Pie Chart – Responsibility

The Pie Chart - Responsibility exercise is designed to guide clients through the process of clarifying and re-evaluating their responsibility for negative events.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Overview

Responsibility pie charts have been used in various clinical contexts. The Pie Chart – Responsibility exercise is designed to help clients clarify and reassess their responsibility for negative events. The goal is not to absolve clients of responsibility or diminish accountability when it is warranted, but rather to establish a more realistic and reasonable perspective.

Why Use This Resource?

Understanding and accurately distributing responsibility for negative events can significantly lessen emotional distress, particularly in trauma survivors.

  • Clarifies clients perceived degree of responsibility for negative events.
  • Reduces undue self-blame and guilt by clarifying what contributed to these outcomes.
  • Helps clients develop more balanced judgments and appraisals.

Key Benefits

Clear

Uses a visual framework to re-evaluate perceived responsibility.

Insightful

Highlights personal versus external contributions to negative events.

Adaptable

Applicable to diverse difficulties, including trauma, anxiety, and OCD.

Who is this for?

Post-Traumatic Stress Disorder (PTSD)

To address guilt, shame, or self-blame linked to trauma.

Obsessive Compulsive Disorder (OCD)

To challenge clients' overestimation of their responsibility.

Social Anxiety Disorder

To reduce self-blame for negative social experiences.

Integrating it into your practice

01

Identify

Determine the event or outcome the client feels responsible for.

02

Assess

Assess the client's perceived degree of responsibility.

03

List

Identify all the contributing factors.

04

Assign

Use a pie chart to assign a percentage responsibility to each item.

05

Reflect

Help the client reflect on the pie chart and its implications.

06

Re-rate

Re-rate the client’s perceived degree of responsibility after the exercise.

Theoretical Background & Therapist Guidance

Feelings of guilt are often linked to the belief that one should have acted, thought, or felt differently. While guilt can be beneficial when it motivates pro-social behaviors like apologizing or making amends, it can also arise when individuals blame themselves inappropriately or feel overly responsible for events, particularly in the case of trauma survivors. However, feeling guilty does not always accurately reflect one's actual responsibility for a situation. Several cognitive biases can contribute to excessive guilt and lead to incorrect interpretations of events. These include hindsight bias, black-and-white thinking, and personalizing, where individuals mistakenly assume that negative situations or outcomes are related to them.

Regarding responsibility, certain cognitive processes can explain the excessive and inappropriate guilt observed in some clinical groups (Kubany & Watson, 2003; Young et al., 2021). For instance, individuals may overestimate their personal responsibility for negative events, underestimate the responsibility of others, or believe that negative outcomes were foreseeable and preventable.

To address the overestimation of responsibility, the use of pie charts has been described in various clinical reports. The Pie Chart – Responsibility exercise aims to help clients clarify and reassess their responsibility for negative events. The goal is not to absolve clients of legitimate responsibility or minimize accountability, but rather to foster a more reasonable, reality-based perspective (Scurfield, 1994).

What's inside

  • An introduction to the use of pie charts in therapy.
  • Therapist guidance for using the resource with clients.
  • Key references and recommendations for further reading.
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FAQs

The main aim is to help clients reduce undue guilt and self-blame by considering all the factors that contributed to a negative event or outcome.
This exercise offers a visual and interactive method to for fairly assigning responsibility.

How This Resource Improves Clinical Outcomes

Implementing this exercise can help:

  • Address overestimations of responsibility.
  • Reduce undue guilt and self-blame.
  • Alleviate emotional distress.
  • Correct cognitive distortions such as 'personalizing'.

References And Further Reading

  • Beck, A. T., Rush, A. J., Shaw, B. F., Emery, G., DeRubeis, R. J., & Hollon, S. D. (2024). Cognitive therapy of depression. Guilford Publications.
  • Chatburn, E., Millar, J., & Ryan, J. (2020). Extended formulation in cognitive behavioural therapy for OCD: a single case experimental design. The Cognitive Behaviour Therapist, 13, e38. DOI: 10.1017/S1754470X20000367.
  • Clark, A. M. (1989). Anxiety states: Panic and generalized anxiety. In K. Hawton, P. M. Salkovskis, J. Kirk, & D. M. Clark (Eds.), Cognitive behaviour therapy for psychiatric problems: A practical guide (pp. 52-96). Oxford, UK: Oxford University Press.
  • Dozier, M. E., Nix, C. A., Taylor, C., Pyles, K., Mejia, N., & Kalchbrenner, R. (2022). Perceived locus of control for clutter: Reported reasons for clutter in adults with and without hoarding symptoms. British Journal of Clinical Psychology, 61, 306-312. DOI: 10.1111/bjc.12332.
  • Fischhoff, B. (1975). Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance, 1, 288–299. DOI: 10.1037/0096-1523.1.3.288.
  • Greenberger, D., & Padesky, C. A. (1995). Mind over Mood: A cognitive therapy treatment manual for clients. Guilford Press.
  • Jassi, A., Shahriyarmolki, K., Taylor, T., Peile, L., Challacombe, F., Clark, B., & Veale, D. (2020). OCD and COVID-19: a new frontier. The Cognitive Behaviour Therapist, 13, e27. DOI: 10.1017/S1754470X20000318.
  • Jones, M., & Rakovshik, S. (2019). Inflated sense of responsibility, explanatory style and the cognitive model of social anxiety disorder: a brief report of a case control study. The Cognitive Behaviour Therapist, 12, e19. DOI: 10.1017/S1754470X19000047.
  • Kubany, E. S., & Manke, F. P. (1995). Cognitive therapy for trauma-related guilt: Conceptual bases and treatment outlines. Cognitive and Behavioral Practice, 2, 27-61. DOI: 10.1016/S1077-7229(05)80004-5.
  • Litz, B. T., Lebowitz, Gray, M. J., & Nash, W. P. (2016). Adaptive disclosure: A new treatment for military trauma, loss, and moral injury. Guilford Press.
  • Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29, 695-706. DOI: 10.1016/j.cpr.2009.07.003.
  • Scurfield, R. M. (1994). “War-Related Trauma: An Integrative Experiential, Cognitive and Spiritual Approach.” In M. B. Williams & J. F. Sommer (Eds.), Handbook of Post-Traumatic Therapy (pp. 180–204). Greenwood Press.
  • Scurfield, R. M., & Platoni, K. T. (2013). Resolving combat-related guilt and responsibility issues. In R. M. Scurfield & K. T. Platoni (Eds.), Healing War Trauma: A Handbook of Creative Approaches (pp. 253-272). Routledge.
  • Van Oppen, P., & Arntz, A. (1994). Cognitive therapy for obsessive compulsive disorder. Behaviour Research and Therapy, 32, 79-87.
  • Wild, J., Duffy, M., & Ehlers, A. (2023). Moving forward with the loss of a loved one: treating PTSD following traumatic bereavement with cognitive therapy. The Cognitive Behaviour Therapist, 16, e12. DOI: 10.1017/S1754470X23000041.