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Respect
Published in Robert S. Holzman, Anesthesia and the Classics, 2022
Of particular relevance to the development of conscience in medical practice, Bynum and Goodie explored the effects of shame associated with errors upon the wellness of learners. They described differences between shame and guilt in the health care learning environment and the importance of recognizing these emotions and their potential for occurring following a learner’s error, explaining that shame involves a negative reaction to the worth of the self while guilt involves negative reactions to an action or behavior without implicating the value of the self. Misreading an X-ray is different than being an inadequate or bad doctor.7 Whereas guilt is an emotion focused on a specific action, shame is a global feeling about oneself. Not only has everyone in medicine experienced this, but it is often recognized in the hidden curriculum as an essential part of training and a safeguard against hubris. Guilt is an emotion with a less pervasive effect on the individual. It allows the separation of the action from the self, holding it at arm’s length and avoids the internalization that results from shame.8 This distinction has been identified as a difference between “shame-cultures” and “guilt-cultures.” What’s at stake in this kind of shame-culture, then, is not a sense of responsibility in the face of a consciousness of wrongdoing, but a culturally specific demand for respect and honor.
What to listen for: shame
Published in Barry Bub, Communication Skills that Heal, 2020
Shame is a negative feeling relating to ourselves, who and how we are. Guilt is closely related, but refers to a negative feeling about our impact on our environment, i.e., about what we do to others rather than what we are.
Pregnancy
Published in Kate B. Daigle, The Clinical Guide to Fertility, Motherhood, and Eating Disorders, 2019
But through counseling and time, Isabella has allowed herself to settle into her pregnancy and to be happy about it. She still has times where she feels guilt and may always do so given her path, but also is able to find some gratitude for her experience because it deepened her recovery and also her self-worth. It is essential for anyone experiencing survivor’s guilt of any kind to seek counseling and to work on resolving this in a way that feels most effective for them, as it does not resolve itself on its own. Occasionally, a woman may discover that survivor’s guilt she feels at one point in her life is triggered by past guilt or shame narratives in her story—for Isabella, she grew up feeling like having emotions and needs were “wrong” in her family system, and that feeling of being wrong surfaced again now.
Shame and Guilt in EMS: A Qualitative Analysis of Culture and Attitudes in Prehospital Emergency Care
Published in Prehospital Emergency Care, 2023
J. J. Hoff, Armand Zimmerman, Anna Tupetz, Lee Van Vleet, Catherine Staton, Anjni Joiner
In recent years, there has been a movement to focus on the mental health of clinicians both in and out of the hospital and to reduce the stigma around discussion of the emotions they may feel as they go through training and practice medicine (4). These emotions can be separated into basic emotions and self-conscious emotions. Basic emotions such as joy, sadness, fear, and anger are experienced on a regular basis by those who care for patients, but self-conscious emotions, such as shame and guilt, are more complex and nuanced, requiring self-awareness and maturity (5). While guilt and shame share commonality as cognitive processes, they are seen to differ dramatically in their effects on the individual. Generally, guilt is defined in psychology research (5) as a more optimistic self-conscious emotion after an adverse event, leading the individual to channel his or her self-awareness into self-betterment by identifying a particular actionable deficiency to improve upon (6). On the other hand, shame manifests as feeling globally deficient, which is uncorrectable to the individual (6).
How women differently felt guilt from men in Korea: Focusing on the influence of demographic factors and leisure motivation
Published in Health Care for Women International, 2023
JeongYun Han, Seunghye Jeong, Taekyun Hur, May Kim
Guilt is a negative feeling caused by the violation of moral standards, and thus is strongly influenced by one’s moral values and standards, as well as social and cultural factors (Kugler & Jones, 1992). Okada (2005) pointed out that feelings of guilt could restrict the choice of related behavior. In general, individuals are more likely to feel guilty while engaging in socially unacceptable or illegal leisure, whereas they are less likely to feel guilty while exercising for health, or visiting a historical museum. Therefore, the degree of guilt can vary, depending on the domain or type of experience (Jeong & Lee, 2009). Leisure motivation or other individual factors also influence the degree of guilt. Drinking at a bar might not generate feelings of guilt for people with a social or stress-release motivation, whereas the same leisure activity could make some people, who have an alcohol-use problem or only a strong hedonic motivation, feel guilty.
“I Feel Guilty”. Exploring Guilt-Related Dynamics in Family Caregivers of People with Dementia
Published in Clinical Gerontologist, 2022
Laura Gallego-Alberto, Andrés Losada, Isabel Cabrera, Rosa Romero-Moreno, Ana Pérez-Miguel, María Del Sequeros Pedroso-Chaparro, María Márquez-González
Research has shown the negative effects which the task of caring for an older person can have on the psychological health of the caregiver (Sallim, Sayampanathan, Cuttilan, & Ho, 2015). The most frequently studied outcome variables in the context of research on care have been depression, burden and anxiety (Losada et al., 2015). Studies aimed at assessing and analyzing other variables such as guilt are few, even though it is a frequent and incapacitating emotion in caregivers (Gonyea, Paris, & Saxe Zerden, 2008; Losada, Márquez-González, Peñacoba, & Romero-Moreno, 2010; Losada et al., 2018). Guilt has been proposed as a major factor in the development and maintenance of depression and distress in caregivers of people with cancer (Spillers, Wellisch, Kim, Matthews & Baker, 2008). In this population, guilt has specifically been associated with poorer psychological and physical health, as well as with their self-perceptions about their ability to deal with difficult situations (Duggleby et al., 2014; Spillers et al., 2008). Guilt is also a predictor of anxiety and depression in caregivers of children with intellectual disabilities (Gallagher, Phillips, Oliver, & Carroll, 2008). In addition, in family caregivers of patients with schizophrenia guilt has been proposed as a relevant predictor of psychological distress of those caregivers (Boye, Bentsen, & Malt, 2002).