Shame in the Therapy Hour

438 Pages·2011·14.105 MB·English

by  Ronda L. Dearing, June Price Tangney

Shame
in the
Therapy Hour
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Shame
in the
Therapy Hour
Edited by
Ronda L. Dearing and
June Price Tangney
American Psychological Association • Washington, DC
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Copyright © 2011 by the American Psychological Association. All rights reserved. Except as
permitted under the United States Copyright Act of 1976, no part of this publication may
be reproduced or distributed in any form or by any means, including, but not limited to, the
process of scanning and digitization, or stored in a database or retrieval system, without the
prior written permission of the publisher.
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Library of Congress Cataloging-in-Publication Data
Shame in the therapy hour/edited by Ronda L. Dearing and June Price Tangney. — 1st ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-1-4338-0967-5
ISBN-10: 1-4338-0967-2
1. Psychotherapist and patient. 2. Shame. I. Dearing, Ronda L. II. Tangney, June Price.
III. American Psychological Association.
[DNLM: 1. Shame. 2. Psychotherapy—methods. BF 575.S45]
RC480.8.S49 2011
616.89'14—dc22
2011002248
British Library Cataloguing-in-Publication Data
A CIP record is available from the British Library.
Printed in the United States of America
First Edition
DOI: 10.1037/12326-000
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Dedicated to the memory of Helen Block Lewis, whose innovative
ideas on shame and guilt have provided guidance and inspiration.
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CONTENTS
Contributors................................................................................................ xi
Introduction: Putting Shame in Context.................................................... 3
Ronda L. Dearing and June Price Tangney
I. Shame From Multiple Therapeutic Perspectives............................... 21
Chapter 1. The Psychodynamics of Shame...................................... 23
Andrew P. Morrison
Chapter 2. The Inner World of Shaming and Ashamed:
An Object Relations Perspective
and Therapeutic Approach............................................ 45
Michael Stadter
Chapter 3. Emotion-Focused Therapy and Shame.......................... 69
Leslie S. Greenberg and Shigeru Iwakabe
vii
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Chapter 4. Treating Shame: A Functional Analytic
Approach........................................................................ 91
Kelly Koerner, Mavis Tsai, and Elizabeth Simpson
Chapter 5. Shame and the Paradox of Group Therapy.................. 115
Elizabeth L. Shapiro and Theodore A. Powers
Chapter 6. Shame in Families: Transmission
Across Generations...................................................... 137
Edward Teyber, Faith H. McClure,
and Robert Weathers
Chapter 7. Shame in Couple Therapy: Helping to Heal
the Intimacy Bond........................................................ 167
Norman B. Epstein and Mariana K. Falconier
Chapter 8. Therapy With Refugees and Other
Immigrants Experiencing Shame:
A Multicultural Perspective......................................... 195
Emi Furukawa and Dennis J. Hunt
II. Challenging Problems in Therapy: Shame-Based
Clinical Disorders............................................................................ 217
Chapter 9. Therapy With Shame-Prone Alcoholic
and Drug-Dependent Clients....................................... 219
Ronald T. Potter-Efron
Chapter 10. The Role of Shame in the Development
and Treatment of Borderline
Personality Disorder..................................................... 237
Shireen L. Rizvi, Milton Z. Brown, Martin Bohus,
and Marsha M. Linehan
Chapter 11. Posttraumatic Stress Disorder
as a Shame Disorder..................................................... 261
Judith Lewis Herman
Chapter 12. Body Image and Eating Disorders:
A Compelling Source of Shame for Women............... 277
Jennifer L. Sanftner and Mary Tantillo
viii CONTENTS
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III. Shame in the Other Chair.............................................................. 305
Chapter 13. Therapist Shame: Implications for Therapy
and Supervision............................................................ 307
Nicholas Ladany, Rebecca Klinger, and Lauren Kulp
IV. Shame-Focused Strategies.............................................................. 323
Chapter 14. Shame in Psychotherapy and the Role
of Compassion Focused Therapy.................................. 325
Paul Gilbert
Chapter 15. Connections: A 12-Session Psychoeducational
Shame Resilience Curriculum...................................... 355
Brené Brown, Virginia Rondero Hernandez,
and Yolanda Villarreal
V. Shame: Future Directions............................................................... 373
Chapter 16. Working With Shame in the Therapy Hour:
Summary and Integration ............................................ 375
June Price Tangney and Ronda L. Dearing
Index........................................................................................................ 405
About the Editors..................................................................................... 427
CONTENTS ix