First I present an outline of an understanding of shame, drawing on the work of Kohut and the concept of self-psychology and the writing of Kegan and his model of the developing structure of the self. This is illustrated with clinical examples. I then discuss the use of mirroring in group analysis as a way of working with shame in order to facilitate the developmental process in patients with little coherent sense of self.
Agazarian (1991) `Response to Hyde, K. (1991) Idealisation and Omnipotence within the Group Matrix', Group Analysis24(3): 279-89.
2.
Agazarian (1994) `The Phases of Group Development and the Systems Centred Group', in V. Schermer and M. Pines (eds) Ring of Fire: Primitive Affects and Object Relations in Group Psychotherapy, pp. 36-85. London: Routledge.
3.
Bateman, A. (2003) `Thick- and Thin-skinned Organisations and Enactment in Borderline and Narcissistic Disorders', in P. Williams (ed.) Key Papers on Borderline Disorders: With IJP Internet Discussion Reviews. London: Karnac.
4.
Benedict, R. (1946) The Chrysanthemum and the Sword. Boston: Houghton Mifflin.
5.
Bion, W.R. (1962) A Theory of Thinking in Second Thoughts, ch. 9, pp. 178-186. London: Maresfield Reprint, 1984.
6.
De Rivera, J. (1977) `A Structural Theory of Emotions', Psychological Issues40: 169.
7.
Fairbairn, W.R.D. (1941) `A Revised Psychopathology of the Psychoses and Psychoneuroses', International Journal of Psychoanalysis 22. Reprinted Psychoanalytic Studies of the Personality. London: Routledge and Kegan Paul.
8.
Freud, S. (1914) On Narcissism an Introduction. The Complete Psychological Works of Sigmund Freud, Standard Edition 14. London: Hogarth Press, 1957. In Morrison, A. P. (Ed.) (1986) Essential Papers on Narcissism. New York and London: New York University Press.
9.
Freud, S. (1917) Introductory Lectures on Psychoanalysis: the Libido Theory and Narcissism, Standard Edition 16, pp. 412-30. London: Hogarth Press, 1957.
10.
Gilbert, P. (2005) (ed.) Compassion: Conceptualisations, Research and Use in Psychotherapy. London: Routledge.
11.
Harwood, I.H. (1992) `Advances in Group Psychotherapy and Self Psychology: An Intersubjective Approach', Group16(4): 220-32.
12.
Hyde, K. (1991) `Idealisation and Omnipotence within the Group Matrix', Group Analysis24(3): 279-89.
13.
Kegan, R. (1982) The Evolving Self: Problem and Process in Human Development. Cambridge, Massachusets and London: Harvard University Press.
14.
Kernberg, O. (1974) `Contrasting Viewpoints regarding the Nature and Psychoanalytic Treatment of Narcissistic Personalities: A Preliminary Communication' , Journal of the American Psychoanalytic Association22: 255-67.
15.
Kohut, H. (1971) The Analysis of the Self. New York: International University Press.
16.
Kohut, H. (1977) The Restoration of the Self. New York: International University Press.
17.
Kohut, H. and Wolfe, E. (1978) `The Disorders of the Self and their Treatment: An Outline', British Journal of Psycho-Analysis59: 413.
18.
Laing, R.D. (1969) Self and Others. Reading: Penguin Books.
19.
Mead, M. (1950) Some Anthropological Considerations Considering Guilt In: Conscience, Contract and Social Reality, pp. 171-81. New York: Holt Rinehart and Winston, 1972.
20.
Mollon, P. (1984) `Shame in relation to Narcissistic Disturbance' , British Journal of Medical Psychology57: 207-14.
21.
Mollon, P. (1993) The Fragile Self: The Structure of Narcissistic Disturbance. London: Whurr Publishers Ltd.
22.
Piaget, J. (1936) The Origins of Intelligence in Children. New York: International Universities Press, 1952.
23.
Pines, M. (1995) `The Universality of Shame: A Psychoanalytic Approach' , British Journal of Psychotherapy11(3): 346-57.
24.
Rogers, C. (1987) `On Putting it into Words: The Balance Between Projective Identification and Dialogue in the Group', Group Analysis20(2): 99-107.
25.
Rosenfeld, H. (1987) `Afterthought: Changing Theories and Changing Techniques in Psychoanalysis', in Tucket, D.Impasse and Interpretation, pp. 265-79. London and New York: Tavistock.
26.
Sartre, J.P. (1943) Being and Nothingness. New York : Philosophical Library, 1956.
27.
Stern, D. (1985) The Interpersonal World of the Infant. New York: Basic Books.
28.
Tantum, D. (1990) `Shame and Groups', Group Analysis23(1): 31-43.
29.
Thrane, G. (1979) `Shame and the Construction of the Self', Annual of Psychoanalysis7: 321-341.