Chronic Shame in Clinical Practice

with Stacy Adam Jensen, MEd

About the Training

Chronic shame is woven into the lives, histories, and presentations of many of the people we sit with in our clinical practices. At the heart of insecure attachment, chronic shame disrupts healthy relational development, and has far-reaching implications for one’s capacity to regulate affect, engage in healthy relationships, and on one’s internal working model- how one sees themselves, others and the world. This early template of self becomes intertwined with shaming experiences across the lifespan, creating cycles of multi-layered suffering. Because chronic shame is a relational injury, with its roots in early life, and woven into the fabric of the self, it is often confusing for both client and therapist, and can be a forceful inhibitor of the therapeutic process. Due to its non-verbal early origins, utilizing cognitive interventions and left hemispheric approaches are refractory, thus requiring clinicians to work from an embodied, affect regulation, relational orientation. Through interactive lecture, discussion, small group discussion, and clinical vignettes we will explore the ins and outs of chronic shame—from how it is formed, to how it presents relationally and clinically, all in service of increasing our capacity as therapist to recognize and work with it from an embodied, relational orientation. There will also be time set aside for some participants to present prepared case consultation to further integrate theory into practice. 

This online workshop will:

  • Define and examine chronic shame
  • Explore the formation of chronic shame through the attachment relationship(s) and intergenerational transmission
  • Introduce the different presentations of chronic shame correlated with differing attachment states
  • Present the neurophysiological landscape of chronic shame, and resulting overwhelm, dissociation, and anticipation of future shaming
  • Examine how chronic shame is being kept alive and active in present day relationships and behaviours
  • Present clinical indicators of chronic shame including: addiction, secrecy, self-sabotage, relational instability, affairs, lapses in integrity, etc.
  • Present how to elicit historical information to piece together the specific relational details of harm such as ridicule, indifference, aggression, competition, etc.
  • Introduce clinician countertransference to chronic shame in clinical practice
  • Explore working with chronic shame with individuals living with it, partners, and within couples work
  • Explore the nuanced dynamics of working with chronic shame, relationally, through an affect regulation model
  • Look at the role of fear and resulting anticipation of shame in forming and perpetuating chronic shame
  • Explore in greater depth links between chronic shame and violence, PTSD, procrastination, dissociation, narcissism, and the shaming of other
  • Introduce the concept of clients ‘being on their own side’ so that they can learn to track subtle shame activation/risks in the moment, or post shame event, and dissect when it began

Fees & Dates

No dates set: Sign up for our newsletter for announcement.

This workshop is open to therapists with a graduate degree in a mental health discipline. The workshop is limited to 24 students.

Frequently Asked Questions

What credentials do I need for the workshops and trainings?

We require a graduate degree in a mental health discipline.

Can you tell me about the financial commitment for the two-year training?

Each clinic of the six clinics cost $1100, including gst- totalling $6600, people pay per clinic as we go. Payment plans are available.

Are the clinics available à la carte?

The clinics are not available individually as the training runs on a cohort model for the entirety of the program.

How long has BBP been teaching psychotherapists?
We started training therapists with workshops in 2006 and in 2016 we launched the first cohort of the 2 year Somatic Attachment Psychotherapy (SAP) Training. We are now registering for our eleventh SAP cohort.