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Section II

Shame and Early Decisions: Theory and Clinical Implications

Pages 130-138
Published online: 28 Dec 2017
 
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This article suggests that the power injunctions have to shape early decisions is directly related to the shame affect evoked during the injunction and attribution process. New developments in the theory of affects are reviewed, and a description is given of how the physiologic basis of shame affect leads to a reconsideration of redecision theory. The article then explores how redecision therapy can serve as an effective technique for mitigating shame affect, changing early decisions and correspondingly, arriving at a new and more acceptable sense of self.

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Leslie B. Kadis

Ruth McClendon, M.S.W., Teaching and Supervising Transactional Analyst (clinical), is a licensed therapist and consultant in the San Francisco and Monterey Bay areas of California. During the last 20 years, Ruth has been training and teaching professionals throughout the United States, Europe, India, Japan, and most recently Russia. Along with her husband, Leslie B. Kadis, M.D., Ruth has developed the models for redecision family therapy and redecision brief therapy. She is coauthor of a book on family therapy, Chocolate Pudding and Other Approaches to Intensive Multiple Family Therapy (1983) and has authored many articles on her work. She is currently serving as coeditor of the International Section of The American Journal of Family Therapy. Ruth is an assistant clinical professor of Psychiatry at the Langley Porter Psychiatric Institute, University of California Medical School in San Francisco.
Leslie B. Kadis, M.D., Certified Transactional Analyst (clinical) is a psychiatrist in private practice with offices in San Francisco and Aptos, California. He is the coauthor of a book on family therapy, Chocolate Pudding and Other Approaches to Intensive Multiple Family Therapy (1983) and editor of a book on psychotherapy, Redecision Therapy: Expanded Perspectives (1985). Dr. Kadis is coeditor of the International Section of The American Journal of Family Therapy and a member of the editorial board of the Family Business Review. He has authored and coauthored numerous papers that have been published in professional publications and has been honored as a Fellow by the American Psychiatric Association for his professional and community work. Dr. Kadis is an assistant clinical professor of Psychiatry at the Langley Porter Psychiatric Institute, University of California Medical School in San Francisco.
 

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