Self-directed moral emotion, its healthy and corrosive forms.
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151 to 175 of 547Do body-related shame and guilt mediate the association between weight status and self-esteem?
Individuals who are overweight or obese report body image concerns and lower self-esteem. However, little is known about the mechanisms underpinning these associations. The objective of this study was to test body-related shame and guilt as mediators in the association between weight status and self-esteem. Young adult participants (n = 790) completed assessments of self-esteem and body-related guilt and shame, and weight status indicators were measured by trained technicians. Findings from multiple mediation analyses suggest that body-related shame mediates the relationship between weight status and self-esteem. If replicated in longitudinal studies, these findings suggest that reducing body-related emotions may have important implications for improving self-esteem in clinical weight management.
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Children's proneness to shame and guilt predict risky and illegal behaviors in young adulthood.
Do shame and guilt help people avoid doing wrong? Although some research suggests that guilt-proneness is a protective factor while shame-proneness puts individuals at risk, most research is either cross-sectional or short-term. In this longitudinal study, 380 5th graders (ages 10-12) completed measures of proneness to shame and guilt. We re-interviewed 68 % of participants after they turned 18 years old (range 18-21). Guilt-proneness assessed in childhood predicted fewer sexual partners, less use of illegal drugs and alcohol, and less involvement with the criminal justice system. Shame-proneness, in contrast, was a risk factor for later deviant behavior. Shame-prone children were more likely to have unprotected sex and use illegal drugs in young adulthood. These results held when controlling for childhood SES and teachers' ratings of aggression. Children's moral emotional styles appear …
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Shame, guilt, and the medical learner: ignored connections and why we should care.
Context: Shame and guilt are subjective emotional responses that occur in response to negative events such as the making of mistakes or an experience of mistreatment, and have been studied extensively in the field of psychology. Despite their potentially damaging effects and ubiquitous presence in everyday life, very little has been written about the impact of shame and guilt in medical education.
Methods: The authors reference the psychology literature to define shame and guilt and then focus on one area in medical education in which they manifest: the response of the learner and teacher to medical errors. Evidence is provided from the psychology literature to show associations between shame and negative coping mechanisms, decreased empathy and impaired self-forgiveness following a transgression. The authors link this evidence to existing findings in the medical literature that may be r…
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Two faces of shame: the roles of shame and guilt in predicting recidivism.
Psychological research using mostly cross-sectional methods calls into question the presumed function of shame as an inhibitor of immoral or illegal behavior. In a longitudinal study of 476 jail inmates, we assessed shame proneness, guilt proneness, and externalization of blame shortly after incarceration. We interviewed participants (N = 332) 1 year after release into the community, and we accessed official arrest records (N = 446). Guilt proneness negatively and directly predicted reoffense in the 1st year after release; shame proneness did not. Further mediational modeling showed that shame proneness positively predicted recidivism via its robust link to externalization of blame. There remained a direct effect of shame on recidivism: Unimpeded by defensive externalization of blame, shame inhibited recidivism. Items assessing a motivation to hide were primarily responsible for this pat…
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The effect of shame-proneness, guilt-proneness, and internalizing tendencies on nonsuicidal self-injury.
Nonsuicidal self-injury is especially common in adolescents and young adults. Self-injury may be related to shame or guilt--two moral emotions--as these differentially predict other maladaptive behaviors. Using a college sample, we examined not only how shame-proneness, guilt-proneness, and internalizing emotional tendencies related to self-injury, but also whether these moral emotions moderate the relation between internalizing tendencies and self-injury. High shame-proneness was associated with higher frequencies of self-injury. High guilt-proneness was associated with less self-injury, although this effect was mitigated at higher levels of internalizing tendencies. These results suggest shame-proneness is a risk factor for self-injury, while guilt-proneness is protective.
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Shame in patients with narcissistic personality disorder.
Shame has been described as a central emotion in narcissistic personality disorder (NPD). However, there is a dearth of empirical data on shame in NPD. Patients with NPD (N=28), non-clinical controls (N=34) and individuals with borderline personality disorder (BPD, N=31) completed self-report measures of state shame, shame-proneness, and guilt-proneness. Furthermore, the Implicit Association Test (IAT) was included as a measure of implicit shame, assessing implicit shame-self associations relative to anxiety-self associations. Participants with NPD reported higher levels of explicit shame than non-clinical controls, but lower levels than patients with BPD. Levels of guilt-proneness did not differ among the three study groups. The implicit shame-self associations (relative to anxiety-self associations) were significantly stronger among patients with NPD compared to nonclinical controls an…
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Jaakkola S, Lahti S, Räihä H, Saarinen M, Tolvanen M, Aromaa M, Sillanpää M, Suominen S, Mattila ML, Rautava P (2014)MEDLINE-indexed journal, not yet read by usEuropean journal of oral sciences15 citations Dental fear affects adolescent perception of interaction with dental staff.
The main purpose of this study was to explore whether subjective perception of interaction with dental staff is associated with dental fear in a population-based sample of 18-yr-old adolescents (n = 773). The interaction was measured using the Patient Dental Staff Interaction Questionnaire (PDSIQ), validated with exploratory and confirmatory factor analyses, which yielded the factors of 'kind atmosphere and mutual communication', 'roughness', 'insecurity', 'trust and safety', and 'shame and guilt'. Dental fear was measured using the Modified Dental Anxiety Scale (MDAS). Gender and sense of coherence (SOC) were included as potential confounding variables. Adolescents with high dental fear more often perceived their interaction with dental staff negatively and more often felt insecure than others. This difference persisted after adjustment for gender and SOC. In conclusion, adolescents wit…
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Error in intensive care: psychological repercussions and defense mechanisms among health professionals.
Objective: To identify the psychological repercussions of an error on professionals in intensive care and to understand their evolution. To identify the psychological defense mechanisms used by professionals to cope with error.
Design: Qualitative study with clinical interviews. We transcribed recordings and analysed the data using an interpretative phenomenological analysis.
Setting: Two ICUs in the teaching hospitals of Besançon and Dijon (France).
Subjects: Fourteen professionals in intensive care (20 physicians and 20 nurses).
Interventions: None.
Measurements and main results: We conducted 40 individual semistructured interviews. The participants were invited to speak about the experience of error in ICU. The interviews were transcribed and analyzed thematically by three experts. In the month following the error, the professionals described feelings of guilt (53.8%) and shame (42.5%…
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Neurobiological underpinnings of shame and guilt: a pilot fMRI study.
In this study, a functional magnetic resonance imaging paradigm originally employed by Takahashi et al. was adapted to look for emotion-specific differences in functional brain activity within a healthy German sample (N = 14), using shame- and guilt-related stimuli and neutral stimuli. Activations were found for both of these emotions in the temporal lobe (shame condition: anterior cingulate cortex, parahippocampal gyrus; guilt condition: fusiform gyrus, middle temporal gyrus). Specific activations were found for shame in the frontal lobe (medial and inferior frontal gyrus), and for guilt in the amygdala and insula. This is consistent with Takahashi et al.'s results obtained for a Japanese sample (using Japanese stimuli), which showed activations in the fusiform gyrus, hippocampus, middle occipital gyrus and parahippocampal gyrus. During the imagination of shame, frontal and temporal are…
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Living in negotiation: patients' experiences of being in the diagnostic process of COPD.
Purpose: To illuminate patients' lived experiences of going through the process of being diagnosed with chronic obstructive pulmonary disease (COPD).
Patients and methods: A phenomenological-hermeneutic analysis was applied in the interpretation of interviews with eight persons diagnosed with mild or moderate COPD.
Results: One main theme 'living in negotiation', and three themes 'living with a body out of step with the diagnosis', 'dealing with the past', and 'being challenged by the future' reflected the process participants were living through in their quest for acceptance and a new balance in life. Participants found that the diagnostic processes were confusing, and that the diagnosis itself was 'a slap in the face'. Unclear messages gave rise to fluctuating between an understanding of the condition as 'not too severe', insecurity, and fear. Shame and guilt related to the diagnosis h…
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Exploring shame, guilt, and risky substance use among sexual minority men and women.
This study examined the interrelations among shame-proneness, guilt-proneness, internalized heterosexism (IH), and problematic substance use among 389 gay, lesbian, and bisexual men and women. Problematic alcohol and drug use were positively related to shame-proneness and negatively related to guilt-proneness. Bisexuals reported riskier substance use behaviors, lower levels of guilt-proneness, and higher levels of IH than gay men and lesbians. Furthermore, study findings indicated that shame and IH are related. Additional investigations of these associations would supplement current understandings of sexual minority stress and advance the development of substance-related intervention and prevention efforts targeting sexual minorities.
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Complex trauma and intimate relationships: the impact of shame, guilt and dissociation.
Background: This study examined dissociation, shame, guilt and intimate relationship difficulties in those with chronic and complex PTSD. Little is known about how these symptom clusters interplay within the complex PTSD constellation. Dissociation was examined as a principle organizing construct within complex PTSD. In addition, the impact of shame, guilt and dissociation on relationship difficulties was explored.
Methods: Sixty five treatment-receiving adults attending a Northern Irish service for conflict-related trauma were assessed on measures of dissociation, state and trait shame, behavioral responses to shame, state and trait guilt, complex PTSD symptom severity and relationship difficulties.
Results: Ninety five percent (n=62) of participants scored above cut-off for complex PTSD. Those with clinical levels of dissociation (n=27) were significantly higher on complex PTSD symptom…
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Guilt, shame, and suicidal ideation in a military outpatient clinical sample.
Background: Increased suicide risk among US military personnel is a growing concern. Research has linked trauma exposure, including exposure to combat-related injuries, death, and atrocities to suicidal ideation among combat veterans. Guilt (feeling bad about what you did to another) and shame (feeling bad about who you are) have been proposed as potential contributors to suicidal ideation among military personnel, but have not yet received much empirical attention.
Methods: Sixty-nine active duty military personnel receiving outpatient mental health treatment at a military clinic completed self-report symptom measures of guilt, shame, depression, posttraumatic stress disorder, and suicidal ideation while engaged in treatment. Generalized linear regression modeling was utilized to test the association of guilt and shame with suicidal ideation.
Results: Mean levels of guilt and shame were…
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Self-forgiveness, shame, and guilt in recovery from drug and alcohol problems.
Background: People with drug and/or alcohol problems often experience feelings of shame and guilt, which have been associated with poorer recovery. Self-forgiveness has the potential to reduce these negative experiences.
Methods: The current study tested theorized mediators (acceptance, conciliatory behavior, empathy) of the relationships between shame and guilt with self-forgiveness. A cross-sectional sample of 133 individuals (74.4% male) receiving residential treatment for substance abuse completed self-report measures of shame, guilt, self-forgiveness, and the mediators.
Results: Consistent with previous research, guilt had a positive association with self-forgiveness, whereas shame was negatively associated with self-forgiveness. Acceptance mediated the guilt and self-forgiveness relationship and had an indirect effect on the shame and self-forgiveness relationship.
Conclusions: The…
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Shame and guilt in men exposed to childhood sexual abuse: a qualitative investigation.
This study examined the experiences of shame and guilt in adult males sexually abused as children. Seven participants attending a service for male sexual abuse completed measures of shame, guilt, dissociation, and childhood trauma history and subsequently participated in a focus group. All participants experienced childhood sexual abuse in the "severe" range and showed elevated scores for shame, guilt, and dissociation. Four superordinate themes with associated subordinate themes emerged: (a) self-as-shame (foundations of self-as-shame, fear of exposure, temporary antidote: connection), (b) pervasiveness and power of doubt and denial (from others, from self, consequences of incredulity), (c) uncontrollability (of problems after disclosure, of rage, of intrusions and emotional pain), and (d) dissociation. Results are discussed with reference to the existing literature and the emerging "se…
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Exploring negative emotion in women experiencing intimate partner violence: shame, guilt, and PTSD.
This study explored the association of shame and guilt with PTSD among women who had experienced intimate partner violence (IPV). Sixty-three women were assessed by a research clinic serving the mental health needs of women IPV survivors. Results indicated that shame, guilt-related distress, and guilt-related cognitions showed significant associations with PTSD but global guilt did not. When shame and guilt were examined in the context of specific forms of psychological abuse, moderation analyses indicated that high levels of both emotional/verbal abuse and dominance/isolation interacted with high levels of shame in their association with PTSD. Neither guilt-related distress nor guilt-related cognitions were moderated by specific forms of psychological abuse in their association with PTSD. These data support the conceptualization of shame, guilt distress, and guilt cognitions as relevant…
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Introducing the GASP scale: a new measure of guilt and shame proneness.
Although scholars agree that moral emotions are critical for deterring unethical and antisocial behavior, there is disagreement about how 2 prototypical moral emotions--guilt and shame--should be defined, differentiated, and measured. We addressed these issues by developing a new assessment--the Guilt and Shame Proneness scale (GASP)--that measures individual differences in the propensity to experience guilt and shame across a range of personal transgressions. The GASP contains 2 guilt subscales that assess negative behavior-evaluations and repair action tendencies following private transgressions and 2 shame subscales that assess negative self-evaluations (NSEs) and withdrawal action tendencies following publically exposed transgressions. Both guilt subscales were highly correlated with one another and negatively correlated with unethical decision making. Although both shame subscales w…
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Social cuing of guilt by anger and of shame by disgust.
Scholars have proposed a conceptual structure for the self-critical moral emotions of guilt and shame and the other-critical emotions of anger and disgust. In this model, guilt is linked with anger and shame with disgust. This relationship may express itself in asymmetrical social cuing between emotions: In a social context, other people's angry facial expressions may communicate that the target should feel guilty, and other people's disgusted facial expressions may communicate that the target should feel ashamed. We conducted two experiments, one in the United Kingdom and the other in Spain, in which participants were shown pictures of faces expressing either anger or disgust. Participants rated the degree to which the faces would make them feel guilt or shame in a casual social encounter, and they answered questions about inferences concerning the emotional expressions. In both studies…
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Coping with guilt and shame after gambling loss.
In this study we examined the relations between guilt and shame and coping strategies in response to gambling loss. Based on H.B. Lewis's (Shame & guilt in neurosis. New York: International Universities Press, 1971) account of guilt and shame, we proposed that unlike guilt, the experience of shame involves the attribution of gambling loss to stable and global internal factors (i.e., self-devaluation). We hypothesized that problem gambling severity would be more strongly associated with the intensity of shame than with the intensity of guilt following gambling loss. Further, we hypothesized that the intensity of shame would be positively associated with the use of avoidant coping strategies following gambling loss. Finally, we hypothesized that the intensity of shame would mediate the association between problem gambling severity and the use of avoidant coping. These hypotheses were suppo…
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Dorahy MJ (2010)MEDLINE-indexed journal, not yet read by usJournal of traumatic stress30 citations The impact of dissociation, shame, and guilt on interpersonal relationships in chronically traumatized individuals: a pilot study.
The aim of this study was to systematically examine the impact of shame, guilt, and dissociation on interpersonal relationships. Study 1 assessed 81 participants attending a trauma-related treatment service with the Structured Interview for Disorders of Extreme Stress and the Community and Interpersonal Connectedness Scale. Study 2 assessed 21 traumatized participants from the same service with the above measures, as well as the Dissociative Experiences Scale. Lifetime shame and current dissociation made significant contributions to relationship disconnectedness, with dissociation having the most significant impact in all analyses. Both dissociation and shame appear to have a severing effect on interpersonal relationships.
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Shame- and guilt-proneness: relationships with anxiety disorder symptoms in a clinical sample.
Researchers postulate that both shame and guilt are emotions important to anxiety disorders. Extant data, however, indicate that guilt-proneness shares non-significant relationships with psychopathology symptoms after controlling for shame-proneness. To further investigate the relevance of shame and guilt to the anxiety disorders domain, the current study examined associations between shame- and guilt-proneness and anxiety disorder symptoms using data from patients (N=124) with primary anxiety disorder diagnoses. Results indicated that only symptoms of social anxiety disorder (SAD) and generalized anxiety disorder (GAD) shared significant relations with shame-proneness after controlling for other types of anxiety disorder symptoms, depression symptoms, and guilt-proneness. Further, changes in shame-proneness during treatment were found to share significant relations with changes in obses…
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Autobiographical memory for shame or guilt provoking events: association with psychological symptoms.
The diagnostic criteria for posttraumatic stress disorder (PTSD) specify that a qualifying traumatic stressor must incite extreme peritraumatic fear, horror, or helplessness. However, research suggests that events inciting guilt or shame may be associated with PTSD. We devised a web-based survey in which non-clinical participants identified an event associated with shame or guilt and completed questionnaire measures of shame, guilt, PTSD, and depression. In addition, we assessed characteristics of memory for the event, including visual perspective and the centrality of the memory to the participant's autobiographical narrative (CES). Shame predicted depression and PTSD symptoms. There was no association between guilt and psychological symptoms after controlling statistically for the effects of shame. CES predicted the severity of depression and PTSD symptoms. In addition, CES mediated th…
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The "shoulds" and "should nots" of moral emotions: a self-regulatory perspective on shame and guilt.
A self-regulatory framework for distinguishing between shame and guilt was tested in three studies. Recently, two forms of moral regulation based on approach versus avoidance motivation have been proposed in the literature. Proscriptive regulation is sensitive to negative outcomes, inhibition based, and focused on what we should not do. Prescriptive regulation is sensitive to positive outcomes, activation based, and focused on what we should do. In the current research, consistent support was found for shame's proscriptive and guilt's prescriptive moral underpinnings. Study 1 found a positive association between avoidance orientation and shame proneness and between approach orientation and guilt proneness. In Study 2, priming a proscriptive orientation increased shame and priming a prescriptive orientation increased guilt. In Study 3, transgressions most apt to represent proscriptive and…
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The aftermath of rash action: sleep-interfering counterfactual thoughts and emotions.
A consistent body of evidence suggests that excessive cognitive activity at bedtime is a key factor in insomnia. It is generally assumed that sleep-interfering cognitions are affect laden, but still little is known about the precise nature of the affective processes that are involved. The present study sought to explore the role of counterfactual thinking and counterfactual emotions (regret, shame, and guilt) in insomnia as a function of impulsivity. It was hypothesized that when retiring for the night, individuals scoring high on urgency review their rash daytime behavior and are therefore likely to engage in counterfactual thinking and to experience associated feelings of regret, shame, and guilt. A sample of 101 undergraduate students completed three questionnaires: the UPPS Impulsive Behavior Scale, the Bedtime Counterfactual Processing Questionnaire, and the Insomnia Severity Index.…
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Nuestra culpa: collective guilt and shame as predictors of reparation for historical wrongdoing.
Three studies examined the hypothesis that collective guilt and shame have different consequences for reparation. In 2 longitudinal studies, the ingroup was nonindigenous Chileans (Study 1: N = 124/120, lag = 8 weeks; Study 2: N = 247/137, lag = 6 months), and the outgroup was Chile's largest indigenous group, the Mapuche. In both studies, it was found that collective guilt predicted reparation attitudes longitudinally. Collective shame had only cross-sectional associations with reparation and no direct longitudinal effects. In Study 2, collective shame moderated the longitudinal effects of collective guilt such that the effects of guilt were stronger for low-shame respondents. In Study 3 (N = 193 nonindigenous Chileans), the cross-sectional relationships among guilt, shame, and reparation attitudes were replicated. The relationship between shame and reparation attitudes was mediated by …
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