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The role of childhood trauma and shame in social anxiety and paranoia within an early intervention in psychosis population

Aherne, Keith (2014)
Clin.Psy.D. thesis, University of Birmingham.

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Explores the relationship of childhood trauma and shame in social anxiety and paranoia within a first episode in psychosis population, utilising quantitative methodology. It was found that both paranoia and social anxiety were strongly linked with shame, but external shame in particular. The relationship between childhood adversity and social anxiety and paranoia was highly correlated, and this association was significantly moderated by shame. No specific type of shame emerged as an amplifier of this relationship. This indicated that shame is a key variable for those who experience social anxiety and paranoia following a first episode of psychosis. However, models that propose these social fears can be differentiated via distinct shame pathways have not been fully supported. It was concluded that the high amount of social anxiety and paranoia in this group may be reflective of shaming developmental adversity and shame associated with having a psychotic illness.

Also a literature review looks at the role of shame in psychosis. Findings suggest that shame is highly linked to emotional dysfuntion, and impacts negatively on recovery from a psychotic episode. Methodological issues around measurement are raised as a limitation within the literature.

Type of Work:Clin.Psy.D. thesis.
Supervisor(s):Bernard, Mark and Jones, Christopher
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:School of Psychology
Subjects:BF Psychology
Institution:University of Birmingham
ID Code:5404
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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