Treating shame in survivors of complex trauma

While research continues to establish a connection between shame and complex trauma, there is a lack of understanding on how this is addressed in therapeutic practice. The current research employed a qualitative exploratory research methodology to answer the question, how do counsellors perceive and treat shame in adult survivors of complex trauma? Seven counsellors were recruited to engage in a virtual semi-structured. The data was analyzed using thematic analysis resulting in three main themes, each containing various sub-themes. The three themes are emotional landscape, which pertains to the emotional effects of shame and how they can be treated in therapy; self-concept, which explores the negative beliefs and thinking patterns clients develop and suggests techniques for diffusing shame; and attachment and the therapeutic relationship, which highlights interpersonal difficulties faced by clients and the impact of the therapeutic alliance, along with exploring the personal experience of counsellors in the therapeutic relationship.