Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach

Clinical Psychology and Psychotherapy

Volumn 13, Issue 6, 2006, Pages 353-379

  Gilbert, Paul ^a   Procter, Sue ^b  

^a KINGSWAY HOSPITAL   (United Kingdom)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AFFECT; ANXIETY; BEHAVIOR THERAPY; CHRONIC DISEASE; CLINICAL ARTICLE; CLINICAL EFFECTIVENESS; COGNITIVE THERAPY; COMPASSIONATE MIND TRAINING; CONTROLLED STUDY; DEPRESSION; EMOTIONAL ATTACHMENT; EMPATHY; FEMALE; FORGIVENESS; FUNCTIONAL ASSESSMENT; GROUP THERAPY; HEALTH CARE UTILIZATION; HOSPITAL ANXIETY AND DEPRESSION SCALE; HUMAN; MALE; MEDICAL RESEARCH; MENTAL DISEASE; MOOD DISORDER; PATIENT ATTITUDE; PERSONALITY DISORDER; PILOT STUDY; PRIORITY JOURNAL; PSYCHOTHERAPY; RATING SCALE; RESPONSIBILITY; REVIEW; SAFETY; SELF CONCEPT; SHAME;

EID: 33846092618     PISSN: 10633995     EISSN: 10990879     Source Type: Journal    
DOI: 10.1002/cpp.507     Document Type: Review

References (117)

1. Allan, S., & Gilbert, P. (1995). A social comparison scale: Psychometric properties and relationship to psychopathology. Personality and Individual Differences, 19, 293-299.
2. Allan, S., & Gilbert, P. (1997). Submissive behaviour and psychopathology. British Journal of Clinical Psychology, 36, 467-488.
3. Allan, S., Gilbert, P., & Goss, K. (1994). An exploration of shame measures: II: Psychopathology. Personality and Individual Differences, 17, 719-722.
4. Allen, N.B., & Knight, W.E.J. (2005). Mindfulness, compassion for self, and compassion for others. Implications for understanding the psychopathology and treatment of depression. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 239-262). London: Routledge.
5. Andrews, B. (1998). Shame and childhood abuse. In P. Gilbert, & B. Andrews (Eds), Shame: Interpersonal behavior, psychopathology and culture (pp. 176-190). New York: Oxford University Press.
6. Andrews, B., & Brewin, C.R. (1990). Attributions of blame for marital violence: A study of antecedents and consequences. Journal of Family and Marriage, 52, 757-767.
7. Baldwin, M.W. (ed.) (2005). Interpersonal cognition. New York: Guilford.
8. Baldwin, M.W., & Dandeneau, S.D. (2005). Understanding and modifying the relational schemas underlying insecurity. In M.W. Baldwin (Ed.), Interpersonal cognition (pp. 33-61). New York: Guilford.
9. Baldwin, M.W., & Holmes, J.G. (1987). Salient private audiences and awareness of the self. Journal of Personality and Social Psychology, 52, 1087-1098.
10. Bates, T. (2005). The expression of compassion in group psychotherapy. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 369-386). London: Routledge.
11. Baumeister, R.F., & Leary, M.R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117, 497-529.
12. Bell, D.C. (2001). Evolution of care giving behavior. Personality and Social Psychology Review, 5, 216-229.
13. Bowlby, J. (1969). Attachment: Attachment and loss, Vol. 1. London: Hogarth.
14. Bowlby, J. (1980). Loss: Sadness and depression. Attachment and loss, Vol. 3. London: Hogarth.
15. Brewin, C.R. (2006). Understanding cognitive behaviour therapy: A retrieval competition account. Behaviour Research and Therapy, 44, 765-784.
16. Buchbinder, E., & Eisikovits, Z. (2003). Battered women's entrapment in shame: A phenomenological study. American Journal of Orthopsychiatry, 73, 355-366.
17. Buss, D.M., & Craik, K.H. (1986). Acts, dispositions and clinical assessment: The psychopathology of everyday conduct. Clinical Psychology Review, 6, 387-406.
18. Carter, C.S. (1998). Neuroendocrine perspectives on social attachment and love. Psychoneuroendocrinology, 23, 779-818.
19. Cassidy, J., & Shaver, P.R. (Eds). (1999). Handbook of attachment: Theory, research and clinical applications (pp. 115-140). New York: Guilford.
20. Cheung, M.S.P., Gilbert, P., & Irons, C. (2004). An exploration of shame, social rank and rumination in relation to depression. Personality and Individual Differences, 36, 1143-1153.
21. Cook, D.R. (1993). The Internalized Shame Scale manual. Menomonie, WI: Channel (available from Author; Rt. 7, Box 270a, Menomonie, WI, 54751).
22. Cook, D.R. (1996). Empirical studies of shame and guilt: The internalized shame scale. In D.L. Nathanson (Ed.), Knowing feeling: Affect, script and psychotherapy (pp. 132-165). New York: Norton.
23. Cozolino, L. (2002). The neuroscience of psychotherapy. Building and rebuilding the human brain. New York: Norton.
24. Davidson, R., & Harrington,A. (Eds). (2002). Visions of compassion: Western scientists and Tibetan Buddhists examine human nature. New York: Oxford University Press.
25. Davidson, R.J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D. et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564-570.
26. Depue, R.A., & Morrone-Strupinsky, J.V. (2005). A neurobehavioral model of affiliative bonding. Behavioral and Brain Sciences, 28, 313-395.
27. Dickerson, S.S., & Kemeny, M.E. (2004). Acute stressors and cortisol response: A theoretical integration and synthesis of laboratory research. Psychological Bulletin, 130, 335-391.
28. Driscoll, R. (1988). Self-condemnation: A conceptual framework for assessment and treatment. Psychotherapy, 26, 104-111.
29. Dunkley, D.M., Zuroff, D.C., & Blankstein, K.R. (2003). Self-critical perfectionism and daily affect: Dispositional and situational influences on stress and coping. Journal of Personality and Social Psychology, 84, 234-252.
30. Dunkley, D.M., Zuroff, D.C., & Blankstein, K.R. (2006). Specific perfectionism components versus self-criticism in predicting maladjustment. Personality and Individual Differences, 40, 665-676.
31. Feiring, C., Taska, L., & Lewis, M. (2002). Adjustment following sexual abuse discovery: The role of shame and attributional style. Developmental Psychology, 38, 79-92.
32. Ferguson, E. (2005). The use of diary methodologies in health and clinical psychology. In J.N.V. Miles, & P. Gilbert (Eds), A handbook of research methods in clinical and health psychology (pp. 111-124). Oxford: Oxford University Press.
33. Ferster, C.B. (1973). A functional analysis of depression. American Psychologist, 28, 857-870.
34. Field, A. (2005). Discovering statistics using SPSS: Second edition. London: Sage.
35. Field, T. (2000). Touch therapy. New York: Churchill Livingstone.
36. Forrest, M.S., & Hokanson, J.E. (1975). Depression and autonomic arousal reduction accompanying self-punitive behavior. Journal of Abnormal Psychology, 84, 346-357.
37. George, M.S., Ketter, T.A., Parekh, P.I., Horwitz, B., Herscovitch, P., & Post, R.M. (1995). Brain activity during transient sadness and happiness in healthy women. American Journal of Psychiatry, 152, 341-351.
38. Gerhardt, S. (2004). Why love matters. How affection shapes a baby's brain. London: Brunner-Routledge.
39. Gilbert, P. (1984). Depression: From psychology to brain state. London: Erlbaum.
40. Gilbert, P. (1989). Human nature and suffering. Hove: Erlbaum.
41. Gilbert, P. (1992). Depression: The evolution of powerlessness. Hove: Erlbaum-New York: Guilford.
42. Gilbert, P. (1993). Defence and safety: Their function in social behaviour and psychopathology. British Journal of Clinical Psychology, 32, 131-153.
43. Gilbert, P. (1997). The evolution of social attractiveness and its role in shame, humiliation, guilt and therapy. British Journal of Medical Psychology, 70, 113-147.
44. Gilbert, P. (1998). What is shame? Some core issues and controversies. In P. Gilbert, & B. Andrews (Eds), Shame: Interpersonal behavior, psychopathology and culture (pp. 3-36). New York: Oxford University Press.
45. Gilbert, P. (2000). Social mentalities: Internal 'social' conflicts and the role of inner warmth and compassion in cognitive therapy. In P. Gilbert, & K.G. Bailey (Eds), Genes on the couch: Explorations in evolutionary psychotherapy (pp. 118-150). Hove: Brunner-Routledge.
46. Gilbert, P. (2003). Evolution, social roles, and differences in shame and guilt. Social Research, 70, 1205-1230.
47. Gilbert, P. (2004). Depression: A biopsychosocial, integrative and evolutionary approach. In M. Power (Ed.), Mood disorders: A handbook of science and practice (pp. 99-142). Chichester: Wiley.
48. Gilbert, P. (2005a). Compassion and cruelty: A biopsychosocial approach. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 9-74). London: Routledge.
49. Gilbert, P. (2005b). Social mentalities: A biopsychosocial and evolutionary reflection on social relationships. In M.W. Baldwin (Ed.), Interpersonal cognition. (pp. 299-335). New York: Guilford.
50. Gilbert, P. (in press). Psychotherapy and counselling for depression. London: Sage.
51. Gilbert, P., Allan, S., & Goss, K. (1996). Parental representations, shame interpersonal problems and vulnerability to psychopathology. Clinical Psychology and Psychotherapy, 3, 23-34.
52. Gilbert, P., Baldwin, M., Irons, C., Baccus, J., & Clark, M. (2006). Self-criticism and self-warmth: An imagery study exploring their relation to depression. Journal of Cognitive Psychotherapy, 20, 183-200.
53. Gilbert, P., Clarke, M., Kempel, S., Miles, J.N.V., & Irons, C. (2004). Criticizing and reassuring oneself: An exploration of forms style and reasons in female students. British Journal of Clinical Psychology, 43, 31-50.
54. Gilbert, P., & Irons, C. (2004). A pilot exploration of the use of compassionate images in a group of self-critical people. Memory, 12, 507-516.
55. Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 263-325). London: Routledge.
56. Gilbert, P., & Leahy, R. (in press). The therapeutic relationship in the cognitive behavioural psychotherapies. London: Routledge.
57. Gilbert, P., & Miles, J.N.V. (2000). Sensitivity to put-down: Its relationship to perceptions of shame, social anxiety, depression, anger and self-other blame. Personality and Individual Differences, 29, 757-774.
58. Gilligan, J. (2003). Shame, guilt and violence. Social Research, 70, 1149-1180.
59. Goodare, H., & Lockwood, S. (1999). Involving patients in clinical research: Editorial. British Medical Journal, 319, 724-725.
60. Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measures: I: The 'other as shamer' scale. Personality and Individual Differences, 17, 713-717.
61. Hackmann, A. (1998). Working with images in clinical psychology. In A. Bellack, & M. Hersen (Eds), Comprehensive clinical psychology (pp. 301-317). London: Pergamon.
62. Hackmann, A. (2005). Compassionate imagery in the treatment of early memories in Axis I anxiety disorders. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 352-368). London: Brunner-Routledge.
63. Hayes, S.C., Strosahl, K.D., & Wilson, K.G. (2004). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.
64. Hayes, S.C., Wilson, K.G., Gifford, E.V., Follette, V.M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.
65. Heimpel, S.A., Wood, J.A., Marshall, M.A., & Brown, J.D. (2002). Do people with low self-esteem really want to feel better? Self-esteem differences in motivation to repair negative moods. Journal of Personality and Social Psychology, 82, 128-147.
66. Heinrichs, M., Baumgartner, T., Kirschbaum, C., & Ehlert, U. (2003). Social support and oxytocin interact to suppress cortisol and subjective response to psychosocial stress. Biological Psychiatry, 54, 1389-1398.
67. Holmes, E.A., & Hackmann, A. (Eds). (2004). Mental imagery and memory in psychopathology (Special Edition: Memory Volume 12, No. 4). Hove: Psychology Press.
68. Holmes, J. (2001). The search for the secure base: Attachment theory and psychotherapy. London: Brunner-Routledge.
69. Irons, C., & Gilbert, P. (2005). Evolved mechanisms in adolescent anxiety and depression. The role of attachment and social rank systems. Journal of Adolescents, 28, 325-341.
70. Irons, C., Gilbert, P., Baldwin, M.W., Baccus, J.R., & Palmes, M. (2006). Parental recall attachment relating and self-attacking/ self-reassurance: Their relationship with depression. British Journal of Clinical Psychology, 45, 297-308.
71. Kim, E.J. (2005). The effect of the decreased safety behaviors on anxiety and negative thought in social phobics. Anxiety Disorders, 19, 69-86.
72. Leahy, R.L. (2002). A model of emotional schemas. Cognitive and Behavioral Practice, 9, 177-171.
73. Leahy, R.L. (2005). A social-cognitive model of validation. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy. (pp. 195-217). London: Brunner-Routledge.
74. Lee, D.A. (2005). The perfect nurturer: A model to develop a compassionate mind within the context of cognitive therapy. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 326-351). London: Brunner-Routledge.
75. Lehman, A.K., & Rodin, J. (1989). Styles of self-nurturance and disordered eating. Journal of Consulting and Clinical Psychology, 57, 117-122.
76. Leighton, T.D. (2003). Faces of compassion: Classic Bodhisattva archetypes and their modern expression. Boston: Wisdom.
77. Lewis, M. (1992). Shame: The exposed self. New York: Free Press.
78. Lewis, M. (2003). The role of the self in shame. Social Research, 70, 1181-1204.
79. Linehan, M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford.
80. Lynch, T.R., Chapman, A.L., Rosenthal, M.Z., Kuo, J.R., & Linehan, M. (2006). Mechanisms of change in Dialectical Behaviour Therapy: Theoretical and empirical observations. Journal of Clinical Psychology, 62, 459-480.
81. MacDonald, K. (1992). Warmth as a developmental construct: An evolutionary analysis. Child Development, 63, 753-773.
82. McKay, M., & Fanning, P. (1992). Self-esteem: A proven program of cognitive techniques for assessing, improving, and maintaining your self-esteem (2nd ed.). Oakland, CA: New Harbinger.
83. Mikulincer, M., & Shaver, P.R. (2004). Security based self-representations in adulthood: Contents and processes. In N.S. Rholes, & J.A. Simpson (Eds), Adult attachment: Theory, research, and clinical implications. (pp. 159-195). New York: Guilford.
84. Mikulincer, M., & Shaver, P. (2005). Mental representations of attachment security: Theoretical foundations for a positive social psychology. In M.W. Baldwin (Ed.), Interpersonal cognition (pp. 233-266). New York: Guilford.
85. Murphy, J.M., Nierenberg, A.A., Monson, R.R., Laird, N.M., Sobol, A.M., & Leighton, A.H. (2002). Self-disparagement as a feature and forerunner of depression: Findings from the Stirling County study. Comprehensive Psychiatry, 43, 13-21.
86. Neff, K.D. (2003a). Self-Compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85-102.
87. Neff, K.D. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223-250.
88. Neff, K.D., Kirkpatrick, K.L., & Rude, S.S. (in press). Accepting the human condition: Self-compassion and its links to adaptive psychological functioning. Journal of Personality.
89. Panksepp, J. (1998). Affective neuroscience. New York: Oxford University Press.
90. Perry, B.D., Pollard, R.A., Blakley, T.L., Baker, W.L., & Vigilante, D. (1995). Childhood trauma, the neurobiology of adaptation and 'use-dependent' development of the brain: How 'states' become 'traits'. Infant Mental Health Journal, 16, 271-291.
91. Rector, N.A., Bagby, R.M., Segal, Z.V., Joffe, R.T., & Levitt, A. (2000). Self-criticism and dependency in depressed patients treated with cognitive therapy or pharmacotherapy. Cognitive Therapy and Research, 24, 571-584.
92. Rein, G., Atkinson, M., & McCraty, R. (1995). The physiological and psychological effects of compassion and anger. Journal for the Advancement of Medicine, 8, 87-105.
93. Ringu Tilku Rinpoche & Mullen, K. (2005). The Buddhist use of compassionate imagery in Buddhist mediation. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 218-238). London: Brunner-Routledge.
94. Sachs-Ericsson, N., Verona, E., Joiner, T., & Preacher, J.K. (2006). Parental verbal abuse and the mediating role of self-criticism in adult internalizing disorders. Journal of Affective Disorders, 93, 71-78.
95. Salkovskis, P.M. (1996). The cognitive approach to anxiety: Threat beliefs, safety-seeking behavior, and the special case of health anxiety and obsessions. In P.M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 48-74). New York: Guilford.
96. Savard, J., Laberge, B., Gauthier, J.G., Ivers, H., & Bergeron, M.G. (1998). Evaluating anxiety and depression in HIV infected patients. Journal of Personality Assessment, 7, 349-367.
97. Scharffee, J.S., & Tsignouis, S.A. (2003). Self hatred in psychoanalysis: Detoxifying the persecutory object. London: Brunner-Routledge.
98. Schore, A.N. (1994). Affect regulation and the origin of the self: The neurobiology of emotional development. Hillsdale, NJ: Erlbaum.
99. Schore, A.N. (2001). The effects of early relational trauma on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal, 22, 201-269.
100. Segal, Z., Williams, J.M.G., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression. A new approach to preventing relapse. New York: Guilford.
101. Shapiro, S.L., Astin, J.A., Bishop, S.R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomised control trial. International Journal of Stress Management, 12, 164-176.
102. Sharhabani-Arzy, R., Amir, M., & Swisa, A. (2005). Self-criticism, dependency and posttraumatic stress disorder among a female group of help seeking victims of domestic violence. Personality and Individual Differences, 38, 1231-1240.
103. Sloman, L., Gilbert, P., & Hasey, G. (2003). Evolved mechanisms in depression: The role and interaction of attachment and social rank in depression. Journal of Affective Disorders, 74, 107-121.
104. Stuewig, J., & McCloskey, L.A. (2005). The relation of child maltreatment to shame and guilt among adolescents: Psychological routes to depression and deliquency. Child Maltreatment, 10, 324-336.
105. Tangney, J.P., & Dearing, R.L. (2002). Shame and guilt. New York: Guilford.
106. Teasdale, J.D., & Cox, S.G. (2001). Dysphoria: Self-devaluative and affective components in recovered depressed and never depressed controls. Psychological Medicine, 31, 1311-1316.
107. Thwaites, R., & Freeston, M.H. (2005). Safety-seeking behaviours: Fact or fiction: How can we clinically differentiate between safety behaviours and additive coping strategies across anxiety disorders. Behavioural and Cognitive Psychotherapy, 33, 177-188.
108. Uväns-Morberg, K. (1998). Oxytocin may mediate the benefits of positive social interaction and emotions. Psychoneuroendocrinology, 23, 819-835.
109. Wang, S. (2005). A conceptual framework for integrating research related to the physiology of compassion and the wisdom of Buddhist teachings. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 75-120). London: Brunner-Routledge.
110. Watkins, E. (2005, Oct.). Rumination, Workshop for Derbyshire Mental Health Trust.
111. Watkins, M. (1986). Invisible guests: The development of imaginal dialogues. Hillsdale, NJ: Analytic-Erlbaum.
112. Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester: Wiley.
113. Wheeler, L., & Reis, H.T. (1991). Self-recoding of everyday life events: Origins, types and uses. Journal of Personality, 59, 339-354.
114. Whelton, W.J., & Greenberg, L.S. (2005). Emotion in self-criticism. Personality and Individual Differences, 38, 1583-1595.
115. Zigmond, A.S., & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370.
116. Zuroff, D.C., Koestner, R., & Powers, T.A. (1994). Self-criticism at age 12: A longitudinal study of adjustment. Cognitive Therapy and Research, 18, 367-385.
117. Zuroff, D.C., Santor, D., & Mongrain, M. (2005). Dependency, self-criticism, and maladjustment. In J.S. Auerbach, K.N. Levy, & C.E. Schaffer (Eds), Relatedness, self-definition and mental representation. Essays in honour of Sidney J. Blatt. (pp. 75-90). London: New York.