Shame and pride in anorexia nervosa: a qualitative descriptive study

Skårderud, Finn

doi:10.1002/erv.774

Cited by 106 publications

(117 citation statements)

References 26 publications

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“…Similar findings to the latter points raised have been reported in research, for example, families of young patients have found responses of professionals as unhelpful when attempting to access help (Cottee-Lane, Pistrang, & Bryant-Waugh, 2004). Furthermore, Skarderud (2007) reported patients may under-report the severity of their problem to health care professionals due to stigma attached to mental health problems. These findings may suggest a training need for those working in primary care services in order to assist early recognition and access to treatment from specialist services.…”

Section: Discussionsupporting

confidence: 77%

Social identity in eating disorders

Ison

Kent

2010

Euro Eating Disorders Rev

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This qualitative study examines social identity in eating disorders. Semi-structured interviews were conducted with eight females with an eating disorder diagnosis. Interpretative phenomenological analysis (IPA) was used to analyse the data. Three superordinate themes emerged from participants' accounts: (1) Shifts in social identity; (2) Outgroup perceptions and influences and (3) Eating disorders as an ingroup. The findings suggested that a person's social identity can change during the course of having an eating disorder, and an interaction between social identity and a person's recovery from an eating disorder was proposed. Clinical implications, methodological issues, and directions for future research were discussed.

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Section: Discussionsupporting

confidence: 77%

Social identity in eating disorders

Ison

Kent

2010

Euro Eating Disorders Rev

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“…In this paper, we build on and extend Fairburn and Harrison’s idea, as well as other reports [16,17,18,19,20,21,22], and especially we develop the hypothesis that persons with EDs are affected by a more profound disturbance consisting in disorders of the way they experience their own body (embodiment) and shape their personal identity, assuming that the various kinds of anomalies of eating behavior are a consequence thereof. Patients with EDs are characterized by an excessive concern for their own appearance [3,23].…”

Section: Introductionmentioning

confidence: 94%

Identity and Eating Disorders (IDEA): A Questionnaire Evaluating Identity and Embodiment in Eating Disorder Patients

et al. 2012

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Background: In this paper we tested the hypothesis that persons with eating disorders (EDs) are affected by disturbances of the way they experience their own body (embodiment) and shape their personal identity, assuming that the various kinds of anomalies of eating behavior are consequences thereof. Sampling and Methods: We developed and validated a new self-reported questionnaire named IDEA (IDentity and EAting disorders), which was administered to 147 ED patients and 187 healthy controls. Test-retest reliability, internal consistency, psychopathological correlates, and concurrent validity were evaluated. A factor analysis was performed to verify the distribution of items into subscales. Results: The questionnaire showed good test-retest reliability, and internal consistency. IDEA scores were specifically associated with ED psychopathology, and they did not show any correlation with sociodemographic and general clinical variables. Four factors were extracted, which were related to the following phenomena: ‘feeling oneself only through the gaze of the other and defining oneself only through the evaluation of the other’, ‘feeling oneself only through objective measures’, ‘feeling extraneous from one’s own body’, and ‘feeling oneself through starvation’. Conclusions: IDEA represents a multidimensional, brief, versatile, easy-to-perform instrument for clinical evaluation, assessing abnormalities in lived corporeality, and of personal identity, which appeared to be specifically associated with the core features of ED psychopathology. The main limitations of the study are the cross-sectional design. Also, it is impossible to ascertain whether the domains we assessed are specific traits of patients with EDs, or state-related features. To answer this question, a longitudinal study is needed.

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“…Shame is a major, self-conscious emotion that has significant impacts on people's sense of self, well-being and vulnerability to psychopathology (Gilbert, 1998;Kim, Thibodeau, & Jorgensen, 2011;Tangney & Dearing, 2002), including depression (Alexander, Brewin, Vearnals, Wolff, & Leff, 1999;Cheung, Gilbert, & Irons, 2004;Matos & PintoGouveia, 2010), anxiety (Tangney, Wagner, & Gramzow, 1992), paranoia (Matos, PintoGouveia, & Gilbert, 2013), post-traumatic stress disorder (Harman & Lee, 2010), eating disorders (Skarderud, 2007;Troop, Allan, Serpell, & Treasure, 2008), and personality disorders (Rüsch et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

The Other As Shamer Scale – 2: Development and validation of a short version of a measure of external shame

Matos

Pinto‐Gouveia

Gilbert

et al. 2015

Personality and Individual Differences

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External shame arises from the perception of negative judgements about the self in the mind of others and is currently measured by Other As Shamer Scale (OAS). This scale has been used in numerous studies. This study sought to develop a valid and reliable shorter form of the scale, called OAS2, in an adult sample of 690 participants, using experts' item ratings and Confirmatory Factor Analysis. The OAS2 consisted of 8 items, which replicated the unidimensional structure of the OAS (Matos et al., 2011) and revealed a good fit. The OAS2 had good internal consistency (.82), similar to the longer version. The OAS2 has good concurrent and divergent validity, being highly correlated with the OAS (r = .91). The OAS and OAS2 have very similar significant correlations with measures of internal shame, psychopathology and anger, with no significant difference between them. Our results, suggest that the OAS2 is an economic, valid and reliable measure of external shame. Keywords: External shame; OAS; OAS2; Confirmatory factor analysis; Psychopathology Highlights• The OAS is a widely self-report instrument of external shame.• A short version of the OAS was developed based on expert ratings of the OAS items.• The 8-item OAS2 revealed a unidimensional structure and a good fit.• The OAS2 had good internal consistency, concurrent and divergent validities.• OAS2 is an economic, valid and reliable measure of external shame.

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Shame and pride in anorexia nervosa: a qualitative descriptive study

Abstract: The use of shame, as well as pride, as concepts in regard to anorexia nervosa may improve our understanding of the nature of this disorder, as well as being a guideline for therapists.

Cited by 106 publications

References 26 publications

Social identity in eating disorders

Social identity in eating disorders

Identity and Eating Disorders (IDEA): A Questionnaire Evaluating Identity and Embodiment in Eating Disorder Patients

The Other As Shamer Scale – 2: Development and validation of a short version of a measure of external shame

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