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Therapists often feel they do not have sufficient skills to address chronic shame effectively, as it is so pervasive, embedded, hidden, and alienating. We will explore several functions of shame as a primary emotion, and how chronic shame may perpetuate other symptoms or problems in adult clients who have experienced complex trauma. Body shame will be discussed as a challenging issue that impacts sense of self, and that arises from persistent neglect and abuse. The ways in which we defend against shame will be explored. A practical integration of cognitive, emotional, somatic, and relational interventions to resolve chronic shame will be discussed. We will also explore specific “antidotes” to shame, as well as ways to help clients (and therapists) develop resilience to acute shame reactions. Most importantly, we will examine how to be with shame – our own and our clients – with curiosity and compassion, finding ways to create a safe relational space in which to deeply attune with and repair chronic shame.
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