Monden Kimberley R, Trost Zina, Scott Whitney, Bogart Kathleen R, Driver Simon
Department of Surgery, Baylor University Medical Center.
Department of Psychology, University of Alabama at Birmingham.
Rehabil Psychol. 2016 Feb;61(1):44-53. doi: 10.1037/rep0000075.
A fundamental principle of rehabilitation psychology is that individual appraisals of the social and physical environment-including injury itself-have profound consequences for coping and adjustment. When core assumptions of a just and predictable world are violated and accompanied by ostensibly undeserved suffering and loss, perceptions of injustice can arise. Given the role of appraisal processes in adjustment to disability, mounting empirical support, and absence of targeted interventions, the current article considers perceptions of injustice regarding personal injury/disability as a fundamental appraisal affecting rehabilitation outcomes.
The authors review theory underpinning the relevance of injustice appraisals and critically examine existing literature regarding the impact of perceived injustice and related constructs (i.e., attribution of blame, anger, and belief in a just world) on adjustment following injury.
The authors bring attention to perceptions of injustice regarding personal injury/disability as a fundamental appraisal affecting rehabilitation outcomes. Dimensions of the social environment that have not received substantial attention in current research on condition-related injustice appraisals are highlighted.
Perceived injustice is a potentially central appraisal process to physical and psychological outcomes in the context of rehabilitation. Research regarding the role of perceived injustice, related constructs, and potential social/environmental modulators of injustice perception is still in its infancy. Guided buy its foundational principles, the field of rehabilitation psychology can broaden and shape inquiry regarding perceived injustice. This article aims to guide future research, offer concepts for key areas of discourse, and consider potential interventions in the rehabilitation psychology domain.
康复心理学的一项基本原则是，个体对社会和物理环境（包括损伤本身）的评估，会对应对和适应产生深远影响。当一个公正且可预测的世界的核心假设被违背，同时伴随着表面上不应遭受的痛苦和损失时，就可能产生不公正感。鉴于评估过程在残疾适应中的作用、越来越多的实证支持以及缺乏针对性干预措施，本文将个人损伤/残疾方面的不公正感视为影响康复结果的一种基本评估。
作者回顾了支撑不公正评估相关性的理论，并批判性地审视了现有文献，这些文献涉及感知到的不公正及相关概念（即责备归因、愤怒和对公正世界的信念）对损伤后适应的影响。
作者提请注意个人损伤/残疾方面的不公正感是影响康复结果的一种基本评估。强调了在当前与病情相关的不公正评估研究中尚未得到充分关注的社会环境维度。
在康复背景下，感知到的不公正对于身体和心理结果而言是一个潜在的核心评估过程。关于感知到的不公正的作用、相关概念以及不公正感潜在的社会/环境调节因素的研究仍处于起步阶段。在其基本原则的指导下，康复心理学领域可以拓宽并塑造有关感知到的不公正的研究。本文旨在指导未来研究，为关键讨论领域提供概念，并考虑康复心理学领域的潜在干预措施。
