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Shame-induced dissociation: An experimental study of experiential avoidance
Nicole Kouri1, Wendy D'Andrea1, Adam D Brown1
1Department of Psychology, New School for Social Research.
Shame-related memories increase dissociation, particularly when individuals avoid unwanted feelings. This highlights the need to monitor patients during therapy to prevent treatment resistance.
Area of Science:
- Psychology
- Clinical Psychology
- Trauma Studies
Background:
- Dissociation is a defense mechanism often linked to trauma.
- Shame is a core emotion in many psychological difficulties.
- Understanding the shame-dissociation link is crucial for effective therapy.
Purpose of the Study:
- To experimentally investigate shame-induced dissociation.
- To examine the association between shame, dissociation, and childhood maltreatment.
- To explore the moderating role of experiential avoidance.
Main Methods:
- A script-driven imagery paradigm was used to evoke shame.
- Participants recalled shame-related and neutral autobiographical memories.
- A mirror-viewing task assessed dissociative responses.
Main Results:
- Shame-related memories significantly increased dissociation compared to neutral memories.
- Experiential avoidance moderated the shame-dissociation relationship.
- Childhood maltreatment severity and mirror-viewing did not predict dissociation.
Conclusions:
- A strong link exists between shame and dissociation.
- Monitoring patient affect during shame-memory recall is vital.
- Preventing reinforcement of dissociative reactions can avoid treatment resistance.
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