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Shame in the Clinical Process with LGBTQ Clients

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Abstract

This commentary integrates the literature on the social and psychological dynamics of shame and discusses its relevance to the clinical process, especially with lesbian, gay, bisexual, and transgender and queer clients. It is argued that engagements with shame, especially where sexual desire, sexual orientation, or gender identity is a foremost consideration or conflict, may be the most important factor in producing and maintaining the therapeutic alliance. Shame, a social emotion, is considered in the light of work done in sociology, psychology, neuroscience, and psychoanalysis. Future directions for clinical research are suggested.

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References

  • Dearing, R. L., & Tangney, J. P. (2011). Shame in the therapy hour. Washington, D.C.: American Psychological Association.

    Book  Google Scholar 

  • Dickerson, S. S., Gruenewald, T. L., & Kemeny, M. E. (2004). When the social self is threatened: Shame, physiology, and health. Journal of Personality, 72(6), 1191–1216.

    Article  PubMed  Google Scholar 

  • Ekman, P. (1992). An argument for basic emotions. Cognition and Emotion, 6(3–4), 169–200.

    Google Scholar 

  • Halperin, D. M., & Traub, V. (2009). Gay shame. Chicago: University of Chicago Press.

    Google Scholar 

  • Horvath, A. O., & Greenberg, L. S. (1994). The working alliance: Theory, research, and practice. New York: Wiley.

    Google Scholar 

  • Katz, J. (2001). How emotions work. Chicago: University of Chicago Press.

    Google Scholar 

  • Kilborne, B. (2002). Disappearing persons: Shame and appearance. Albany: SUNY Press.

    Google Scholar 

  • Lansky, M. (2007). Unbearable shame, splitting, and forgiveness in the resolution of vengefulness. Journal of the American Psychoanalytic Association, 55(2), 571–593.

    Article  PubMed  Google Scholar 

  • LeDoux, J. (2003a). The emotional brain, fear, and the amygdala. Cellular and Molecular Neurobiology, 23(4–5), 727–738.

    Article  PubMed  Google Scholar 

  • LeDoux, J. E. (2003b). Synaptic self: How our brains become who we are. New York: Penguin.

    Google Scholar 

  • Lewis, H. B. (1971). Shame and guilt in neurosis. New York: International Universities Press.

    Google Scholar 

  • Lewis, H. B. (1987). The role of shame in symptom formation. Hillsdale, NJ: L. Erlbaum Associates.

    Google Scholar 

  • Nathanson, D. L. (1987). The many faces of shame. New York: The Guilford Press.

    Google Scholar 

  • Safran, J. D., Muran, J. C., Samstag, L. W., & Stevens, C. (2001). Repairing alliance ruptures. Psychotherapy, 38(4), 406–412.

    Article  Google Scholar 

  • Sayer, A. (2005). The moral significance of class. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Sayer, A. (2011). Why things matter to people: Social science, values and ethical life. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Scheff, T. J. (1988). Shame and conformity: The deference-emotion system. American Sociological Review, 53(1), 395–406.

    Article  Google Scholar 

  • Scheff, T. J. (2000). Shame and the social bond: A sociological theory. Sociological Theory, 18(1), 84–99.

    Article  Google Scholar 

  • Scheff, T. J. (2003). Shame in self and society. Symbolic Interaction, 26(2), 239–262.

    Article  Google Scholar 

  • Schore, A. N. (1994). Affect regulation and the origin of the self: The neurobiology of emotional development. New York: Psychology Press.

    Google Scholar 

  • Siebold, C. (2008). Shame, the affective side of secrets: Commentary on Barth’s hidden eating disorders. Clinical Social Work Journal, 36(4), 367–371.

    Article  Google Scholar 

  • Wong, Y., & Tsai, J. L. (2007). Cultural models of shame and guilt. In J. Tracy, R. Robins, & J. Tangney (Eds.), Handbook of self-conscious emotions (pp. 210–223). New York: Guilford Press.

    Google Scholar 

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Correspondence to Jeffrey L. Longhofer.

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Longhofer, J.L. Shame in the Clinical Process with LGBTQ Clients. Clin Soc Work J 41, 297–301 (2013). https://doi.org/10.1007/s10615-013-0455-0

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  • DOI: https://doi.org/10.1007/s10615-013-0455-0

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