Role of shame in paranoid ideation and social anxiety in psychosis
Research type
Research Study
Full title
An investigation into the role of shame in Paranoid Ideation and Social Anxiety in an Early Onset in Psychosis Population
IRAS ID
127020
Contact name
Keith Aherne
Contact email
Research summary
This study aims to make sense of two common types of presentation to Early Intervention Services; those with paranoia and social anxiety. Both may appear superficially similar, however previous research on a non clinical population has shown they are underpinned by distinct psychological constructs. These distinct pathways showed paranoia to be associated with external shame and social anxiety to be more closely linked with internal shame. Replicating this finding in a clinical population may have implications when considering what area to focus on when assessing and delivering psychosocial interventions to an early onset in psychosis population.\nThose higher in paranoia are predicted to have had a more traumatic developmental history, leading them to believing they exist more negatively in the minds’ of others, resulting in the development of external shame. Those higher in social anxiety are predicted to report a less traumatic development history but the stigma associated with the onset of a psychosis may lead to them feeling inferior and inadequate, and the development of internal shame.\nSocial isolation is also prevalent in this population. Yet, for physical and mental health wellbeing, humans have a need to belong to mutually beneficial social relationships. This study will look to explore the role of shame with social belongingness needs and social isolation. We predict those with higher paranoia will be more isolated due to the belief that others have malovent intentions towards them.\nWe also wish to investigate coping strategies utilised by paranoid and socially anxious individuals, namely the role of experiential and behavioural avoidance. \nA quantitative method will be utilised to measure early life events, maladaptive coping strategies, emotional dysfunction and psychotic symptoms.
REC name
West Midlands - South Birmingham Research Ethics Committee
REC reference
13/WM/0363
Date of REC Opinion
8 Oct 2013
REC opinion
Further Information Favourable Opinion