Self-directed moral emotion, its healthy and corrosive forms.
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276 to 300 of 547Negative emotions in veterans relate to suicide risk through feelings of perceived burdensomeness and thwarted belongingness.
Background: Suicide rates among veterans are disproportionately high compared to rates among the general population. Veterans may experience a number of negative emotions (e.g., anger, self-directed hostility, shame, guilt) during periods of postwar adjustment and reintegration into civilian life that may uniquely confer risk for suicide. Mechanisms of these associations, however, are less well studied. The purpose of the present study was to examine the relationship between negative emotions and suicide risk in veterans through the theoretical framework of the interpersonal theory of suicide.
Methods: A large sample of veterans (N = 541) completed measures assessing their negative emotions, perceived burdensomeness, thwarted belongingness, and suicide risk.
Results: Self-directed hostility and shame related indirectly to suicide risk through both perceived burdensomeness and thwarted be…
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Faces of Shame: Implications for Self-Esteem, Emotion Regulation, Aggression, and Well-Being.
There is an increasing interest in psychological research on shame experiences and their associations with other aspects of psychological functioning and well-being, as well as with possible maladaptive outcomes. In an attempt to confirm and extend previous knowledge on this topic, we investigated the nomological network of shame experiences in a large community sample (N = 380; 66.1% females), adopting a multidimensional conceptualization of shame. Females reported higher levels of shame (in particular, bodily and behavioral shame), guilt, psychological distress, emotional reappraisal, and hostility. Males had higher levels of self-esteem, emotional suppression, and physical aggression. Shame feelings were associated with low self-esteem, hostility, and psychological distress in a consistent way across gender. Associations between characterological shame and emotional suppression, as we…
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Can emotions influence level-1 visual perspective taking?
Emotions and perspective-taking are ubiquitous in our daily social interactions, but little is known about the relation between the two. This study examined whether and how emotions can influence even the most basic forms of perspective-taking. Experiment 1 showed that guilt made participants more other-centered in a simple visual perspective-taking task while anger tended to make them more self-centered. These two emotions had, however, no effect on the ability to handle conflicting perspectives. Since the guilt induction method used in Experiment 1 also induced feelings of self-incompetence and shame, Experiment 2 aimed at isolating the effects of these concomitant feelings. Self-incompetence/shame reduced participants' ability to handle conflicting perspectives but did not influence attention allocation. In sum, these results highlight that emotions can affect even the simplest form o…
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Body-Related Emotions in Posttraumatic Stress Disorder Following Childhood Sexual Abuse.
Traumatic experiences are associated with emotions such as anxiety, shame, guilt, disgust, and anger. For patients who have experienced child sexual abuse, these emotions might be triggered by perceptions of their own body. The aim of this study was to investigate the extent of the association of the body to traumatic experiences and to discern the emotions linked to trauma-associated body areas. Ninety-seven female participants were assigned to four groups: post-traumatic stress disorder following child sexual abuse with co-occurring borderline personality disorder, post-traumatic stress disorder following child sexual abuse without co-occurring borderline personality disorder, borderline personality disorder without post-traumatic stress disorder, and healthy controls. Participants rated 26 body areas regarding their association with trauma and 7 emotions. Emotions were assessed by que…
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The disciplined healthcare professional: a qualitative interview study on the impact of the disciplinary process and imposed measures in the Netherlands.
Objective: It is known that doctors who receive complaints may have feelings of anger, guilt, shame and depression, both in the short and in the long term. This might lead to functional impairment. Less is known about the impact of the disciplinary process and imposed measures. Previous studies of disciplinary proceedings have mainly focused on identifying characteristics of disciplined doctors and on sentencing policies. Therefore, the aim of this study is to explore what impact the disciplinary process and imposed measures have on healthcare professionals.
Design: Semistructured interview study, with purposive sampling and inductive qualitative content analysis.
Participants: 16 healthcare professionals (9 medical specialists, 3 general practitioners, 2 physiotherapists and 2 psychologists) that were sanctioned by the disciplinary tribunal.
Setting: The Netherlands.
Results: Profession…
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Kohler PK, Ondenge K, Mills LA, Okanda J, Kinuthia J, Olilo G, Odhiambo F, Laserson KF, Zierler B, Voss J, John-Stewart G (2014)MEDLINE-indexed journal, not yet read by usAIDS patient care and STDs45 citations Shame, guilt, and stress: Community perceptions of barriers to engaging in prevention of mother to child transmission (PMTCT) programs in western Kenya.
While global scale-up of prevention of mother-to-child transmission of HIV (PMTCT) services has been expansive, only half of HIV-infected pregnant women receive antiretroviral regimens for PMTCT in sub-Saharan Africa. To evaluate social factors influencing uptake of PMTCT in rural Kenya, we conducted a community-based, cross-sectional survey of mothers residing in the KEMRI/CDC Health and Demographic Surveillance System (HDSS) area. Factors included referrals and acceptability, HIV-related stigma, observed discrimination, and knowledge of violence. Chi-squared tests and multivariate regression analyses were used to detect stigma domains associated with uptake of PMTCT services. Most HIV-positive women (89%) reported blame or judgment of people with HIV, and 46% reported they would feel shame if they were associated with someone with HIV. In multivariate analyses, shame was significantly …
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Increased amygdala response to shame in remitted major depressive disorder.
Proneness to self-blaming moral emotions such as shame and guilt is increased in major depressive disorder (MDD), and may play an important role in vulnerability even after symptoms have subsided. Social psychologists have argued that shame-proneness is relevant for depression vulnerability and is distinct from guilt. Shame depends on the imagined critical perception of others, whereas guilt results from one's own judgement. The neuroanatomy of shame in MDD is unknown. Using fMRI, we compared 21 participants with MDD remitted from symptoms with no current co-morbid axis-I disorders, and 18 control participants with no personal or family history of MDD. The MDD group exhibited higher activation of the right amygdala and posterior insula for shame relative to guilt (SPM8). This neural difference was observed despite equal levels of rated negative emotional valence and frequencies of induce…
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Do guilt- and shame-proneness differentially predict prosocial, aggressive, and withdrawn behaviors during early adolescence?
In this short-term longitudinal study, we systematically examined the distinctiveness of guilt- and shame-proneness in early adolescents (N = 395, mean age = 11.8 years) in terms of differential relations with peer reported prosocial behavior, withdrawal, and aggression. Results from structural equation modeling indicated that guilt-proneness concurrently predicted more aggressive and less prosocial behavior as well as subsequent increases in prosocial behavior. Shame-proneness predicted subsequent decreases in prosocial behavior. Although girls reported a greater proneness to experience guilt and shame than boys, the associations between the two dispositional emotions and social behaviors were found to be similar across time and gender.
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Neural correlates of experienced moral emotion: an fMRI investigation of emotion in response to prejudice feedback.
Guilt, shame, and embarrassment are quintessential moral emotions with important regulatory functions for the individual and society. Moral emotions are, however, difficult to study with neuroimaging methods because their elicitation is more intricate than that of basic emotions. Here, using functional MRI (fMRI), we employed a novel social prejudice paradigm to examine specific brain regions associated with real-time moral emotion, focusing on guilt and related moral-negative emotions. The paradigm induced intense moral-negative emotion (primarily guilt) in 22 low-prejudice individuals through preprogrammed feedback indicating implicit prejudice against Black and disabled people. fMRI data indicated that this experience of moral-negative emotion was associated with increased activity in anterior paralimbic structures, including the anterior cingulate cortex (ACC) and anterior insula, in…
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Turner JE (2014)MEDLINE-indexed journal, not yet read by usThe Journal of psychology26 citations Researching state shame with the Experiential Shame Scale.
Although debilitating effects of experiencing shame are posited in several theories of emotion and motivation, little research has been conducted on individuals' "in-the-moment" feelings of shame (i.e., state shame). However, researching state shame is challenging because individuals may deny or underreport their feelings of shame, tend to self-isolate when they feel shame, and may be unwilling or unable to express themselves when feeling shame. The Experiential Shame Scale (ESS), an "opaque" measure of physical, emotional, and social markers of shame experiences, was developed to address the difficulties of assessing state shame. Evidence obtained in three studies of individuals' emotional reactions following personally important exam feedback suggests that students' ESS ratings were uniquely related to feelings of state shame and not to state guilt. Findings also reveal that state sham…
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Relationships of Mindfulness, Self-Compassion, and Meditation Experience With Shame-Proneness.
The tendency to experience shame or guilt is associated differentially with anxiety, depression, and substance abuse, with shame being associated with greater psychopathology. Recent interventions designed to decrease shame emphasize mindfulness or self-compassion. This study investigated correlational relationships of shame-proneness and guilt-proneness with mindfulness and with self-compassion in undergraduate participants. Shame-proneness was strongly negatively correlated with all facets of mindfulness and with self-compassion, whereas guilt-proneness was weakly positively correlated with self-compassion and some facets of mindfulness. Hierarchical regression analysis showed that shame-proneness was predicted by self-compassion but not by mindfulness. More frequent meditation was associated with greater mindfulness and self-compassion and lower shame-proneness but not guilt-proneness…
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The role of self-blaming moral emotions in major depression and their impact on social-economical decision making.
People with major depressive disorder (MDD) are more prone to experiencing moral emotions related to self-blame, such as guilt and shame. DSM-IV-TR recognizes excessive or inappropriate guilt as one of the core symptoms of current MDD, whereas excessive shame is not part of the criteria for MDD. However, previous studies specifically assessing shame suggested its involvement in MDD. In the first part of this review, we will consider literature discussing the role of self-blaming moral emotions in MDD. These self-blaming moral emotions have been purported to influence people when they make social and financial decisions in cognitive studies, particularly those using neuroeconomical paradigms. Such paradigms aim to predict social behavior in activities of daily living, by using important resource tangibles (especially money) in laboratory conditions. Previous literature suggests that guilt…
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Proneness to decreased negative emotions in major depressive disorder when blaming others rather than oneself.
Background: One widespread view holds that vulnerability to major depressive disorder (MDD) is linked to overall increases in negative emotionality. In contrast, cognitive attribution theories emphasize the importance of blaming oneself rather than others for negative events. Thus far, the contrasting predictions of these models have not been directly compared. Following the attributional perspective, we tested the hypothesis that people with remitted MDD show no overall bias towards negative emotions, but a selective bias towards self-blaming emotions relative to those emotions associated with blaming others.
Sampling and methods: We compared a remitted MDD and a control group on a novel experimental test that allowed us to directly compare proneness to specific emotions associated with different types of self-blame (guilt, shame, self-contempt/disgust) and blame of others (other-indign…
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Insight into mental illness and self-stigma: the mediating role of shame proneness.
Insight into mental illness and self-stigma among persons with serious mental illness (SMI) have been found to be related, but the process behind this relation is still unclear. The current study examined whether shame and guilt proneness mediates or moderates the relation between insight into mental illness and self-stigma among persons with SMI. Sixty persons with SMI completed questionnaires that assessed their insight, shame, guilt proneness, and self-stigma. Results reveal that shame proneness but not guilt proneness mediates the relation between insight and self-stigma. The theoretical and clinical implications of the differences between shame and guilt and their relation to the development of self-stigma are discussed.
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Guilt-specific processing in the prefrontal cortex.
Guilt is a central moral emotion due to its inherent link to norm violations, thereby affecting both individuals and society. Furthermore, the nature and specificity of guilt is still debated in psychology and philosophy, particularly with regard to the differential involvement of self-referential representations in guilt relative to shame. Here, using functional magnetic resonance imaging (fMRI) in healthy volunteers, we identified specific brain regions associated with guilt by comparison with the 2 most closely related emotions, shame and sadness. To induce high emotional intensity, we used an autobiographical memory paradigm where participants relived during fMRI scanning situations from their own past that were associated with strong feelings of guilt, shame, or sadness. Compared with the control emotions, guilt episodes specifically recruited a region of right orbitofrontal cortex,…
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A socio-psychological investigation into limitations and incentives concerning reporting a clinically suspect situation aimed at improving early detection of classical swine fever outbreaks.
The aim of this study was to identify limitations and incentives in reporting clinically suspect situations, possibly caused by classical swine fever (CSF), to veterinary authorities with the ultimate aim to facilitate early detection of CSF outbreaks. Focus group sessions were held with policy makers from the veterinary authorities, and representatives of veterinary practitioners and pig farmer unions. Personal interviews with a small group of pig farmers and practitioners were held to check limitations raised and solutions proposed during the focus group sessions. An electronic questionnaire was mailed to pig farmers and practitioners to investigate perceptions and attitudes with respect to clinically suspect situations possibly caused by CSF. After triangulating the responses of veterinary authorities, veterinary practitioners and farmers, six themes emerged across all groups: (1) lac…
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Shattered dreams: parental experiences of adolescent substance abuse.
Drug or substance abuse by adolescents continues to have a major impact on the health and well-being of young people and poses a serious management problem for health workers. While the majority of the problems surrounding adolescent substance abuse rest on the parents, little is actually known about their experiences. This study aimed to describe and construct an interpretation of the lived experiences of parenting an adolescent who abuses illicit substances. A qualitative approach, underpinned by the tenets of phenomenology, was used to conduct in-depth interviews with 18 parents. Thematic analysis revealed eight themes: confronting the lies, deceit, and suspicion; struggling to set limits; dealing with the consequences; living with the blame and the shame; trying to keep the child safe; grieving the child that was; living with the guilt; and choosing self-preservation. The results ind…
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Cultural attribution of mental health suffering in Chinese societies: the views of Chinese patients with mental illness and their caregivers.
Aims and objectives: This study examined the cultural attribution of distress in the Chinese, the special role of the family in distress and the specific emotional reactions within distress dictated by culture.
Methods: This phenomenological study illustrated the narrative representation of the experiences of suffering by the Chinese patients with mental illness. Twenty-eight Chinese-Australian patients and their caregivers were interviewed together in their homes. They were invited to talk about the stories of the patients' experiences of suffering from mental illness. The interviews were recorded and transcribed to be further analysed according to the principles of narrative analysis.
Results: The results of case narration indicated that (1) because of the influence of Confucian ideals, interpersonal harmony was the key element of maintaining the Chinese patients' mental health, (2) Ch…
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Unveiling the nature and attributes of self-forgiveness in young Indian adults: insights from thematic analysis.
BACKGROUND: Although interpersonal forgiveness is well studied, there is little research on self-forgiveness. The available research on self-forgiveness is mostly based on interpersonal forgiveness. This study attempts to understand the nature, attributes and dynamics of self-forgiveness. METHODS: The data were collected from 25 adults (aged 18–25 years) enrolled in higher education through a semistructured interview and were thematically analysed. RESULTS: The analysis resulted in six themes illustrating how participants understood self-forgiveness. Theme 1 emphasizes early offense realization, reduced anger, and facing consequences, often leading to guilt influenced by moral upbringing. Theme 2 addresses mental and physical discomfort, including rumination and poor concentration. Theme 3 discusses alleviating negative feelings through future actions and viewing mistakes as growth lesso…
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The impact of moral injury on suicide risk among recently discharged Israeli veterans: A longitudinal moderated mediation model of trauma-related guilt and self-forgiveness.
Background: Exposure to potentially morally injurious events (PMIEs) during military service has been associated with heightened trauma-related guilt levels, which in turn, could increase suicide risk among combat veterans. However, no longitudinal study has established temporal associations between these variables while examining a Moderated mediation model with self-forgiveness as a possible moderator of the PMIEs-suicide risk links during the first year following discharge.
Method: Participants were 374 active-duty Israeli combatants who participated in a 5-year longitudinal study with three measurement points: 1 month before discharge from army service (T1), then 6 months (T2), and 12 months (T3) following their discharge. Data were assessed through semistructured interviews and validated self-report questionnaires.
Results: All PMIE dimensions at T1 were negatively associated with s…
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Ip MWS, Wong DSW (2025)MEDLINE-indexed journal, not yet read by usInternational journal of offender therapy and comparative criminology Intimate Partner Violence among Adolescents in Hong Kong.
Intimate Partner Violence (IPV) among adolescents is a prime public health concern worldwide. Research found that IPV victimization and peers' IPV perpetration could increase the likelihood of IPV perpetration. In contrast, healthy partner attachment, forgiveness, shame management, and family harmony could serve as protective factors for IPV. Therefore, this study aims to investigate the risk and protective factors of IPV perpetration among adolescents in Hong Kong. The present study recruited 1,815 full-time secondary school students in Hong Kong aged 11 to 19 years. Healthy partner attachment, forgiveness, shame management, and family harmony were negatively correlated with IPV perpetration. IPV victimization and peers' IPV perpetration were positively correlated with IPV perpetration. Specifically, peers' IPV perpetration partially mediated the effect of IPV victimization on IPV perpe…
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Beyond HIV shame: the role of self-forgiveness and acceptance in living with HIV.
Research is developing regarding the beneficial association of spirituality with numerous health outcomes in people living with HIV (PLWH); however, little attention has been paid to the association of these variables with forgiveness and acceptance of HIV status. This cross-sectional study used a sample of 648 PLWH from the United States aged 18-61 to test the mediating effects of forgiveness and acceptance of HIV status on the relationship of spirituality and life satisfaction. As expected, self-forgiveness and acceptance straightforwardly and serially explained the links between spirituality and life satisfaction, while forgiveness of others was not a significant mediator for this relationship. The data obtained suggest that spirituality and self-forgiveness are two important targets for future experimental research, and therapeutic interventions on these variables may have a synergis…
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Using the Moral Injury and Distress Scale to identify clinically meaningful moral injury.
Despite the proliferation of moral injury studies, a remaining gap is distinguishing moral injury from normative distress following exposure to potentially morally injurious events (PMIEs). Our goal was to leverage mental health and functional measures to identify clinically meaningful and functionally impairing moral injury using the Moral Injury and Distress Scale (MIDS). Participants who endorsed PMIE exposure (N = 645) were drawn from a population-based sample of military veterans, health care workers, and first responders. Using signal detection methods, we identified the optimally efficient MIDS score for detecting clinically significant posttraumatic stress and depressive symptom severity, trauma-related guilt, and functional impairment. The most efficient cut scores across outcomes converged between 24 and 27. We recommend a cut score of 27 given that roughly 70% of participants …
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Toward a memory perspective on eating psychopathology: An investigation of the types of childhood and adolescence memories that are associated with eating disorder symptoms.
The cognitive mechanisms through which specific life events affect the development and maintenance of eating disorders (ED) have received limited attention in the scientific literature. The present research aims to address this gap by adopting a memory perspective to explore the type of life events associated with eating psychopathology and how these events are encoded and reconstructed as memories. Two studies (n = 208 and n = 193) were conducted to investigate the relationship between specific memories and eating disorder psychopathology. Study 1 focused on parent-related memories, while Study 2 examined childhood/adolescence memories. Results from both studies revealed that need thwarting and shame in memories were associated with eating disorder symptoms, but only when individuals drew symbolic connections between these memories and food or eating behavior. Moreover, need thwarting a…
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Van Voorhees EE, Dillon KH, Crombach A, Beaver T, Kelton K, Wortmann JH, Visn-Mid-Atlantic Mirecc Workgroup, Nieuwsma J (2024)MEDLINE-indexed journal, not yet read by usPsychological trauma : theory, research, practice and policy2 citations Enjoying the violence of war: Association with posttraumatic symptomatology in U.S. combat veterans.
Objective: Engaging in war-related violence can have a devastating impact on military personnel, with research suggesting that injuring or killing others can contribute to posttraumatic stress disorder (PTSD), depression, and moral injury. However, there is also evidence that perpetrating violence in war can become pleasurable to a substantial number of combatants and that developing this "appetitive" form of aggression can diminish PTSD severity. Secondary analyses were conducted on data from a study of moral injury in U.S., Iraq, and Afghanistan combat veterans, to examine the impact of recognizing that one enjoyed war-related violence on outcomes of PTSD, depression, and trauma-related guilt.
Method: Three multiple regression models evaluated the impact of endorsing the item, "I came to realize during the war that I enjoyed violence" on PTSD, depression, and trauma-related guilt, afte…
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