8954Northamptonshire Healthcare NHS Foundation Trust, UK.
Lancaster University, UK.
J Intellect Disabil. 2020 Dec;24(4):489-502. doi: 10.1177/1744629519844091. Epub 2019 Apr 29.
Shame is a trans-diagnostic phenomenon that underlies a variety of mental health difficulties. People with intellectual disabilities (IDs) are reported to be one of the most stigmatized and excluded groups in society and are more likely to experience mental health problems than the general population. Consequently, this group may be at a significant risk of shame-related distress. However, there is a lack of research that investigates the experience of shame in people with ID, and there is currently a lack of interventions targeting shame in people with ID. Two case studies were undertaken to document the experiences of stigma, discrimination, and shame in people with ID and to explore how shame may present in this population. Shame was found to be a significant barrier to social inclusion and to contribute towards poor psychological health in people with ID. The development of interventions that specifically target shame in this population is recommended.
羞耻感是一种跨诊断现象，是多种心理健康困难的基础。据报道，智障人士 (IDs) 是社会上受歧视和排斥最严重的群体之一，他们比一般人群更容易出现心理健康问题。因此，这一群体可能面临与羞耻感相关的困扰的重大风险。然而，目前还缺乏针对智障人士羞耻感体验的研究，也缺乏针对智障人士羞耻感的干预措施。进行了两项案例研究，以记录智障人士的耻辱感、歧视和羞耻感经历，并探讨羞耻感在这一人群中可能的表现形式。研究发现，羞耻感是社会包容的重大障碍，并导致智障人士心理健康状况不佳。建议针对这一人群开发专门针对羞耻感的干预措施。
