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Shame, Blame and Guilt:  Solutions for Healing the Triad of Pain

Shame, Blame and Guilt:  Solutions for Healing the Triad of Pain

By Pamela Peeke, MD, MPH, FACP

Shame, blame and guilt are three co-occurring emotions associated with self-destructive behaviors including addiction and disordered eating. It is essential that therapists understand the roles that each of these psychological states plays in fueling these behaviors. Issues of gender specificity in the proneness to shame, depression and detachment will be presented. The predominance of one emotional state versus another relative to specific behaviors will be explored. For instance, shame and guilt may have dual roles as both preceding the onset of binging, but research now shows that shame may be the important emotion. Dr. Peeke will show how the regeneration of “toxic shame” fuels the compulsive-addictive cycle. She will also help participants understand the effect of these emotional conditions on the brain and body, including how they profoundly affect genes. A holistic and integrative strategy for healing the pain and angst of the burden of shame, blame and guilt will be presented.

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