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Shame: an acute stress response to interpersonal traumatization
1Department of Behavioral Medicine and Psychiatry, West Virginia University, Morgantown, WV 26506, USA. dtrumbul@wvu.edu
Psychiatry
|April 25, 2003
Summary
Shame is an acute stress response to self-perception, potentially causing depression or aggression. Understanding shame as interpersonal trauma can aid in empirical study.
Area of Science:
- Psychology
- Psychiatry
- Social Psychology
Background:
- Shame is conceptualized as an acute stress response.
- It arises from an unacceptable self-view, influenced by others' perspectives.
- Developmental antecedents and the ontogenetic role of shame are reviewed.
Purpose of the Study:
- To demonstrate that shame configurations are manifestations of interpersonal traumatization.
- To define shame as predictable stress responses activating specific goal-directed behaviors.
- To propose using these conceptualizations in the empirical study of interpersonal traumatization.
Main Methods:
- Conceptual analysis of shame.
- Review of developmental and ontogenetic literature on shame.
- Illustration of shame's impact on behavior (depressive paralysis, self-harm, aggression).
Main Results:
- Shame can lead to depressive paralysis and self-hurt when reconciliation fails.
- Shame from narcissistic injury can provoke aggression to restore the self.
- Shame configurations are linked to interpersonal traumatization.
Conclusions:
- Shame is a predictable stress response with specific goal-directed behaviors.
- Shame's manifestations are rooted in interpersonal traumatization.
- The conceptualization offers a framework for empirical research on interpersonal trauma.