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Shame as an evolved basic affect - Approaches to it within the Comprehensive Resource Model (CRM).

Frank M Corrigan¹, Elisa Elkin-Cleary²

¹Psychiatrist, Trauma Psychotherapy Scotland, 15 Newton Terrace, Glasgow G3 7PJ, Scotland, UK.

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|August 21, 2018

Summary

This summary is machine-generated.

Severe shame, often from trauma, involves brainstem and dopamine system dysregulation. Treatment is enhanced by attachment resources, aiding secure access to core distress and improving outcomes in post-traumatic states.

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Area of Science:

Neuroscience
Psychology
Trauma Studies

Background:

Shame is an evolved emotion involving prefrontal cortical evaluation and basic affect responses.
Severe shame, particularly from trauma, has distinct neurobiological underpinnings.

Purpose of the Study:

To explore the neurobiological basis of severe shame.
To discuss the role of attachment in treating shame-related distress.
To examine the Comprehensive Resource Model (CRM) for post-traumatic shame.

Main Methods:

Neurobiological analysis of shame's affective and cognitive components.
Clinical discussion of attachment-based interventions.
Application of the Comprehensive Resource Model (CRM) in psychotherapy.

Main Results:

Severe shame involves midbrain, diencephalic, and mesolimbic dopamine system components.
Anhedonia in shame is linked to a negatively valenced mesolimbic dopamine system.
Attachment resources facilitate secure access to core distress in shame.

Conclusions:

Understanding the neurobiology of shame informs treatment approaches.
Attachment-based therapies are crucial for addressing trauma-related shame.
The Comprehensive Resource Model (CRM) offers a framework for treating complex shame.