Fantasized recipient-donor relationships following lung transplantations: a qualitative case analysis based on patient narratives

The present study examines the relationships between lung transplant recipients and their unknown, deceased donors. Out of 20 semi-structured interviews, eight narratives, by three female and three male recipients respectively, were identified in which the figure of the donor played a role. These narratives were examined using JAKOB, a qualitative research tool that analyses relational configurations and diagnoses psychodynamic conflicts. Analysis revealed a broad range of varying themes and relationships with equally varying wish and fear themes. All the narrators dealt either explicitly or implicitly with whether and how they are connected to their donors. In five narratives, specific personality traits were attributed to the figure of the donor; in four narratives, latent feelings of guilt concerning the donor's death were expressed. Indeed, the figure of the donor was not always perceived as an independent person, separate from the narrator's self: in two cases, the donor appears as part of the recipient's self, while in another case, the donor is presented as a transitional object for the recipient. The findings of the narrative analysis are discussed within a theoretical model of psychical organ integration.     

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.     

Parental shame and guilt: Distinguishing emotional responses to a child's wrongdoings

This research differentiates shame and guilt as distinct emotional reactions that parents in the United States can have for their children's misdeeds. In Study 1, when 93 parents wrote about their child's worst transgression, their ratings of perceived public exposure and threat to their self‐image predicted shame, whereas the degree to which they felt a lack of control over their child and believed the act harmed others predicted guilt. In Study 2, when 123 mothers rated their reactions to an imagined wrongdoing, the presence of a critical observer tended to elevate shame but not guilt. Across both studies, guilt predicted adaptive parenting responses, whereas, shame predicted maladaptive responses. The discussion emphasizes the implications that self‐conscious emotions have for family dynamics.     

When two are a family: looking backward and looking forward in a group intervention with single‐by‐choice mothers

Objective: We describe a preventive short‐term group intervention with nine single‐by‐choice (SBC) mothers to provide maximal support for parental functioning and to minimize possible emotional and/or developmental difficulties in their children. Method: Dynamically oriented group work (fifteen one‐and‐a‐half‐hour sessions) focused on: elaboration of painful experiences in the peri‐natal period; reducing stress, tension and guilt; helping mothers with problematic aspects of parenting through work on parental self‐image and perceptions of the child and the dyadic interaction; and strengthening their acceptance of the chosen family model. Results: Therapeutic gains described by mothers and facilitators include: reduced tension, anxiety and guilt; improved integration of the mother's parental self‐image and perception of the child; reduced ambivalence in dyadic relationships; strengthening the mother's fantasized triadic relationships; better acceptance of chosen family pattern; mothers' willingness to tell children their birth story. Conclusion: Dynamically oriented preventive group intervention with SBC mothers can identify potential psychological risk factors and help mothers with sensitive aspects of parenting.     

Linking Emotion to the Conflict Face‐Negotiation Theory: A U.S.–China Investigation of the Mediating Effects of Anger,Compassion, and Guilt in Interpersonal Conflict

This study linked emotion to the theoretical assumptions of the face‐negotiation theory and probed the critical role of anger, compassion, and guilt in understanding the complex pathways of their relationships with self‐construal, face concerns, and conflict styles in U.S. and Chinese cultures. Results showed that anger was associated positively with independent self‐construal, self‐face concern, and the competing style, and compassion was associated positively with interdependent self‐construal, other‐face concern, and the integrating, compromising, and obliging styles. Guilt was related positively with interdependent self‐construal and the obliging style in the United States, and with interdependent self‐construal and the avoiding style in China. Overall, emotion mediated the effects of self‐construal and face concerns on conflict styles in both cultures, but cultural differences also emerged.     

补偿他人还是保护自己?内疚与羞耻情绪对合作行为的影响差异

作为两种常见且易被混淆的自我意识情绪, 诸多研究者对内疚和羞耻的产生前因及影响后效进行研究, 尤其是近年来的研究逐渐关注两者对合作行为的影响。我们通过对已有研究进行梳理发现, 内疚和羞耻对合作行为的影响及其机制存在差异, 内疚的影响更为稳定及具有普适性, 羞耻的影响具有复杂性和多样性, 更容易受到其他因素的影响。内疚和羞耻对合作行为的不同影响可从动机机制和调节机制两方面进行解释。首先, 动机机制包括内疚对他人的补偿、修复动机以及羞耻对自我的保护、修复动机。内疚对他人的补偿、修复动机主要体现在维护社会互动中的公平; 弥补对他人造成的伤害, 降低自己和他人的痛苦; 修复人际关系, 重新获得他人或自己的接纳与认同。羞耻对自我的保护、修复动机主要体现在释放消极的情绪状态; 维护积极的自我形象和声誉, 修复自我; 保护自我, 防止后续伤害及不良后果。总体而言, 内疚者关注过失行为及后果, 侧重于对受害他人的补偿或对与他人关系的修复, 而羞耻者关注整体自我的受损, 侧重于对自我的保护和对自己社会形象的修复, 基于此, 我们在前人研究的基础上构建了内疚与羞耻影响合作行为的动机机制对比模型图。其次, 调节机制涉及到个体因素和情境因素的调节作用, 其中个体因素包括认知因素、社会价值取向、自我控制能力、情绪特质和情绪状态, 情境因素包括暴露情境和掩蔽情境、实验情境和日常情境、相关情境和不相关情境。具体而言, 内疚对合作行为的影响的较少受情境的限制, 而羞耻受情境因素限制较多, 在暴露情境、相关情境中更能促进合作行为的产生, 而在掩蔽情境、不相关情境中, 羞耻较难影响个体的合作抉择, 且无论是实验室情境还是日常情境, 内疚似乎都比羞耻更易影响合作。最后, 鉴于内疚与羞耻的诱发和测量方法的有效性仍需检验, 两种情绪对合作行为影响的过程机制和生理机制仍不明晰, 个体因素影响的研究尚不充足以及跨文化研究较为缺乏, 未来研究可以从内疚和羞耻诱发与测量方法的有效性, 情绪作用发生的内在过程和生理机制, 情绪影响的个体和文化差异这几方面进行扩展和深挖。     

The anxiety buffering function of close relationships: mortality salience effects on the readiness to compromise mate selection standards

This research examines the utility of a terror management approach to understanding the motivations and emotional consequences of compromise in mate selection. One hundred and sixty‐eight undergraduates completed a self‐esteem scale and a scale tapping ideal mate characteristics, and were then assigned either to a mortality salience, physical pain salience, or neutral condition. Half of the participants rated their readiness to compromise ideal mate standards and the remaining half completed a neutral scale. Then, participants completed a scale tapping their emotional state. Mortality salience led participants to significantly compromise their mate requirements. This effect seemed to be most pronounced among high self‐esteem participants who also experienced the greatest amount of guilt when compromising under mortality salient conditions. Low self‐esteem participants who compromised under mortality salient conditions reacted with higher levels of shame. The results are discussed in terms of the anxiety buffering functions of close relationships. Copyright © 2002 John Wiley & Sons, Ltd.     

Couples' narratives of shared‐self,possessions and consumption experiences

How consumers use possessions and consumption to enact their shared‐self has been underexplored in earlier consumer research. The purpose of this paper is to investigate the emergence of couple‐level (or partnered) shared‐self. A narrative research method was used in Hong Kong, which allowed for an inter‐temporal narrative about the informants' important possessions. Our findings revealed key characteristics regarding the way in which informants' interpretations of shared selves developed over time. This included sharing and negotiating resources (e.g., a house or money) with their partners, integrating similar perspectives (e.g., interests and lifestyle) to their partners', and including their partners as part of the self. This study provides the basis for future research to see how these findings hold up at other stages of partnered relationships. This research provides a conceptualization – a temporal model of couples' shared‐self – that could contribute to and enhance the existing literature on the interrelationship between possessions and the extended self. Copyright © 2016 John Wiley & Sons, Ltd.     

Why Narcissists are Unwilling to Apologize: The Role of Empathy and Guilt

We hypothesized that narcissists would be unwilling to apologize for their interpersonal transgressions, and that reduced levels of self‐reported empathy and guilt would serially mediate this effect. Narcissism is characterized by little empathy for the victim, which reduces guilt about one's transgressions. Low guilt, in turn, is associated with unwillingness to apologize. In Study 1, we assessed dispositional narcissism, empathy, guilt, and willingness to apologize. In Study 2, we assessed dispositional narcissism and obtained state measures of empathy, guilt, and willingness to apologize. In Study 3, we manipulated narcissism and collected state measures of empathy, guilt, and willingness to apologize. Narcissism was negatively associated with (Studies 1–2) and decreased (Study 3) willingness to apologize, with this link being explained (i.e., serially mediated) by low empathy and guilt. Finally, in Study 4, we showed that antagonistic narcissism (i.e., narcissistic rivalry), but not agentic narcissism (i.e., narcissistic admiration), was negatively associated with willingness to apologize and apologizing behaviour. In all, narcissists are unwilling to apologize for their transgressions, as they experience little empathy for their victims and lower guilt. Copyright © 2017 European Association of Personality Psychology     

Narrative Processing: Building Consumer Connections to Brands

This article proposes that narrative processing creates or enhances self‐brand connections (SBC) because people generally interpret the meaning of their experiences by fitting them into a story. Similarly, in response to an ad that tells a story, narrative processing may create a link between a brand and the self when consumers attempt to map incoming narrative information onto stories in memory. Our approach rests on the notion that a brand becomes more meaningful the more closely it is linked to the self. We conceptualize this linkage at an aggregate level in terms of SBCs, that is, the extent to which consumers have incorporated the brand into their self‐concepts. The results of an experiment show that narrative processing in response to a narratively structured ad is positively related to SBCs, which in turn have a positive relation with brand attitudes and behavioral intentions.     

Narrative self-appropriation: embodiment,alienness, and personal responsibility in the context of borderline personality disorder

It is often emphasised that persons diagnosed with borderline personality disorder (BPD) show difficulties in understanding their own psychological states. In this article, I argue that from a phenomenological perspective, BPD can be understood as an existential modality in which the embodied self is profoundly saturated by an alienness regarding the person’s own affects and responses. However, the balance of familiarity and alienness is not static, but can be cultivated through, e.g., psychotherapy. Following this line of thought, I present the idea that narrativising experiences can play an important role in processes of appropriating such embodied self-alienness. Importantly, the notion of narrative used is that of a scalar conception of narrativity as a variable quality of experience that comes in degrees. From this perspective, narrative appropriation is a process of gradually attributing the quality of narrativity to experiences, thereby familiarising the moods, affects, and responses that otherwise govern ‘from behind’. Finally, I propose that the idea of a narrative appropriation of embodied self-alienness is also relevant to the much-debated question of personal responsibility in BPD, particularly as this question plays out in psychotherapeutic contexts where a narrative self-appropriation may facilitate an increase in sense of autonomy and reduce emotions of guilt and shame.     

From pleasure and pride to the fear of decline: Exploring the emotions in older women's physical activity narratives

ObjectivesThe purpose of this study was to explore the emotion narratives in older women's ageing body and physical activity-related stories.MethodThe study was informed by narrative inquiry. We conducted two semi-structured interviews with 21 women aged 65 to 94 and asked them about their physical activity engagement, and body perceptions, experiences, and management strategies. Using thematic narrative analysis, we analysed the content of participants’ stories pertaining to physical activity, the core patterns within them, and considered the cultural context in which they were embedded.ResultsEmotion narratives of anxiety/fear, shame, guilt, pride, and pleasure permeated the women's stories. Participants feared physical and cognitive decline, and engaged in physical activity to stave off the ageing process. Body-related shame and guilt transected their stories; they were frustrated by their inabilities to engage in certain activities and with their move away from the healthy and physically fit cultural ideal. To negotiate this body-related anxiety/fear, shame, and guilt, the women drew attention to their accomplishments in the physical domain with pride, reinforcing their efforts to take personal responsibility for their health. Participants were also physically active for pleasure, gaining satisfaction from the social connections and mindfulness derived from being active, and through their participation in challenging yet rewarding activities.ConclusionsThe findings are novel as they highlight the importance of cultural age and body norms coupled with complex emotional experiences in shaping later life physical activity experiences, and draw attention to the usefulness of stories to explore emotions in the physical domain.     

Shame and Guilt—Do They Really Differ in Their Focus of Evaluation? Wanting to Change the Self and Behavior in Response to Ingroup Immorality

Shame and guilt are often theorized to differ on a self versus behavior focus. However, we propose that this is not true when taking a group perspective. In our field study, 196 communal participants were confronted with historical ingroup immorality. Results showed that participants who were old enough to have understood what happened in that time-period felt more guilt and shame than did those who were too young. Partly due to their ingroup anger, shame motivated an intention to change the ingroup self and behavior. In contrast, partly due to personal anger, guilt motivated an intention to change personal self and behavior. This suggests that the distinction between shame and guilt are not as clear-cut as previous research have assumed.     

Small or Big in the Eyes of the Other: On the Developmental Psychopathology of Self-Conscious Emotions as Shame,Guilt, and Pride

The self-conscious emotions of guilt, shame, and pride typically occur when people evaluate their own self through the eyes of another person. This article will first of all discuss the nature and function of self-conscious emotions, and describe their developmental course in children and adolescents. Then, a number of variables are discussed that are thought to increase young people’s proneness to experience self-conscious emotions. Following this, the empirical evidence on the relationships between guilt, shame, and pride and various types of psychopathology in children and adolescents will be summarized. A model is presented to explain why these self-conscious emotions are associated with a diversity of psychopathological outcomes. Finally, recommendations for clinical practice are made in terms of assessment and interventions targeting the origins and sequelae of self-conscious emotions.     

Mother–child and metapelet–child touch behavior with three‐year‐old kibbutz children in two contexts

The frequency and function of self‐touch and of touching another was studied among 32 three‐year‐old kibbutz children, their mothers, and their metaplot [caretakers; singular: metapelet] in two contexts: coconstruction of a narrative with Duplo toys, and coconstruction of a narrative with an emotion‐evoking picture book without text. Self‐touch, mainly fidgeting, was more frequent for children during the task with the picture book and more frequent for adults during the task with the Duplo toys. Mothers and children touched each other more often than metaplot and children. Adults' touches of the children were perceived as either expressions of affection or as acts of grooming and were task‐related. The children's touching of the adults was mainly task‐related. It appears that self‐touch is for children and adults alike a mode of self‐regulation of mild stress and that touching the other has a wide range of functions, especially in intimate relationships. ©2003 Michigan Association for Infant Mental Health.     

Self‐Harm Focus Leads to Greater Collective Guilt: The Case of the U.S.‐Iraq Conflict

Collective guilt from harm one's group has caused an out‐group is often undermined because people minimize or legitimize the harm done (i.e., they generate exonerating cognitions). When a group action has harmed both the in‐group and an out‐group, focusing people on “self‐harm”—ways in which the in‐group has harmed itself—may elicit more collective guilt because self‐harm is less likely to be exonerated. In Study 1, American participants who focused on how the invasion of Iraq had harmed the United States expressed greater collective guilt over harm inflicted on the people of Iraq than those who focused on Iraqi suffering. Study 2 showed that this effect is due to reductions in exonerating cognitions among people focused on self‐harm. We consider the implications of these findings for intergroup reconciliation, particularly in situations where two groups have been involved in open conflict.     

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.     

Guilt and Guiltlessness: An Integrative Review

This paper reviews the relationship between guilt and prosocial behaviors, and integrates multiple antisocial phenomena with the construct of guiltlessness both at the interpersonal and intergroup level. Interpersonal guilt is basically prosocial and introspective. Collective guilt is the vicarious acceptance of misdeeds of the ingroup. Yet it is sometimes so painful and detrimental for the individual and the society to tolerate guilt that people do not feel guilty, especially when the possibility of reparation is low. We argue that guilt is the acceptance of the mildly undesirable self whereas guiltlessness is the rejection of unbearable mental distress of anticipatory guilt. Guiltlessness requires great efforts for defense and justification. Multiple strategies and justifications are sought to relieve guilt. Furthermore, guiltlessness is related to various personality and ideology variables and entails moral disengagement. Guiltlessness can be destructive because, for example, during times of large‐scale conflicts ordinary people who feel guiltless are inclined to become ruthless. Reciprocity morality, ostracism, deservingness, empathy, and self‐control are proposed as means of explaining the origins of guilt and their implications for guiltlessness.     

The Effect of Shame‐Proneness,Guilt‐Proneness,and Internalizing Tendencies on Nonsuicidal Self‐Injury

Nonsuicidal self‐injury is especially common in adolescents and young adults. Self‐injury may be related to shame or guilt—two moral emotions—as these differentially predict other maladaptive behaviors. Using a college sample, we examined not only how shame‐proneness, guilt‐proneness, and internalizing emotional tendencies related to self‐injury, but also whether these moral emotions moderate the relation between internalizing tendencies and self‐injury. High shame‐proneness was associated with higher frequencies of self‐injury. High guilt‐proneness was associated with less self‐injury, although this effect was mitigated at higher levels of internalizing tendencies. These results suggest shame‐proneness is a risk factor for self‐injury, while guilt‐proneness is protective.     

More than enough guilt to go around: oedipal guilt, survival guilt, separation guilt

The concepts of oedipal guilt, survivor guilt, and separation guilt are examined using clinical material from a child case to demonstrate the intermingling of these constructs. A brief review of their evolution in the psychoanalytic literature reveals a frequent conflation of the terms guilt and fear, the former at times standing in for both meanings. The fear/guilt distinction and the subsequent differentiation of guilt into oedipal, survivor, and separation guilt have implications for how analysts understand and interpret particular kinds of clinical material. Two sets of adult clinical data are next presented: the first illustrates a shift from interpreting a patient's fear of retribution for forbidden desires to interpreting guilt over pursuing those desires. The second vignette illustrates a common dynamic in which a patient's fear/anxiety regarding the ability to lead an independent life defends against deeper feelings of guilt over this same desire. This latter dynamic can play an important role in negative therapeutic reactions and interminable analyses. Developmental research suggests that toward the end of the first year of life, infants' capacity to attribute independent mental states and intentionality to self and others allows for the rudimentary experience of guilt.