J. Macdonald et I. Morley, Shame and non-disclosure: A study of the emotional isolation of people referred for psychotherapy, BR J MED PS, 74, 2001, pp. 1-21
Thirty-four people referred to an NHS psychotherapy department were given a
modified form of Oatley acid Duncan's (1992) emotion diary which included
questions about whether each recorded emotion had been subsequently disclos
ed to anyone (for example a partner, friend or professional). One week late
r the diaries were collected and participants interviewed. Interviews focus
ed, among other things, on reasons for nondisclosure of recorded emotional
experiences and the relationship between shame and non-disclosure. The resu
lts indicated that a majority of the emotional incidents recorded in the di
aries were not disclosed (68%). This result contrasts with studies on non-c
linical samples in which only approximately 10% of everyday emotions are ke
pt secret. Qualitative analysis of the interview data revealed that partici
pants appeared to be habitual non-disclosers of emotional and personal expe
riences and that non-disclosure was related to the anticipation of negative
interpersonal responses to disclosure (in particular labelling and judging
responses) in addition to more self-critical factors including shame. It i
s suggested that these results add to the existing literature on shame by i
llustrating the interpersonal effects of shame in a clinical sample.