“…A considerable amount of research has explored the role of personal responsibility in illness (Berland, 1995; Derry & McLachlan, 1995; Heijmans & de Ridder, 1998; Nosarti, Roberts, Crayford, McKenzie, & David, 2002; Pohlman & Becker, 2006; Schiaffino & Cea, 1995; Skinner et al, 2011; Sulik, 2005), but responsibility usually referred to the tendency of patients to attribute the cause of their illness to themselves or to other factors, such as stress or randomness. Moving from a cognitive framework that considers responsibility in terms of representations of the world (causal attribution) to a constructivist framework that focuses on construing through action (Cipolletta, in press), we attributed personal responsibility to the choice of confiding in oneself or in others for help.…”