Framing and Transforming Shame: Exploring shame from a person-centred perspective
DOI:
https://doi.org/10.24377/EJQRP.article3096Keywords:
shame, person-centred, psychotherapy, interpretive phenomenological analysis, IPAAbstract
Shame is a key emotion requiring understanding in therapeutic practice, not only from the perspective of a client but also from that of a practitioner. Shame may be outside or on the edge of awareness manifesting itself in different ways. This study explored shame as understood and experienced by person-centred counsellors and psychotherapists. Semi-structured interviews were undertaken with five person-centred therapists and data analysed using interpretative phenomenological analysis (IPA) which identified two themes: Framing Shame and Transforming Shame. Shame impacts on the efficacy of therapeutic work and supervision. Therefore, approaching shame from a place of principled non-directivity may be helpful for transforming shame in therapeutic work because it supports the therapist to empathically attune to the client, so clients can explore these experiences at their own pace. This paper considers these themes through the lens of person-centred theory, recognising the importance of understanding this master emotion from its source in past events and experiences.
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Allan, R., Eatough, V., Ungar, M., & Mobini, S. (2016). “I had no idea this shame piece was in me”: Couple and family therapists’ experience with learning an evidence-based practice. Cogent Psychology, 3(1). https://doi.org/10.1080/23311908.2015.1129120
Andersson, L. M. C., Moore, C. D., Hensing, G., Krantz, G., & Staland-Nyman, C. (2014). General self-efficacy and its relationship to self-reported mental illness and barriers to care: A General population study. Community Mental Health Journal, 50, 721–728.
BACP (2018). Ethical framework for the counselling professions. The British Association for Counsellors and Psychotherapist. BACP.
BACP (2019). Ethical guidelines for research in the counselling professions. British Association for Counselling and Psychotherapy. https://www.bacp.co.uk/events-and-resources/research/publications/ethical-guidelines-for-research-in-the-counselling-professions/
Berger, R. (2015). Now I see it, now I don’t: Researcher’s position and reflexivity in qualitative research. Qualitative Research, 15(2), 219-234.
Biddle, J. (1997). Shame. Australian Feminist Studies, 12(26), 227-239.
Bilodeau, C., Savard, R., & Lecomte, C. (2012). Trainee shame- proneness and the supervisory process. The Journal of Counselor Preparation and Supervision, 4(1), 37-49.
Black, R. S. A., Curran, D., & Dyer, K. F. W. (2013). The impact of shame on the therapeutic alliance and intimate relationships. Journal of Clinical Psychology, 69(6), 646-654.
Blundell, P., Oakley, L., & Kinmond, K. (2022). Who are we protecting? Exploring counsellors’ understanding and experience of boundaries. European Journal for Qualitative Research in Psychotherapy, 12, 13-28. https://doi.org/10.24377/EJQRP.article3036
Blundell, P., Burke, B., Wilson, A.-M., & Jones, B. (2022). Self as a teaching tool: Exploring power and anti-oppressive practice with counselling/psychotherapy students. Psychotherapy & Politics International, 20(3), 1-22. https://doi.org/10.24135/ppi.v20i3.03
Blunden, N. (2024). Pluralistic person-centred therapy. In M. Cooper (Ed.), The tribes of the person-centred nation: An introduction to the world of person-centred therapies (3rd ed.) (pp. 201-226). PCCS Books.
Bohart, A. C. (2017). A client-centered perspective on psychopathology. Person-centered & Experiential Psychotherapies, 16(1), 14-26.
Bradshaw, J. (1988). Healing the shame that binds you. Health Communications Inc.
Brodley, B. T. (1996). Empathic understanding and feelings in client-centered therapy. The Person-Centered Journal, 3(1), 22-30.
Brown, B. (2006). Shame resilience theory: A grounded theory study on women and shame. Families in Society: The Journal of Contemporary Social Services, 87(1), 43-52.
Brown, B. (2007). I thought it was just me. Penguin.
Brown, B. (2010). The gifts of imperfection. Hazelden.
Burgo, J. (2018). Shame: Free yourself, find joy & build true self esteem. Watkins.
Buss, S. (1999). Respect for persons. Canadian Journal of Philosophy, 29(4), 517–550.
Buzan, T. (2006). Mind mapping: Kickstart your creativity and transform your life. Pearson Education.
Calhoun, C. (2004). An apology for moral shame. The Journal of Political Philosophy, 12(2), 127–146.
Cartwright, D., & Gardner, M. (2016). Trainee difficulties with therapeutic engagement: A qualitative study of in-session critical incidents. South African Journal of Psychology, 46(2), 254-265. https://doi.org/10.1177/0081246315605679
Coates, E. E., Dinger, T., Donovan, M., & Phares, V. (2013). Adult psychological distress and self-worth following child verbal abuse. Journal of Aggression, Maltreatment & Trauma, 22, 394–407.
Crisp, R. (2015). Being person-centered and Heidegger’s sense of being: A discussion. Person-Centered & Experiential Psychotherapies, 14(2), 161-173. https://doi.org/10.1080/14779757.2015.1020564
Dearing, R. L., & Tangney, J. P. (2011). Shame in the therapy hour. American Psychological Association.
DeLong, L. B., & Kahn, J. H. (2014). Shameful secrets and shame- prone dispositions: How outcome expectations mediate the relation between shame and disclosure. Counselling Psychology Quarterly, 27(3), 290-307.
Deonna, J. A., Rodogno, R., & Teroni, F. (2012). In defense of shame: The faces of an emotion. Oxford University Press.
DeYoung, P. A. (2015). Understanding and treating chronic shame. Routledge.
Drini, E., Kent, T., & Frith, H. (2023). Disclosing the innermost part: Exploring therapists’ constructions of shame using a story completion method. European Journal for Qualitative Research in Psychotherapy, 13, 18-32. https://doi.org/10.24377/EJQRP.article3091
Elliott, R., Fischer, C. T., & Rennie, D. L. (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology, 38, 215-229.
Finlay, L. (2003). Through the looking glass: Intersubjectivity and hermeneutic reflection. In L. Finlay, & B. Gough (Eds.), Reflexivity: A practical guide for researchers in health and social sciences (pp. 105-118). Blackwell Publishing.
Finlay, L. (2011). Phenomenology for Therapists: Researching the lived world. Wiley.
Flynn, M., Cicchetti, D., & Rogosch, F. (2014). The prospective contribution of childhood maltreatment to low self-worth, low relationship quality, and symptomatology across adolescence: A developmental-organizational perspective. Developmental Psychology, 50(9), 2165-2175.
Fortes, A. C. D., & Ferreira, V. R. T. (2014). The influence of shame in social behavior. Revista De Psicologia Da IMED, 6(1), 25-27.
Frankel, M., Rachlin, H., & Yip-Bannicq, M. (2012). How nondirective therapy directs: The power of empathy in the context of unconditional positive regard. Person-centered & Experiential Psychotherapies, 11(3), 205–214.
Gausel, N., & Leach, C. (2011). Concern for self-image and social image in the management of moral failure: Rethinking shame. European Journal of Social Psychology, 41(4), 468- 478.
Gilbert, P. (2011). Shame in psychotherapy and the role of compassion focused therapy. In R. L. Dearing, & J. P. Tangney (Eds.), Shame in the therapy hour (pp. 325 - 354). American Psychological Association.
Gilbert, P. (2019). Distinguishing shame, humiliation and guilt: An evolutionary functional analysis and compassion focused interventions. In M. Claude-Hélène, and E. Vanderheiden (Eds.), The bright side of shame: Transforming and growing through practical applications in cultural contexts (pp. 413–431). Springer.
Grant, B. (1990). Principled and instrumental nondirectiveness in person-centered and client-centered therapy. Person- Centered Review, 5(1), 77–88.
Gray, R. (2010). Shame, labelling and stigma: Challenges to counselling clients in alcohol and other drug settings. Contemporary Drug Problems, 37, 685-703.
Greenberg, L. S., & Iwakabe, S. (2011). Emotion-focused therapy and shame. In R. L. Dearing & J. P. Tangney (Eds.), Shame in the therapy hour (pp. 69-90). American Psychological Association.
Gross, B., & Elliott, R. (2017). Therapist momentary experiences of disconnection with clients. Person-Centered & Experiential Psychotherapies, 16(4), 351-366
Hahn, W. K. (2001). The Experience of shame in psychotherapy supervision. Psychotherapy, 38(3), 272-282.
Hawkins, P., & Shohet, R. (2012). Supervision in the Helping Professions (4th ed.). McGraw-Hill for the Open University.
Henderson, D. (2006). Shame as an achievement in analytic training. Psychodynamic Practice: Individuals, Groups and Organisations, 12(3), 327-332.
Jamieson, M. K., Govaart, G. H., & Pownall, M. (2023). Reflexivity in quantitative research: A rationale and beginner's guide. Social and Personality Psychology Compass, 17(4), Article e12735. https://doi.org/10.1111/spc3.12735
Kaufman, G. (1974). The meaning of shame: Toward a self-affirming identity. Journal of Counselling Psychology, 21(6), 564-574.
Kealy, D., Treeby, M. S., & Rice, S. M. (2021). Shame, guilt, and suicidal thoughts: The interaction Matters. British Journal of Clinical Psychology, 60, 414-423.
Kearns, A. (2005). The seven deadly sins?: Issues in clinical practice and supervision for humanistic and integrative practitioners. Routledge.
Kearns, A. (2011). The mirror crack’d: When good enough therapy goes wrong and other cautionary tales for humanistic practitioners. Karnac.
Kemp, R., & Lorentzatou, D. (2013). The place of truth in psychoanalysis: A Heideggerian contribution. European Journal of Psychotherapy & Counselling, 15(1), 5-17.
Kepner, J. I. (2003). Healing tasks: Psychotherapy with adult survivors of childhood abuse. Gestalt Press.
Klinger, R. S., Ladany, N., & Kulp, L. E. (2012). It’s too late to apologize: Therapist embarrassment and shame. The Counselling Psychologist, 40(4), 554-574.
Ladany, N., Klinger, R., & Kulp, L. (2011). Therapist shame: Implications for therapy and supervision. In R. L. Dearing & J. P. Tangney (Eds.), Shame in the therapy hour (pp. 307-322). American Psychological Association.
Laing, J. (2022). Making sense of shame. Philosophy, 97(2), 233-255.
Lee, R. G. (2003). Shame and the Gestalt Model. In R. G. Lee & G. Wheeler (Eds.), The voice of shame (pp. 3-22). Gestalt Press.
Lewis, M. (1992). Shame: The exposed self. Free Press.
Lindsay-Hartz, J. (1984). Contrasting experiences of shame and guilt. American Behavioural Scientist, 27(6), 689-704.
Longhofer, J. L. (2013). Shame in the clinical process with LGBTQ clients. Clinical Social Work Journal, 42, 297-301.
Mann, D. (2015). Turning a blind eye on sexual abuse, boundary violations and therapeutic practice. Psychodynamic Practice: Individuals, Groups and Organisations, 21(2), 126-146.
McKenzie-Mavinga, I. (2016). The challenge of racism in therapeutic practice. Palgrave.
Merriam, S. B. (2009). Qualitative research: A guide to design and implementation. Jossey-Bass.
Merry, T. (1999). Learning and being in person-centred counselling. PCCS Books.
Merry, T., & Haugh, S. (2024). Classical person-centred therapy. In M. Cooper (Ed.), The tribes of the person-centred nation: An introduction to the world of person-centred therapies (3rd ed.), (pp. 31-57). PCCS Books.
Morrison, A. P. (2011). The psychodynamics of shame. In R. L. Dearing & J. P. Tangney (Eds.), Shame in the therapy hour (pp. 23-43). American Psychological Association.
Nathanson, D. L. (1992). Shame and pride: Affect, sex and the birth of the self. Norton.
Nummenmaa, L., Glerean, E., Hari, R., & Hietanen, J. (2014). Bodily maps of emotions. Proceedings of the National Academy of Sciences of the United States of America, 111(2), 646-651.
Pinto-Gouveia, J. P., Xavier, A., & Cunha, M. (2016). Assessing early memories of threat and subordination: Confirmatory factor analysis of the early life experiences scale for adolescents. Journal of Childhood Family Studies, 25, 54-64.
Pope K. S., Sonne J. L., & Greene B. (2006). What therapists don’t talk about and why: Understanding taboos that hurt us and our clients. American Psychological Association.
Poulson, C. (2000). Shame: The master emotion? School of Management, University of Tasmania.
Proctor, G. (2017). The dynamics of power in counselling and psychotherapy (2nd ed.). PCCS Books.
Purton, C. (2000). Empathising with shame and guilt. In J. Marques-Teixeira & S. Antunes (Eds.), Client-centered and experiential psychotherapy (pp. 33-54), Vale and Vale.
Rogers, C. R. (1951). Client-centred therapy: Its current practice, implications and theory. Constable & Robinson.
Rogers, C. R. (1956). Client centered theory. Journal of Counseling Psychology, 3(2), 115–120. https://doi.org/10.1037/h0046548
Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. The Journal of Consulting Psychology, 21, 95–103.
Rogers, C. R. (1959). Theory of therapy, personality and interpersonal relationships, as developed in the client- centred framework. In S. Koch (Ed.), Psychology: A study of a science. Study 1, Volume 3: Formulations of the person and the social context (pp. 184-256). McGraw-Hill.
Rogers, C. R. (1962). The interpersonal relationship: The core of guidance. Harvard Educational Review, 32(4), 416-429.
Rogers, C. R. (1967). On becoming a person: A therapist’s view of psychotherapy. Robinson.
Rogers, C. R. (1980). A way of being. Houghton Mifflin.
Rush, M. (1994). Decoding the secret language of your body. Fireside Books.
Sanderson, C. (2015). Counselling skills for working with shame. Jessica Kingsley.
Sandvik, B., & McCormack, B. (2018). Being person-centred in qualitative interviews: Reflections on a process. International Practice Development Journal, 8(2), 1-8.
Scheff, T. (2003). Shame in self and society. Symbolic Interaction, 26, 239-262.
Scheff, T. (2014). The ubiquity of hidden shame in modernity. Cultural Sociology, 8(2), 129-141.
Shapiro, S. L., and Carlson, L. E. (2009). The art and science of mindfulness. American Psychological Association.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373-386.
Shen, L. (2018). The evolution of shame and guilt. PLoS ONE, 13(7), 1-11.
Sherman, E. (2015). Mutual anxiety in supervision. Psychoanalytic Perspectives, 12(2), 179-191.
Silfver-Kuhalampi, M., Fontaine, J. J. R., Dillen, L., & Scherer, K. R. (2013). Cultural differences in the meaning of guilt and shame. In J. J. R. Fontaine, K. R. Scherer, & C. Soriano (Eds.), Components of emotional meaning: A sourcebook (pp. 388–396). Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199592746.003.0027
Skelton, H. (2023a). Understanding and working with shame in person-centred practice: From implicit to explicit. https://www.metanoia.ac.uk/cpds-events/understanding-and-working-with-shame-in-person-centred-practice/
Skelton, H. (2023b). Understanding and working with shame in person-centred practice. https://www.the-pca.org.uk/events/uk/understanding-and-working-with-shame-in-person-centred-practice.html
Skelton, H. (2024). Shame and the person-centred approach. https://onlinevents.co.uk/courses/shame-and-the-person-centred-approach-linked-with-different-from-trauma-part-1-workshop-with-hele/
Smith, J.A. (2011). Evaluating the contribution of interpretative phenomenological analysis. Health Psychology Review, 5(1), 9-27.
Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. Sage.
Smith, J. A., Flowers, P., & Larkin, M. (2022). Interpretative phenomenological analysis: Theory, method and research (2nd ed.). Sage.
Smith, M. (2003). The fears of the counsellors: A qualitative study. British Journal of Guidance & Counselling, 31(2), 229-240.
Skovholt, T. M., & Rønnestad, M. H. (2003). Struggles of the novice counselor and therapist. Journal of Career Development, 30(1), 45–58. https://doi.org/10.1023/A:1025125624919
Sorsa, M., Kiikkala, I., & Åstedt-Kurki, P. (2015). Bracketing as a skill in conducting unstructured qualitative interviews. Nurse Researcher, 22(4), 8-12.
Stadter, M. (2011). The inner world of shaming and ashamed: An object relations perspective and therapeutic approach. In R. L. Dearing & J. P. Tangney (Eds.), Shame in the therapy hour (pp. 45-68). American Psychological Association.
Sznycer, D., Toby, J., Cosmides, L., Porat, R., Shalvi, S., & Halperin, E. (2015). Shame closely tracks the threat of devaluation by others, even across cultures. Proceedings of the National Academy of Sciences, 113(10), 2625-2630.
Talbot, N. L. (1995). Unearthing shame in the supervisory experience. American Journal of Psychotherapy, 49(3), 338-349.
Tangney, J.P. (1991). Moral affect: The good, the bad and the ugly. Journal of Personality and Social Psychology, 61, 598-607.
Tangney, J. P., & Dearing, R. L. (2002). Shame and guilt. Guilford Press.
Tangney, J. P., & Dearing, R. L. (2011). Working with shame in the therapy hour: Summary and integration. In R. L. Dearing, & J. P. Tangney, (Eds.), Shame in the therapy hour (pp. 375-404). American Psychological Association.
Tangney, J. P., Miller, R. S., Flicker, L., & Barlow, D. H. (1996). Are shame, guilt, and embarrassment distinct emotions? Journal of Personality and Social Psychology, 70(6), 1256–1269. https://psycnet.apa.org/doi/10.1037/0022-3514.70.6.1256
Thériault, A., & Gazzola, N. (2006). What are the sources of feelings of incompetence in experienced therapists? Counselling Psychology Quarterly, 19(4), 313-330.
Thorburn, N. (2015). Surviving shame. New Zealand Journal of Counselling, 35(2), 14-26.
Tufford, L., & Newman, P. (2012). Bracketing in qualitative research. Qualitative Social Work, 11(1), 80-96.
Underland-Rosow, V. (1996). Shame: Spiritual suicide. Waterford.
Van Vliet, K. J. (2008). Shame and resilience in adulthood: A grounded theory study. Journal of Consulting Psychology, 55(2), 233-245.
Velasquez, P. A. E., & Montiel, C. J. (2018). Re-approaching Rogers: A discursive examination of client-centered therapy. Person-Centered & Experiential Psychotherapies, 17(3), 253-269.
Vossler, A., & Moller, N. (2014). The counselling and psychotherapy research handbook. Sage.
Walker, J. (2011). The relevance of shame in child protection work. Journal of Social Work Practice, 25(4), 451-463.
Warner, M. S. (1991). Fragile process. In Fusek, L. (Ed.), New directions in client-centred therapy: Practice with difficult client populations (Monograph series 1) (pp. 41-58). Chicago Counseling and Psychotherapy Center.
Watkins, P. (2009). Mental health practice: A guide to compassionate care (2nd ed). Elsevier.
Wetherell, M., & Potter, J. (1988). Discourse analysis and the identification of interpretative repertoires. In C. Antaki (Ed.), Analysing everyday explanation: A casebook of methods (pp. 168–183). Sage.
Wheeler, G. (1997). Self and shame: A Gestalt approach. Gestalt Review, 1(3), 221-244.
Wille, R. (2014). The shame of existing: An extreme form of shame. International Journal of Psychoanalysis, 95, 695-717.
Willig, C. (2013). Introducing qualitative research in psychology (3rd ed.). Open University Press.
Worsley, R. (2012). Narratives and lively metaphors: Hermeneutics as a way of listening. Person-Centred & Experiential Psychotherapies, 11(4), 304-320.
Wosket, V. (1999). The therapeutic use of self. Routledge.
Wurmser, L. (2015). Primary shame, mortal wound and tragic circularity: Some new reflections on shame and shame conflicts. International Journal of Psychoanalysis, 96, 1615–163.
Yakeley, J. (2018). Shame, culture and mental health. Nordic Journal of Psychiatry, 72 (sup.1), 20-22.
Yardley, L. (2000). Dilemmas in qualitative health research. Psychology & Health, 15(2), 215-228.
Yourman, D. B. (2003). Trainee disclosure in psychotherapy supervision: The impact of shame. Journal of Clinical Psychology, 59(5), 601-609.
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