Complex trauma and intimate relationships: The impact of shame, guilt and dissociation

Martin J. Dorahy, Mary Corry, Maria Shannon, Kevin Webb, Brain McDermott, Margaret Ryan, Kevin F. W. Dyer

Research output: Contribution to journalArticle

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Abstract

Background

This study examined dissociation, shame, guilt and intimate relationship difficulties in those with chronic and complex PTSD. Little is known about how these symptom clusters interplay within the complex PTSD constellation. Dissociation was examined as a principle organizing construct within complex PTSD. In addition, the impact of shame, guilt and dissociation on relationship difficulties was explored.

Methods

Sixty five treatment-receiving adults attending a Northern Irish service for conflict-related trauma were assessed on measures of dissociation, state and trait shame, behavioral responses to shame, state and trait guilt, complex PTSD symptom severity and relationship difficulties.

Results

Ninety five percent (n=62) of participants scored above cut-off for complex PTSD. Those with clinical levels of dissociation (n=27) were significantly higher on complex PTSD symptom severity, state and trait shame, state guilt, withdrawal in response to shame and relationship preoccupation than subclinical dissociators (n=38). Dissociation and state and trait shame predicted complex PTSD. Fear of relationships was predicted by dissociation, complex PTSD and avoidance in response to shame, while complex PTSD predicted relationship anxiety and relationship depression.

Limitations

The study was limited to a relatively homogeneous sample of individuals with chronic and complex PTSD drawn from a single service.

Conclusions

Complex PTSD has significant consequences for intimate relationships, and dissociation makes an independent contribution to these difficulties. Dissociation also has an organizing effect on complex PTSD symptoms.
Original languageEnglish
Pages (from-to)72 - 79
Number of pages8
JournalJournal of Affective Disorders
Volume147
Issue number1-3
Early online date09 Nov 2012
DOIs
Publication statusPublished - May 2013

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Dissociative Disorders
Shame
Guilt
Post-Traumatic Stress Disorders
Wounds and Injuries
Fear

Cite this

Dorahy, M. J., Corry, M., Shannon, M., Webb, K., McDermott, B., Ryan, M., & Dyer, K. F. W. (2013). Complex trauma and intimate relationships: The impact of shame, guilt and dissociation. Journal of Affective Disorders, 147(1-3), 72 - 79. https://doi.org/10.1016/j.jad.2012.10.010
Dorahy, Martin J. ; Corry, Mary ; Shannon, Maria ; Webb, Kevin ; McDermott, Brain ; Ryan, Margaret ; Dyer, Kevin F. W. / Complex trauma and intimate relationships: The impact of shame, guilt and dissociation. In: Journal of Affective Disorders. 2013 ; Vol. 147, No. 1-3. pp. 72 - 79.
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Dorahy, MJ, Corry, M, Shannon, M, Webb, K, McDermott, B, Ryan, M & Dyer, KFW 2013, 'Complex trauma and intimate relationships: The impact of shame, guilt and dissociation', Journal of Affective Disorders, vol. 147, no. 1-3, pp. 72 - 79. https://doi.org/10.1016/j.jad.2012.10.010

Complex trauma and intimate relationships: The impact of shame, guilt and dissociation. / Dorahy, Martin J.; Corry, Mary; Shannon, Maria; Webb, Kevin; McDermott, Brain; Ryan, Margaret; Dyer, Kevin F. W.

In: Journal of Affective Disorders, Vol. 147, No. 1-3, 05.2013, p. 72 - 79.

Research output: Contribution to journalArticle

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T1 - Complex trauma and intimate relationships: The impact of shame, guilt and dissociation

AU - Dorahy, Martin J.

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AU - Shannon, Maria

AU - Webb, Kevin

AU - McDermott, Brain

AU - Ryan, Margaret

AU - Dyer, Kevin F. W.

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N2 - BackgroundThis study examined dissociation, shame, guilt and intimate relationship difficulties in those with chronic and complex PTSD. Little is known about how these symptom clusters interplay within the complex PTSD constellation. Dissociation was examined as a principle organizing construct within complex PTSD. In addition, the impact of shame, guilt and dissociation on relationship difficulties was explored.MethodsSixty five treatment-receiving adults attending a Northern Irish service for conflict-related trauma were assessed on measures of dissociation, state and trait shame, behavioral responses to shame, state and trait guilt, complex PTSD symptom severity and relationship difficulties.ResultsNinety five percent (n=62) of participants scored above cut-off for complex PTSD. Those with clinical levels of dissociation (n=27) were significantly higher on complex PTSD symptom severity, state and trait shame, state guilt, withdrawal in response to shame and relationship preoccupation than subclinical dissociators (n=38). Dissociation and state and trait shame predicted complex PTSD. Fear of relationships was predicted by dissociation, complex PTSD and avoidance in response to shame, while complex PTSD predicted relationship anxiety and relationship depression.LimitationsThe study was limited to a relatively homogeneous sample of individuals with chronic and complex PTSD drawn from a single service.ConclusionsComplex PTSD has significant consequences for intimate relationships, and dissociation makes an independent contribution to these difficulties. Dissociation also has an organizing effect on complex PTSD symptoms.

AB - BackgroundThis study examined dissociation, shame, guilt and intimate relationship difficulties in those with chronic and complex PTSD. Little is known about how these symptom clusters interplay within the complex PTSD constellation. Dissociation was examined as a principle organizing construct within complex PTSD. In addition, the impact of shame, guilt and dissociation on relationship difficulties was explored.MethodsSixty five treatment-receiving adults attending a Northern Irish service for conflict-related trauma were assessed on measures of dissociation, state and trait shame, behavioral responses to shame, state and trait guilt, complex PTSD symptom severity and relationship difficulties.ResultsNinety five percent (n=62) of participants scored above cut-off for complex PTSD. Those with clinical levels of dissociation (n=27) were significantly higher on complex PTSD symptom severity, state and trait shame, state guilt, withdrawal in response to shame and relationship preoccupation than subclinical dissociators (n=38). Dissociation and state and trait shame predicted complex PTSD. Fear of relationships was predicted by dissociation, complex PTSD and avoidance in response to shame, while complex PTSD predicted relationship anxiety and relationship depression.LimitationsThe study was limited to a relatively homogeneous sample of individuals with chronic and complex PTSD drawn from a single service.ConclusionsComplex PTSD has significant consequences for intimate relationships, and dissociation makes an independent contribution to these difficulties. Dissociation also has an organizing effect on complex PTSD symptoms.

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