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Shame and Non-suicidal Self-injury: Conceptualization and Preliminary Test of a Novel Developmental Model among Emerging Adults

  • Shireen Mahtani
  • Penelope Hasking
  • Glenn A. Melvin
Empirical Research

Abstract

Non-suicidal self-injury (NSSI) is particularly prevalent during adolescence and emerging adulthood. The salience of shame during these developmental periods suggests that shame may be inherently linked to NSSI, and at least partially explain the high rates of NSSI observed among youth. In this article, a theoretical developmental model relating shame and NSSI is proposed, and results from a preliminary test of a sub-set of cross-sectional relationships in this model is presented. In the model tested, it was hypothesized that adverse caregiving experiences in prior development (i.e., childhood to late adolescence) like parental invalidation and child maltreatment, established predictors of NSSI, would be linked to proximal episodes of NSSI (i.e., past year) through current shame-proneness (i.e., experiencing shame in a trait-like manner) and internalizing shame-coping (i.e., responding to shame through attacking one’s self and withdrawing). It was also hypothesized that some key proximal predictors of NSSI during youth development, such as low body esteem, increased loneliness and heightened psychological distress, would be linked to proximal NSSI via shame-proneness and internalizing shame-coping. Using structural equation modelling, it was observed that data, obtained via self-reports completed by 573 emerging adults (age in years: M = 20.7, SD= 2.20, 69.1% female, NSSI history: n = 220, where most recent NSSI episode was within a year of study participation) recruited throughout Australia between June 2013 and June 2014, fit the hypothesized model well. Tests of indirect effects indicated that current shame-proneness and internalizing shame-coping significantly linked perceived parental invalidation and prior experiences of child maltreatment to proximal NSSI, though this relationship was, unexpectedly, an inverse one in relation to child maltreatment. Current shame-proneness was also linked to proximal NSSI via internalizing shame-coping, current loneliness, and current psychological distress, but not through current body esteem. Finally, proximal self-evaluations of body esteem, loneliness and increased psychological distress were linked to recent NSSI through internalizing shame-coping. The theory and findings presented in this article contribute to a deeper developmental understanding of NSSI among youth, highlight crucial pathways between adverse caregiving experiences and NSSI, and illuminate important shame-based mechanisms that potentially warrant clinical attention for at-risk individuals. Future research directions and clinical recommendations are discussed.

Keywords

NSSI Shame Emerging adulthood Self-injury 

Notes

Acknowledgements

We would like to acknowledge Dr. John Taffe for his statistical support.

Authors’ Contributions

S.M. conceived of the study, participated in its design, coordination and interpretation of data, performed the measurement and statistical analysis, and drafted the manuscript; P.H. and G.M. contributed to the conception of the study, participated in the design and interpretation of the data, and helped to draft the manuscript. All authors read and approved the final manuscript.

Funding

This study was funded by Monash University, Australia, under a doctoral research fund.

Data Sharing and Declaration

The datasets generated and analysed during the current study are not publicly available but de-identified data are available from the corresponding author on reasonable request.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Arnett, J. J. (2000). Emerging adulthood: a theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480.  https://doi.org/10.1037/0003-066x.55.5.469.CrossRefPubMedGoogle Scholar
  2. Asparouhov, T., & Muthén, B. O. (2010). Multiple imputation with Mplus. MPlus Web Notes. Retrieved from https://www.statmodel.com/download/Imputations7.pdf.
  3. Baetens, I., Claes, L., Hasking, P., Smits, D., Grietens, H., Onghena, P., & Martin, G. (2015). The relationship between parental expressed emotions and non-suicidal self-injury: the mediating roles of self-criticism and depression. Journal of Child and family Studies, 24(2), 491–498.  https://doi.org/10.1007/s10826-013-9861-8.CrossRefGoogle Scholar
  4. Bagby, R. M., Taylor, G. J., & Parker, J. D. A. (1994). The twenty-item Toronto Alexithymia scale—II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research, 38(1), 33–40. 10.1016/0022-3999(94)90006-X.CrossRefGoogle Scholar
  5. Barrett, K. C. (1995). A functionalist approach to shame and guilt. In J. P. Tangney & K. W. Fischer (Eds.), Self-conscious emotions: The psychology of shame, guilt, embarrassment, and pride (pp. 25–63). New York, NY: Guilford Press.Google Scholar
  6. Bennett, D. S., Sullivan, M. W., & Lewis, M. (2005). Young children’s adjustment as a function of maltreatment, shame, and anger. Child maltreatment, 10(4), 311–323.  https://doi.org/10.1177/1077559505278619.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Bernstein, D. P., & Fink, L. (1998). Childhood Trauma Questionnaire: A retrospective self-report manual. San Antonio, TX: The Psychological Corporation.Google Scholar
  8. Bucchianeri, M. M., Arikian, A. J., Hannan, P. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2013). Body dissatisfaction from adolescence to young adulthood: Findings from a 10-year longitudinal study. Body image, 10(1), 10.1016/j.bodyim.2012.1009.1001.  https://doi.org/10.1016/j.bodyim.2012.09.001 CrossRefGoogle Scholar
  9. Cash, T. F., Thériault, J., & Annis, N. M. (2004). Body image in an interpersonal context: Adult attachment, fear of intimacy and social anxiety. Journal of Social and Clinical Psychology, 23(1), 89–103.  https://doi.org/10.1521/jscp.23.1.89.26987.CrossRefGoogle Scholar
  10. Claes, L., Soenens, B., Vansteenkiste, M., & Vandereycken, W. (2012). The scars of the inner critic: Perfectionism and nonsuicidal self-Injury in eating disorders. European Eating Disorders Review, 20(3), 196–202.  https://doi.org/10.1002/erv.1158.CrossRefPubMedGoogle Scholar
  11. Covert, M. V., Tangney, J. P., Maddux, J. E., & Heleno, N. M. (2003). Shame-proneness, guilt-proneness, and interpersonal problem solving: a social cognitive analysis. Journal of Social and Clinical Psychology, 22(1), 1–12.  https://doi.org/10.1521/jscp.22.1.1.22765.CrossRefGoogle Scholar
  12. Duggan, J. M., Toste, J. R., & Heath, N. L. (2013). An examination of the relationship between body image factors and non-suicidal self-injury in young adults: The mediating influence of emotion dysregulation. Psychiatry Research, 206(2-3), 256–264.  https://doi.org/10.1016/j.adolescence.2011.06.010.CrossRefPubMedGoogle Scholar
  13. Eichhorn, S., Brähler, E., Franz, M., Friedrich, M., & Glaesmer, H. (2014). Traumatic experiences, alexithymia, and posttraumatic symptomatology: A cross-sectional population-based study in Germany. European Journal of Psychotraumatology, 5.  https://doi.org/10.3402/ejpt.v5.23870.CrossRefGoogle Scholar
  14. Elison, J., Lennon, R., & Pulos, S. (2006). Investigating the compass of shame: The development of the Compass of Shame Scale. Social Behavior and Personality, 34(3), 221–238.  https://doi.org/10.2224/sbp.2006.34.3.221.CrossRefGoogle Scholar
  15. Elison, J., Pulos, S., & Lennon, R. (2006). Shame-focused coping: An empirical study of the compass of shame. Social Behavior and Personality, 34(2), 161–168.  https://doi.org/10.2224/sbp.2006.34.2.161.CrossRefGoogle Scholar
  16. Erikson, E. H. (1963). Childhood and society. 2nd ed. New York, NY: Norton.Google Scholar
  17. Erikson, E. H. (1968). Identity: Youth and crisis. New York, NY: Norton.Google Scholar
  18. Feiring, C., Taska, L., & Lewis, M. (2002). Adjustment following sexual abuse discovery: the role of shame and attributional style. Developmental Psychology, 38(1), 79–92.  https://doi.org/10.1037/0012-1649.38.1.79.CrossRefPubMedGoogle Scholar
  19. Field, A. (2013). Discovering statistics using IBM SPSS Statistics. Thousand Oaks, CA: Sage Publications Ltd..Google Scholar
  20. Franzoi, S. L., & Shields, M. A. (1984). The Body Esteem Scale: multidimensional structure and sex differences in a college population. Journal of Personality Assessment, 48(2), 173–178.  https://doi.org/10.1207/s15327752jpa4802_12.CrossRefPubMedGoogle Scholar
  21. Gandhi, A., Claes, L., Bosmans, G., Baetens, I., Wilderjans, T. F., & Maitra, S., et al. (2016). Non-suicidal self-injury and adolescents attachment with peers and mother: The mediating role of identity synthesis and confusion. Journal of Child and family Studies, 25(6), 1735–1745.  https://doi.org/10.1007/s10826-015-0350-0.CrossRefGoogle Scholar
  22. Gandhi, A., Luyckx, K., Baetens, I., Kiekens, G., Sleuwaegwen, E., & Berens, A., et al. (2018). Age of onset of non-suicidal self-injury in Dutch-speaking adolescents and emerging adults: An event history analysis of pooled data. Comprehensive Psychiatry, 80, 170–178.  https://doi.org/10.1016/j.comppsych.2017.10.007.CrossRefPubMedGoogle Scholar
  23. Glenn, C. R., & Klonsky, E. D. (2010). The role of seeing blood in non-suicidal self-injury. Journal of Clinical Psychology, 66(4), 466–473.  https://doi.org/10.1002/jclp.20661.CrossRefPubMedGoogle Scholar
  24. Glenn, C. R., & Klonsky, E. D. (2011). One-year test-retest reliability of the Inventory of Statements about Self-Injury (ISAS). Assessment, 18(3), 375–378.  https://doi.org/10.1177/1073191111411669.CrossRefPubMedGoogle Scholar
  25. Hack, J., & Martin, G. (2018). Expressed emotion, shame, and non-suicidal self-injury. International Journal of Environmental Research and Public Health, 15(5), 890  https://doi.org/10.3390/ijerph15050890.CrossRefPubMedCentralGoogle Scholar
  26. Hooley, J., Ho, D., Slater, J., & Lockshin, A. (2010). Pain perception and nonsuicidal self-injury: A laboratory investigation. Personality Disorders: Theory, Research, and Treatment, 1(3), 170–179.  https://doi.org/10.1037/a0020106.CrossRefGoogle Scholar
  27. Hooley, J. M., & St Germain, S. A. (2014). Nonsuicidal self-injury, pain, and self-criticism: Does changing selfworthchange pain endurance in people who engage in self-injury? Clinical Psychological Science, 2, 297–305.CrossRefGoogle Scholar
  28. Kemeny, M. E., Gruenewald, T. L., & Dickerson, S. S. (2004). Shame as the emotional response to threat to the social self: Implications for behavior, physiology, and health. Psychological Inquiry, 15(2), 153–160.  https://doi.org/10.1207/s15327965pli1502_02.CrossRefGoogle Scholar
  29. Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., & Normand, S. L., et al. (2002). Short screening scales to monitor population prevalences and trends in nonspecific psychological distress. Psychological Medicine, 32(6), 959–976.  https://doi.org/10.1017/S0033291702006074.CrossRefPubMedGoogle Scholar
  30. Kline, R. B. (2011). Principles and practice of structural equation modeling. 3rd ed. New York, NY: Guilford Press.Google Scholar
  31. Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of non-suicidal self-injury: psychometric properties of the Inventory of Statements About Self-injury (ISAS). Journal of psychopathology and Behavioral Assessment, 31(3), 215–219.  https://doi.org/10.1007/s10862-008-9107-z.CrossRefPubMedGoogle Scholar
  32. Klonsky, E. D., & Moyer, A. (2008). Childhood sexual abuse and non-suicidal self-injury: meta-analysis. The British Journal of Psychiatry, 192(3), 166–170.  https://doi.org/10.1192/bjp.bp.106.030650.CrossRefPubMedGoogle Scholar
  33. Kornblau, I. S., Pearson, H. C., & Breitkopf, C. R. (2007). Demographic, behavioral, and physical correlates of body esteem among low-income female adolescents. Journal of Adolescent Health, 41(6), 566–570.  https://doi.org/10.1016/j.jadohealth.2007.06.014.CrossRefPubMedGoogle Scholar
  34. Lewis, H. B. (1971). Shame and guilt in neurosis. 1st ed. New York, NY: International Universities Press.Google Scholar
  35. Liang, X., & Yang, Y. (2014). An evaluation of WLSMV and Bayesian methods for confirmatory factor analysis with categorical indicators. International Journal of Quantitative Research in Education, 2(1), 17–38.  https://doi.org/10.1504/IJQRE.2014.060972.CrossRefGoogle Scholar
  36. Linehan, M. M. (1993). Cognitive-behavioral treatment for borderline personality disorder. New York, NY: Guildford Press.Google Scholar
  37. Liu, R. T., Scopelliti, K. M., Pittman, S. K., & Zamora, A. S. (2018). Childhood maltreatment and non-suicidal self-injury: a systematic review and meta-analysis. The Lancet Psychiatry, 5(1), 51–64. doi: 10.1016/S2215-0366(17)30469-8.CrossRefGoogle Scholar
  38. Macek, P., Bejček, J., & Vaníčková, J. (2007). Contemporary Czech emerging adults: generation growing up in the period of social changes. Journal of Adolescent Research, 22(5), 444–475.  https://doi.org/10.1177/0743558407305417.CrossRefGoogle Scholar
  39. Marsh, H. W., Hau, K.-T., & Wen, Z. (2004). In search of golden rules: comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler’s (1999) findings. Structural Equation Modeling: A Multidisciplinary Journal, 11(3), 320–341.  https://doi.org/10.1207/s15328007sem1103_2.CrossRefGoogle Scholar
  40. Mountford, V., Corstorphine, E., Tomlinson, S., & Waller, G. (2007). Development of a measure to assess invalidating childhood environments in the eating disorders. Eating behaviors, 8(1), 48–58.  https://doi.org/10.1016/j.eatbeh.2006.01.003.CrossRefPubMedGoogle Scholar
  41. Muehlenkamp, J., Claes, L., Smits, D., Peat, C. M., & Vandereycken, W. (2011). Non-suicidal self-injury in eating disordered patients: A test of a conceptual model. Psychiatry Research, 188(1), 102–108.  https://doi.org/10.1016/j.psychres.2010.12.023.CrossRefPubMedGoogle Scholar
  42. Muris, P., & Meesters, C. (2014). Small or big in the eyes of the other: on the developmental psychopathology of self-conscious emotions as shame, guilt, and pride. Clinical Child and Family Psychology Review, 17, 19–40.  https://doi.org/10.1007/s10567-013-0137-z.CrossRefPubMedGoogle Scholar
  43. Muthén, B. O., du Toit, S. H. C., & Spisic, D. (1997). Robust inference using weighted least squares and quadratic estimating equations in latent variable modeling with categorical and continuous outcomes (Technical Report). Retrieved from http://www.statmodel.com/.
  44. Muthén, L. K., & Muthén, B. O. (1998-2010). Mplus user’s guide. Los Angeles, CA: Muthén & Muthén.Google Scholar
  45. Nathanson, D. L. (1992). Shame and pride: Affect, sex, and the birth of the self. New York, NY: Norton.Google Scholar
  46. Nelson, A., & Muehlenkamp, J. (2012). Body attitudes and objectification in non-suicidal self-injury: Comparing males and females. Archives of Suicide Research, 16(1), 1–12.  https://doi.org/10.1080/13811118.2012.640578.CrossRefPubMedGoogle Scholar
  47. Nock, M., & Favazza, A. R. (2009). Understanding non-suicidal self-injury: Origins, assessment, and treatment. Washington D.C: American Psychological Association.CrossRefGoogle Scholar
  48. Nock, M. K. (2009). Why do people hurt themselves?: New insights into the nature and functions of self-injury. Current Directions in Psychological Science, 18(2), 78–83.  https://doi.org/10.1111/j.1467-8721.2009.01613.x.CrossRefPubMedPubMedCentralGoogle Scholar
  49. Nyström, M. B., & Mikkelsen, F. (2013). Psychopathy-related personality traits and shame management strategies in adolescents. Journal of Interpersonal Violence, 28(3), 519–537.  https://doi.org/10.1177/0886260512455512.CrossRefPubMedGoogle Scholar
  50. Orth, U., Robins, R. W., & Soto, C. J. (2010). Tracking the trajectory of shame, guilt, and pride across the life span. Journal of Personality & Social Psychology, 99(6), 1061–1071.  https://doi.org/10.1037/a0021342.CrossRefGoogle Scholar
  51. Peasley-Miklus, C. E., Panayiotou, G., & Vrana, S. R. (2016). Alexithymia predicts arousal-based processing deficits and discordance between emotion response systems during emotional imagery. Emotion (Washington, DC), 16(2), 164–174.  https://doi.org/10.1037/emo0000086.CrossRefGoogle Scholar
  52. Plener, P. L., Schumacher, T. S., Munz, L. M., & Groschwitz, R. C. (2015). The longitudinal course of non-suicidal self-injury and deliberate self-harm: a systematic review of the literature. Borderline Personality Disorder and Emotion Dysregulation, 2, 2  https://doi.org/10.1186/s40479-014-0024-3.CrossRefPubMedPubMedCentralGoogle Scholar
  53. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.  https://doi.org/10.3758/BRM.40.3.879.CrossRefPubMedGoogle Scholar
  54. Quirk, S. W., Wier, D., Martin, S. M., & Christian, A. (2015). The influence of parental rejection on the development of maladaptive schemas, rumination, and motivations for self-injury. Journal of psychopathology and Behavioral Assessment, 37(2), 283–295.  https://doi.org/10.1007/s10862-014-9453-y.CrossRefGoogle Scholar
  55. Rizvi, S. L., Brown, M. Z., Bohus, M., & Linehan, M. M. (2011). The role of shame in the development and treatment of borderline personality disorder. In R. L. Dearing & J. P. Tangney (Eds.), Shame in the therapy hour (pp. 237–260). Washington, DC, US: American Psychological Association.CrossRefGoogle Scholar
  56. Robertson, C. D., Kimbrel, N. A., & Nelson-Gray, R. O. (2013). The Invalidating Childhood Environment Scale (ICES): Psychometric properties and relationship to borderline personality symptomatology. Journal of Personality Disorders, 27(3), 402–410.  https://doi.org/10.1521/pedi_2012_26_062.CrossRefPubMedGoogle Scholar
  57. Russell, D. (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20–40.  https://doi.org/10.1207/s15327752jpa6601_2.CrossRefPubMedGoogle Scholar
  58. Schoenleber, M. (2012). Shame regulation in personality pathology. Journal of Abnormal Psychology, 121(2), 433–446.  https://doi.org/10.1037/a0025281.CrossRefPubMedGoogle Scholar
  59. Schoenleber, M., & Berenbaum, H. (2010). Shame aversion and shame-proneness in Cluster C personality disorders. Journal of Abnormal Psychology, 119(1), 197–205.  https://doi.org/10.1037/a0017982.CrossRefPubMedGoogle Scholar
  60. Schoenleber, M., Berenbaum, H., & Motl, R. (2014). Shame-related functions of and motivations for self-injurious behavior. Personality Disorders: Theory, Research, & Treatment, 5(2), 204–211.  https://doi.org/10.1037/per0000035.CrossRefGoogle Scholar
  61. Slade, T., Grove, R., & Burgess, P. (2011). Kessler psychological distress scale: normative data from the 2007 Australian National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 45(4), 308–316.  https://doi.org/10.3109/00048674.2010.543653.CrossRefPubMedGoogle Scholar
  62. St. Germain, S. A., & Hooley, J. M. (2012). Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction. Psychiatry Research, 197(1–2), 78–84.  https://doi.org/10.1016/j.psychres.2011.12.050.CrossRefGoogle Scholar
  63. Stuewig, J., Tangney, J. P., Heigel, C., Harty, L., & McCloskey, L. (2010). Shaming, blaming, and maiming: functional links among the moral emotions, externalization of blame, and aggression. Journal of Research in Personality, 44(1), 91–102.  https://doi.org/10.1016/j.jrp.2009.12.005.CrossRefPubMedPubMedCentralGoogle Scholar
  64. Swannell, S., Martin, G., Page, A., Hasking, P., Hazell, P., Taylor, A., & Protani, M. (2012). Child maltreatment, subsequent non-suicidal self-injury and the mediating roles of dissociation, alexithymia and self-blame. Child Abuse & Neglect, 36(7–8), 572–584.  https://doi.org/10.1016/j.chiabu.2012.05.005.CrossRefGoogle Scholar
  65. Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014). Prevalence of nonsuicidal self-injury in nonclinical samples: systematic review, meta-analysis and meta-regression. Suicide and Life-Threatening Behavior, 44(3), 273–303.  https://doi.org/10.1111/sltb.12070.CrossRefPubMedGoogle Scholar
  66. Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics. 6th ed. Boston, MA: Pearson International Ed.Google Scholar
  67. Tangney, J. P., Dearing, R. L., Wagner, P. E., & Gramzow, R. (2000). The Test of Self-Conscious Affect (TOSCA-3). Fairfax, VA: George Mason University.Google Scholar
  68. Teyber, E., McClure, F. H., & Weathers, R. (2011). Shame in families: Transmission across generations. In R. L. Dearing & J. P. Tangney (Eds.), Shame in the therapy hour (pp. 137–166). Washington, DC, US: American Psychological Association.CrossRefGoogle Scholar
  69. Tracy, J. L., Robins, R. W., & Tangney, J. P. (2007). The self-conscious emotions: Theory and research. New York, NY: Guilford Press.Google Scholar
  70. VanDerhei, S., Rojahn, J., Stuewig, J., & McKnight, P. E. (2014). The effect of shame-proneness, guilt-proneness, and internalizing tendencies on nonsuicidal self-injury. Suicide and Life-Threatening Behavior, 44(3), 317–330.  https://doi.org/10.1111/sltb.12069.CrossRefPubMedGoogle Scholar
  71. Victor, S. E., & Klonsky, E. D. (2014). Daily emotion in non-suicidal self-injury. Journal of Clinical Psychology, 70(4), 364–375.  https://doi.org/10.1002/jclp.22037.CrossRefPubMedGoogle Scholar
  72. Wei, M., Shaffer, P. A., Young, S. K., & Zakalik, R. A. (2005). Adult attachment, shame, depression, and loneliness: The mediation role of basic psychological needs satisfaction. Journal of Counseling Psychology, 52(4), 591–601.  https://doi.org/10.1037/0022-0167.52.4.591.CrossRefGoogle Scholar
  73. Wurm, L. H., & Fisicaro, S. A. (2014). What residualizing predictors in regression analyses does (and what it does not do). Journal of Memory and Language, 72, 37–48.  https://doi.org/10.1016/j.jml.2013.12.003.CrossRefGoogle Scholar
  74. Yates, T. M., Tracy, A. J., & Luthar, S. S. (2008). Nonsuicidal self-injury among “privileged” youths: longitudinal and cross-sectional approaches to developmental process. Journal of Consulting & Clinical Psychology Special Section: Suicide and Nonsuicidal Self Injury, 76(1), 52–62.  https://doi.org/10.1037/0022-006X.76.1.52.CrossRefGoogle Scholar

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Authors and Affiliations

  1. 1.Centre for Developmental Psychiatry & Psychology, Department of Psychiatry, School of Clinical SciencesMonash UniversityClaytonAustralia
  2. 2.School of PsychologyCurtin UniversityBentleyAustralia

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