We examine how worldview differences affect the construal of depression. Two suffering construals are identified: redemptive construals, which emphasize the growth‐oriented teleological purpose of depression, and biomedical construals, which emphasize a restorative teleology whereby depression should be pharmacologically treated to return individuals to normal functioning. Due to their assumptions about human nature, we anticipated that humanistic and normativistic worldviews would be associated with redemptive and biomedical construals, respectively. Four studies examined whether these associations are (a) cross‐sectionally evident, (b) causal in nature, and (c) impacted by perceived risk for depression. Humanism was positively and causally associated with redemptive construals; this association was strengthened by perceived personal risk for depression. Normativism was consistently positively associated with biomedical construals, except when participants anticipated an assessment of their risk for depression. Furthermore, in one study (Study 1B), normativism was associated with fear‐based stigma of a depressed individual (being more likely to view this person as dangerous because of their condition). These results provide initial evidence for our novel theoretical framework, which, in distinction to prior theory and research, highlights the importance of (a) assessing worldview beyond political orientation in explaining depression attitudes and (b) lay teleologies, as distinct from “folk etiologies,” of mental illness. Redemptive and biomedical construals have different implications for phenomena such as treatment adherence and stigma.

中文翻译：

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世界观与抑郁症的解释

我们研究了世界观差异如何影响抑郁症的建构。确定了两个痛苦的解释者：赎回解释者，强调抑郁症的生长取向目的学目的；和生物医学解释者，强调恢复性目的论，应通过药理学方法治疗抑郁症，以使个体恢复正常功能。由于他们对人性的假设，我们预计人文主义和规范主义世界观将分别与救赎和生物医学知识有关。四项研究检查了这些关联是否（a）在横截面上是明显的；（b）本质上是因果的；以及（c）是否受到感知的抑郁风险的影响。人本主义与救赎纲领有积极和因果的联系。人们对抑郁症的个人危险感增强了这种联系。正常行为与生物医学研究始终保持正相关，除非参与者预期对其抑郁风险进行评估。此外，在一项研究（研究1B）中，依法行为与抑郁症患者基于恐惧的污名联系在一起（由于其状况，该人更有可能将其视为危险者）。这些结果为我们新颖的理论框架提供了初步的证据，与先前的理论和研究不同，它强调了（a）评估政治取向之外的世界观对解释抑郁症态度的重要性，以及（b）不同于精神病的“民间病因学”的目的论。救赎和生物医学的解释对诸如治疗依从性和污名化等现象具有不同的含义。