Shame and non-disclosure: A study of the emotional isolation of people referred for psychotherapy

Citation
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
Citations number
39
Categorie Soggetti
Psychiatry,"Clinical Psycology & Psychiatry
Journal title
BRITISH JOURNAL OF MEDICAL PSYCHOLOGY
ISSN journal
00071129 → ACNP
Volume
74
Year of publication
2001
Part
1
Pages
1 - 21
Database
ISI
SICI code
0007-1129(200103)74:<1:SANASO>2.0.ZU;2-6
Abstract
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.