Thursday 7 June 2012

RE-CBT treatment for Shame


Unconditional Self-Acceptance, Shame and Shame- Attacking Exercises

By: Meir Stolear, BA (Hons.), MSc (London); 2012

Definition:

 Self: One’s complex (or over-simplistic, as it often is) view of oneself as a living human being.

Acceptance: An act of accepting reality, difference, roles, and more. Acceptance is also an act of mental approval of self, other people and the world as it is.

Shame: A painful unhealthy negative emotion caused by irrational beliefs, such as believing that one is a total failure or is a totally rejectable person when one’s behaviour reveals shortcomings or an action leads to failure. Shame can also be caused by other unhealthy negative emotions such as guilt, depression and ego-anxiety.

Shame-attacking exercises: These are RECBT therapeutic activities that aim to dispute one’s irrational beliefs about oneself, about others and about the world one lives in. The RECBT clinical view is that such activity can lead people to accept themselves as imperfect human beings, free themselves from unhealthy negative emotions about themselves and free themselves from self-defeating behaviour.

Unconditional Self-Acceptance (USA) and shame- attacking exercises:

Albert Ellis (the originator of RECBT) created the concept of USA in 1955. It is a modern adaptation of a number of conceptions in ancient philosophies.

USA aims to help us to see ourselves as imperfect, complex human beings and to avoid having an over-simplistic view of ourselves. The main idea is to be able to evaluate (in rational ways) our own strengths and weaknesses and our own positive and negative physical and mental components; also to see ourselves as unique individuals, biologically and psychologically;  also  to be able to accept what cannot be changed in ourselves, to accept what can be changed and improved, and to be wise enough to know the difference between these two.

Self-estimating (i.e. self-esteem), when it is done in a very simple way (e.g. judging oneself to be a good or bad person, successful or a failure, good-looking or bad-looking, etc.), tends to cause too many mood-swings, self-defeating behaviour, and/or other psychological problems. Moreover, it may even lead us to over- or underestimate ourselves, which may damage our future goals and prosperity.

USA on the other hand, is very much about celebrating our strengths, setting ourselves achievable life goals (based on our self-understanding), making us willing to test our own strengths and not shy away from failing and the shame attached to it. Without testing ourselves, for fear of failing and shaming ourselves, how else can we can find out our strengths? If we are not willing to take some more risks , how can we ever achieve enough in our lives? By learning to accept ourselves (with no conditions attached) we will learn that the shame that we feel when we fail or do wrong, is not about who we are altogether but about one small aspect of us and it is never disastrous in our lives.

Shame-attacking exercises are all about learning to accept ourselves unconditionally. It is about learning to separate shameful behaviour from the entire self. It is about attuning oneself to the common good, but without being a slave to it and denying our own wishes and aspirations. It is about tolerating our imperfections and accepting that doing some shameful things (as will often occur) will not kill us. Being ashamed of ourselves however, may depress us to the point where we wish to die.

A good range of shame-attacking exercises can be put together from a mixture of elements of behavioural modification and reinforcement of new rational thinking and believing.

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