Experienced-Based Versus Scenario-Based Assessments of Shame and Guilt and Their Relationship to Alcohol Consumption and Problems

Luoma, Jason B.; Guinther, Paul M.; Potter, Jacqueline; Cheslock, Megan

doi:10.1080/10826084.2017.1305416

Cited by 25 publications

(31 citation statements)

References 26 publications

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“…Several studies have demonstrated that shame is associated with addictive behaviors (Luoma et al, 2017;Treeby & Bruno, 2012) and with increased problematic alcohol use (Treeby & Bruno, 2012). Additional research has found that individuals with depressive symptoms experience increased shame following an adverse event, which then leads to self-criticism and rumination (Kim et al, 2011;McGaffin et al, 2013).…”

Section: Outcomes Of Shamementioning

confidence: 99%

Shame and the Psychosocial Costs of Contemporary Work: Implications for Career Intervention

Cinamon

Blustein

2020

The Career Development Quart

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This article explores the concept of shame and integrates it into career development and career counseling. The article begins with an overview of shame from a diverse conceptual framework, describing shame as a self-conscious emotion that occurs in response to interactions or events that evoke embarrassment, humiliation, selfdoubt, and psychological distress. We discuss the prevalence of shame in work-based interactions and contexts, which is referred to as work shame. Building on this integrative review of shame within the working context, we describe the counseling implications and provide a case study to illustrate the ways in which shame emerges in clients' lives and potential strategies to resist and transcend shame.

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Section: Outcomes Of Shamementioning

confidence: 99%

Shame and the Psychosocial Costs of Contemporary Work: Implications for Career Intervention

Cinamon

Blustein

2020

The Career Development Quart

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“…Concealment is associated with poor psychological health outcomes among people with many types of CSIs, including minority sexual orientations (Frost et al, 2007;S. D. Jackson & Mohr, 2016;Riggle et al, 2017;Schrimshaw et al, 2013), multiple sclerosis (Cook et al, 2017), and histories of intimate partner violence (Sylaska & Edwards, 2014) and substance abuse (Luoma, Guinther, Potter, & Cheslock, 2017). Larson, Chastain, Hoyt, and Ayzenberg (2015) conducted a meta-analysis of 137 studies that used the Self-Concealment scale to measure concealment with various populations (e.g.…”

Section: Concealmentmentioning

confidence: 99%

The role of stigma-identity constructs in psychological health outcomes among adults who stutter

Gerlach¹

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There are a handful of other people who have been integral to my success. Bill Murphy, thank you for advocating for my acceptance at The University of Iowa and for sparking my interest in stuttering. Karla McGregor, thank you for making me a better writer. I learned so much from you. Evan Totty, thank you for your input about the statistical analyses in this project and for your time and friendship. Anu Subramanian, you have been an incredible friend and mentor to me. I hit the jackpot when I met you at Purdue, and I will greatly miss having you nearby. When it comes to you, I can't sum up all that I am grateful for, so thank you for everything. Naomi Rodgers, there is no one else that I would have rather gone through this process with. I look forward to a lifetime of friendship and collaboration. Finally, Matt, I could not have completed this project without your unwavering support and positivity. Thank you for moving to Iowa for me and for weathering the good, bad, and ugly dissertation days. I can't wait to start the next chapter with you.

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“…Feelings of shame relate to the individual's own perception that they are flawed or that others have that same belief while guilt signals to the self that we have done something wrong or hurtful (Luoma, Guinther, Potter, & Cheslock, 2017). The self-medication hypothesis also theorizes that substance use is a way of dealing with problems of self-esteem and self-care.…”

Section: Sud On Shame and Guiltmentioning

confidence: 99%

“…Feelings of guilt are common both in patients with SUD and patients with ADHD (Able et al, 2007;Luoma et al, 2017), and it may well be that recognition between patients regarding this feeling is abundant. The psychoeducational segments of the treatment facilitated understanding of guilt and normalized its presence in light of repeated failures in everyday life due to ADHD symptomatology and alcohol and drug use.…”

Section: Sud and Adhd On Guiltmentioning

confidence: 99%

“…A meta-analysis of 10 randomized controlled trials of ACT for SUD favoured ACT over CBT, 12-step programmes and treatment as usual (Lee, An, Levin, & Twohig, 2015). Also, a short intervention of ACT targeting shame resulted in fewer days of substance use and elevated utilization of residential treatment compared to patients who did not receive the adjunctive ACT group intervention (Luoma et al, 2017).…”

Section: Psychotherapy For Sudmentioning

confidence: 99%

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Psychotherapy for Substance Use Disorders – the importance of affects

Frankl¹

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Substance use disorder (SUD) is a serious disorder with severe consequences for the individual, the family and for society. Comorbidity is common in the SUD population and the diversity of the disorder calls for a multiplicity of treatment options.The overall aim of this thesis was to explore the role of affects in psychotherapy for SUD. Further aims were to investigate affect-focused therapeutic orientations, demonstrate the importance of common factors and evaluate a measure of affect phobia.In Study I a naturalistic design was employed to examine how the discrepancy between patients' expectations and experience of psychotherapy related to alliance in 41 patients: 24 in individual therapy and 17 in group. An additional analysis concerned whether different dimensions of role expectations predicted retention in psychotherapy. Study II was the first psychometric evaluation of the Affect phobia test -a test developed to screen the ability to experience, express and regulate emotions. Data were collected from two samples: A clinical sample of 82 patients with depression and/or anxiety participating in a randomized controlled trial of Internet-based affectfocused treatment, and a university student sample of 197 students. Data analysed included internal consistency, test-retest reliability, factor analysis and calculation of an empirical cut-off. Study III focused on the feasibility of individual 10 week Affect Phobia Therapy (APT) for patients diagnosed with mild to moderate alcohol use disorder (AUD) and problematic affective avoidance in a nonconcurrent multiple baseline design. Study IV comprised an evaluation of the feasibility and preliminary effectiveness of APT adapted to a structured group format for patients (n=22) with comorbid substance use disorder and ADHD with core features of affective avoidance/emotion dysregulation in an open design.In Study I an overall discrepancy between role expectations and experiences was significantly related to a lower level of therapeutic alliance in group therapy. This relationship was not found in individual therapy. Expectations prior to psychotherapy characterized by defensiveness correlated negatively with therapy retention, even when controlling for waiting time for therapy. In Study II the internal consistency for the total score on the Affect phobia test was satisfactory but it was not for the affective domains, Anger/Assertion, Sadness/Grief, and Attachment/Closeness. Test retest reliability was satisfactory. The exploratory factor analysis resulted in a six-factor solution and only moderately matched the test´s original affective domains. An empirical cutoff between the clinical and the university student sample were calculated -3 -and yielded a cut-off of 72 points. In Study III patients reported no adverse events due to the treatment and finished the whole study period. The patients had different trajectories of alcohol consumption and craving and the hypothesis that heavy episodic drinking would subside during the time in therapy did not hold true. In ...

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Experienced-Based Versus Scenario-Based Assessments of Shame and Guilt and Their Relationship to Alcohol Consumption and Problems

Cited by 25 publications

References 26 publications

Shame and the Psychosocial Costs of Contemporary Work: Implications for Career Intervention

Shame and the Psychosocial Costs of Contemporary Work: Implications for Career Intervention

The role of stigma-identity constructs in psychological health outcomes among adults who stutter

Psychotherapy for Substance Use Disorders – the importance of affects

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