Shame, guilt, and depression in men and women in recovery from addiction

O’Connor, Lynn E.; Berry, Jack W.; Inaba, Darryl S.; Weiss, Joseph; Morrison, Andrea

doi:10.1016/0740-5472(94)90001-9

Cited by 116 publications

(74 citation statements)

References 21 publications

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“…Shame-proneness assessed in the fifth grade predicted later risky driving behavior, earlier initiation of drug and alcohol use, and a lower likelihood of practicing safe sex (Tangney & Dearing 2002). Similarly, proneness to problematic feelings of shame has been positively linked to substance use and abuse in adulthood (Dearing et al 2005, Meehan et al 1996, O'Connor et al 1994). …”

Section: Hiding Versus Amendingmentioning

confidence: 99%

Moral Emotions and Moral Behavior

Tangney

Stuewig

Mashek

2007

Annu. Rev. Psychol.

2,372

2,336

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Moral emotions represent a key element of our human moral apparatus, influencing the link between moral standards and moral behavior. This chapter reviews current theory and research on moral emotions. We first focus on a triad of negatively valenced "self-conscious" emotionsshame, guilt, and embarrassment. As in previous decades, much research remains focused on shame and guilt. We review current thinking on the distinction between shame and guilt, and the relative advantages and disadvantages of these two moral emotions. Several new areas of research are highlighted: research on the domain-specific phenomenon of body shame, styles of coping with shame, psychobiological aspects of shame, the link between childhood abuse and later proneness to shame, and the phenomena of vicarious or "collective" experiences of shame and guilt. In recent years, the concept of moral emotions has been expanded to include several positive emotions-elevation, gratitude, and the sometimes morally relevant experience of pride. Finally, we discuss briefly a morally relevant emotional process-other-oriented empathy. Keywordsshame; guilt; pride; elevation; gratitude OVERVIEWWhat confluence of factors foster a moral life lived to the benefit of self and others? This review summarizes current theory and research on moral emotions, offering a framework for thinking about the ways in which morally relevant emotions may moderate the link between moral standards and moral decisions, and ultimately moral behavior.Living a moral, constructive life is defined by a weighted sum of countless individual, morally relevant behaviors enacted day in and day out (plus an occasional particularly selfdefining moment). As imperfect human beings, however, our behavior does not always bear a one-to-one correspondence to our moral standards.Many potential explanations exist for the discrepancy between behavioral decisions (intentions) and actual behavior in both moral and nonmoral domains. Historically, much social psychological theory and research was devoted to understanding the imperfect link between intentions (e.g., moral decisions) and behavior. Field theory, the very foundation of social psychology, highlights the variability of individual behavior as a function of

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Section: Hiding Versus Amendingmentioning

confidence: 99%

Moral Emotions and Moral Behavior

Tangney

Stuewig

Mashek

2007

Annu. Rev. Psychol.

2,372

2,336

View full text Add to dashboard Cite

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“…Recovery programs that do not include children as an integral part of the work have been challenged as unlikely to promote mothers' successful completion of treatment (Finkelstein, 1994). Substance-abuse treatment programs that focus on the individual have been widely criticized as being modeled to meet the needs of men and ignoring the importance of relationships in women's lives (Alexander, 1996;Finkelstein, 1996;Magura et al, 1999;Marsh et al, 2000;Nelson-Zlupko, Dore, Kauffman, & Kaltenbach, 1996;O'Connor, Berry, Inaba, Weiss, & Morrison, 1994;Semidei et al, 2001). Finkelstein (1996) astutely observed that relationships encompass not only the important people in a woman's life such as her children, partner, parents and other relatives, but also the systems and representatives of the systems that affect her and her family's lives.…”

Section: Social Service Systems Substance-exposed Infants and Familiesmentioning

confidence: 94%

Permanency planning and social service systems: A comparison of two families with prenatally substance exposed infants

Twomey

Gil

Lester

2005

Infant Ment. Health J.

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An innovative program developed to work with families in which substance use during pregnancy leads to Child Protective Services involvement is introduced in this article. The Vulnerable Infants Program of Rhode Island (VIP-RI) was established to facilitate permanency planning for substance-exposed infants by focusing on the interface of social service systems with one another and with the families affected by perinatal substance use. Permanent placement within the time frame mandated by federal legislation places increased pressures on parents and the social service systems designed to provide them with assistance. The Vulnerable Infants Program of Rhode Island promotes collaboration, coordination, and communication among social service systems engaged with families of substance-exposed infants. The Vulnerable Infants Program of Rhode Island works to increase the efficacy of social service systems in order to optimize the resources that are available to a family in their attempts at reunification with their infant. Case examples illustrate the complexities of the families of substance-exposed infants, the breadth of social service systems that become involved with these families, and the vastly different placement outcomes that substance-exposed infants may experience.

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“…Some research suggests that feelings of shame can arise as a consequence of using substances (Arentzen, 1978;Blume, 1990;Cook, 1987;Corrigan et al, 2006;Fossum & Mason, 1986;Luoma et al, 2007;O'Connor et al, 1994;Reed, 1987), and , of the papers reviewed here, one suggests that, amongst those who already use substances problematically, shame may have a positive impact by increasing motivation to seek treatment. In their study of 188 16-24 year-olds entering treatment for moderately problematic substance abuse, Rosenkranz, Henderson, Muller, & Goodman (2012) found that those individuals who reported greater shameproneness were more likely to recognise their substance misuse and seek treatment.…”

Section: The Role Of Sexual Abuse In the Development Of Shamementioning

confidence: 99%

“…Although several studies indicate that the feelings of shame which can arise from the stigma surrounding substance misuse may serve as a barrier to treatment (Cook, 1987;Corrigan, Watson, & Miller, 2006;Luoma et al, 2007), it has been suggested that this stigma has a greater effect amongst certain groups. In particular, females seeking treatment for substance-related problems may face greater stigma that males and often risk the breakdown of intimate relationships, as well as the removal of their children (Blume, 1990;O'Connor, Berry, Inaba, & Weiss, 1994;Reed, 1987).…”

Section: The Relationship Between Shame and Substance Abusementioning

confidence: 99%