Managing shame and guilt in addiction: A pathway to recovery

Snoek, Anke; McGeer, Victoria; Brandenburg, Daphne; Kennett, Jeanette

doi:10.1016/j.addbeh.2021.106954

Cited by 29 publications

(21 citation statements)

References 45 publications

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“…Internal factors, such as self-disgust, self-criticism (Zahn et al, 2015 ), and shame proneness have been found to be associated with anger suppression and conflict avoidance (Cheung and Park, 2010 ) as well as with subsequent anger outbursts (Alia-Klein et al, 2020 ). In addition, structural equation modeling showed that self-criticism predicted shame and guilt, which, in turn, predicted problematic dysfunctional outcomes such as addiction and problematic behavior (Sassover et al, 2021 ; Snoek et al, 2021 ). It has been proposed that anger may be an emotion supporting goal-directed behavior when an environmental situation prevents the desired goal to be fulfilled, causing frustration (Panksepp, 2005 ).…”

Section: Hierarchical Emotional Responses: a Polyvagal Perspective On...mentioning

confidence: 99%

A critical period for experience-dependent development of the feelings of safety during early infancy: A polyvagal perspective on anger and psychometric tools to assess perceived safety

Poli

Gemignani

Chiorri

et al. 2022

Front. Integr. Neurosci.

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Section: Hierarchical Emotional Responses: a Polyvagal Perspective On...mentioning

confidence: 99%

A critical period for experience-dependent development of the feelings of safety during early infancy: A polyvagal perspective on anger and psychometric tools to assess perceived safety

Poli

Gemignani

Chiorri

et al. 2022

Front. Integr. Neurosci.

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“…The nurses suffered guilt and self-reproach from the death of their patients. Guilt is a feeling experienced by individuals in the wake of their misdoing [ 30 ]. Self-reproach is harsh blame of oneself for misdoing and imagined transgressions or a sense of inadequacy [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Guilt is a feeling experienced by individuals in the wake of their misdoing [ 30 ]. Self-reproach is harsh blame of oneself for misdoing and imagined transgressions or a sense of inadequacy [ 30 ]. While guilt might lead to constructive behavior change, self-reproach might be counterproductive [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

Lived Experiences of Female Nurses with COVID-19 Deaths on Their Watch

Alwesmi

Dator

Karavasileiadou

2022

Behavioral Sciences

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The COVID-19 pandemic has had a tremendous effect on health systems, leading to a spike in stress, anxiety, and depression conditions among healthcare workers worldwide. Considering the mental health status of nurses, a pillar of the health system, is crucial for assuring the quality of the healthcare provided during and after pandemics. This study aimed to explore the experiences of female nurses who witnessed their patients dying of COVID-19. Seven female COVID-19 nurses were interviewed in person. Thematic analysis of the respondents’ verbatim answers was implemented. Six main themes were identified. Theme 1 illustrates nurses’ experience of emotional and psychological trauma as they witnessed their patients with COVID-19 die under their care. Theme 2 reveals aftershock reactions, including somatization, isolation, and emotional disengagement. Theme 3 highlights the hindrances and difficult situations related to the in-hospital care of COVID-19 patients. Theme 4 demonstrates victorious feelings and celebration of the patient’s survival. Theme 5 emphasizes the nurse’s ability to be calm and recognize the takeaways or lessons they have learned from this phase for their careers and lives. Theme 6 sheds light on nurses’ emerging abilities and competencies. This study will hopefully provide a basis for a debriefing program that might be beneficial to the nurses and the health system. This might affect nurses’ ability to work closely with patients, cope emotionally with challenges, and fulfil their professional tasks.

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“…Nevertheless, the use of self-reported scales measuring shame and guilt has been strongly criticized in the literature (Eterović et al, 2019), mostly due to the close link and the confusion often present between these two emotional states. Snoek et al (2021) reminds us that character and action cannot be neatly separated: “Acts for which we are guilty (and don’t just in some weak sense feel guilty), do involve the self. And because they involve the self they involve shame” (Sabini & Silver, 1997, p. 8).…”

Section: Discussionmentioning

confidence: 99%

Self-stigma in alcohol use disorder: Involvement of guilt and shame in the progressive model.

Milan¹,

Varescon²

2024

Stigma and Health

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Self-stigma, defined as the internalization of stereotypes, is well documented among people suffering from mental illness, including people with alcohol use disorders (AUDs). Progressive model of self-stigma states that alcohol users internalized stigma through four successive steps: awareness, agree, application, and harm. Simultaneously, people with AUDs are subject to shame and guilt. Even if any consensus appears, it seems that shame improves alcohol consumption, whereas guilt acts as a protective factor. Although many studies have emerged over the past decades regarding self-stigma, few have studied the implications of emotions in the process of self-stigma. Moreover, no study has been conducted with alcohol users in France. This quantitative study aims to explore the relations between self-stigma process, guilt, and shame in AUD. One hundred fourteen participants recruited in an addiction care center near Paris, France took part in the study. Participants responded through seven preexisting self-report scale investigated alcohol dependence, drugs dependence, depression and anxiety symptoms, perceived stigma, self-stigma, guilt, and shame. Through hierarchical multiple regression, the implications of guilt and shame in the process of self-stigma were highlighted. While internalization of stigma occurs in successive stages, according to theoretical model, shame seems to predict each stage. In contrast, guilt is not linked to any stage of self-stigma. The results suggest a deleterious role of shame toward alcohol consumption as well as the internalization of stigma. Moreover, the progress of research on the involvement of reflexive emotions in self-stigma makes it possible to think about a global and adapted therapeutic accompaniment for people with AUDs.

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Managing shame and guilt in addiction: A pathway to recovery

Cited by 29 publications

References 45 publications

A critical period for experience-dependent development of the feelings of safety during early infancy: A polyvagal perspective on anger and psychometric tools to assess perceived safety

A critical period for experience-dependent development of the feelings of safety during early infancy: A polyvagal perspective on anger and psychometric tools to assess perceived safety

Lived Experiences of Female Nurses with COVID-19 Deaths on Their Watch

Self-stigma in alcohol use disorder: Involvement of guilt and shame in the progressive model.

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