Patterns of Coping Among Persons with HIV Infection (Study Results)

[Cliff]

Question: What is blame-withdrawal coping?
Patterns of Coping Among Persons with HIV Infection: Configurations, Correlates, and Change.  Fleishman JA, Sherbourne CD, Cleary PD, Wu AW, Crystal S, Hays RD. American Journal of Community Psychology, Vol. 32, No. 102, Sept 2003, pp. 187-204

This study examines coping in response to HIV infection, using longitudinal data from a nationally representative sample (n = 2,864) of HIV-infected persons. We investigated configurations of coping responses, the correlates of configuration membership, the stability of coping configurations, and the relationship of coping to emotional well-being. Four coping configurations emerged from cluster analyses: relatively frequent use of blame-withdrawal coping, frequent use of distancing, frequent active-approach coping, and infrequent use of all three coping strategies (“passive” copers). Passive copers had few symptoms, high levels of physical functioning, and high emotional well-being; blame-withdrawal copers had the opposite pattern. Of those completing a second interview 1 year after baseline, 46% had the same coping configuration. Increases in the number of HIV-related symptoms raised the probability of blame-withdrawal coping at follow-up, whereas decreases raised the probability of passive coping. Infrequent use of coping responses at baseline was related to greater emotional well-being 1 year later. This result, in conjunction with the high levels of emotional well-being in the passive cluster, suggests that high levels of distress can induce blame-withdrawal coping whereas coping efforts are minimal when social support and emotional well-being are high. Results highlight issues in ascertaining the causal direction between coping and psychological outcomes, as well as in specifying the nature of stressful situations with which people are coping.

[aztecan]

Hey Cliff,

I read it. I don't understand it, but I read it.

What does this mean?

 

HUGS,

Mark

[Longislander]

Hey Mark,  I read it slowly, and 2 times.-this is what I got, there a 3 coping mechanisms they stated, and a 4th, which a combo of the 1st 3.

After a year, 46% were still using the the same inital mechanism they started with. Those using blame/withdrawl coping mechanism (coping mechanism??-lol) suffered more symptoms. More symptoms experienced in that year, more were likely to use/switch to blame/withdrawal.

Those using the combo of all 3, had fewer symptoms.

Less stress, more support =better coping mechanisms.

Greater sense of well-being, more emotional support, less stress, you're better off.

Something like that! lol

[Cliff]

I'm just waiting to see if anyone knows what blame-withdrawal coping is?   

I wanna know if I suffer from blame-withdrawal coping.  And I can't know it, if I don't know what it means.  And if someone doesn't tell me what it means, I am going to conclude that you all are to blame for my HIV status and I will withdraw from this thread, forever.

[Longislander]

lmao-

[newt]

It means people who feel like jack shit cos of HIV stuff tend to hide from the world, people who don't have this get on with life, some people deal with the whole caboodle by finding out what's what, and denial is common.  Some things are so damn obvious they don't need studying eh? (and psychologist can't write normal English)

- matt

Now playing: Co-Deez, Rocksteady :-)

[Andy Velez]

Blame withdrawal is a sexual term, Cliff. It's often but not exclusively used by the insertive partner.

It's frequently used by a straying partner. If my partner/husband/wife hadn't done such and such I wouldn't have been here shagging you.

There are other uses of the term but this is a particularly common one.

Glad to be of help in clarifying that. LOL

Sunday cheers, Cliffie.

Having said all of the above what I think what the characteristically communcation-challenged researcher(s) meant is when someone puts the blame for what has happened on someone else as the cause, thus denying any personal responsibility and then retreats into isolation or some form of same.

[Longislander]

and this study only cost 1.3 million dollars.

[Cliff]

It's frequently used by a straying partner. If my partner/husband/wife hadn't done such and such I wouldn't have been here shagging you.

Sounds like a lot of guys suffer from blame-withdrawal coping!  Too many, actually.

[pozguy75]

I think I have blame-withdrawal...hmmm