This article provides an introduction to the concept of shame as it relates to substance misuse. Empirical research on shame and addiction and the theoretical and operational definitions that underpin them are discussed. Potential areas of further inquiry are highlighted. Implications for clinical practice are discussed.
"Developing the ability to forgive seems to have a special role in the treatment for people addicted to alcohol (Worthington et al. 2006). On the one hand, a person who abuses alcohol charges others with the responsibility for their addiction, and on the other hand, in the periods of abstinence, he or she can suffer from overwhelming feelings of shame and worthlessness, which often results in discontinuance of abstinence (Wiechelt 2007). People who strongly believe in God may additionally feel it is impossible to reconstruct the relationship with the Higher Being because of their transgressions and diverting from God. "
[Show abstract][Hide abstract] ABSTRACT: The aim of the study was to examine the sex differences in the initial level of spiritual coping, forgiveness, and gratitude and changes occurring in these areas during a basic alcohol addiction treatment program. The study involved 112 persons, including 56 women and 56 men, who started and completed a basic alcohol addiction treatment pro-gram at day care units of 11 treatment centers. Two measurements were taken: one in the first week of the treatment, and one in the last week (5th–7th week after baseline). The Spiritual Coping Questionnaire, the Forgiveness Scale, and Gratitude Questionnaire were used. When starting the therapy, women had a higher level of negative spiritual coping (p = .024) and a lower level of forgiveness of others (p = .041) than men. During the therapy, positive changes in spiritual coping occurred in both sex groups, although in the case of women they involved improvements in more domains and they were stronger. The increase in the level of moral values (except for self-forgiveness) was noted solely in women. The study reveals the need to take sex differences into consideration when introducing spiritual elements into the therapy.
Journal of Religion and Health 01/2015; 54(5):1931-1949. DOI:10.1007/s10943-015-0002-0 · 1.02 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Although compulsive buying is understood as an attempt to deal with chronic negative affect, the role of self-conscious emotions has not been explicitly theorized nor empirically examined. One objective of this manuscript was to fill this gap by integrating the escape theory account of compulsive buying with the psychological literature on negative self-conscious emotions. Specifically, shame-proneness was posited to be an important risk factor of compulsive buying severity. Another objective of this study was to examine the use of avoidant coping strategies following buying lapses and relate them with dispositional self-conscious emotions. Specifically, it was hypothesized that the use of avoidant coping strategies following buying lapses would be positively influenced by shame-proneness, and that this effect would be partially mediated by compulsive buying. These hypotheses received strong support from two studies, in which compulsive buying was assessed with different self-report instruments.
Journal of Consumer Policy 09/2012; 35(3). DOI:10.1007/s10603-012-9194-9
[Show abstract][Hide abstract] ABSTRACT: Treatment of people who are alcohol-dependent and treatment of users of illicit drugs differ remarkably in Italy, in keeping with the perception of the general public that drinking alcoholic beverages is a time-honored behavior, while consumption of illicit drugs is a deviant behavior. From a clinical perspective, the treatment for alcoholism essentially stands on the principle of free choice, motivation to change, and a family approach, while the treatment of people who are illicit drug users is characterized by control, pharmacotherapy, and individual therapy approaches. From a socio-political viewpoint both were established in the 1970s, the former being a "bottom-up" movement that started as "spontaneous" responses that mutual help groups and a few clinicians and institutions gave to alcoholics and their families; while the latter was provided "top-down" as a political response of the Government confronting the increase of illegal drug consumption among youngsters.
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