Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Access Criminology and Criminal Justice journals now

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Child Maltreatment
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Deblinger, E.
Right arrow Articles by Runyon, M. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Deblinger, E.
Right arrow Articles by Runyon, M. K.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Understanding and Treating Feelings of Shame in Children Who Have Experienced Maltreatment

Esther Deblinger

Melissa K. Runyon

University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine

Feelings of shame have been found to be an important mediating factor in influencing a child's recovery from abuse. This article conceptualizes the development and maintenance of shame in the aftermath of experiencing child sexual and/or physical abuse. Research is reviewed that may shed light on the impact of shame and dysfunctional attributions with a view toward understanding how this type of painful emotional suffering can be prevented and/or treated. Trauma-focused interventions that have demonstrated efficacy in helping children overcome feelings of shame are described. Directions for future research that may further our understanding of the development, impact, and treatment of feelings of shame are suggested.

Key Words: shame • dysfunctional attributions • child sexual abuse • child physical abuse • therapy

References

  • Alessandri, S. M., & Lewis, M. (1996). Development of selfconscious emotions in maltreated children. In M. Lewis & M. W. Sullivan (Eds.), Emotional development in atypical children(pp. 185-201). Hillsdale, NJ: Lawrence Erlbaum.
  • Alexander, S. J., & Jorgensen, S. R. (1983). Sex education for early adolescents: A study of parents and students. Journal of Early Adolescence, 3, 315-325.[Abstract]
  • Andrews, B. (1995). Bodily shame as a mediator between abusive experiences and depression. Journal of Abnormal Psychology, 104, 277-285.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Andrews, B. (1998). Shame and childhood abuse. In P. Gilbert& B. Andrews (Eds.), Interpersonal behavior, psychopathology, and culture (pp. 176-190). New York: Oxford University Press.
  • Andrews, B., Berwin, C. R., Rose, S., & Kirk, M. (2000). Predicting PTSD symptoms in victims of violent crime: The role of shame, anger, and childhood abuse. Journal of Abnormal Psychology, 109, 69-73.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Andrews, B., & Hunter, E. (1997). Shame, early abuse, and course of depression in a clinical sample: A preliminary study. Cognition and Emotion, 11, 373-381.
  • Bennett, D. S., Sullivan, M. W., & Lewis, M. (2005). Young children's adjustment as a function of maltreatment, shame, and anger. Child Maltreatment, 10, 311-323.[Abstract/Free Full Text]
  • Brown, E., & Kolko, D. (1999). Child victims' attributions about being physically abused: An examination of factors associated with symptom severity. Journal of Abnormal Child Psychology, 27, 311-322.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Carlson, E. B., Furby, L., Armstrong, J., & Shales, J. (1997). A conceptual framework for the long-term psychological effects of traumatic child abuse. Child Maltreatment, 2, 272-295.[Abstract]
  • Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. (2004). A multi-site, randomized controlled trial for children with sex abuse-related PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 393-402.[CrossRef]
  • Cohen, J. A., & Mannarino, A. P. (2000). Predictors of treatment outcome in sexually abused children. Child Abuse & Neglect, 24(4), 983-994.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2001). Child and parent trauma-focused cognitive behavioral therapy treatment manual. Unpublished manuscript, Drexel University College of Medicine.
  • Cox, A. D. (1998). Preventing child abuse: A review of communitybased projects II. Issues arising from reviews and future directions. Child Abuse Review, 7, 30-43.[CrossRef]
  • Deblinger, E., & Heflin, A. (1996). Treating sexually abused children and their non-offending parents: A cognitive-behavioral approach. Thousand Oaks, CA: Sage.
  • Deblinger, E., Lippmann, J., & Steer, R. (1996). Sexually abused children suffering posttraumatic stress symptoms: Initial treatment outcome findings. Child Maltreatment, 1, 310-321.[Abstract]
  • Deblinger, E., Stauffer, L. B., & Steer, R. (2001). Comparative efficacies of supportive and cognitive-behavioral group therapies for young children who have been sexually abused and their non-offending mothers. Child Maltreatment, 6, 332-343.[Abstract/Free Full Text]
  • Deblinger, E., Steer, R., & Lippmann, J. (1999). Maternal factors associated with sexually abused children's psychosocial adjustment. Child Maltreatment, 4, 13-20.[Abstract/Free Full Text]
  • Dubowitz, H., Black, M., Harrington, D., & Verschoore, A. (1993). A follow-up study of behavior problems associated with child sexual abuse. Child Abuse & Neglect, 17(6), 743-754.[Web of Science][Medline] [Order article via Infotrieve]
  • Everson, M. D., Hunter, W. M., Runyan, D. K., Edelson, G. A., & Coulter, M. L. (1989). Maternal support following disclosure of incest. American Journal of Orthopsychiatry, 59, 197-207.[Web of Science][Medline] [Order article via Infotrieve]
  • Feiring, C., & Taska, L. S. (2005). The persistence of shame following sexual abuse: a longitudinal look at risk and recovery. Child Maltreatment, 10, 337-349.[Abstract/Free Full Text]
  • Feiring, C., Taska, L. S., & Chen, K. (2002). Trying to understand why horrible things happen: Attribution, shame, and symptom development following sexual abuse. Child Maltreatment, 7, 26-41.[Medline] [Order article via Infotrieve]
  • Feiring, C., Taska, L. S., & Lewis, M. (1996). A process model for understanding adaptation to child sexual abuse: The role of shame in defining stigmatization. Child Abuse& Neglect, 20, 767-782.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Feiring, C., Taska, L. S., & Lewis, M. (1998). The role of shame and attributional style in children's and adolescents' adaptation to sexual abuse. Child Maltreatment, 3, 129-142.[Abstract]
  • Ferguson, T. J., & Stegge, H. (1995). Emotional states and traits in children: The case of guilt and shame. In J. P. Tagney & K. W. Fischer (Eds.), Self-conscious emotions: The psychology of shame, guilt, embarrassment, and pride(pp. 174-197). NewYork: Guilford.
  • Ferguson, T. J., Stegge, H., Miller, E. R., & Olsen, M. E. (1999). Guilt, shame, and symptoms in children. Developmental Psychology, 35, 347-357.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Finkelhor, D.,& Browne, A. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66-77.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Grych, J. H.,& Fincham, F. D. (1993). Children's appraisals of marital conflict: Initial investigations of the cognitive-contextual framework. Child Development, 64, 215-230.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Harder, D. W., & Lewis, S. J. (1986). The assessment of shame and guilt. In J. N. Butcher& C. D. Spielberger (Eds.), Advances in personality assessment(pp. 89-114). Hillsdale, NJ: Lawrence Erlbaum.
  • Higgins, D. J., & McCabe, M. P. (2000). Relationships between different types of maltreatment during childhood and adjustment in adulthood. Child Maltreatment, 5, 261-272.[Abstract/Free Full Text]
  • Kavanaugh, K. A., Youngblade, L., Reid, J. B., & Fagot, B. I. (1988). Interactions between children and abusive versus control parents. Journal of Clinical Child Psychology, 17, 137-142.[CrossRef][Web of Science]
  • Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164-180.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Kolko, D. J. (1996). Individual cognitive-behavioral treatment and family therapy for physically abused children and their offending parents: A comparison of clinical outcomes. Child Maltreatment, 1, 322-342.[Abstract]
  • Kolko, D. J., & Swenson, C. (2002). Assessing and treating physically abused children and their families: A cognitive-behavioral approach. Thousand Oaks, CA: Sage.
  • Lanius, R. A., Williamson, P. C., Densmore, M., Boksma, K., Neufeld, R. W., Gati, J. S., et al. (2004). The nature of traumatic memories: A 4-T fmRI functional connectivity analysis. American Journal of Psychiatry, 161(1), 36-44.[Abstract/Free Full Text]
  • Lee, D. A., Scragg, P., & Turner, S. (2001). The role of shame and guilt in traumatic events: A clinical model of shame-based and guilt-based PTSD. Journal of Medical Psychology, 74, 451-466.[CrossRef]
  • Leserman, J., Li, Z., Drossman, D. A., & Hu, Y. J. B. (1998). Selected symptoms associated with sexual and physical abuse history among female patients with gastrointestinal disorders: The impact on subsequent health care visits. Psychological Medicine, 28, 417-425.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Lewis, M., Alessandri, S. M., & Sullivan, M. W. (1992). Differences in shame and pride as a function of children's gender and task difficulty. Child Development, 63, 630-638.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Lipovsky, J., Swenson, C., Ralston, M., & Saunders, B. (1998). The abuse clarification process in the treatment of intrafamilial child abuse. Child Abuse & Neglect, 22, 729-741.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Madansky, D.,& Santora, D. (1990) Pediatrician-therapist cooperation in the treatment of sexually abused children. Child Abuse& Neglect, 14, 277-279.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • McLeer, S., Deblinger, E., Henry, D., & Orvaschel, H. (1992). Sexually abused children at high risk for post-traumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 31(5), 875-879.[Web of Science][Medline] [Order article via Infotrieve]
  • Mears, C., Heflin, A. H., Finkel, M. A., Deblinger, E., & Steer, R. A. (2003). Adolescents' responses to sexual abuse evaluation including use of video colposcopy. Journal of Adolescent Health, 33(1), 18-24.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Oldershaw, L., Walters, G. C., & Hall, D. K. (1986). Control strategies and noncompliance in abusive mother-child dyads: An observational study. Child Development, 57, 722-732.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Rimsza, M. E., Berg, R. A., & Locke, C. (1988). Sexual abuse: Somatic and emotional reactions. Child Abuse & Neglect, 12(2), 201-208.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Roberts, J. A., & Miltenberger, R. G. (1999). Emerging issues in the research on child sexual abuse prevention. Education & Treatment of Children, 22, 84-102.
  • Runyon, M. K., Deblinger, E., Ryan, E.,& Thakkar-Kolar, R. (2004). An overview of child physical abuse: Developing an integrated parent-child cognitive-behavioral treatment approach. Trauma, Violence, & Abuse: A Review Journal, 5, 65-85.
  • Runyon, M. K., & Kenny, M. (2002). Relationship of attributional style, depression, and post-trauma distress among children who suffered physical or sexual abuse. Child Maltreatment, 7, 254-264.[Abstract/Free Full Text]
  • Stuewig, J., & McCloskey, L. A. (2005 [this issue]). The relation of child maltreatment to shame and guilt among adolescents: Psychological routes to depression and delinquency. Child Maltreatment, 10,324-336.[Abstract/Free Full Text]
  • Talbot, J. A., Talbot, N. L., & Tu, X. (2004). Shame proneness as a diathesis for dissociation in women with histories of childhood sexual abuse. Journal of Traumatic Stress, 17(5), 445-448.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Tangney, J. P., Wagner, P. E., Hill-Barlow, D., Marschall, D. E., & Gramzow, R. (1996). Relation of shame and guilt to constructive versus destructive responses to anger across the lifespan. Journal of Personality and Social Psychology, 70(4), 797-809.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Thakkar, R., & McCanne, T. R. (2000). The effects of daily stressors on physical health in women with and without a childhood history of sexual abuse. Child Abuse & Neglect, 24, 209-221.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Weiner, B. (1990). Searching for the roots of applied attribution theory. In S. Graham & V. S. Folkes (Eds.), Attribution theory: Applications to achievement, mental health, and interpersonal conflict (pp. 1-13). Hillsdale, NJ: Lawrence Erlbaum.

Child Maltreatment, Vol. 10, No. 4, 364-376 (2005)
DOI: 10.1177/1077559505279306


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
Child MaltreatHome page
C. Feiring, S. Miller-Johnson, and C. M. Cleland
Potential Pathways From Stigmatization and Internalizing Symptoms to Delinquency in Sexually Abused Youth
Child Maltreat, August 1, 2007; 12(3): 220 - 232.
[Abstract] [PDF]


Home page
Child MaltreatHome page
C. Feiring
Emotional Development, Shame, and Adaptation to Child Maltreatment
Child Maltreat, November 1, 2005; 10(4): 307 - 310.
[PDF]


Home page
Child MaltreatHome page
D. S. Bennett, M. W. Sullivan, and M. Lewis
Young Children's Adjustment as a Function of Maltreatment, Shame, and Anger
Child Maltreat, November 1, 2005; 10(4): 311 - 323.
[Abstract] [PDF]


Home page
Child MaltreatHome page
J. Stuewig and L. A. McCloskey
The Relation of Child Maltreatment to Shame and Guilt Among Adolescents: Psychological Routes to Depression and Delinquency
Child Maltreat, November 1, 2005; 10(4): 324 - 336.
[Abstract] [PDF]


Home page
Child MaltreatHome page
T. J. Ferguson
Mapping Shame and Its Functions in Relationships
Child Maltreat, November 1, 2005; 10(4): 377 - 386.
[Abstract] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Deblinger, E.
Right arrow Articles by Runyon, M. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Deblinger, E.
Right arrow Articles by Runyon, M. K.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?