Shame: The Silent Saboteur
Presented by:
Amanda Janner, PsyD
Assistant Professor
Department of Psychiatry
Faculty Disclosure:
Dr. Janner has disclosed that she has no relevant financial relationship(s). No one else in a position to control content has any financial relationships to disclose. Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/. All relevant financial relationships have been mitigated.
Release Date: October 27, 2023
Expiration Date: October 26, 2025
Target Audience: All physicians
Learning Objectives:
As a result of participation in this activity, participants should be able to:
- Discuss the development of shame and distinguish it from the other self-conscious emotions.
- Explain the role of shame in the development of psychopathology and its contribution to case conceptualization.
- Recognize manifestations of shame in clinical presentations and the barriers they pose to effective treatment.
- Identify practical interventions to counter shame for improved patient care.
Requirements for successful completion: Certificates are awarded upon successful completion (80% proficiency) of the post-test.
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Resource(s) for further study:
- Black, R. S. A., Curran, D., & Dyer, K. F. (2013). The impact of shame on the therapeutic alliance and intimate relationships. Journal of Clinical Psychology, 69 (6), 646-654.
- Brown, B. Daring Greatly: How the Courage to be Vulnerable Transforms the Way WE Live, Love, Parent, and Lead. Gotham Books.
- Brown, M. Z., Linehan, M. M., Comtois, K. A., Murray, A., & Chapman, A. L. (2009). Shame as a prospective predictor of self-inflicted injury in borderline personality disorder: A multi-modal analysis. Behavior Research and Therapy, 47, 815-822.
- Hazell, C. M., Berry, C., Bogen-Johnston, L., & Banerjee, M. (2022). Creating a hierarchy of mental health stigma: testing the effect of psychiatric diagnosis on stigma. British Journal of Psychiatry Open, 8 (5), 1-7.
- Kim, S., Thibodeau, R., & Jorgensen, R. S. (2011). Shame, guilt, and depressive symptoms: a meta-analytic review. Psychological Bulletin, 137: 68-96.
- Lewis, H. B. (1971). Shame and Guilt in Neurosis. New York: International Universities Press.
- 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.
- Nathanson, D. L. (1992). Shame and Pride: Affect, sex, and the birth of the self. New York: W. W. Norton & Company.
- Tracy, J. L. & Robins, R. W. (2004). Putting the self into self-conscious emotions: A theoretical model. Psychological Inquiry, 15, 103-125.
- Tangney, J. P., & Fischer, K. W. (Eds.). (1995). Self-conscious emotions: The psychology of shame, guilt, embarrassment, and pride. New York: Guilford Press.
- Griffiths S, Mitchison D, Murray SB, Mond JM, Bastian B. How might eating disorders stigmatization worsen eating disorders symptom severity? Evaluation of a stigma internalization model. Int J Eat Disord, 2018; 51(8):1010-1014. doi: 10.1002/eat.22932. PMID: 30055009.
- Buchman-Wildbaum T, Unoka Z, Dudas R, Vizin G, Demetrovics Z, Richman MJ. Shame in Borderline Personality Disorder: Meta-Analysis. J Pers Disord., 2021; 35(Suppl A):149-161. doi: 10.1521/pedi_2021_35_515. PMID: 33650893.
- Ronningstam E. Narcissistic personality disorder: a current review. Curr Psychiatry Rep. 2010; 12(1):68-75. doi: 10.1007/s11920-009-0084-z. PMID: 20425313.
- Dearing RL, Stuewig J, Tangney JP. On the importance of distinguishing shame from guilt: Relations to problematic alcohol and drug use. Addict Behav., 2005; 30(7):1392-1404. doi: 10.1016/j.addbeh.2005.02.002. PMID: 16022935.
- Neff, Kristin. https://self-compassion.org/
If you have any questions please feel free to contact Nancy Boyd at (352) 594-4298 or at nancy.boyd@ufl.edu