Anticipated shame and professional identity formation
View abstract on PubMed
Summary
This summary is machine-generated.Physicians-in-training experience shame, particularly anticipated shame, which significantly impacts their professional identity development. Understanding this affect is crucial for medical education and practice.
Area Of Science
- Medical Education
- Psychology
- Sociology
Background
- Professional identity development is a key outcome in medical education.
- Affective experiences, especially shame, are increasingly recognized as important in medical training.
- Shame arises from self-perception in relation to others and is common in healthcare settings.
Purpose Of The Study
- To explore the role of shame in the professional identity formation of physicians-in-training.
- To introduce and theorize 'anticipated shame' as a significant factor in medical education.
- To connect shame, stigma, and marginalization within the context of medical training.
Main Methods
- This article presents a theoretical exploration of shame and anticipated shame.
- It analyzes the impact of shame on self-concept and identity within medical training.
- The study examines interpersonal dynamics in student-teacher and trainee-patient interactions.
Main Results
- Anticipated shame is posited as a potent factor influencing the development of a medical professional identity.
- Shame is linked to stigma and marginalization experienced by trainees.
- The anticipation of shame highlights crucial aspects of communication in medical training and practice.
Conclusions
- The concept of anticipated shame offers a valuable framework for understanding the influence of affect in medical education.
- It sheds light on how trainees internalize medical cultural values.
- This understanding is critical for trainees entering clinical practice.
Related Concept Videos
According to Charles Cooley, we base our image on what we think other people see (Cooley 1902). We imagine how we must appear to others, then react to this speculation. We don certain clothes, prepare our hair in a particular manner, wear makeup, use cologne, and the like—all with the notion that our presentation of ourselves is going to affect how others perceive us. We expect a certain reaction, and, if lucky, we get the one we desire and feel good about it. But more than that, Cooley...
Erik Erikson's fifth stage of psychosocial development, "identity versus role confusion," is crucial during adolescence (ages 12 to 18). In this stage, adolescents face the developmental task of forging a distinct personal identity, a process influenced by social, psychological, and biological changes typical of this period. Adolescents naturally explore different roles, behaviors, and ideologies as they navigate complex questions of self-concept, asking, "Who am I?" and...
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
James Marcia's identity status model provides a framework for understanding how adolescents navigate identity formation through varying degrees of exploration and commitment. Marcia's model builds on Erik Erikson's theories of psychosocial development, focusing specifically on how adolescents reconcile individual aspirations with societal expectations. His model describes identity formation as a dynamic process where adolescents move between different states depending on their level...
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
Deindividuation is a form of social influence on an individual’s behavior such that the individual engages in unusual or non-normal behavior while in a group setting. Why? Because in these group settings, the individual no longer sees themselves as an individual anymore, disinhibiting their behavior and personal restraint.
History
In the late 1800s, social psychologist Gustave Le Bon first posited the hypothesis that an individual’s behavior can differ between being in a crowd...

