Working through shame in groups for victims of trauma and war

Abstract

The feeling of shame is very difficult to recognize, to reveal, to face, and to work through. Starting with some expressions of human aggression, the authors underline the difference in treating feelings of guilt and feelings of shame. The authors detail the elaboration of shame in group psychotherapy with released prisoners of war and with war veterans and review important analytic theoretical concepts of shame, projective identification, empathy, and countertransference. They examine the importance of unlocking and identifying the silent shame, as well as the mourning process essential to working through the burden of catastrophic shame. Special counter transference problems with PTSD patients are analyzed.