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SHAME AND PSYCHOPATHOLOGY: FROM RESEARCH TO CLINICAL PRACTICE

Diana-Mirela CÂNDEA* & Aurora SZENTÁGOTAI
Babeș-Bolyai University, Cluj Napoca, Romania

Abstract
Shame is a self-conscious emotion that was recently acknowledged as having a unique contribution to psychopathology, different from that of guilt. Several investigations have pointed out the roles that this emotion may play in the development and/or the maintenance of psychological problems. This article discusses the implications of shame for psychopathology research by focusing on four directions: shame as a predictor, shame as a diagnostic criterion, shame as a mechanism of change, and shame as outcome. We also argue for the relevance of shame in therapeutic practice, and we highlight some particular features which may have a significant impact on successful interventions, by discussing shame assessment and conceptualization, shame and disclosure in therapeutic alliance and ways of tackling shame. Starting from the existing evidence, we point out the gaps in the literature, and offer some future directions and recommendations in order to clarify the role of shame and improve treatment outcome.

Keywords: shame, self-conscious emotions, shame regulation, guilt

Jul 25, 2014admin
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Journal of Evidence-Based Psychotherapies

Journal of Evidence-Based Psychotherapies

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Keywords
irrational beliefscbtrebtEditorialdistresscognitive-behavioral therapyappraisalcognitive restructuringschemasautism spectrum disordersbinary model of distressrational emotive behavior theoryconversion disorderautismhypnosispositive illusionstheory of mindearly interventioncommunicationdevelopmentthe Attitudes and Belief Scale 2incompatible information techniquedeficitsneural structurestoddlerscognitive psychologyrational anticipation techniquewithdrawal motivational systemsattributionsfunctional and dysfunctional negative emotionsunitary model of distressmind reading beliefsirrational and rational beliefstreatmenteating behavioursmental healtharousalpre-goal/ post-goal attainment positive emotionsfunctional and dysfunctional emotionscore relational themesapproach motivational systemsdemandingnessdysfunctional consequencesdysfunctional positive emotionspreferences
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