Self-Defining Memories of Body Image Shame and Binge Eating in Men and Women: Body Image Shame and Self-Criticism in Adulthood as Mediating Mechanisms

Despite the growing evidence of the association between shame experiences and eating psychopathology, the specific effect of body image-focused shame memories on binge eating remains largely unexplored. The current study examined this association and considered current body image shame and self-criticism as mediators. A multi-group path analysis was conducted to examine gender differences in these relationships. The sample included 222 women and 109 men from the Portuguese general and college student populations who recalled an early body image-focused shame experience and completed measures of the centrality of the shame memory, current body image shame, binge eating symptoms, depressive symptoms, and self-criticism. For both men and women, the effect of the centrality of shame memories related to body image on binge eating symptoms was fully mediated by body image shame and self-criticism. In women, these effects were further mediated by self-criticism focused on a sense of inadequacy and also on self-hatred. In men, only the form of self-criticism focused on a sense of inadequacy mediated these associations. The present study has important implications for the conceptualization and treatment of binge eating symptoms. Findings suggest that, in both genders, body image-focused shame experiences are associated with binge eating symptoms via their effect on current body image shame and self-criticism.     

Maternal Guilt and Shame: The Role of Self-discrepancy and Fear of Negative Evaluation

Guilt and shame are emotions commonly associated with motherhood. Self-discrepancy theory proposes that guilt and shame result from perceived discrepancies between one’s actual and ideal selves. Fear of negative evaluation by others may enhance the effects of self-discrepancy especially for shame, which involves fear of others’ reproach. The purpose of this study was to examine the relationships between self discrepancy, guilt, shame, and fear of negative evaluation in a cross-sectional, self report study of mothers. Mothers of children five and under (N = 181) completed an on-line survey measuring guilt, shame, fear of negative evaluation, and maternal self-discrepancies. Guilt and shame were related to maternal self-discrepancy and fear of negative evaluation. In addition, fear of negative evaluation moderated the relationship between maternal self-discrepancy and shame such that mothers who greatly feared negative evaluation had a very strong relationship between these variables. Maternal self-discrepancy and shame were not related among mothers who had low fear of negative evaluation. The results are discussed in terms of the detrimental effects of internalizing idealized standards of perfect motherhood.     

Anger and shame elicited by discrimination: Moderating role of coping on action endorsements and salivary cortisol

Discrimination often elicits anger, and yet group members typically do not take actions to confront their situation. It may be that other emotions that run contrary to action‐taking also arise (e.g., shame), limiting the active expression of anger. Indeed, Study 1 (N = 36) revealed that, using a failure feedback paradigm, women expressed greater shame when their failure was due to discrimination, compared to a lack of personal merit. In contrast to anger, self‐reported shame was not associated with action‐taking. In Study 2, women (N = 91) were emotionally primed to feel either anger or shame (vs. a no mood prime control), and the moderating influence of coping styles on the link between emotions, actions, and salivary cortisol levels following discrimination were assessed. Among women primed to feel anger, problem‐focused coping predicted reduced self‐reported shame, lower cortisol reactivity, and greater individualistic confrontational action endorsements. In contrast, priming shame increased cortisol reactivity, but diminished the relation between particular coping styles and their capacity to facilitate action. Findings are discussed in terms of the interactive influence of emotions and coping on responses to discrimination. Copyright © 2008 John Wiley & Sons, Ltd.     

Book Reviews

Panic attacks and depression frequently co‐occur, and the presence of this co‐morbidity is often associated with worse outcomes compared with each disorder alone. Despite this, not everyone who experiences panic attacks also suffers from depression, suggesting that individual difference factors may play a role in this co‐morbidity. The purpose of this study was to provide a preliminary investigation of two such individual difference factors, examining the role of anxiety sensitivity and lack of emotional approach coping in depressive symptom severity among a non‐clinical sample of uncued panickers. A sample of 79 college students reporting the occurrence of uncued panic attacks within the past year completed a series of questionnaires assessing the lower‐order factors of anxiety sensitivity, emotional approach coping, panic attack frequency, panic‐related disability, panic symptom severity and depressive symptom severity. Participants with more severe depressive symptoms reported greater anxiety sensitivity, panic attack frequency, panic symptom severity, panic‐related disability and lack of emotional approach coping. The particular anxiety sensitivity dimension of fear of cognitive dyscontrol and lack of emotional approach coping emerged as the best predictors of depressive symptom severity. Findings are discussed in terms of their implications for the improved understanding of this co‐morbidity, as well as its treatment.     

Guilty,But Not Ashamed: “True” Self‐Conceptions Influence Affective Responses to Personal Shortcomings

The current research examined how true self‐conceptions (who a person believes he or she truly is) influence negative self‐relevant emotions in response to shortcomings. In Study 1 (N = 83), an Internet sample of adults completed a measure of authenticity, reflected on a shortcoming or positive life event, and completed state shame and guilt measures. In Study 2 (N = 49), undergraduates focused on true versus other determined self‐attributes, received negative performance feedback, and completed state shame and guilt measures. In Study 3 (N = 138), undergraduates focused on self‐determined versus other determined self‐aspects, reflected on a shortcoming or neutral event, and completed state shame, guilt, and self‐esteem measures. In Study 4 (N = 75), undergraduates thought about true self‐attributes, an achievement, or an ordinary event; received positive or negative performance feedback; and completed state shame and guilt measures. In Study 1, differences in true self‐expression positively predicted shame‐free guilt (but not guilt‐free shame) following reminders of a shortcoming. Studies 2–4 found that experimental activation of true self‐conceptions increased shame‐free guilt and generally decreased guilt‐free shame in response to negative evaluative experiences. The findings offer novel insights into true self‐conceptions by revealing their impact on negative self‐conscious emotions.     

Perceived reasons for the negative impact of cyberbullying and traditional bullying

We investigated what perceived reasons may be involved in the negative feelings that a victim of bullying may have, and how these relate to four forms of bullying (direct traditional bullying, indirect traditional bullying, cyberbullying public forms, and cyberbullying private forms). In Study 1, nineteen Swedish pupils participated in focus groups to elicit a range of perceived reasons for negative emotional experiences when bullied, yielding reasons of Publicity, Threat, Lack of effective coping strategies, Lack of social support, Persistence, No escape and Anonymity. In Study 2 we investigated how relevant these seven reasons were for the four types of bullying, with 499 Swedish pupils aged 12–16 years. Reasons differed by age, gender, and type of bullying. Findings are discussed in relation to coping and support strategies for different types of bullying.     

Help seeking amongst child and adolescent victims of peer‐aggression and bullying: The influence of school‐stage,gender, victimisation,appraisal, and emotion

Background: An important element of many anti‐bullying programmes is encouraging victims to tell someone about their predicament. Research has already reported prevalence of telling, who/when children tell and efficacy of telling. However, seeking help can be viewed as a coping behaviour, and coping processes such as appraisal and emotion may be important predictors of whether pupils ask for help. Aims: To examine the effects that background variables (gender, school‐stage), victimisation (duration, frequency), appraisal (threat, challenge, control) and negative emotion have upon support seeking by child and adolescent victims of peer‐aggression and bullying. To also examine how effective pupils perceive social support to be. Sample: Participants were 830 children (49% male) aged 9–14 years. Three hundred and seventeen pupils were in Primary 6, 307 in Secondary 2 and 206 in Secondary 3. Method: A self‐report bullying questionnaire was completed by the participants within their classes. Questionnaires included items relating to victimisation, appraisal, emotion, and coping strategy choice as well as demographic data. Results: Hierarchical multiple regression analysis revealed that gender, challenge appraisals, and emotions were significant predictors of the degree to which child and adolescent victims of peer‐aggression and bullying sought help (accounting for 15.8% of the variance): girls were more likely than boys to seek help, as were pupils with high challenge appraisals or those experiencing high levels of negative emotion. Also, girls were more likely than boys to view support as the best strategy for both stopping bullying and for helping them to feel better. Conclusion: Results suggest that pupils are more willing to seek help when they see the situation as one in which something can be achieved. Pupils also may be seeking support to get help coping with negative emotions, and this may need to be emphasized to teachers.     

Long-term Consequences of Childhood Bullying in Adults who Stutter: Social Anxiety,Fear of Negative Evaluation,Self-esteem,and Satisfaction with Life

Purpose: Psychosocial disorders have been reported in adults who stutter, especially social anxiety disorder. Social anxiety has been linked to childhood victimization. It is possible that recalled childhood victimization could be linked to psychosocial problems reported in some adults who stutter.Method: Participants were 36 adults who stutter and 36 adults who do not stutter (mean age = 21.9 years). The Retrospective Bullying Questionnaire was completed for primary school, secondary school and university environments for physical, verbal, relational and cyber bullying. Participants were categorized into one of five groups (bully, victim, bully-victim, bystander and uninvolved) based ontheir responses. Participants completed four psychosocial scales: social interaction anxiety, fear of negative evaluation, self-esteem and satisfaction with life scales.Results: The two groups differed with adults who stutter having higher social interaction anxiety, fear of negative evaluation and satisfaction with life. Analyses of variance revealed that victims had the highest scores among both groups on all four scales.Conclusion: Adults who recalled being victimized during childhood were more likely, regardless of whether they stutter or did not stutter, to have poorer psychosocial scale scores. These results show the lingering effects of childhood victimization, common in some children who stutter, may contribute to the reported psychosocial problems in adulthood. The need for early intervention for children who are bullied and future research with larger samples is warranted.     

The use of coping strategies by Danish children classed as bullies, victims, bully/victims, and not involved, in response to different (hypothetical) types of bullying

The coping strategies employed in response to different types of bullying, by 305 Danish children (142 boys, 163 girls) in school years four to nine (aged 10-15 years), were investigated. Children were classed into four bully-victim status types. A revised version of the Olweus Bully/Victim Questionnaire was used for the classification of children, and a Self-Report Coping Measure for the investigation of coping strategies. The coping strategy of Externalizing was used significantly more by children classed as bully/victims compared with victims and not involved children: Seeking Social Support and Internalizing were preferred significantly more by girls, whereas Externalizing was preferred significantly more by boys; Distancing, Seeking Social Support, and Internalizing were favored significantly more by children in years four to six compared with children in years seven to nine. Looking at coping strategies in response to different types of bullying, Seeking Social Support was used significantly more in response to attack on property relative to verbal bullying, social exclusion, and indirect bullying, and Distancing was used significantly less in response to attack on property compared with any of the other types of bullying. The results are discussed in relation to implications for educational practice.     

Lesbian,gay, bisexual,and transgender youth: Limited representation in school support personnel journals

Many lesbian, gay, bisexual, and transgender (LGBT) youth experience harassment and discrimination in schools and these experiences lead to increased negative social-emotional outcomes. Youth who can identify at least one supportive adult at school report better outcomes than youth who cannot identify a safe adult. Yet, many educators report feeling uncomfortable or unprepared to support LGBT youth. One reason for educators' discomfort may be that content related to issues unique to LGBT youth is sometimes missing or covered minimally in university training programs. We hypothesized that LGBT content may be covered minimally in school support personnel journals, as well. This study analyzed eight school support personnel journals across the disciplines of school counseling, school nursing, school psychology, and school social work for LGBT content published between 2000 and 2014 to gain a better understanding of the visibility of LGBT issues in the research. Results suggested that there has been a lack of presence of LGBT issues in journals across disciplines. These results also suggest a need for an intentional focus on issues relevant to LGBT youth in school support personnel journals. Thus, the article concludes with an introduction to two articles in this special topic section, including Russell, Day, Ioverno, and Toomey's (in this issue) study on teacher perceptions of bullying in the context of enumerated school policies and other supportive sexual orientation and gender identity related practices and Poteat and Vecho's (in this issue) study on characteristics of bystanders in homophobic bullying situations. The broad goal of these three studies is to increase visibility of critical LGBT issues in school support personnel journals.     

Addressing disparities: The impact of a lesbian,gay, bisexual,and transgender graduate counselling course

Background: Lesbian, gay, bisexual and transgender (LGBT) individuals experience serious mental health disparities and treatment inequities. Counsellor education has been identified as both a contributing factor to these problems as well as an ameliorating mechanism to address these inequalities. Aim: The purpose of the current study was to evaluate the impact of an LGBT‐affirmative counselling course. Method: A total of 23 students enrolled in a graduate LGBT counselling course were administered the Sexual Orientation Counselor Competency Scale (SOCCS, Bidell, 2005) and the Lesbian, Gay, and Bisexual Affirmative Counseling Self‐Efficacy Inventory (LGB‐CSI, Dillon & Worthington, 2003) pre‐ and post‐course. In addition, a comparison group of 23 matched counselling students was obtained from an existing data source in order to make further assessments of the course's effectiveness. Those in the comparison group were not enrolled in the LGBT course, but were administered the SOCCS at analogous time intervals. Results: After completing the LGBT course, enrolled students demonstrated significant improvements regarding their sexual orientation counsellor competency and self‐efficacy. In addition, these students showed significant gains in SOCCS scores versus those in the comparison group. Implications: Results from this study show the positive effect a full‐credit LGBT psychotherapy course can have on graduate counselling students' sexual orientation counsellor competency and self‐efficacy. The findings also indicate that such a course can significantly impact counselling skills, a facet of LGBT cultural competency found to be the most attenuated. Findings are discussed in conjunction with LGBT‐affirmative counsellor training and clinical practice.     

The effect of fear‐inducing content on memory for advertisements and on retroactive and proactive interference of programme information

The current study focused on whether fear‐inducing content in television advertisements leads to better memory for the advertisement but also impairs memory for programme information that either precedes the advertisements (retroactive interference) or that follows the advertisements (proactive interference). Fifty‐four participants (48 female) aged 18 to 55 watched a programme that had an advertisement break in the centre. This consisted of 6 advertisements with either fear‐inducing or nonfear‐inducing content. Participants were tested on their recall and recognition of the advertisement information as well as their recall of the first half and second half of the programme. The results indicated that fear‐inducing advertisements were better recalled than those that elicited no fear, and there was also evidence of proactive interference from fear‐inducing advertisements on programme recall. Limitations and implications of the study are discussed.     

Can Self-Reassurance Buffer against the Impact of Bullying? Effects on Body Shame and Disordered Eating in Adolescence

Bullying experiences are associated with body image and eating-related problems. Nonetheless, research on possible resilience factors is scant. The current study tested a path model examining the association between emotional memories of experiences of warmth and safeness, and self-reassuring abilities, and whether these abilities moderate the impact of bullying experiences on body image shame and eating psychopathology. We tested this model in a nonclinical sample of 609 adolescent girls aged 12–18 years. The examined model accounted for 22?% of body image shame variance and 51?% of eating psychopathology variance. Memories of warmth and safeness were significantly associated with self-reassurance, and negatively linked to body image shame and eating psychopathology. Self-reassurance significantly moderated the association between bullying experiences and both body image shame and eating psychopathology. The present findings suggest the relevance of assessing the quality of interpersonal experiences reported by adolescents and their potential association with self-reassuring abilities. Moreover, these results suggest that the ability to reassure and soothe the self may have a buffering effect against the negative impact of bullying experiences on adolescents’ body image and eating behaviors.     

Self‐focused attention and social anxiety

Cognitive models propose that self‐focused attention (SFA) interacts with fear of negative evaluation to maintain social anxiety. Thus, the effect of SFA on anxiety would be expected to be specific to those with existing social concerns. However, much research suggests that the effect of SFA on anxiety occurs across anxiety levels. Manipulations of attention focus have been criticised for (1) lack of ecological validity and (2) eliciting fear of negative evaluation directly. The present study examined the role of SFA in social anxiety using an ecologically valid procedure that did not elicit fear of negative evaluation directly. Self‐reported anxiety was assessed among high and low socially anxious individuals under conditions of SFA or external‐focused attention. The manipulation successfully altered focus of attention but did not directly affect fear of negative evaluation or self‐reported anxiety. Taken together with the findings of previous studies, the results suggest that focusing on internal physiological states per se does not increase self‐reported social anxiety, and that self‐focus that does not have an explicitly evaluative dimension does not elicit social anxiety. The findings have implications for approaches to reducing social anxiety through reducing SFA.     

Above and beyond emotional valence: the unique contribution of central and traumatic shame memories to psychopathology vulnerability

This paper explores whether shame memories have a distinct impact on emotional difficulties and psychopathology that goes beyond their negative emotional valence. Study 1 (N=292) investigates the contribution of centrality of shame memory, in comparison to the centrality of fear and sadness memories, to explain the memory's traumatic impact, shame, depression, anxiety, stress, paranoid, and dissociative symptoms. Study 2 (N=192) explores the impact of shame traumatic memory on shame and depression, anxiety, and stress symptoms, in comparison to fear and sadness traumatic memories. Both studies used undergraduate student samples. Results show that shame memories' centrality and traumatic features made an independent contribution to current external and internal shame and distinct psychopathological symptoms, after controlling for the effect of fear and sadness, centrality, and traumatic qualities. Moreover, shame memories' centrality and traumatic features were the best global predictors of external and internal shame and depressive symptoms. Centrality of shame memories was also the only significant predictor of paranoid ideation and dissociation. These results offer novel perspectives on the nature of shame and its relation to psychopathology, emphasising the distinct role of shame memories in human functioning and suffering, which goes above and beyond its negative emotional valence.     

Subjective impact, meaning making, and current and recalled emotions for self-defining memories

Two studies examined the impact of self-defining events on individuals (i.e., subjective impact), meaning making with regard to these events, and how subjective impact may account for the pattern of current and recalled emotions for these self-defining memories (Singer & Moffitt, 1991-1992). In Study 1, participants recalled self-defining memories, indicating how much impact the recalled events have had on them and described meaning making for these events. Subjective impact was shown to be a good marker for meaning making. Participants in Study 2 each recalled five self-defining memories, reporting their current emotions about the events, the emotions they recalled feeling at the time, and the impact the events have had on them. As expected, for negative memories, people reported less negative emotion (e.g., sadness) and more positive emotion (e.g., pride) compared to how they recalled feeling at the time. For positive memories, people reported equally intense positive emotion (e.g., love) and less negative emotion (e.g., fear) compared to how they recalled feeling at the time. These patterns of current and recalled emotions were accounted for by impact ratings.     

Profiles of non‐victims,escaped victims,continuing victims and new victims of school bullying

Background: Victims of school bullying are known to be at risk in peer relationships and to sometimes use ineffective coping strategies, but little previous research has examined differences among escaped victims, continuing victims and new victims. Aim: A follow‐up design compared friendships, behavioural characteristics, victimisation experiences and coping strategies of pupils who had 2 years previously answered a questionnaire identifying themselves as victims (V) or non‐victims (NV) of school bullying and whose current victim status could be identified. Sample: 406 pupils aged 13–16 years (190 boys, 216 girls): 175 non‐victims (NV‐NV), 146 escaped victims (V‐NV), 27 new victims (NV‐V) and 58 continuing victims (V‐V). Method: Structured interviews were given to pupils, together with the SDQ. Teachers also filled in the SDQ. School records of attendance were obtained. Results: Escaped victims did not differ greatly from non‐victims, but had some self‐perception of continuing peer relationship difficulties. Continuing victims, irrespective of gender, liked other pupils and breaktime less (but did not dislike other aspects of school), had fewer friends in school (but not outside school), more often missed school (sometimes because of bullying), scored high on problem scales of the SDQ, and were more likely to be involved in bullying others as well as being bullied. New victims tended to resemble continuing victims. Continuing victims did not differ from escaped victims on type of bullying, but new and continuing victims less often reported talking to someone about a specific incident of bullying. Most victims gave mainly victim‐related reasons for the bullying having taken place. Conclusion: The results are discussed in relation to why some pupils become or continue to be victims in secondary school, and recommendations for anti‐bullying procedures in schools designed to help such victims.     

Above and beyond emotional valence: The unique contribution of central and traumatic shame memories to psychopathology vulnerability

This paper explores whether shame memories have a distinct impact on emotional difficulties and psychopathology that goes beyond their negative emotional valence. Study 1 (N=292) investigates the contribution of centrality of shame memory, in comparison to the centrality of fear and sadness memories, to explain the memory's traumatic impact, shame, depression, anxiety, stress, paranoid, and dissociative symptoms. Study 2 (N=192) explores the impact of shame traumatic memory on shame and depression, anxiety, and stress symptoms, in comparison to fear and sadness traumatic memories. Both studies used undergraduate student samples. Results show that shame memories' centrality and traumatic features made an independent contribution to current external and internal shame and distinct psychopathological symptoms, after controlling for the effect of fear and sadness, centrality, and traumatic qualities. Moreover, shame memories' centrality and traumatic features were the best global predictors of external and internal shame and depressive symptoms. Centrality of shame memories was also the only significant predictor of paranoid ideation and dissociation. These results offer novel perspectives on the nature of shame and its relation to psychopathology, emphasising the distinct role of shame memories in human functioning and suffering, which goes above and beyond its negative emotional valence.     

Bullying bystander behaviors: The role of coping effectiveness and the moderating effect of gender

Researchers have suggested that bystander behaviors and victim coping play an important role in counteracting the negative effects of bullying. The current study investigated the relationship between students’ ratings of coping effectiveness when addressing bullying and their behaviors as bystanders when witnessing bullying. Surveys were administered in a Midwestern, suburban school district. Some associations between perceptions of coping effectiveness and bystander behavior supported our hypotheses (e.g., constructive coping associated with defending bystander behaviors, externalizing associated with pro-bullying behaviors). However, some findings did not support hypothesized relationships. For example, higher ratings of effectiveness for cognitive distancing as a coping strategy were associated with increased defending behaviors as a bystander. Gender moderated some of these relationships. Pro-bullying bystander behavior was associated with increased ratings of cognitive distancing and decreased reports of constructive coping effectiveness for girls. Implications for future research and practice are discussed.     

Shame,guilt, and facial emotion processing: initial evidence for a positive relationship between guilt-proneness and facial emotion recognition ability

Shame and guilt are closely related self-conscious emotions of negative affect that give rise to divergent self-regulatory and motivational behaviours. While guilt-proneness has demonstrated positive relationships with self-report measures of empathy and adaptive interpersonal functioning, shame-proneness tends to be unrelated or inversely related to empathy and is associated with interpersonal difficulties. At present, no research has examined relationships between shame and guilt-proneness with facial emotion recognition ability. Participants (N?=?363) completed measures of shame and guilt-proneness along with a facial emotion recognition task which assessed the ability to identify displays of anger, sadness, happiness, fear, disgust, and shame. Guilt-proneness was consistently positively associated with facial emotion recognition ability. In contrast, shame-proneness was unrelated to capacity for facial emotion recognition. Findings provide support for theory arguing that guilt and empathy operate synergistically and may also help explain the inverse relationship between guilt-proneness and propensity for aggressive behaviour.