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Br J Clin Psychol. 2010 Nov;49(Pt 4):563-76. doi: 10.1348/014466509X479771. Epub 2010 Jan 28.

Self-harm in a mixed clinical population: the roles of self-criticism, shame, and social rank.

Author information

1
Mental Health Research Unit, Kingsway Hospital, Derby, UK. p.gilbert@derby.ac.uk

Abstract

OBJECTIVES:

This study explored the relationship of forms and functions of self-criticism, shame, and social rank variables to self-harm, depression, and anxiety.

DESIGN:

The study used a questionnaire design.

METHOD:

In-patients and day-patients (N=73) completed a series of questionnaires measuring self-harm, mood, self-criticism, shame, and social comparison.

RESULTS:

Self-harm was significantly associated with forms and functions of self-criticism, shame, and feelings of inferiority (low social rank). The self-persecuting function of self-criticism was especially linked to self-harm, depression, and anxiety.

CONCLUSIONS:

This study adds to a growing literature on the importance of recognizing the pathogenic effects of negative self-critical thoughts and feelings about the self and the value of distinguishing different types of self-criticism.

PMID:
20109278
DOI:
10.1348/014466509X479771
[Indexed for MEDLINE]

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