At the Point of Death—A Case Study

In 1979 Pastoral Psychology published my first autobiographical case study: the story of a near-fatal automobile accident, collateral damage of a high speed police chase in downtown Chicago. Providence was evident in my survival of that collision, as well as in the present case study: a massive heart attack during a psychotherapy session in 2001. By comparing these two crises, I find that I must call into focus a psychological propensity: if a near-fatal experience occurs from the “outside in” (e.g. automobile accident), guilt may well surface as the emotion of conflict; but if a near-fatal experience occurs from the “inside out” (e.g. heart attack), the emotion of conflict may emerge as shame. In the former the body is assaulted; in the latter it revolts.     

羞愧研究综述

近年来羞愧作为自我意识情绪研究中一个重要的主题而再度得到心理学家的关注,本文从羞愧的概念、发展理论、羞愧和内疚的差异研究、羞愧的动机作用等几个方面总结了对羞愧的研究结果,在此基础上探讨该领域未来的研究趋势。     

When Self-Blame Is Rational and Appropriate: The Limited Utility of Socratic Questioning in the Context of Moral Injury: Commentary on Wachen et al. (2016)

In this commentary, we argue that a generally sound therapeutic technique—Socratic questioning—is ill-suited to address a common variant of combat-related emotional and psychological distress. Specifically, moral injury is a term used to describe a syndrome of shame, self-handicapping, anger, and demoralization that occurs when deeply held beliefs and expectations about moral and ethical conduct are transgressed. Importantly, moral injury can and often does result from instances of intentional perpetration. We contend that challenging the accuracy of self-blame in such cases is conceptually problematic and potentially harmful. Such an approach is based on a questionable premise—i.e., that self-blame and resulting guilt are inherently illogical or inaccurate. Though this is often the case, it is not invariably so. We briefly describe an alternate approach—Adaptive Disclosure—that allows for accurate and legitimate self-blame when warranted but also promotes the possibilities of self-forgiveness, compassion, and moral reparation.     

自尊、归因方式与内疚和羞耻的关系研究

通过对1040名中学生施测问卷,建立自尊、归因方式与内疚和羞耻的结构方程模型。结果表明：1）自尊与内疚和羞耻呈显著正相关,归因方式与内疚或羞耻呈显著负相关;2）自尊是归因方式与内疚和羞耻之间的中介变量,归因方式对自尊的直接作用大于对内疚和羞耻的直接作用,对内疚和羞耻的间接作用大于直接作用;3）个体对内疚事件更倾向于内归因,对羞耻事件更倾向于外归因。     

Aggression in Malaysian adolescents: Validation of the IRPA self-report to measure reactive and proactive aggression

Motives for aggression can be reactive or proactive. While research on these motives for aggression exists in Western societies, little is known about their prevalence in a non-Western society such as Malaysia. The first step to narrow this gap is to validate an instrument, which measures levels of reactive and proactive aggression. In the present study we translated the instrument for reactive and proactive aggression (IRPA) self-report, and examined its psychometric properties in 957 Malaysian adolescents. Participants completed the IRPA self-report along with instruments measuring victimization, anger, shame, and guilt. The outcomes confirmed the expected two-factor structure, good internal consistency and validity of the IRPA self-report in a Malaysian sample.     

Individual Differences in Experiences of and Responses to Guilt and Shame: Examining the Lenses of Gender and Gender Role

How are experiences of and reactions to guilt and shame a function of gendered views of the self? Individual differences in guilt and shame responses were explored in a sample of 104 young adults, most of whom were European American. Results indicated that, although women reported greater proneness to guilt and shame, men reported more trait guilt. Heightened levels of guilt- and shame-proneness were observed among both men and women with traditionally feminine gender roles, whereas a more traditionally masculine self-concept was associated with decreased shame-proneness for women. Gender schematic women favored verbal responses to ameliorate the experience of guilt, whereas gender schematic men preferred action-oriented responses. These results are discussed as gendered outcomes of schematic versus aschematic gender role socialization.     

Religious Fundamentalism and Gender Differences

The role of religious fundamentalism and its relationship to shame and guilt was evaluated in 107 students who attend a church-sponsored university. A number of personality measures were given and gender differences were analyzed. The role of externalization was similar for males in this sample to that of earlier studies. However, it was found that females showed positive correlations between externalization and both shame and guilt. For females, more fundamentalistic religious training may help to contribute to an external orientation at the expense of identifying with a personal religion, and appropriate guilt.     

Do behavioural self-blame and stigma predict positive health changes in survivors of lung or head and neck cancers?

Survivors of lung or head and neck cancers often change tobacco and alcohol consumption after diagnosis, but few studies have examined other positive health changes (PHCs) or their determinants in these groups. The present study aims to: (a) document PHCs in survivors of lung (n?=?107) or head and neck cancers (n?=?99) and (b) examine behavioural self-blame and stigma as determinants of PHCs. We hypothesised that: (a) survivors would make a variety of PHCs; (b) behavioural self-blame for the disease would positively predict making PHCs; and (c) stigma would negatively predict making PHCs.

Methods: Respondents self-administered measures of PHC, behavioural self-blame, and stigma. Hierarchical multiple regression analysis tested the hypotheses.

Results: More than 65% of respondents reported making PHCs, the most common being changes in diet (25%), exercise (23%) and tobacco consumption (16.5%). Behavioural self-blame significantly predicted PHCs but stigma did not. However, both behavioural self-blame and stigma significantly predicted changes in tobacco consumption.

Conclusions: Many survivors of lung or head and neck cancers engage in PHCs, but those who do not attribute the disease to their behaviour are less likely to do so. Attention to this problem and additional counselling may help people to adopt PHCs.