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At least 19 recordsLinked to original sources
PubMed2006

'Disgust, disgust beyond description'- shame cues to detect shame in disguise, in interviews with women who were sexually abused during childhood.

Shame is a recurrent theme in the context of sexually abused women. Sexual abuse is taboo and shameful, and so is shame. Shame affects the development of a person and relationships, and is mentally painful. It is often covert. One aim of the present study was to explore whether and how women exposed to sexual abuse during childhood verbally express unacknowledged overt and covert shame, when interviewed about their physical and mental health, relations and circumstances relating to the sexual abuse. Another aim was, if shame was present, to describe the quality of the shame expressed by the women. A mainly qualitative approach with semi-structured interviews was used. Ten women attending self-help groups for women who were sexually abused during childhood were recruited as informants. The interviews were analysed for verbal expressions of shame by identifying code words and phrases, which were first sorted into six shame indicator groups and then categorized into various aspects of shame. The frequency of the code words and phrases was also counted. The findings clearly reveal that the affect of shame is present and negatively influences the lives of the informants in this study. It was possible to sort the code words and phrases most often mentioned into the indicator groups 'alienated', 'inadequate' and 'hurt', in the order of their frequency. It is obvious that shame affects the lives of this study's informants in negative ways. One important clinical implication for professionals in health care and psychiatric services is to acknowledge both sexual abuse and shame in order to make it possible for patients to work through it and thereby help them psychologically to improve their health.

Adaptation, Psychological↗
PubMed2004

Shame as a social phenomenon: a critical analysis of the concept of dispositional shame.

An increased clinical interest in shame has been reflected in the growing number of research studies in this area. However, clinically orientated empirical investigation has mostly been restricted to the investigation of individual differences in dispositional shame. This study reviews recent work on dispositional shame but then argues that the primacy of this construct has been problematic in a number of ways. Most importantly, the notion of shame as a context-free intrapsychic variable has distracted clinical researchers from investigating the management and repair of experiences of shame and shameful identities and has made the social constitution of shame less visible. Several suggestions are made for alternative ways in which susceptibility to shame could be conceptualized, which consider how shame might arise in certain contexts and as a product of particular social encounters. For example, persistent difficulties with shame may relate to the salience of stigmatizing discourses within a particular social context, the roles or subject positions available to an individual, the establishment of a repertoire of context-relevant shame avoidance strategies and the personal meaning of shamefulness.

Attitude↗
PubMed2002

Predicting depressive symptoms with a new measure of shame: The Experience of Shame Scale.

OBJECTIVE: To investigate whether previous findings from interview studies of a prospective relationship between shame and psychopathology (e.g. Andrews, 1995) could be replicated using questionnaires. DESIGN: A total of 163 university students participated in a longitudinal questionnaire study. METHOD: The Experience of Shame Scale (ESS), a questionnaire based on a previous interview measure, and an established shame scale (TOSCA), were considered in their relation to depressive symptoms assessed at two time points 11 weeks apart. RESULTS: Both scales made significant independent contributions to depressive symptoms at time 1. However, only the ESS predicted additional significant variance in time 2 symptoms when time 1 symptoms were controlled. CONCLUSIONS: It was concluded that the reason for the differential performance of the two scales was that the ESS, like the shame interview, assesses specific areas of shame related to self and performance, whereas the TOSCA assesses general shame and may therefore be more prone to mood-state effects.

Adult↗
PubMed1992

Shamed into anger? The relation of shame and guilt to anger and self-reported aggression.

The relation of shame and guilt to anger and aggression has been the focus of considerable theoretical discussion, but empirical findings have been inconsistent. Two recently developed measures of affective style were used to examine whether shame-proneness and guilt-proneness are differentially related to anger, hostility, and aggression. In 2 studies, 243 and 252 undergraduates completed the Self-Conscious Affect and Attribution Inventory, the Symptom Checklist 90, and the Spielberger Trait Anger Scale. Study 2 also included the Test of Self-Conscious Affect and the Buss-Durkee Hostility Inventory. Shame-proneness was consistently correlated with anger arousal, suspiciousness, resentment, irritability, a tendency to blame others for negative events, and indirect (but not direct) expressions of hostility. Proneness to "shame-free" guilt was inversely related to externalization of blame and some indices of anger, hostility, and resentment.

Adolescent↗
PubMed2001

The role of shame and guilt in traumatic events: a clinical model of shame-based and guilt-based PTSD.

Post-traumatic stress disorder is currently classified as an anxiety disorder with fear as the predominant emotion. This has led to the development of treatment techniques such as exposure aimed at alleviating fear. This article highlights the need to address other emotional responses, in particular shame and guilt, when assessing and treating PTSD. Hence, it presents two clinical models of shame-based PTSD and guilt-based PTSD. These models are offered as aids to clinicians in assessing and formulating cases of PTSD where shame and guilt are salient issues. The models highlight the importance of assessing meaning in the context of pre-existing schemas and address two pathways to the development of shame and/or guilt: schema congruence and schema incongruence. Several treatment implications are drawn from the models.

Guilt↗
PubMed2005

The shame of failure: examining the link between fear of failure and shame.

The present research was designed to examine hypotheses derived from the proposition that shame is the core of fear of failure. Study 1 was conducted in a naturalistic setting and demonstrated that individuals high in fear of failure reported greater shame upon a perceived failure experience than those low in fear of failure. These findings were obtained controlling for other negative emotions. Study 2 was conducted in a controlled laboratory setting and demonstrated that high fear of failure individuals reported greater shame, overgeneralization, and closeness to their mother (controlling for baseline levels of these variables) than those low in fear of failure. Those high in fear of failure also reported that they would be less likely to tell their mother and father about their failure experience and would be more likely to tell their mother and father about their success experience. The implications of these findings for acquiring a deeper understanding of fear of failure are discussed.

Achievement↗
PubMed2006

Establishing a useful distinction between current and anticipated bodily shame in eating disorders.

Previous research has suggested a role for bodily shame in the development of bulimia. The purpose of the present study was to extend this research by exploring a temporal perspective on bodily shame and eating pathology. Specifically, we were interested in whether bodily shame associated with the possibility of future weight gain was important in determining eating disorder symptoms independently of any association with bodily shame associated with current body size. A brief questionnaire designed to measure bodily shame was developed for the purposes of this study and administered to four samples (total n=428) of eating disordered and non-eating disordered women who also completed a number of measures of eating pathology. Factor analysis of the bodily shame scale identified three sub-scales, two measuring feelings of bodily shame (one measuring shame associated with current body size and one measuring shame that is anticipated should the individual gain weight) and a third measuring the perceived unattractiveness of being overweight. Anticipated bodily shame made a significant additional contribution to predicting eating disorder symptoms over and above that made by current bodily shame. A focus on feelings of bodily shame as they are currently experienced may limit the usefulness of this construct in eating disorder research. Since shame can be both punishing and prohibitive, consideration of the anticipation of shame as a consequence of weight gain may be a useful addition to understanding eating disordered behaviours, particularly in relation to symptoms concerning the prevention of weight gain rather than just the achievement of weight loss.

Adult↗
PubMed1984

Working with shame in psychoanalytic treatment.

Shame is a central human affect, reflecting feelings of defect, inferiority, and failure of the self. It is, therefore, a proper focus for psychoanalytic treatment. Beginning with Freud's seminal attention to narcissism and the ego ideal, the possibility for studying shame and its relation to the ego ideal (i.e. the loving function of the superego) was inherent in psychoanalytic theory, but Freud's pursuit of intrapsychic conflict and the punitive superego postponed further elaboration of shame. Interest in the relation of the ego ideal to the superego (Hartmann, 1950; Reich, 1954), and in the ideal self (Sandler et al., 1963; Schafer, 1960, 1967) opened the way to further study of shame. Kohut's contributions, with their focus on narcissism and self-pathology, have given a language and perspective on self-deficits allowing elaboration of shame's place in psychoanalytic treatment. In this paper, I have focused on the treatment of shame in two patients. I suggest that shame lies at the very center of the narcissistic patient's pathology, with primary internal shaming (directed at the self's failures and inadequacies) permeating all aspects of the treatment. For the neurotic patient, shame is more circumscribed, reflecting partial failures of the self; it tends to be reactive, relating to passive withdrawal from internal conflict and castration fears, and is intermixed with oedipal manifestations. I have described clinical sequences that demonstrate my approach to working with shame in each of these patients. In both cases, the task is to recognize, acknowledge, accept, and investigate the patient's shame. Only after such empathic investigation can underlying conflictual and genetic derivatives be productively pursued. This sequence is often intuitively followed in analysis, but in this paper I have attempted to articulate more systematically shame's role in psychoanalytic treatment.

Adult↗
PubMed2003

The relationship between shame, eating disorders and disclosure in treatment.

BACKGROUND: This study considered shame in 68 women who had received treatment for eating disorders (EDs) compared to 72 non-clinical controls, and shame in relation to disclosure in treatment. METHOD: All participants completed questionnaires on ED and depressive symptoms, and bodily, behavioural and characterological shame and shame around eating. ED women also answered questions on disclosure in treatment. RESULTS: The ED group scored significantly higher than controls on all shame areas when depression was controlled. ED women who were currently symptomatic and those who had recovered scored higher than controls on bodily and characterological shame and shame around eating. Non-disclosure in treatment was reported by 42% of the ED group and was associated with higher shame in all areas except bodily shame. CONCLUSIONS: The study is the first to show a relationship between shame and ED in a clinical sample. It supports existing evidence regarding the importance of bodily shame in women with EDs, and extends the literature in terms of the importance of other shame aspects for ED symptomatology and disclosure. Implications for treatment are discussed.

Adult↗
PubMed2001

[Voice of shame--silence, eloquence and rage in the therapeutic relationship].

Is shame out of fashion? The first part of this article discusses how the concept of shame has changed in modern western culture, with a shift from collective definitions of norms towards personal experience. The second part is a phenomenological description of shame and how shame can be expressed and experienced in therapeutic relationships. Shame is something we do want, and something we do not want. It regulates both self-esteem and intimate relationships. It protects the psychological self from invasion. But too much shame is destructive. The main expression of deep shame is silence; it is shameful to speak about one's shame. But deep and pathological shame can be masked in other forms of presentation, "the voices of shame". In addition to silence the article describes "the psychopathology of normalcy", hesitation, depression, alexithymia, rage, envy, contempt, grandiosity and shamelessness. Finally, the article discusses how to escape from destructive feelings of shame.

Humans↗
PubMed1994

Shame and contempt in the everyday life of the psychotherapist.

This article describes aspects of the impact of shame and contempt in psychotherapy and in our daily lives. Psychotherapy is seen as moving between the poles of shame and hope. Shame-anxiety alerts us to the imminent danger of being shamed; shame is described as the experience of finding our individuality unacceptable and contempt is seen as a means of coping with shame where the other is made to feel one's shame. Examples of each are provided as well as comments about psychotherapy issues with patients who exhibit shame-anxiety, shame and contempt. Shame-anxiety, shame, contempt and tyranny are seen as points along a spectrum of humiliation experiences.

Adolescent↗
PubMed2005

[Shame and social anxiety in anorexia and bulimia nervosa].

OBJECTIVES: The importance of shame for the understanding of eating disorders has been well-known for a long time, but only few empirical studies exist to date on this aspect. Particularly the sense of self-esteem and external appearance have been attributed a major influence in the emergence of shame. Since social anxiety has increasingly been considered to be a factor in recent discussions related to eating disorders, and shame is a primary symptom of social phobia and of social anxiety in general, the present study focuses on shame and social anxiety in anorexia and bulimia, as compared to other clinical disorders. Another research question is the extent to which the prevalence of shame in eating disorders is influenced by self-esteem, attitudes about appearance and social anxiety. METHODS: The sample consists of 104 (female) patients, comprising 26 patients, respectively, with anorexia nervosa, bulimia nervosa, anxiety disorders and depression. The various variables were recorded with the Internalized Shame Scale (ISS), the Social Interaction Anxiety Scale (SIAS), the Social Phobia Scale (SPS), the Appearance Attitude Scale (AAS) and the Social Autonomous Self-Esteem Scale (SAS). RESULTS: Patients with anorexia and bulimia nervosa have higher scores in internalized global shame than patients with anxiety disorders and depressions. In contrast to anorectic patients, however, patients with bulimia also have higher scores than the other two groups in the area of social performance anxiety; they also differ significantly from the anxiety disorders in terms of interaction anxiety. In the multiple regression analysis of the patients with eating disorders, self-esteem, performance anxiety and perfectionism with regard to appearance prove to be predictors of the affect of shame. DISCUSSION: The findings indicate that not just shame, but also social anxiety, should be regarded as important influencing factors, especially in the case of bulimia nervosa. The question remains as to what extent social anxiety is a result of shame being projected onto the body. For therapeutic considerations, it seems advisable to work on the affect of shame and also include the aspect of social anxiety in focused therapy strategies.

Adolescent↗
PubMed2003

Gender differences in shame in patients with binge-eating disorder.

OBJECTIVE: To examine the relationship between shame and the behavioral and attitudinal features of eating disorders in men and women diagnosed with binge-eating disorder (BED). RESEARCH METHODS AND PROCEDURES: Participants were 188 consecutively evaluated adults (38 men and 150 women) who met Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for BED. Participants were interviewed and completed a battery of measures assessing shame, behavioral and attitudinal features of eating disorders, and general psychological functioning. RESULTS: Shame did not differ significantly by gender and was not associated with BMI or binge-eating frequency. Shame was significantly associated with the attitudinal features of eating disorders, even after controlling for levels of depression and self-esteem. When considered separately by gender and controlling for depression and self-esteem, shame was associated with body dissatisfaction in men and with weight concern in women. DISCUSSION: Men and women with BED, who presented for treatment, reported similar levels of shame. Overall, while shame was related to attitudinal features, the specific associations differed by gender. For men, shame was related to how dissatisfied they felt with their bodies, whereas for women, shame was associated with concerns about weight. Interestingly, shame was not related to BMI or binge-eating frequency in men or women. These results provide preliminary support for self-conscious emotions playing different roles in men and women with BED.

Adult↗
PubMed1995

Unearthing shame in the supervisory experience.

A premise of this article is that the supervisee typically experiences shame in psychotherapy supervision. The purpose is to demonstrate that the discovery and exploration of shame by the supervisor and the supervisee enhance both the therapy and the supervision. The focus is on the supervisor's attitudes and behaviors toward the supervisee's shame. Using a case example, three important sources of that shame are discussed: (1) Shame that evolves from the relationship between therapist and patient. (2) Shame that arises from the therapist's fears of, or actual experience of, not being approved of or admired by an idealized supervisor. (3) Shame inherent in revealing personal material in a supervisory relationship. Six recommendations for exploring shame are offered to supervisors: (1) be alert to the therapist's disguised shame, (2) encourage the supervisee to explore how the therapy and supervision are experienced, (3) demonstrate the qualities of a psychotherapist by assisting the therapist in uncovering personal material that affects the psychotherapy, and (4) create an environment of safety where shame-related phenomena can be discussed with candor and curiosity. Supervisors should also (5) ease insecurities by modeling the activities they seek to encourage, and (6) avoid attempts to dissuade the supervisee of an idealizing transference toward them. Limitations of the recommendations are discussed.

Adult↗