Shame is an emotion that has begun to be recognized for its role on psychopathology and its impact on access to treatment. In patients with eating disorder (ED) pathology, this role and impact are certainly important because of the self and others’ judgment towards the body. In this study we sought to intensively investigate shame through a narrative projecting test to detect the complex and multifaced expression of this feeling in ED patients. We used the Thurston Cradock Test of Shame (TCTS) to compare levels of internalized shame in 40 ED patients with levels of shame in 100 nonclinical individuals. ED patients’ narratives had more shame contents (F = 12.59, p = .004), expressed more directly (F = 8.18, p = .009), with less aggressive defenses (F = 5.54, p = .027) and more maladaptive story resolutions (F = 4.72, p = .046). Results highlight the role played by shame in the maintenance of dysfunctional eating behaviors. Eliciting narratives with shame-related stimuli is one way to develop metacognitive skills about this highly disabling emotion in interpersonal relationships and build an effective working alliance at the beginning of treatment.

(2022). Making Explicit and Addressing Shame in Eating Disorders . Retrieved from http://hdl.handle.net/10446/229511

Making Explicit and Addressing Shame in Eating Disorders

Negri, Attà;Milesi, Stefano;Andreoli, Giovanbattista;
2022

Abstract

Shame is an emotion that has begun to be recognized for its role on psychopathology and its impact on access to treatment. In patients with eating disorder (ED) pathology, this role and impact are certainly important because of the self and others’ judgment towards the body. In this study we sought to intensively investigate shame through a narrative projecting test to detect the complex and multifaced expression of this feeling in ED patients. We used the Thurston Cradock Test of Shame (TCTS) to compare levels of internalized shame in 40 ED patients with levels of shame in 100 nonclinical individuals. ED patients’ narratives had more shame contents (F = 12.59, p = .004), expressed more directly (F = 8.18, p = .009), with less aggressive defenses (F = 5.54, p = .027) and more maladaptive story resolutions (F = 4.72, p = .046). Results highlight the role played by shame in the maintenance of dysfunctional eating behaviors. Eliciting narratives with shame-related stimuli is one way to develop metacognitive skills about this highly disabling emotion in interpersonal relationships and build an effective working alliance at the beginning of treatment.
Negri, Attà; Milesi, Stefano; Bianchi, Federico; Andreoli, Giovanbattista; Barcellini, Giuseppina
File allegato/i alla scheda:
File Dimensione del file Formato  
Making Explicit.pdf

accesso aperto

Versione: publisher's version - versione editoriale
Licenza: Creative commons
Dimensione del file 278.58 kB
Formato Adobe PDF
278.58 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

Aisberg ©2008 Servizi bibliotecari, Università degli studi di Bergamo | Terms of use/Condizioni di utilizzo

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10446/229511
Citazioni
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact