Interventions with Survivors of Interpersonal Trauma: Addressing the Role of Shame

Plante, Wendy; Tufford, Lea; Shute, Tanya

doi:10.1007/s10615-021-00832-w

Cited by 12 publications

(15 citation statements)

References 37 publications

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“…However, a Brazilian study indicates that higher schooling levels are not necessarily a protective factor against violence 19 . In some cases, more educated people and also those with higher incomes feel embarrassed to report what happened or do not seek shelter services in situations of aggression 19 - 20 . However, the finding indicates that aged people with incomplete Elementary School deserve greater attention to the potential risk of violence.…”

Section: Discussionmentioning

confidence: 99%

Profile and characteristics of violence against older adults during the COVID-19 pandemic

Ranzani

Silva

Hino

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: to identify the sociodemographic profile and the characteristics of interpersonal violence against older adults during the first year of the COVID-19 pandemic in a capital city from the Brazilian Southeast region. Method: a descriptive and exploratory research study with a cross-sectional design based on the notifications of suspected or confirmed cases of violence against older adults between March 2020 and March 2021. A univariate statistical analysis and Fisher’s exact test (p<0.05) were performed. Results: a total of 2,681 notifications were recorded during the period. The main victims were individuals aged between 60 and 64 years old, female, white-skinned and with low schooling levels. The instances of violence were more frequent in the victims’ homes. Physical and psychological violence predominated, through physical force/beatings and threats, respectively. Most of the aggressors were male, younger than the victims and generally their children or intimate partners. The aggressions were perpetrated more than once and were driven by generational conflicts. There was low referral to entities for the protection of older adults. Conclusion: the sociodemographic profile found evidences vulnerable victims, subjected to many types of violence, and at a potential risk against their overall health.

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Section: Discussionmentioning

confidence: 99%

Profile and characteristics of violence against older adults during the COVID-19 pandemic

Ranzani

Silva

Hino

et al. 2023

Rev. Latino-Am. Enfermagem

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“…Un estudio brasileño, sin embargo, indica que una mayor escolaridad no es necesariamente un factor protector contra la violencia (19) . En algunos casos, las personas con mayor nivel educativo y también aquellas con mayores ingresos sienten vergüenza de denunciar lo sucedido, o no acuden a los servicios de protección en situaciones de agresión (19)(20) . Sin embargo, el hallazgo indica que las personas mayores con escolaridad primaria incompleta requieren una mayor atención ante el riesgo potencial de violencia.…”

Section: Discussionunclassified

“…Las lesiones físicas de los adultos mayores conducen a complicaciones potenciales en órganos y tejidos, aumentan las posibilidades de complicaciones sistémicas y también pueden provocar daños psicosociales asociados al miedo, la vergüenza y la ira que les provocan las agresiones (19) . Además, una información relevante que surgió en el análisis de los datos es que el consumo de alcohol no se asoció mayormente con la agresión, esto no coincide con los resultados de los estudios realizados en otras poblaciones (19)(20)(21)(22)(23) .…”

Section: Discussionunclassified

Perfil y características de la violencia contra los adultos mayores durante la pandemia de COVID-19

Ranzani

Silva

Hino

et al. 2023

Rev. Latino-Am. Enfermagem

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Resumen Objetivo: identificar el perfil sociodemográfico y las características de la violencia interpersonal contra los adultos mayores en el primer año de la pandemia de COVID-19 en una ciudad capital de la región sureste de Brasil. Método: investigación descriptiva, exploratoria con diseño transversal a partir del análisis de las notificaciones de casos sospechosos o confirmados de violencia contra el adulto mayor, ocurridos entre marzo de 2020 y marzo de 2021. Se realizó un análisis estadístico univariado y la prueba exacta de Fisher (p< 0,05). Resultados: hubo 2681 notificaciones en el período. Las principales víctimas fueron personas entre 60 y 64 años, de sexo femenino, blancas y con baja escolaridad. La mayoría de los casos se registró en el hogar. La violencia física y psicológica fueron las más comunes, con uso de fuerza física/golpes y amenaza, respectivamente. El agresor era generalmente del sexo masculino, más joven que la víctima, hijo o pareja. Las agresiones se produjeron más de una vez y fueron motivadas por conflictos generacionales. Hubo baja derivación a organismos de protección de adultos mayores. Conclusión: el perfil sociodemográfico obtenido revela que son víctimas vulnerables, sujetas a múltiples formas de violencia y que la integridad de su salud está en riesgo potencial.

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“…There is a growing literature that explores the centrality of shame for individuals who have experienced trauma ( Budden, 2009 ; Cunningham, 2020 ; DeYoung, 2015 ; Goldblatt, 2013 ; Herman, 2011 ; Lee et al, 2001 ; Øktedalen et al, 2014 ; Plante et al, 2022 ; Saraiya and Lopez-Castro, 2016 ; Sieff, 2015 ; Taylor, 2015 ; Theisen-Womersley, 2021 ; Wilson et al, 2006 ). Trauma research has seen the recent development of the idea that “shame and trauma are inextricably linked” ( Theisen-Womersley, 2021 , p. 211), where some argue that “post-traumatic shame” is a key experience that shapes post-trauma states ( Theisen-Womersley, 2021 ), while others have come to theorise and describe PTSD as a “shame disorder” ( Herman, 2011 ; Salter and Hall, 2020 ), with evidence demonstrating that chronic shame plays a role in PTSD symptom severity ( Cunningham, 2020 ; Lee et al, 2001 ).…”

Section: Introductionmentioning

confidence: 99%

“…In fact, it has been demonstrated that shame is a “potent treatment barrier” for trauma survivors ( Saraiya and Lopez-Castro, 2016 ), leading to outright avoidance, and to dropping out and attrition once engaged with care and services. As Plante et al note, shame “generates an urgent need to hide and conceal the defective self from exposure” ( Plante et al, 2022 ). Indeed, there is ample evidence that the ‘necessity’ to avoid shame or shameful exposure can interfere with individuals accessing healthcare ( Dolezal, 2015b ; Dolezal and Lyons, 2017 ; Lazare,1987 ), and also prevent individuals from reporting traumatic incidents such as abuse, sexual assault and violence ( Hlavka, 2017 ; Weiss, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Beyond a trauma-informed approach and towards shame-sensitive practice

Dolezal

Gibson

2022

Humanit Soc Sci Commun

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In this article, we outline and define for the first time the concept of shame-sensitivity and principles for shame-sensitive practice. We argue that shame-sensitive practice is essential for the trauma-informed approach. Experiences of trauma are widespread, and there exists a wealth of evidence directly correlating trauma to a range of poor social and health outcomes which incur substantial costs to individuals and to society. As such, trauma has been positioned as a significant public health issue which many argue necessitates a trauma-informed approach to health, care and social services along with public health. Shame is key emotional after effect of experiences of trauma, and an emerging literature argues that we may ‘have failed to see the obvious’ by neglecting to acknowledge the influence of shame on post-trauma states. We argue that the trauma-informed approach fails to adequately theorise and address shame, and that many of the aims of the trauma-informed are more effectively addressed through the concept and practice of shame-sensitivity. We begin by giving an overview of the trauma-informed paradigm, then consider shame as part of trauma, looking particularly at how shame manifests in post-trauma states in a chronic form. We explore how shame becomes a barrier to successful engagement with services, and finally conclude with a definition of the shame-sensitive concept and the principles for its practice.

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Interventions with Survivors of Interpersonal Trauma: Addressing the Role of Shame

Cited by 12 publications

References 37 publications

Profile and characteristics of violence against older adults during the COVID-19 pandemic

Profile and characteristics of violence against older adults during the COVID-19 pandemic

Perfil y características de la violencia contra los adultos mayores durante la pandemia de COVID-19

Beyond a trauma-informed approach and towards shame-sensitive practice

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