This manual was designed to give clinicians more knowledge about shame affect. Shame is experienced by a wide range of psychiatric patients who seek help. Patients with chronic emotional, behavioral, and cognitive disorders experience shame because of their social and occupational limitations. In addition, many patients with Addictions and Borderline personality have deep shameful memories of abuse, neglect, or abandonment. The research findings in this manual suggest that shame is exhibited across the diagnostic spectrum. Professionals in the field of mental health need to be aware of this pervasive emotion and integrate shame theory into their practice. Hopefully this will be helpful to clinicians, who, in turn, will collaborate with clients in their efforts to understand and reduce shame. In the end, patients may reach a point of self acceptance or even pride. The Multidimensional Shame Scale can be administered to clients prior to Intake to assess their level of situational shame as they are about to begin treatment. It can also be given after five or ten sessions to evaluate if their level of shame has decreased. Anyone who purchases this manual can use the Multidimensional Shame scale and its scoring system. Dr. Feldman is also the author of "The Co-occurring Disorders Manual" and "The Psychotherapy Manual."
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