health and personality of Slovak unemployed

adolescents: The impact of belief in a just world. Journal of Applied Social Psychology,

Vol.32, 732-757.

Page 111: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

102

Ellard, J. H., Harvey, A., & Callan, M. J. (2013). The justice motive: History, theory and

research. In M.Schmitt & C. Sabbagh (Eds.), Handbook of social justice theory and

research. New York, NY: Springer.

Faller, H., Schilling, S., & Lang, H. (1995). Causal attribution and adaptation among lung cancer

patients. Journal of Psychosomatic Research, 35, 619-627.

Feather, N. T. (1991). Human values, global self-esteem, and belief in a just world. Journal of

Personality, 59, 83-107.

Feather, N. T. (2006). Deservingness and emotions: Applying the structural model of

deservingness to the analysis of affective reactions to outcomes. European Review of

Social Psychology, 17, 38–73.

Feiring, E. (2008). Lifestyle, responsibility, and justice. Journal of Medical Ethics, 34, 33-36.

Ferrucci, L. M., Cartmel, B., Turkman, Y. E., Murphy, M. E., Smith, T., Stein, K. D. et al.

(2011). Causal attribution among cancer survivors of the 10 most common cancers.

Journal of Psychosocial Oncology, 29, 121-140.

Feigenson, N., Park, J., & Salovey, P. (1997). Effect of blameworthiness and outcome severity

on attributions of responsibility and damage awards in comparative negligence cases.

Law and Human Behavior, 21(6), 597-617.

Frijda, N. H., Kuipers, P., & ter Schure, E. (1989). Relations among emotion, appraisal, and

emotional action readiness. Journal of Personality and Social Psychology, 57, 212-228.

Page 112: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

103

Hafer, C. L. & Begue, L. (2005). Experimental research on just world theory: Problems,

developments, and future challenges. Psychological Bulletin, 131, 128-167.

Hafer, C. L. & Sutton, R. M. (2014). Belief in a just world. In M.Schmitt & C. Sabbagh (Eds.),

Handbook of social justice theory and research. New York, NY: Springer Publishing

Company.

Hatcher, J. & Hall, L.A. (2009). Psychometric properties of the Rosenberg self-esteem scale in

African American single mothers. Issues in Mental Health Nursing, 30(2) 70-77 doi:

10.1080/01612840802595113

Hanson, B. L. (2011). Impact of outcome severity and perceiver similarity on judgments of

blame and responsibility. Dissertation abstracts international: Section B: The sciences

and engineering 72(4-B), 2481.

Hassan, E. (2005). Recall Bias can be a threat to retrospective and prospective research. The

Internet Journal of Epidemiology, 3(2), https://ispub.com/IJE/3/2/13060

Heider, F. (1958). The psychology of interpersonal relations. New York: Wiley.

Holland, J. C. & Reznik, I. (2005). Pathways for psychosocial care of cancer survivors. Cancer,

104, 2624-2637.

Janoff-Bulman, R. & Lang-Gunn, L. (1986). Coping with disease crime and accidents: The role

of self-blame attributions. In L.Y.Abramson (Ed.), Social cognition and clinical

psychology (pp. 116-147). New York: Guilford.

Page 113: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

104

Jensen, B. O. & Petersson, K. (2003). The illness experiences of patients after a first time

myocardial infarction. Patient Education and Counseling, Vol.51, 123-131.

Jones, E. E. & Davis, K. E. (1965). From acts to disposition: The attribution process in person

perception. In L.Berkowitz (Ed.), Advances in experimental social psychology (pp. 220-

266). New York: Academic Press.

Kelley, H. H. (1967). Attribution theory in social psychology. In D. Levine (Ed.), Nebraska

symposium on motivation. Lincoln: University of Nebraska Press.

Kiviniemi, M. T. & Rothman, A. J. Specifying the determinants of people's health beliefs and

health behavior: How a social psychological perspective can inform initiatives to

promote health. In A. Baum, S. E. Taylor, & J. E. Singer (Eds.), Handbook of

psychology and health (4 ed., pp. 64-83). Hillsdale NJ: Erlbaum.

Koeing, H. G., McCullogh, M. E., & Larson, D. (2001). Handbook of religion and health. (2nd

ed.) Oxford: Oxford University Press.

Kruglanski, A. W., Shah, J. Y., Fishbach, A., Friedman, R., Chun, W. Y., & Sleeth-Keppler, D.

(2002). A theory of goal systems. In Advances in experimental social psychology (pp.

331-378). San Diego: Academic Press.

Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.

Lerner, M. & Simmons, C. H. (1966). Observer's reaction to the 'Innocent Victim': Compassion

or rejection? Journal of Personality and Social Psychology, 4, 203-210.

Page 114: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

105

Lerner, M. (1970). The desire for justice and reactions to victims. In J.MacCauley & L.

Berkowitz (Eds.), Altruism and helping behaviour. New York: Academic Press.

Lerner, M. (1974). Social psychology of justice and interpersonal attraction. In T.Houston (Ed.),

Foundations of interpersonal attraction. New York: Academic Press.

Lerner, M. (1980). The Belief in a Just World. New York: Plenum Press.

Lerner, M. (1991). The belief in a just world and the "heroic motive": Searching for constants in

the psychology of religious ideology. International Journal for the Psychology of

Religion, 1, 27-32.

Lerner, M. (1998). The two forms of the belief in a just world: Some thoughts on why and how

people care about justice. In M.Lerner & L. Montada (Eds.), Responses to victimizations

and belief in a just world, (pp. 246-269). New York: Plenum Press.

Lipkus, I. M., Dalbert, C., & Siegler, I. C. (1996). The importance of distinguishing the belief in

a just world for self versus for others: Implications for psychological well-being.

Personality And Social Psychology Bulletin, 22(7), 666-677

Lucas, T., Alexander, S., Firestone, I., & Lebreton, J. M. (2008). Just world beliefs, perceived

stress, and health behavior: The impact of a procedurally just world. Psychology &

Health, 23, 849-865.

Lucas, T., Alexander, S., Firestone, I., & Lebreton, J. M. (2009). Belief in a just world, Social

snfluence and illness attributions : Evidence of a just world boomerang effect. Journal of

Health Psychology, 14, 258-266.

Page 115: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

106

Maddi, S. R. & Kobasa, S. C. (1984). The hardy executive: Health under stress. Homewood,

Illinois: Dow Jones-Irwin.

Marlo, H. & Wagner, M. K. (1999). Expression of negative and positive events through writing:

Implications for psychotherapy and health. Psychology & Health, 14, 193-215.

Maes, J. (1998). Immanent justice and ultimate justice: Two ways of believing in justice. In L.

Montada & M. J. Lerner (Eds.), Responses to victimizations and belief in a just world.

(pp. 9-40). New York, NY: Plenum Press.

Montada, L. & Schneider, A. (1989). Justice and emotional reactions to the disadvantaged.

Social Justice Research, 3(4), 313-344.

Nichol, K. L., Heilly, S. D., & Ehlinger, E. (2005). Colds and influenza-like illnesses in

university students: impact on health, academic and work performance, and health care

use. Clinical Infectious Disease, 40, 1263-1270.

Olff, M., Brosschot, J. F., & Godaert, G. (1993). Coping styles and health. Personality and

Individual Differences, 15, 90.

Otto, K. & Dalbert, C. (2005). Belief in a just world and its functions for young prisoners.

Journal of Research in Personality, 39, 573.

Park, C. L., Edmondson, D., Fenster, J. R., & Blank, T. O. (2008). Meaning making and

psychological adjustment following cancer: The mediating roles of growth, life meaning,

and restored just-world beliefs. Journal of Consulting and Clinical Psychology, 76, 863-

875.

Page 116: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

107

Peterson, C. (2000). The future of optimism. American Psychologist, 55, 44.

Public Health Agency of Canada (2011). The chief public health officer's report on the state of

public health in Canada, 2011: Chapter 3 The health and well-being of Canadian youth

and young adults. Retrieved from http://www.phac-aspc.gc.ca/cphorsphc-

respcacsp/2011/cphorsphc-respcacsp-06-eng.php

Reed, A. (2004). Activating the Self-Importance of Consumer Selves: Exploring Identity

Salience Effects on Judgments. Journal of Consumer Research, 31, 286-285.

Rosenberg, M. (1965), Society and the adolescent self-image. Princeton, NJ: Princeton

University Press. Ross, L., & Nisbett, R.E. (1991). The person and the situation:

Perspectives of Social Psychology. New York: McGraw-Hill.

Rothman, A. J., Klein, W. M. P., & Cameron, L. D. (2013). Advancing innovations in

social/personality psychology and health: Opportunities and challenges. Health

Psychology, 32, 602-608.

Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of

Orthopsychiatry, 57, 316-331.

Robinson, R. & Bridget, G. (2012). Cognitive Psychology: Applying the Science of Mind. (3rd

ed.) Boston: Pearson Allyn & Bacon.

Salovey, P., Rothman, A. J., & Rodin, J. (1998). Health behaviour. In D.T.Gilbert, S. T. Fiske, &

G. Lindsey (Eds.). The handbook of social psychology (pp. 633-683). New York: Oxford

University Press.

Page 117: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

108

Scheier, M. F., Matthews, K. A., Owens, J. F., Jane, F., & Magovern, G. J. (1989). Dispositional

optimism and recovery from coronary artery bypass surgery: The beneficial effects on

physical and psychological well-being. Journal of Personality and Social Psychology, 57,

1024-1040.

Schmitt, M., Gollwitzer, M., Maes, J., & Arbach, D. (2005). Justice sensitivity: Assessment and

location in the personality space. European Journal of Psychological Assessment, 21(3)

Schmitt, M., Baumert, A., Gollwitzer, M., & Maes, J. (2010). The Justice sensitivity inventory:

Factorial validity, location in the personality facet space, demographic pattern, and

normative data. Social Justice Research, 23(2-3)

Shaver, K. G. (1970). Defensive attribution: Effects of severity and relevance on the

responsibility assigned for an accident. Journal of Personality and Social Psychology, 14,

101-113.

Switzer, B. & Boysen, G. A. (2009). The impact of religiosity and attribution theory on attitudes

toward addiction and cancer. Mental Health, Religion & Culture, 12, 241-245.

Taylor, S. E. (1984). The developing theory of health psychology. In A. Baum, S. E. Taylor, & J.

E. Singer (Eds.), Handbook of psychology and health (4 ed., pp. 1-22). Hillsdale NJ:

Erlbaum.

Tennen, H., Affleck, G., & Gershman, K. (1986). Self-blame among parents of infants with

perinatal complications: The role of self-protective motives. Journal of Personality and

Social Psychology, 50, 690-696.

Page 118: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

109

Tomaka, J. & Blascovich, J. (1994). Effects of justice beliefs on cognitive appraisal of and

subjective physiological and behavioral responses to potential stress. Journal of

Personality and Social Psychology, 67, 732-740.

Tong, A., Howard, K., Jan, S., Cass, A., Rose, J., Chadban, S. et al. (2010). Community

preferences for the allocation of solid organs for transplantation: A systematic review.

Transplantation, 89, 796-805.

Treasure, J. & Whitney, J. (2010). Writing as a tool for developing reflective capacity and

emotional processing. In J. Treasure, U. Schmidt, P. Macdonald (Eds.). The clinicians

guide to caring for eating disorders: The new Maudsley method, 150-166.

Troy, A. S., Shallcross, A. J., & Mauss, I. B. (2013). A person-by-situation approach to emotion

regulation: Cognitive reappraisal can either help or hurt, depending on the context.

Psychological Science, 24(12), 2505-14 DOI: 10.1177/0956797613496434

Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological

Bulletin, 134, 163-206.

Walster, E. (1966). Assignment of responsibility for an accident. Journal of Personality and

Social Psychology, 3, 73-79.

Wood, J. V., Heimpel, S. A., Manwell, L. A., & Whittington, E. J. (2009). This mood is familiar

and I don’t deserve to feel better anyway: Mechanisms underlying self-esteem

differences in motivation to repair sad moods. Journal of Personality and Social

Psychology, 96, 363-380.

Page 119: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

110

Appendix 1

General Belief in a Just World (Dalbert et al., 1987)

Below you will find various statements. Most likely, you will strongly agree with some

statements, and strongly disagree with others. Sometimes you may feel more neutral.

Read each statement carefully and decide to what extent you personally agree or disagree with it.

Circle the number which corresponds to this judgment. Make sure you circle a number for every

statement.

6=strongly

agree

5=agree 4=slightly

agree

3=slightly

disagree

2=disagree 1=strongly

disagree

1. I think basically the world is a just place

6 5 4 3 2 1

2. I believe that, by and large, people get what they deserve.

6 5 4 3 2 1

3. I am confident that justice always prevails over in-justice

6 5 4 3 2 1

4. I am convinced that in the long run people will be compensated to injustices

6 5 4 3 2 1

5. I firmly believe that injustices in all areas of life (ex. Professional, family, political) are

the exception rather than the rule

6 5 4 3 2 1

6. I think people try to be fair when making important decisions

6 5 4 3 2 1

7. I am convinced that in the long run people will be compensated to injustices

6 5 4 3 2 1

Page 120: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

111

Appendix 2

Personal Belief in a Just World (Dalbert et al., 1987)

Below you will find various statements. Most likely, you will strongly agree with some

statements, and strongly disagree with others. Sometimes you may feel more neutral.

Read each statement carefully and decide to what extent you personally agree or disagree with it.

Circle the number which corresponds to this judgment. Make sure you circle a number for every

statement.

6=strongly

agree

5=agree 4=slightly

agree

3=slightly

disagree

2=disagree 1=strongly

disagree

1. I believe that by and large, I deserve what happens to me.

6 5 4 3 2 1

2. I am usually treated fairly.

6 5 4 3 2 1

3. I believe that I usually get what I deserve.

6 5 4 3 2 1

4. Overall events in my life are just

6 5 4 3 2 1

5. In my life injustice is the exception rather than the rule

6 5 4 3 2 1

6. I believe that most of the things that happen in my life are fair

6 5 4 3 2 1

7. I think that important decisions that are made concerning me are usually just

6 5 4 3 2 1

Page 121: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

112

Appendix 3

Justice Sensitivity 1 (Schmitt et al., 2005)

People react quite differently in unfair situations. How do you react? First we will look at

situations that advantage others but disadvantage you.

(0= Not at all, 5= Extremely)

1. It bothers me when others receive something that ought to be mine

0 1 2 3 4 5

2. It makes me angry when others receive a reward that I have earned

0 1 2 3 4 5

3. I cannot easily bear it when others profit unilaterally from me

0 1 2 3 4 5

4. It takes me a long time to forget when I have to fix others’ carelessness

0 1 2 3 4 5

5. It gets me down when I get fewer opportunities than others to develop my skills

0 1 2 3 4 5

6. It makes me angry when others are undeservingly better off than me

0 1 2 3 4 5

7. It worries me when I have to work hard for things that come easily to others

0 1 2 3 4 5

8. I ruminate for a long time when other people are treated better than me

0 1 2 3 4 5

9. It burdens me to be criticized for things that are overlooked with others

0 1 2 3 4 5

10. It makes me angry when I am treated worse than others

0 1 2 3 4 5

Page 122: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

113

Justice Sensitivity 2

Now we will look at situations that advantage you and disadvantage others.(0= Not at all, 5=

Extremely)

1. It disturbs me when I receive what others ought to have

0 1 2 3 4 5

2. I have a bad conscience when I receive a reward that someone else has earned

0 1 2 3 4 5

3. I cannot easily bear it to unilaterally profit from others

0 1 2 3 4 5

4. It takes me a long time to forget when others have to fix my carelessness

0 1 2 3 4 5

5. It disturbs me when I receive more opportunities than others to develop my skills

0 1 2 3 4 5

6. I feel guilty when I am better off than others for no reason

0 1 2 3 4 5

7. It bothers me when things come easily to me that others have to work hard for

0 1 2 3 4 5

8. I ruminate for a long time about being treated nicer than others for no reason

0 1 2 3 4 5

9. It bothers me when someone tolerates things with me that other people are being

criticized for

0 1 2 3 4 5

10. I feel guilty when I receive better treatment than others

0 1 2 3 4 5

Page 123: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

114

Appendix 4

Immanent/Ultimate Justice Scale (Maes, 1998)

Below you will find various statements. Most likely, you will strongly agree with some

statements, and strongly disagree with others. Sometimes you may feel more neutral.

Read each statement carefully and decide to what extent you personally agree or disagree with it.

Circle the number which corresponds to this judgment. Make sure you circle a number for every

statement.

-3 = I Disagree very much, -2 = I Disagree on the whole, -1 = I Disagree a little, 1 = I agree a

little, 2 = I agree on the whole, 3 = I agree very much

1. A badly lived life is directly followed by doom

-3 -2 -1 1 2 3

2. We will see the day when all victims will be compensated for their suffering

-3 -2 -1 1 2 3

3. There is injustice in nearly every area of life

-3 -2 -1 1 2 3

4. I am convinced everyone will be compensated one day for the injustice they've suffered

-3 -2 -1 1 2 3

5. Those who plan bad deeds will fall by them

-3 -2 -1 1 2 3

6. I believe everyone seeks justice when important decisions are made

-3 -2 -1 1 2 3

7. There is hardly a crime which will not be punished in the long run

-3 -2 -1 1 2 3

8. Life is full of injustice

-3 -2 -1 1 2 3

Page 124: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

115

9. There is a direct connection between one’s character and one's fate

-3 -2 -1 1 2 3

10. I am sure at some point justice always wins in the world

-3 -2 -1 1 2 3

11. I believe that people all overall get what they deserve

-3 -2 -1 1 2 3

12. At some point, everyone has to pay for their ill deeds

-3 -2 -1 1 2 3

13. Good and honest conduct leads to directly to happiness

-3 -2 -1 1 2 3

14. One may anytime be hit by bad fortune

-3 -2 -1 1 2 3

15. He who does good will soon reap rewards

-3 -2 -1 1 2 3

16. Every bad fate will be balanced one day

-3 -2 -1 1 2 3

17. I think that in general the world is just

-3 -2 -1 1 2 3

18. In the long-run, those with the least now, will have the most

-3 -2 -1 1 2 3

19. Injustice in all areas of life (i.e. work, family, politics) is the exception rather than the rule

-3 -2 -1 1 2 3

20. Everyone who commits bad deeds will be held responsible for them one day

-3 -2 -1 1 2 3

21. Many people suffer unjustly

Page 125: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

116

-3 -2 -1 1 2 3

22. Many things in life are completely unjust

-3 -2 -1 1 2 3

23. Those who suffered yesterday will be better off tomorrow because of their suffering

-3 -2 -1 1 2 3

24. Those who make others suffer will have to do penance one day

-3 -2 -1 1 2 3

25. You never have to wait long for punishment or remuneration

-3 -2 -1 1 2 3

26. Those who suffer will see better days

-3 -2 -1 1 2 3

27. The punishment for bad deeds comes faster than you think

-3 -2 -1 1 2 3

28. Those who have suffered badly will one day be compensated

-3 -2 -1 1 2 3

29. Those who gain at others expense will pay dearly in the end

-3 -2 -1 1 2 3

30. Anywhere you look, life is not just

-3 -2 -1 1 2 3

31. Those who are being treated badly usually don’t deserve any better

-3 -2 -1 1 2 3

Page 126: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

117

Appendix 5

Rosenberg Self-Esteem Scale with Deservingness items (Callan, 2013; Rosenberg, 1965)

Instructions: Below is a list of statements dealing with your general feelings about yourself. If

you strongly agree, circle SA. If you agree with the statement, circle A. If you disagree, circle D.

If you strongly disagree, circle SD.

1. On the

whole, I am

satisfied

with myself.

SA A D SD

2.*

3.

At times, I

think I am

no good at

all.

Right now I

believe I am

deserving of

all good

things life

has to offer

SA

SA

A

A

D

D

SD

SD

4. I feel that I

have a

number of

good

qualities.

SA A D SD

5.

6.

I am able to

do things as

well as most

other

people.

Right now I

do not feel

deserving of

positive

outcome

SA

SA

A

A

D

D

SD

SD

7.* I feel I do

not have

much to be

proud of.

SA A D SD

Page 127: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

118

8.* I certainly

feel useless

at times.

SA A D SD

9.

10.

I feel that

I’m a person

of worth, at

least on an

equal plane

with others.

Right now I

feel I

deserve my

current

situation

SA

SA

A

A

D

D

SD

SD

11.* I wish I

could have

more

respect for

myself.

SA A D SD

12.* All in all, I

am inclined

to feel that I

am a failure.

SA A D SD

13. I take a

positive

attitude

toward

myself.

SA A D SD

Page 128: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

119

Appendix 6

In the following space please write about a health event in the last five years that was serious

enough to disrupt your daily routine. This can include, though is not limited to, anything from an

infectious illness to physical injury to cancer (please exclude any mental health issues). Describe

what happened, what caused it, how much it affected you at the time and how, as well as if it still

affects you now and how. Please feel free to include any other details you would like and to use

as much detail as you feel is necessary to describe the event.

What was the health event (In a couple words) ________________________

How long ago did the described event occur? _____________________

Page 129: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

120

Sometimes when a people have a bad experience like illness or injury they can feel the

experience is unfair. Did you feel that way when this happened? Y / N

If yes why?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Do you feel that way now? Y / N

If yes why?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Page 130: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

121

Appendix 7

Items for severity, deservingness and the four just world protective strategies, self-blame, self-

derogation, compensatory cognition and re-evaluating the outcome

Severity

1. In your opinion how severe was this health event overall? (with 1 being not at all severe

and 7 being very severe)

1 2 3 4 5 6 7

2. In your opinion how severe was this health event in terms of its effects on your health at

the time? (with 1 being not at all severe and 7 being very severe)

1 2 3 4 5 6 7

3. In your opinion how severe was this health event in terms of its effects on your daily life?

(with 1 being not at all severe and 7 being very severe)

1 2 3 4 5 6 7

4. In your opinion how severe was this health event in terms of its effects on your long term

health? (with 1 being not at all severe and 7 being very severe)

1 2 3 4 5 6 7

5. In your opinion how severe was this health event in terms of its effects on your other

people in your life? (with 1 being not at all severe and 7 being very severe)

1 2 3 4 5 6 7

6. In your opinion how severe was this health event in terms of its effects on your present

well-being? (with 1 being not at all severe and 7 being very severe)

1 2 3 4 5 6 7

Deservingness

1. When you think about the health outcome you described do you at all feel you deserved

what happened to you? (with 1 being not at all deserving and 7 being highly deserving).

1 2 3 4 5 6 7

2. When you think about the health outcome you described do you that others may feel you

deserved what happened to you? (with 1 being not at all deserving and 7 being highly

deserving).

1 2 3 4 5 6 7

Page 131: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

122

3. When you think about the health outcome you described at the time of the outcome did

you feel you deserved what happened to you? (with 1 being not at all deserving and 7

being highly deserving).

1 2 3 4 5 6 7

Please describe why you had, or did not have, those feelings of deservingness

__________________________________________________________________

________________________________________________________________________

________________________________________________________________________

4. If the event occurred again would you feel that you deserved what happened to you?

(with 1 being not at all deserving and 7 being highly deserving).

1 2 3 4 5 6 7

5. Do you feel now that you deserved the health outcome you described? Y / N

Self Blame

1. Do you at all believe you were at all to blame for your health outcome? (with 1 being not

at all and 7 highly to blame)

1 2 3 4 5 6 7

2. Do you feel that someone else would blame you for your health outcome? (with 1 being

not at all and 7 highly to blame)

1 2 3 4 5 6 7

3. Do you feel that blaming yourself for your health outcome would be reasonable? (with 1

being not at all and 7 highly to blame)

1 2 3 4 5 6 7

Self Derogation

1. Do you feel that what happened to you has anything to do with who you are as a person?

(with 1 being not at all and 7 highly)

1 2 3 4 5 6 7

2. Did you feel diminished by this experience or feel less good about yourself as a person

after this happened? (with 1 being not at all and 7 highly negative)

1 2 3 4 5 6 7

Do you feel that way now? Yes No

Page 132: UCalgary 2015 Violato Efrem - University of Calgary in Alberta

123

3. Do you feel that as a result of your health outcome your self-perception was lowered?

(with 1 being not at all and 7 highly lowered)

1 2 3 4 5 6 7

Compensatory Cognition

1. Do you feel that your health setback presented an opportunity for personal growth? (with

1 being no personal growth and 7 being lots of personal growth)

1 2 3 4 5 6 7

2. Do you feel that your health situation had any positive outcomes? (with 1 being no

positive outcome and 7 being many positive outcomes)

1 2 3 4 5 6 7

3. Do you feel that any positive outcomes of your health situation outweighed the negative

outcomes? (with 1 being not at all and 7 being very much so)

1 2 3 4 5 6 7

4. Do you think that your health setback was in anyway “payback” for previous bad deeds?

(with 1 being not at all and 7 being very much so)

1 2 3 4 5 6 7

5. Do you think that given the suffering you went through that you experienced some

compensating “luck breaks” or even now can expect can look forward to some “lucky

break”?

(with 1 being not at all and 7 being very much so)

1 2 3 4 5 6 7

Reevaluating the outcome

1. Do you feel that your health outcome is not as severe as others perceived it to be? (with 1

being highly disagree and 7 being highly agree)

1 2 3 4 5 6 7

2. When you think about your own health outcome how would you rate the severity of it if

it occurred to another person? (with 1 being not at all severe and 7 being highly severe)

1 2 3 4 5 6 7

3. When you think about your own health outcome how would you rate how much someone

deserved it if it occurred to another person? (with 1 being not at all deserved and 7 being

highly deserved)

1 2 3 4 5 6 7