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Shame and Psychotherapy: Theory, Method and Practice

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The Value of Shame

Abstract

Shame along with guilt and embarrassment, belongs to a family of emotions that have been called the self-conscious emotions. These emotions are known to make us inward focused, however, shame almost always occurs in the presence of the other or imagined other making us relationally focused. When appropriately experienced, shame can be a modulator of interpersonal relatedness, however, if it is denied in oneself or not accessed meaningfully, it can lead to disconnect in the emotional and relational realm. In psychotherapeutic literature, there has been a surge in clinical interest in shame and many of the problems of anxiety have now been reconceptualized as problems of shame. It has been found correlated with a host of psychiatric disorders like depression, suicidal ideation, anxiety, eating disorders, PTSD, and substance abuse. An appreciation of manifestations of shame in psychotherapy may greatly deepen our ability to connect with and understand our patients’ experience. This chapter will discuss the relevance of shame in therapeutic practice, the importance of assessing shame, identification of verbal and non-verbal markers of shame, role of shame in therapeutic alliance, and some principles a therapist should follow when treating shame.

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References

  • Abramson, L., Seligman, M., & Teasdale, J. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87(1), 49–74. doi:10.1037/0021-843x.87.1.49

    Article  PubMed  Google Scholar 

  • Allan, S., & Gilbert, P. (1997). Submissive behaviour and psychopathology. British Journal of Clinical Psychology, 36(4), 467–488. doi:10.1111/j.2044-8260.1997.tb01255.x

    Article  PubMed  Google Scholar 

  • Andrews, B., Brewin, C., Rose, S., & Kirk, M. (2000). Predicting PTSD symptoms in victims of violent crime: The role of shame, anger, and childhood abuse. Journal of Abnormal Psychology, 109(1), 69–73. doi:10.1037/0021-843x.109.1.69

    Article  PubMed  Google Scholar 

  • Andrews, B., & Hunter, E. (1997). Shame, Early abuse, and course of depression in a clinical sample: A preliminary study. Cognition and Emotion, 11(4), 373–381. doi:10.1080/026999397379845

    Article  Google Scholar 

  • Andrews, B. (1995). Bodily shame as a mediator between abusive experiences and depression. Journal of Abnormal Psychology, 104(2), 277–285. doi:10.1037/0021-843x.104.2.277

    Article  PubMed  Google Scholar 

  • Bagozzi, R., Verbeke, W., & Gavino, J. (2003). Culture moderates the self-regulation of shame and its effects on performance: The case of salespersons in the Netherlands and the Philippines. Journal of Applied Psychology, 88(2), 219–233. doi:10.1037/0021-9010.88.2.219

    Article  PubMed  Google Scholar 

  • Bancroft, J., Skrimshire, A., & Simkin, S. (1976). The reasons people give for taking overdoses. The British Journal Of Psychiatry, 128(6), 538–548. doi:10.1192/bjp.128.6.538

    Article  PubMed  Google Scholar 

  • Baumeister, R. (1990). Suicide as escape from self. Psychological Review, 97(1), 90–113. doi:10.1037//0033-295x.97.1.90

    Article  PubMed  Google Scholar 

  • Berntsen, D., & Rubin, D. (2002). Emotionally charged autobiographical memories across the life span: The recall of happy, sad, traumatic and involuntary memories. Psychology and Aging, 17(4), 636–652. doi:10.1037/0882-7974.17.4.636

    Article  PubMed  Google Scholar 

  • Black, R., Curran, D., & Dyer, K. (2013). The impact of shame on the therapeutic alliance and intimate relationships. Journal of Clinical Psychology, 69(6), 646–654. doi:10.1002/jclp.21959

    Article  PubMed  Google Scholar 

  • Boersma, K., Håkanson, A., Salomonsson, E., & Johansson, I. (2014). Compassion focused therapy to counteract shame, self-criticism and isolation. A replicated single case experimental study for individuals with social anxiety. Journal of Contemporary Psychotherphy, 45(2), 89–98. doi:10.1007/s10879-014-9286-8

  • Bordin, E. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252–260. doi:10.1037/h0085885

  • Brodsky, B. S., Groves, S. A., Oquendo, M. A., Mann, J. J., & Stanley, B. (2006). Interpersonal precipitants and suicide attempts in borderline personality disorder. Suicide Life Threatening Behaviour, 36(3), 313–322.

    Article  Google Scholar 

  • Brown, M., Linehan, M., Comtois, K., Murray, A., & Chapman, A. (2009). Shame as a prospective predictor of self-inflicted injury in borderline personality disorder: A multi-modal analysis. Behaviour Research and Therapy, 47(10), 815–822. doi:10.1016/j.brat.2009.06.008

    Article  PubMed  PubMed Central  Google Scholar 

  • Bruch, M., & Heimberg, R. (1994). Differences in perceptions of parental and personal characteristics between generalized and nongeneralized social phobics. Journal of Anxiety Disorders, 8(2), 155–168. doi:10.1016/0887-6185(94)90013-2

    Article  Google Scholar 

  • Burney, J., & Irwin, H. (2000). Shame and guilt in women with eating-disorder symptomatology. Journal of Clinical Psychology, 56(1), 51–61. doi:10.1002/(sici)1097-4679(200001)56:1<51:aid-jclp5>3.0.co;2-w

    Article  PubMed  Google Scholar 

  • Cheung, M., Gilbert, P., & Irons, C. (2004). An exploration of shame, social rank and rumination in relation to depression. Personality and Individual Differences, 36(5), 1143–1153. doi:10.1016/s0191-8869(03)00206-x

    Article  Google Scholar 

  • Cook, D. (1988). Measuring shame: Alcoholism treatment quarterly, 4(2), 197–215. doi:10.1300/j020v04n02_12

    Google Scholar 

  • Cooper, J. M., Todd, G., & Wells, A. (1998). Content, origins, and consequences of dysfunctional beliefs in anorexia nervosa and bulimia nervosa. Journal of Cognitive Psychotherapy, 12, 213–230.

    Google Scholar 

  • Cooper, M., Frone, M., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of Personality and Social Psychology, 69(5), 990–1005. doi:10.1037//0022-3514.69.5.990

    Article  PubMed  Google Scholar 

  • de Hooge, I., Zeelenberg, M., & Breugelmans, S. (2010). Restore and protect motivations following shame. Cognition and Emotion, 24(1), 111–127. doi:10.1080/02699930802584466

    Article  Google Scholar 

  • Dearing, R., Stuewig, J., & Tangney, J. (2005). On the importance of distinguishing shame from guilt: Relations to problematic alcohol and drug use. Addictive Behaviors, 30(7), 1392–1404. doi:10.1016/j.addbeh.2005.02.002

    Article  PubMed  PubMed Central  Google Scholar 

  • Dorahy, M. J., Gorgas, J., Hanna, D., & Wiingaard, S. U. (2015). Perceptions of therapist responses to shame disclosures by clients: A quasi-experimental investigation with non-clinical participants. Counselling and Psychotherapy Research, 15, 58–66. doi:10.1002/capr.12004

    Google Scholar 

  • Doran, J., & Lewis, C. (2012). Components of shame and eating disturbance among clinical and non-clinical populations. European Eating Disorders Review, 20(4), 265–270. doi:10.1002/erv.1142

    Article  PubMed  Google Scholar 

  • Ehlers, A., & Clark, D. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345. doi:10.1016/s0005-7967(99)00123-0

    Article  PubMed  Google Scholar 

  • Erwin, B., Heimberg, R., Schneier, F., & Liebowitz, M. (2003). Anger experience and expression in social anxiety disorder: Pretreatment profile and predictors of attrition and response to cognitive-behavioral treatment. Behavior Therapy, 34(3), 331–350. doi:10.1016/s0005-7894(03)80004-7

    Article  Google Scholar 

  • Frank, E. (1991). Shame and guilt in eating disorders. American Journal of Orthopsychiatry, 61(2), 303–306. doi:10.1037/h0079241

    Article  PubMed  Google Scholar 

  • Fergus, T., Valentiner, D., McGrath, P., & Jencius, S. (2010). Shame- and guilt-proneness: Relationships with anxiety disorder symptoms in a clinical sample. Journal of Anxiety Disorders, 24(8), 811–815. doi:10.1016/j.janxdis.2010.06.002

    Article  PubMed  Google Scholar 

  • Gale, C., Gilbert, P., Read, N., & Goss, K. (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology & Psychotherapy, 21(1), 1–12.

    Article  Google Scholar 

  • Gee, A., & Troop, N. (2003). Shame, depressive symptoms and eating, weight and shape concerns in a non-clinical sample. Eat Weight Disord, 8(1), 72–75. doi:10.1007/bf03324992

    Article  PubMed  Google Scholar 

  • Gilbert, P. (2000). The relationship of shame, social anxiety and depression: The role of the evaluation of social rank. Clinical Psychology & Psychotherapy, 7(3), 174–189. doi:10.1002/1099-0879(200007)7:3<174:aid-cpp236>3.0.co;2-u

    Article  Google Scholar 

  • Gilbert, P. (2014). Compassion-focused therapy: Preface and introduction for special section. British Journal of Clinical Psychology, 53(1), 1–5. doi:10.1111/bjc.12045

    Article  PubMed  Google Scholar 

  • Gilbert, P., & Miles, J. (2000). Sensitivity to social put-down: It’s relationship to perceptions of social rank, shame, social anxiety, depression, anger and self-other blame. Personality and Individual Differences, 29(4), 757–774. doi:10.1016/s0191-8869(99)00230-5

    Article  Google Scholar 

  • Gilbert, P., Pehl, J., & Allan, S. (1994). The phenomenology of shame and guilt: An empirical investigation. British Journal of Medical Psychology, 67(1), 23–36. doi:10.1111/j.2044-8341.1994.tb01768.x

    Article  PubMed  Google Scholar 

  • Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy, 13(6), 353–379. doi:10.1002/cpp.507

    Article  Google Scholar 

  • Goss, K., & Allan, S. (2009). Shame, pride and eating disorders. Clinical Psychology & Psychotherapy, 16(4), 303–316. doi:10.1002/cpp.627

    Article  Google Scholar 

  • Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measures—I: The other as Shamer scale. Personality and Individual Differences, 17(5), 713–717. doi:10.1016/0191-8869(94)90149-x

    Article  Google Scholar 

  • Gotlib, I. (1984). Depression and general psychopathology in university students. Journal of Abnormal Psychology, 93(1), 19–30. doi:10.1037//0021-843x.93.1.19

    Article  PubMed  Google Scholar 

  • Gratz, K., & Gunderson, J. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37(1), 25–35. doi:10.1016/j.beth.2005.03.002

    Article  PubMed  Google Scholar 

  • Gratz, K., Rosenthal, M., Tull, M., Lejuez, C., & Gunderson, J. (2010). An experimental investigation of emotional reactivity and delayed emotional recovery in borderline personality disorder: The role of shame. Comprehensive Psychiatry, 51(3), 275–285. doi:10.1016/j.comppsych.2009.08.005

    Article  PubMed  Google Scholar 

  • Gratz, K., & Tull, M. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personality Disorders: Theory, Research, and Treatment, 2(4), 316–326. doi:10.1037/a0022144

    Article  Google Scholar 

  • Harper, F., & Arias, I. (2004). The role of shame in predicting adult anger and depressive symptoms among victims of child psychological maltreatment. Journal of Family Violence, 19(6), 359–367. doi:10.1007/s10896-004-0681-x

    Article  Google Scholar 

  • Hayes, S. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. doi:10.1016/s0005-7894(04)80013-3

    Article  Google Scholar 

  • Hejdenberg, J., & Andrews, B. (2011). The relationship between shame and different types of anger: A theory-based investigation. Personality and Individual Differences, 50(8), 1278–1282. doi:10.1016/j.paid.2011.02.024

    Article  Google Scholar 

  • Hernandez, V., & Mendoza, C. (2011). Shame resilience: A strategy for empowering women in treatment for substance abuse. Journal of Social Work Practice in the Addictions, 11(4), 375–393. doi:10.1080/1533256x.2011.622193

    Article  Google Scholar 

  • Holahan, C., Moos, R., Holahan, C., Cronkite, R., & Randall, P. (2001). Drinking to cope, emotional distress and alcohol use and abuse: A ten-year model. Journal of Studies on Alcohol, 62(2), 190–198. doi:10.15288/jsa.2001.62.190

    Article  PubMed  Google Scholar 

  • Hosser, D., Windzio, M., & Greve, W. (2007). Guilt and shame as predictors of recidivism: A longitudinal study with young prisoners. Criminal Justice and Behavior, 35(1), 138–152. doi:10.1177/0093854807309224

    Article  Google Scholar 

  • Jazaieri, H., Jinpa, G. T., McGonigal, K., Rosenberg, E. L., Finkelstein, J., Simon-Thomas, E., et al. (2013). Enhancing compassion: A randomized controlled trial of a compassion cultivation training program. Journal of Happiness Studies, 14, 1113–1126.

    Article  Google Scholar 

  • Kaufman, G. (1989). The psychology of shame. New York: Springer.

    Google Scholar 

  • Kim, S., Thibodeau, R., & Jorgensen, R. (2011). Shame, guilt, and depressive symptoms: A meta-analytic review. Psychological Bulletin, 137(1), 68–96. doi:10.1037/a0021466

    Article  PubMed  Google Scholar 

  • Kitayama, S., Markus, H. R., & Matsumoto, H. (1995). A cultural perspective on self-conscious emotions. In J. P. Tangney & K. W. Fisher (Eds.), Self-conscious emotions: The psychology of shame, guilt, embarrassment, and pride (pp. 439–464). New York: Guilford Press.

    Google Scholar 

  • Klonsky, E. (2007). Non-suicidal self-injury: An introduction. Journal of Clinical Psychology, 63(11), 1039–1043. doi:10.1002/jclp.20411

    Article  PubMed  Google Scholar 

  • Lang, C., & Sharma-Patel, K. (2011). The relation between childhood maltreatment and self-injury: A review of the literature on conceptualization and intervention. Trauma, Violence, & Abuse, 12(1), 23–37. doi:10.1177/1524838010386975

    Article  Google Scholar 

  • Leaviss, J., & Uttley, L. (2015). Psychotherapeutic benefits of compassion-focused therapy: An early systematic review. Psychological Medicine, 45(05), 927–945. doi:10.1017/s0033291714002141

    Article  PubMed  Google Scholar 

  • Lester, D. (1998). The association of shame and guilt with suicidality. The Journal of Social Psychology, 138(4), 535–536. doi:10.1080/00224549809600407

    Article  PubMed  Google Scholar 

  • Lewis, H. B. (1971). Shame and guilt in neurosis. Psychoanalytic Review, 58(3), 419–438.

    PubMed  Google Scholar 

  • Li, B., Qian, M.-Y., & Zhong, J. (2005). Undergraduates’ social anxiety: A shame proneness model. Chinese Mental Health Journal, 19, 304–306.

    Google Scholar 

  • Luoma, J., Kohlenberg, B., Hayes, S., & Fletcher, L. (2012). Slow and steady wins the race: A randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders. Journal of Consulting and Clinical Psychology, 80(1), 43–53. doi:10.1037/a0026070

    Article  PubMed  Google Scholar 

  • Lutwak, N., & Ferrari, J. (1997). Shame-related social anxiety: Replicating a link with various social interaction measures. Anxiety, Stress, & Coping, 10(4), 335–340. doi:10.1080/10615809708249307

    Article  Google Scholar 

  • MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552. doi:10.1016/j.cpr.2012.06.003

    Article  PubMed  Google Scholar 

  • Masheb, R., Grilo, C., & Brondolo, E. (1999). Shame and its psychopathologic correlates in two women’s health problems: Binge eating disorder and vulvodynia. Eating and Weight Disorders, 4(4), 187–193. doi:10.1007/bf03339735

    Article  PubMed  Google Scholar 

  • Meehan, W., O’Connor, L. E., Berry, J. W., Weiss, J., Morrison, A., & Acampora, A. (1996). Guilt, shame, and depression in clients in recovery from addiction. Journal of Psychoactive Drugs, 28, 125–134.

    Article  PubMed  Google Scholar 

  • Murray, C., & Waller, G. (2002). Reported sexual abuse and bulimic psychopathology among nonclinical women: The mediating role of shame. International Journal of Eating Disorders, 32(2), 186–191. doi:10.1002/eat.10062

    Article  PubMed  Google Scholar 

  • Nathanson, D. L. (1992). Shame and pride. New York, NY: Norton.

    Google Scholar 

  • O’Connor, L. E., Berry, J. W., Inaba, D., Weiss, J., & Morrison, A. (1994). Shame, guilt, and depression in men and women in recovery from addiction. Journal of Substance Abuse Treatment, 11, 503–510.

    Article  PubMed  Google Scholar 

  • Olatunji, B., Babson, K., Smith, R., Feldner, M., & Connolly, K. (2009). Gender as a moderator of the relation between PTSD and disgust: A laboratory test employing individualized script-driven imagery. Journal of Anxiety Disorders, 23(8), 1091–1097. doi:10.1016/j.janxdis.2009.07.012

    Article  PubMed  Google Scholar 

  • Orsillo, S. (2005). Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavior Modification, 29(1), 95–129. doi:10.1177/0145445504270876

    Article  PubMed  Google Scholar 

  • Parker, S., & Thomas, R. (2009). Psychological differences in shame vs. guilt: Implications for mental health counselors. Journal of Mental Health Counseling, 31, 213–224.

    Article  Google Scholar 

  • Pulakos, J. (1996). Family environment and shame: Is there a relationship? Journal of Clinical Psychology, 52, 617–623. doi:10.1002/(SICI)1097-4679(199611)52:6<617

    Article  PubMed  Google Scholar 

  • Quigley, B., & Tedeschi, J. (1996). Mediating effects of blame attributions on feelings of anger. Personality and Social Psychology Bulletin, 22(12), 1280–1288. doi:10.1177/01461672962212008

    Article  Google Scholar 

  • Resick, P., & Schnicke, M. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60(5), 748–756. doi:10.1037/0022-006x.60.5.748

    Article  PubMed  Google Scholar 

  • Rizvi, S., & Linehan, M. (2005). The treatment of maladaptive shame in borderline personality disorder: A pilot study of “opposite action”. Cognitive and Behavioral Practice, 12(4), 437–447. doi:10.1016/s1077-7229(05)80071-9

    Article  Google Scholar 

  • Robinaugh, D., & McNally, R. (2010). Autobiographical memory for shame or guilt provoking events: Association with psychological symptoms. Behaviour Research and Therapy, 48(7), 646–652. doi:10.1016/j.brat.2010.03.017

    Article  PubMed  Google Scholar 

  • Scheel, C., Bender, C., Tuschen-Caffier, B., Brodführer, A., Matthies, S., Hermann, C., et al. (2014). Do patients with different mental disorders show specific aspects of shame? Psychiatry Research, 220(1–2), 490–495. doi:10.1016/j.psychres.2014.07.062

    Article  PubMed  Google Scholar 

  • Scheff, T. (2012). A social/emotional theory of ‘mental illness’. International Journal of Social Psychiatry, 59(1), 87–92. doi:10.1177/0020764012445004

    Article  PubMed  Google Scholar 

  • Schoenleber, M., & Berenbaum, H. (2012). Shame regulation in personality pathology. Journal of Abnormal Psychology, 121(2), 433–446. doi:10.1037/a0025281

    Article  PubMed  Google Scholar 

  • Shearer, S. L., Peters, C. P., Quaytman, M. S., & Wadman, B. E. (1988). Intent and lethality of suicide attempts among female borderline inpatients. American Journal of Psychiatry, 145, 1424–1427.

    Article  PubMed  Google Scholar 

  • Shin, L. M., McNally, R. J., Kosslyn, S. M., Thompson, W. L., Rauch, S. L., Alpert, N. M., et al. (1999). Regional cerebral blood flow during script-driven imagery in childhood sexual abuse-related PTSD: A PET investigation. American Journal of Psychiatry, 156, 575–584.

    PubMed  Google Scholar 

  • Sinha, M., & Raguram, A. (2011). Shyness in Indian Context: An Exploratory Study. Unpublished manuscript, Department of Clinical Psychology, National Institute of Mental Health & Neuro Sciences, Karnataka, India.

    Google Scholar 

  • Sippel, L., & Marshall, A. (2011). Posttraumatic stress disorder symptoms, intimate partner violence perpetration, and the mediating role of shame processing bias. Journal of Anxiety Disorders, 25(7), 903–910. doi:10.1016/j.janxdis.2011.05.002

    Article  PubMed  PubMed Central  Google Scholar 

  • Stuewig, J., Tangney, J., Kendall, S., Folk, J., Meyer, C., & Dearing, R. (2014). Children’s proneness to shame and guilt predict risky and illegal behaviors in young adulthood. Child Psychiatry and Human Development, 46(2), 217–227. doi:10.1007/s10578-014-0467-1

    Article  Google Scholar 

  • Swan, S., & Andrews, B. (2003). The relationship between shame, eating disorders and disclosure in treatment. British Journal of Clinical Psychology, 42(4), 367–378. doi:10.1348/014466503322528919

    Article  PubMed  Google Scholar 

  • Tangney, J., Wagner, P., Fletcher, C., & Gramzow, R. (1992). Shamed into anger? The relation of shame and guilt to anger and self-reported aggression. Journal of Personality and Social Psychology, 62(4), 669–675. doi:10.1037/0022-3514.62.4.669

    Article  PubMed  Google Scholar 

  • Tangney, J. P., & Dearing, R. L. (2002). Shame and guilt. New York, NY: Guilford Press.

    Book  Google Scholar 

  • Tangney, J. P., Miller, S. R., Flicker, L., & Barlow, D. H. (1996). Are shame, guilt, and embarrassment distinct emotions? Journal of Personality and Social Psychology, 70, 1256–1269. doi:10.1037/0022-3514.70.6.1256

    Article  PubMed  Google Scholar 

  • Treeby, M., & Bruno, R. (2012). Shame and guilt-proneness: Divergent implications for problematic alcohol use and drinking to cope with anxiety and depression symptomatology. Personality and Individual Differences, 53(5), 613–617. doi:10.1016/j.paid.2012.05.011

    Article  Google Scholar 

  • Troop, N. A., Allan, S., Serpell, L., & Treasure, J. L. (2008). Shame in women with a history of eating disorders. European Eating Disorders Review, 16, 480–488.

    Article  PubMed  Google Scholar 

  • Twohig, M. P. (2008). Acceptance and commitment therapy for treatment-resistant posttraumatic stress disorder: A case study. Cognitive and Behavioral Practice, 16, 243–252. doi:10.1016/j.cbpra

    Article  Google Scholar 

  • Van Vliet, K. (2008). Shame and resilience in adulthood: A grounded theory study. Journal of Counseling Psychology, 55(2), 233–245. doi:10.1037/0022-0167.55.2.233

    Article  Google Scholar 

  • Welch, S., & Linehan, M. (2002). High-risk situations associated with parasuicide and drug use in borderline personality disorder. Journal of Personality Disorders, 16(6), 561–569. doi:10.1521/pedi.16.6.561.22141

    Article  PubMed  Google Scholar 

  • Wiechelt, S. (2007). The specter of shame in substance misuse. Substance Use and Misuse, 42(2–3), 399–409. doi:10.1080/10826080601142196

    Article  PubMed  Google Scholar 

  • Zettle, R. (2005). The evolution of a contextual approach to therapy: From comprehensive distancing to ACT. International Journal of Behavioral Consultation and Therapy, 1(2), 77–89. doi:10.1037/h0100736

    Article  Google Scholar 

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Acknowledgements

This work was encouraged by Dr. Dharma Bhawuk, Professor, University of Hawaii. I thank him for his guidance.

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  1. Staunton Clinic, Pittsburgh, PA, USA

    Mrigaya Sinha

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Correspondence to Mrigaya Sinha .

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    Elisabeth Vanderheiden

  2. Institut für therapeutische Kommunikation und Sprachgebrauch, European University Viadrina, Frankfurt (Oder), Germany

    Claude-Hélène Mayer

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Sinha, M. (2017). Shame and Psychotherapy: Theory, Method and Practice. In: Vanderheiden, E., Mayer, CH. (eds) The Value of Shame. Springer, Cham. https://doi.org/10.1007/978-3-319-53100-7_11

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