This study investigated responses of beginning therapists (N = 45) to
client shame expression. Subjects watched videotapes of two simulated
therapy sessions in which the client exhibited two different shame sta
tes: acute, painful self-consciousness and humiliated fury. Results sh
ow that in response to both types of shame, subjects are-most likely t
o experience compassion and sadness, and most likely to respond therap
eutically by reflecting the client's feelings and asking the client to
elaborate. However, beginning therapists are more likely to experienc
e insecurity and passivity when a client is acutely self-conscious, an
d to feel more anxious and defensive when a client is in a state of hu
miliated fury. A focus on training in the effective psychotherapy of s
hame states is recommended.