The role of shame and guilt in traumatic events: A clinical model of shame-based and guilt-based PTSD

2001 ◽  
Vol 74 (4) ◽  
pp. 451-466 ◽  
Author(s):  
Deborah A. Lee ◽  
Peter Scragg ◽  
Stuart Turner
2016 ◽  
Vol 37 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Nicole L. Hofman ◽  
Austin M. Hahn ◽  
Christine K. Tirabassi ◽  
Raluca M. Gaher

Abstract. Exposure to traumatic events and the associated risk of developing Posttraumatic stress disorder (PTSD) symptoms is a significant and overlooked concern in the college population. It is important for current research to identify potential protective factors associated with the development and maintenance of PTSD symptoms unique to this population. Emotional intelligence and perceived social support are two identified protective factors that influence the association between exposure to traumatic events and PTSD symptomology. The current study examined the mediating role of social support in the relationship between emotional intelligence and PTSD symptoms. Participants included 443 trauma-exposed university students who completed online questionnaires. The results of this study indicated that social support mediates the relationship between emotional intelligence and reported PTSD symptoms. Thus, emotional intelligence is significantly associated with PTSD symptoms and social support may play an integral role in the relationship between emotional intelligence and PTSD. The current study is the first to investigate the role of social support in the relationship between emotional intelligence and PTSD symptoms. These findings have important treatment and prevention implications with regard to PTSD.


2010 ◽  
Vol 32 (4) ◽  
pp. 417-437 ◽  
Author(s):  
Catherine M. Sabiston ◽  
Jennifer Brunet ◽  
Kent C. Kowalski ◽  
Philip M. Wilson ◽  
Diane E. Mack ◽  
...  

The purpose of this study was to test a model where body-related self-conscious emotions of shame, guilt, and pride were associated with physical activity regulations and behavior. Adult women (N = 389; M age = 29.82, SD = 15.20 years) completed a questionnaire assessing body-related pride, shame, and guilt, motivational regulations, and leisure-time physical activity. The hypothesized measurement and structural models were deemed adequate, as was a revised model examining shame-free guilt and guilt-free shame. In the revised structural model, body-related pride was positively significantly related to identified and intrinsic regulations. Body-related shame-free guilt was significantly associated with external, introjected, and identified regulations. Body-related guilt-free shame was significantly positively related to external and introjected regulation, and negatively associated with intrinsic regulation. Identified and intrinsic regulations were significantly positively related to physical activity (R2 = .62). These findings highlight the importance of targeting and understanding the realm of body-related self-conscious emotions and the associated links to regulations and physical activity behavior.


2015 ◽  
Vol 38 ◽  
Author(s):  
Daniele Ortu

AbstractThe seemingly puzzling datum that behavior decreases after punishing stimulation while individuals are still able to remember traumatic episodes is discussed in relation to dopaminergic and noradrenergic neuromodulation. The described mechanisms may contribute to an understanding of how occurrences of learning reconsolidation yield different outcomes across intra- and extra-therapeutic settings.


2020 ◽  
Vol 19 (6) ◽  
pp. 94-101
Author(s):  
E. Yu. Radtsig ◽  
◽  
M. M. Evsikova ◽  
M. A. Varavina ◽  
◽  
...  

Numerous injuries (and their treatment) have been encountered since the very beginning of the development of human civilization and remain one of the most significant problems in our time, since the frequency of injuries in general (and of ENT organs in particular) does not tend to decrease either in children or adults. ENT injuries are in fourth place in terms of emergency appeal rates. The most common injury to the maxillofacial area is a fracture of the skeleton of the nose. The article presents data on the frequency of occurrence of this pathology and describes the features of the causes that caused it in different periods of childhood, presents an algorithm for managing patients. The role of homeopathic arnica-containing remedies (Arnigel®) in the conservative treatment of reactive post-traumatic events from the soft tissues of the external nose is shown.


2019 ◽  
Vol 26 ◽  
pp. 7-19
Author(s):  
Ryszard W. Gryglewski

Medicine in terms of Jędrzej Śniadecki Jędrzej Śniadecki (1768–1838) remains one of most eminent scholars of his times. Remembered as a founder of modern chemistry in Poland, one of early pioneers in anthropology and social sciences, and author of the two volume book Theory of organic being (Teoria jestestw organicznych), in which the modern metabolic concept of life processes can be considered as grounded; he was also a highly educated and gifted physician. This paper aims to show the importance of medicine in Śniadecki’s theory of life, in its physiological and pathological manifestations in regard to the clinical model and the medical practice which he followed. It deals with the concept of illness as described in Śniadecki’s writings, focusing on the role of irritation and organic reaction as the major components of his proposed pathological model. The dynamic and variable conditions of diseases are explained by means of metabolic changes, which was a truly pioneering concept, already described in Śniadecki’s earlier theoretical works on the subject of life and nature. The paper discusses the problem of influence in terms of the leading medical doctrines at the end of the 18th and the beginning of the 19th century, namely those of John Brown (1735–1788) and François Broussais (1772–1838), on Śniadecki as a researcher and practitioner. For practical (clinical) medicine his reserve towards auscultation and percussion, then a slowly gaining field in clinical subjects, is clearly present in Śniadecki’s writings and teaching. His passive and, as far as we can tell, sceptical attitude is explained by the lack of convincing evidence, based on empirical and experimental data, which would enable to connect the physical signs of a diagnosis fulfilled by means of stethoscope to that of the percussion process. It must be remembered that the books by Adam Raciborski (1809–1871) and Joseph Škoda (1805–1881) were both published in the 1830s, where modern diagnosing methods were established using a suitable scientific background to explain their importance. This was too late to influence the clinical work of Śniadecki. The same scepticism, with an obvious demand for strict and experimentally derived data, is probably responsible for the conservative therapy present in Śniadecki’s teaching.


2017 ◽  
Vol 41 (S1) ◽  
pp. S24-S24
Author(s):  
G. DiPetta

The Author in this presentation examines the role of two complex human experiences, the Guilt and the Shame, in the field of the substances addiction. The population of abuser can be divided between users of sedatives and users of stimulants. Sedative drugs and stimulant drug belong to two different way of being-in-the-world. Sedative drugs are able to medicate the internal pain, which is constitutive of the guilt. Stimulant drugs are able to medicate the dysphoria, which is constitutive of the shame. In the realm of psychopathology Tellenbach with the concept of premelancholic personality in the guilty man and Kohut with the concept of narcissism in the tragic man have put the bases for a different typification. In both cases, the common final result, from a psychopathological point of view, is a severe crisis of the temporalization.Disclosure of interestThe author has not supplied his declaration of competing interest.


2011 ◽  
Vol 109 (1) ◽  
pp. 3-23 ◽  
Author(s):  
Olof Semb ◽  
Lotta M.J. Strömsten ◽  
Elisabet Sundbom ◽  
Per Fransson ◽  
Mikael Henningsson

To increase understanding of post-victimization symptom development, the present study investigated the role of shame- and guilt-proneness and event-related shame and guilt as potential risk factors. 35 individuals ( M age = 31.7 yr.; 48.5% women), recently victimized by a single event of severe violent crime, were assessed regarding shame- and guilt-proneness, event-related shame and guilt, and post-victimization symptoms. The mediating role of event-related shame was investigated with structural equation modeling (SEM), using bootstrapping. The guilt measures were unrelated to each other and to post-victimization symptoms. The shame measures were highly intercorrelated and were both positively correlated to more severe post-victimization symptom levels. Event-related shame as mediator between shame-proneness and post-victimization symptoms was demonstrated by prevalent significant indirect effects. Both shame measures are potent risk factors for distress after victimization, whereby part of the effect of shame-proneness on post-victimization symptoms is explained by event-related shame.


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