Shame and Trauma in the Body: Grounded Theory Content Analysis

Abstract

This research explores shame and its relationship to individuals’ bodies, as well as current treatment practices among psychotherapists for treating maladaptive shame. Current literature regarding shame, shame assessment, and interventions are presented. Theories and techniques involving mind-body integration are reviewed. This research adds to the literature considering body-oriented techniques in the treatment of shame and trauma through an online survey study (n=66) of licensed psychotherapists. Questions included whether and how they observe manifestations of chronic shame in their clients, their consideration of the body in psychotherapy, how shame may manifest physically, and whether and how they incorporate somatic experiences into psychotherapy. Results indicate broad awareness of the somatic manifestations of shame and trauma and varying frequency of incorporation of somatic interventions in therapy, including mindfulness, breathing, and relaxation techniques. Responses indicate widespread observation of clinically significant emotional, cognitive, and physical impacts of shame in clients and support the view that somatic considerations are important for effective treatment.