Shame: Developmental, Cultural, and Clinical Realms

Editor : Salman Akhtar

Shame: Developmental, Cultural, and Clinical Realms

Book Details

  • Publisher : Routledge
  • Published : December 2015
  • Cover : Paperback
  • Pages : 250
  • Category :
    Psychoanalysis
  • Catalogue No : 36650
  • ISBN 13 : 9781782202547
  • ISBN 10 : 1782202544

Also by Salman Akhtar

In Short: Private Notes of a Psychoanalyst

In Short: Private Notes of a Psychoanalyst

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A late-comer to psychoanalytic theorizing, 'shame' results from a disjunction between the ego and the ego-ideal. A complex psychosocial experience, it is comprised of a painful exposure of one’s vulnerable aspects, rupture of self-continuity, and a sense of isolation. The figure-ground harmony of ‘going-on-being’ is disrupted and the individual feels alone and watched by others. Shame pushes for hiding and thus intensifies the experience of isolation.

Seeking to advance clinicians’ empathy and therapeutic skills in this realm, in this book ten distinguished analysts discuss shame from various perspectives. These include its developmental substrate, its vicissitudes during adolescence, and its manifestations in the course of aging and infirmity. The authors discuss shame from a cross-cultural viewpoint and note how shame-driven search for power and glory can turn malignant and societally destructive. They also address shamelessness, the link between shame and laziness, and the shame that underlies the inability to apologize. They devote attention to shame in the transference-countertransference axis and highlight the technical challenges in dealing with shame in clinical encounters.

Reviews and Endorsements

‘From developmental through cultural to clinical aspects of shame, this book is a tour de force about a topic that has not been addressed in such exquisite and useful detail. Akhtar and his contributors have created a true gem that enhances our understanding of the vicissitudes of this painful affect. Replete with clinical vignettes, the book offers many technical guidelines for working with patients afflicted with life-long shame. The inclusion of shamelessness in this collection only serves to make it more of a must read!’
- Aisha Abbasi, MD, President and Training and Supervising Analyst, Michigan Psychoanalytic Institute

‘Aiming to advance clinicians’ empathy and therapeutic skills in treating patients who have experienced chronic narcissistic humiliation and suffered from shame, this book provides us with a discourse of enormous value. Ranging widely over this insufficiently attended aspect of human anguish, the contributors to this book teach us about its nature, its origins, and its clinical remediation.’
- Henri Parens, MD, Professor of Psychiatry, Thomas Jefferson University; Training & Supervising Analyst, Psychoanalytic Center of Philadelphia

About the Editor(s)

Salman Akhtar, MD, is professor of psychiatry at Jefferson Medical College and a training and supervising analyst at the Psychoanalytic Center of Philadelphia. He has served on the editorial boards of the International Journal of Psychoanalysis and the Journal of the American Psychoanalytic Association. His more than 450 publications include twenty-three solo authored books – Broken Structures (1992), Quest for Answers (1995), Inner Torment (1999), Immigration and Identity (1999), New Clinical Realms (2003), Objects of Our Desire (2005), Regarding Others (2007), Turning Points in Dynamic Psychotherapy (2009), The Damaged Core (2009), Comprehensive Dictionary of Psychoanalysis (2009), Immigration and Acculturation (2011), Matters of Life and Death (2011), Psychoanalytic Listening (2013), Good Stuff (2013), Sources of Suffering (2014), No Holds Barred (2016), A Web of Sorrow (2017), Mind, Culture, and Global Unrest (2018), Silent Virtues (2019), Tales of Transformation (2022), In Leaps and Bounds (2022), and In Short (2024) – as well as sixty-nine edited or coedited volumes in psychiatry and psychoanalysis. Dr. Akhtar has delivered many prestigious addresses and lectures including, most significantly, the inaugural address at the first IPA-Asia Congress in Beijing, China (2010). Dr. Akhtar is the recipient of the Journal of the American Psychoanalytic Association’s Best Paper of the Year Award (1995), the Margaret Mahler Literature Prize (1996), the American Society of Psychoanalytic Physicians’ Sigmund Freud Award (2000), the American College of Psychoanalysts’ Laughlin Award (2003), the American Psychoanalytic Association’s Edith Sabshin Award (2000), Columbia University’s Robert Liebert Award for Distinguished Contributions to Applied Psychoanalysis (2004), the American Psychiatric Association’s Kun Po Soo Award (2004), the Irma Bland Award for being the Outstanding Teacher of Psychiatric Residents in the country (2005), and the Nancy Roeske Award (2012). He received the Sigourney Award (2013), which is the most prestigious honor in the field of psychoanalysis. Dr. Akhtar is an internationally sought speaker and teacher, and his books have been translated in many languages, including German, Turkish, and Romanian. His interests are wide and he has served as the film review editor for the International Journal of Psychoanalysis, and is currently serving as the book review editor for the International Journal of Applied Psychoanalytic Studies. He has published eighteen collections of poetry and serves as a scholar-in-residence at the Inter-Act Theatre Company in Philadelphia. His Selected Papers (Vols I–X) were recently published and released at a festive event held at the Freud House & Museum in London.

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