When the social self is threatened: Shame, physiology, and health

被引:483
作者
Dickerson, SS
Gruenewald, TL
Kemeny, ME
机构
[1] Univ Calif Los Angeles, Los Angeles, CA USA
[2] Univ Calif San Francisco, San Francisco, CA 94143 USA
关键词
D O I
10.1111/j.1467-6494.2004.00295.x
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Our program of research focuses on shame as a key emotional response to "social self" threats (i.e., social evaluation or rejection). We propose that shame may orchestrate specific patterns of psychobiological changes under these conditions. A series of studies demonstrates that acute threats to the social self increase proinflammatory cytokine activity and cortisol and that these changes occur in concert with shame. Chronic social self threats and persistent experience of shame-related cognitive and affective states predict disease-relevant immunological and health outcomes in HIV. Across our laboratory and longitudinal studies, general or composite affective states (e.g., distress) are unrelated to these physiological and health outcomes. These findings support a stressor- and emotional response-specificity model for psychobiological and health research.
引用
收藏
页码:1191 / 1216
页数:26
相关论文
共 98 条
[1]   Stressor-induced alteration of cytokine production in multiple sclerosis patients and controls [J].
Ackerman, KD ;
Martino, M ;
Heyman, R ;
Moyna, NM ;
Rabin, BS .
PSYCHOSOMATIC MEDICINE, 1998, 60 (04) :484-491
[2]   Stress-induced changes in skin barrier function in healthy women [J].
Altemus, M ;
Rao, B ;
Dhabhar, FS ;
Ding, WH ;
Granstein, R .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 2001, 117 (02) :309-317
[3]   Predicting depressive symptoms with a new measure of shame: The Experience of Shame Scale [J].
Andrews, B ;
Qian, MY ;
Valentine, JD .
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 2002, 41 :29-42
[4]  
[Anonymous], 2000, SUBORDINATION DEFEAT
[5]  
[Anonymous], HDB COGNITION EMOTIO
[6]  
Atkinson J., 1958, MOTIVES FANTASY ACTI
[7]   MOTIVATIONAL DETERMINANTS OF RISK-TAKING BEHAVIOR [J].
ATKINSON, JW .
PSYCHOLOGICAL REVIEW, 1957, 64 (06) :359-372
[8]   RELATIONSHIPS BETWEEN SHAME AND GUILT IN THE SOCIALIZING PROCESS [J].
AUSUBEL, DP .
PSYCHOLOGICAL REVIEW, 1955, 62 (05) :378-390
[9]   Social stress induces glucocorticoid resistance in subordinate animals [J].
Avitsur, R ;
Stark, JL ;
Sheridan, JF .
HORMONES AND BEHAVIOR, 2001, 39 (04) :247-257
[10]  
Benedict Ruth., 2005, The Chrysanthemum and the Sword: Patterns of Japanese Culture