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|[ Original Article ]|
|Korean Journal of Clinical Psychology - Vol. 39 , No. 4
|ISSN: 2733-4538 (Online)|
| publication date 30 Nov 2020|
|Received 19 May 2020 Revised 29 Jul 2020 Accepted 19 Aug 2020|
|내면화된 수치심이 가해염려 사회불안 및 사회불안에 미치는 영향: 분노억제와 투사의 차별화된 매개효과|
김혜원 ; 박기환 †
The Effects of Internalized Shame on Taijin-Kyofu-Sho and Social Anxiety: The Differential Mediating Process of Anger-In and Projection
Hye-Won Kim ; Kee-Hwan Park†
|Department of Psychology, The Catholic University of Korea, Bucheon, Korea|
|Correspondence to : †Kee-Hwan Park, The Catholic University of Korea, 43 Jibong-ro, Bucheon, Korea; E-mail: email@example.com|
© 2020 Korean Clinical Psychology Association
Funding Information ▼
본 연구는 자신의 특성으로 인해 상대방을 불편하게 하거나 불쾌감을 줄까봐 심한 두려움을 보이는 가해염려 사회불안과 일반 사회불안에 내면화된 수치심이 영향을 미치는 과정에서 분노억제와 투사의 매개효과가 다른 양상으로 나타나는지 확인하고자 하였다. 이를 위하여 대학생 354명을 대상으로 자기보고식 설문을 실시하였으며, 수집된 자료를 이용하여 구조방정식 모형검증을 실시하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 내면화된 수치심, 분노억제, 투사, 가해염려 사회불안, 일반 사회불안 간에 유의한 정적 상관이 존재하였다. 둘째, 내면화된 수치심이 가해염려 사회불안에 영향을 미치는 과정에서 분노억제와 투사의 연속매개 경로는 유의한 것으로 드러났지만, 내면화된 수치심이 일반 사회불안에 영향을 미치는 과정에서 분노억제와 투사의 연속매개 경로는 유의하지 않은 것으로 나타났다. 단순매개효과에 있어 내면화된 수치심과 가해염려 사회불안의 관계에서 투사는 부분매개효과를 보인 반면, 분노억제의 매개효과는 유의하지 않았다. 이와는 상반되게 내면화된 수치심과 일반 사회불안의 관계에서 분노억제는 부분매개효과를 보인 반면, 투사의 매개효과는 유의하지 않았다. 본 연구결과는 내면화된 수치심이 가해염려 사회불안으로 가는 경로와 일반 사회불안으로 가는 경로가 다르다는 점을 시사하며, 선행연구들에서 미흡했던 가해염려 사회불안에 영향을 미치는 요인들 간의 관계에 대한 통합적 설명을 제시함으로써, 이들에 대한 보다 깊고 체계적인 이해를 제공할 것으로 기대된다.
This study examined the relationships among psychosocial variables related to social anxiety with concerns for offending others (Taijin Kyofusho Scale; TKS) compared to social anxiety disorder (SAD). For this purpose, 354 undergraduate students were asked to complete self-reporting questionnaires. The results were as follows. First, internalized shame, anger-in, projection, TKS, and SAD were significantly positively correlated. Second, while the relationship between internalized shame and TKS was sequentially mediated by anger-in and projection, the relationship between internalized shame and SAD was not. Interestingly, for the simple mediation effect in the relationship between internalized shame and TKS, projection showed a partial mediation effect, but anger-in had none. In the relationship between internalized shame and SAD, anger-in showed a partial mediation effect, but projection had none. Finally, future research directions, clinical implications, and the limitations of this study are discussed.
|Keywords: Taijin Kyofusho, social anxiety, internalized shame, anger-in, projection
키워드: 가해염려 사회불안, 사회불안, 내면화된 수치심, 분노억제, 투사
This work was supported by the Catholic University of Korea, Research Fund, 2020.
Hye-Won Kim, graduate student at The Catholic University of Korea who is now a clinical psychology intern at Department of Neurology, University of Ulsan College of Medicine, Asan Medical Center, designed the study, collected and analyzed data, and led manuscript preparation. Kee-Hwan Park, professor at The Catholic University of Korea, served as the principal investigator of the research grant and supervised the research process. All authors provided critical feedback, participated in revision of the manuscript, and approved the final submission.
|1.||American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.|
|2.||American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
|3.||Bandalos, D. L. (2002). The effects of item parceling on goodness-offit and parameter estimate bias in structural equation modeling. Structural Equation Modeling, 9, 78-102.
|4.||Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-246.
|5.||Bond, M., Gardner, S. T., Christian, J., & Sigal, J. J. (1983). Empirical study of self-rated defense styles. Archives of General Psychiatry, 40, 333-338.
|6.||Bradshaw, J. (2005). Healing the shame that binds you: Recovery classics edition. Deerfield Beach, State of Florida: Health Communications, Inc.|
|7.||Breen, W. E., & Kashdan, T. B. (2011). Anger suppression after imagined rejection among individuals with social anxiety. Journal of Anxiety Disorders, 25, 879-887.
|8.||Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological methods & research, 21, 230-258.
|9.||Bursten, B. (1973). Some narcissistic personality types. The International Journal of Psychoanalysis, 54, 287-300.|
|10.||Cho, S. H. (1999). A validational study of Korean version of defense style questionnaire. The Korean Journal of Counseling and Psychotherapy, 11, 115-137.|
|11.||Cho, Y. R., & Kim, E. J. (2005), Social phobia with concern for offending others : Reliability and validity of a Korean version of TKS. Korean Journal of Clinical Psychology, 24, 397-411.|
|12.||Choi, I. J., & Sim, H. S. (2010). The influences of internalized shame and anger expression on interpersonal problems of college students. The Korean Journal of Counseling and Psychotherapy, 22, 479-492.|
|13.||Choi, I. S., & Choi, H. N. (2013). The influence of covert narcissism on social anxiety : The mediating effects of internalized shame and social-efficacy. Korean Journal of Counseling, 14, 2799-2815.
|14.||Choy, Y., Schneier, F. R., Heimberg, R. G., Oh, K. S., & Liebowitz, M. R. (2008). Features of the offensive subtype of Taijin‐Kyofu‐Sho in US and Korean patients with DSM IV social anxiety disorder. Depression and Anxiety, 25, 230-240.
|15.||Cook, D. R. (1987). Measuring Shame: The internalized shame scale. Alcoholism Treatment Quarterly, 4, 197-215.
|16.||Cook, D. R. (2001). Internalized shame scale: Technical manual. New York, State of New York: Multi Health System Inc.|
|17.||Erwin, B. A., Heimberg, R. G., Schneier, F. R., & Liebowitz, M. R. (2003). Anger experience and expression in social anxiety disorder: Pretreatment profile and predictors of attrition and response to cognitive-behavioral treatment. Behavior Therapy, 34, 331-350.
|18.||Gilbert, P. (2000). The relationship of shame, social anxiety and depression: The role of the evaluation of social rank. Clinical Psychology & Psychotherapy, 7, 174-189.
|19.||Gilbert, P., Allan, S., & Goss, K. (1996). Parental representations, shame, interpersonal problems, and vulnerability to psychopathology. Clinical Psychology & Psychotherapy: An International Journal of Theory and Practice, 3, 23-34.
|20.||Hahn, D. W., Chon, K. K., & Lee, C. H. (1997). Korean adaptation of the state-trait anger expression inventory : Anger and blood pressure. The Korean Journal of Health Psychology, 2, 60-78.|
|21.||Harder, D. W., & Lewis, S. J. (1987). The assessment of shame and guilt. Advances in Personality Assessment, 6, 89-114.|
|22.||Hedman, E., Ström, P., Stünkel, A., & Mörtberg, E. (2013). Shame and guilt in social anxiety disorder: Effects of cognitive behavior therapy and association with social anxiety and depressive symptoms. Public Library of Science, 8, p. e61713.
|23.||Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1-55.
|24.||Hwang, J. Y., & Yon, K. J. (2018). The relationships between internalized shame and displaced aggression: Dual mediating effects of dysfunctional anger expression. The Korean Journal of Health Psychology, 23, 147-166.
|25.||Im, J. W., & Hong, H. Y. (2016). The influence of internalized shame on the relational aggression of college students-The mediating effects of dysfunctional anger. Journal of the Korea Institute of Youth Facility and Environment, 14, 6-75.|
|26.||Jeon, H. J., & Lee, H. J. (2017). The self and other representations and self-focus attributes of college students with social anxiety with concerns for offending others. Clinical Psychology in Korea: Research and Practice, 3, 67-94.|
|27.||Jung, H. J., Ahn, J. K., & Kwon J. H. (2017). Effects of peer victimization, self-representation, anger expression and hostility reasoning biases on taijin kyofusho. Cognitive Behavior Therapy in Korea, 17, 315-339.|
|28.||Jung, H. S., & Jung, N. W. (2011). Internalized shame as a mediator of the relations between perfectionism and anger expression styles among college students. Journal of Human Understanding and Counseling, 32, 89-107.|
|29.||Kim, E. J., & Cho, Y. R. (2008), The relationship of social phobia with the concern for offending others, anger-related variables, and individualism-collectivism. Korean Journal of Clinical Psychology, 27, 613-632.
|30.||Kim, G. S., (2007). Structure equation model analysis. Seoul : Hannarae academy.|
|31.||Kim, M. J., & Kim E. J. (2018). The relation between covert narcissism and Taijin Kyofusho symptoms: Sequential mediating effects of paranoid ideation and social isolation. The Korean Journal of Culture and Social Issues, 24, 637-655.
|32.||Kim, M. K., & Hyun, M. H. (2013). The mediating effects of selfpresentation motivation, self-presentation expectancy and ambivalence over emotional expressiveness on the relationship between internalized shame and social anxiety: Among college students. Korean Journal of Clinical Psychology, 32, 161-176.
|33.||Kim, Y. H., & Lee, Y. J. (2013). The structural equation model validation of social anxiety, empathy, social skills, anger-expressive form, interpersonal relationships satisfaction affecting. Korean Journal of Counseling, 14, 1587-1604.
|34.||Kirmayer, L. J., Young, A., & Hayton, B. C. (1995). The cultural context of anxiety disorders. Psychiatric Clinics of North America, 18, 503-521.
|35.||Kleinknecht, R. A., Dinnel, D. L., Kleinknecht, E. E., Hiruma, N., & Harada, N. (1997). Cultural factors in social anxiety: A comparison of social phobia symptoms and Taijin Kyofusho. Journal of Anxiety Disorders, 11, 157-177.
|36.||Kline, R. B. (2010). Promise and pitfalls of structural equation modeling in gifted research. In B. Thompson & R. F. Subotnik (Eds.), Methodologies for conducting research on giftedness (p. 147-169). Washington, DC : American Psychological Association.
|37.||Kline, T. J. (2005). Psychological testing: A practical approach to design and evaluation. Thousand Oaks, CA : Sage Publications.
|38.||Ko, Y. G., & Ahn, C. Y. (2003). The defensive projection of angerrepression group. Korean Journal of Clinical Psychology, 22, 641- 660.|
|39.||Lee, I. S., & Choi, H. L. (2005). Assessment of shame and its relationship with maternal attachment, hypersensitive narcissism and loneliness. The Korean Journal of Counseling and Psychotherapy, 17, 651-670.|
|40.||Lee, J. Y. (2008). The relationship of internalized shame, defense style and emotional expressiveness. The Korea Journal of Counseling, 9, 353-373.
|41.||Lee, S. H., Beak, S. B., Noh, K. S., Oh, K. S., & Shin, Y. C. (1999). Personality factor and defense mechanism in social phobia patient. Korean Journal of Neuropsychiatry Association, 38, 1254- 1261.|
|42.||Lee, S. H., Shin, Y. C., & Oh, K. S. (1994). A clinical study of social phobia for 10 years. Korean Journal of Neuropsychiatry Association, 33, 305-312.|
|43.||Lewis, H. B. (1971). Shame and guilt in neurosis. Psychoanalytic Review, 58, 419-438.|
|44.||Liebowitz, M. R. (1987). Social phobia. Modern Problems of Pharmacopsychiatry, 22, 141-173.
|45.||Lochner, C., & Stein, D. J. (2003). Heterogeneity of obsessive-compulsive disorder: A literature review. Harvard Review of Psychiatry, 11, 113-132.
|46.||Lutwak, N., & Ferrari, J. R. (1997). Shame-related social anxiety: Replicating a link with various social interaction measures. Anxiety, Stress, and Coping, 10, 335-340.
|47.||Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224-253.
|48.||Mills, R. S. (2005). Taking stock of the developmental literature on shame. Developmental Review, 25, 26-63.
|49.||Nagata, T., Matsunaga, H., van Vliet, I., Yamada, H., Fukuhara, H., Yoshimura, C., & Kiriike, N. (2011). Correlations between the offensive subtype of social anxiety disorder and personality disorders. Psychiatry and Clinical Neurosciences, 65, 341-348.
|50.||Nakamura, K. (1997). Taijin-kyofu-sho and withdrawal. Japanese Journal of Clinical Psychiatry, 26, 1169-1176.|
|51.||Nakamura, K., Kitanishi, K., Miyake, Y., Hashimoto, K., & Kubota, M. (2002). The neurotic versus delusional subtype of taijin‐kyofu‐ sho: Their DSM diagnoses. Psychiatry and Clinical Neurosciences, 56, 595-601.
|52.||Nam, K. S., Cho, S. M., & Lee, H. J. (2006). Development and validation of the Korean shame scale. Korean Journal of Clinical Psychology, 25, 1063-1085.|
|53.||Nathanson, D. (1992). Shame and pride: Affect, sex, and the birth of the self. New York, State of New York : Norton.|
|54.||Newman, L. S., Duff, K. J., & Baumeister, R. F. (1997). A new look at defensive projection: Thought suppression, accessibility, and biased person perception. Journal of Personality and Social Psychology, 72, 980-1001.
|55.||Noguchi, R. J. P. (2011). Cultural factors in the dysregulation of shame and embarrassment: Emotions in social anxiety and Taijin Kyofusho (Unpublished Doctoral dissertation). Virginia Polytechnic Institute and State University, Virginia, USA.|
|56.||Park, S. Y. (2003). The difference of social anxiety subtypes according to the characteristics of social anxiety-provoking situations (Unpublished master’s thesis). Seoul National University, Seoul, Korea.|
|57.||Pineles, S. L., & Mineka, S. (2005). Attentional biases to internal and external sources of potential threat in social anxiety. Journal of Abnormal Psychology, 114, 314-318.
|58.||Raykov, T., & Marcoulides, G. A. (2000). A first course in structural equation modeling. Mahwah, NJ: Lawrence Erlbaum Associates.|
|59.||Schimel, J., Pyszczynski, T., Greenberg, J., O'Mahen, H., & Arndt, J. (2000). Running from the shadow: Psychological distancing from others to deny characteristics people fear in themselves. Journal of Personality and Social Psychology, 78, 446-462.
|60.||Schumacker, R. E., & Lomax, R. G. (1996). A beginner’s guide to structural equation modeling. Mahwah, NJ: Erlbaum.|
|61.||Seo, E. B. (2017). The relationship between internalized shame and social anxiety: The mediating effect of perceived control and experiential avoidance (Unpublished master’s thesis). Catholic University, Bucheon, Korea.|
|62.||Seo, Y. S. (2010). Testing mediator and moderator effects in counseling psychology research: Conceptual distinction and statistical considerations. The Korean Journal of Counseling and Psychotherapy, 22, 1147-1168.|
|63.||Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422-445.
|64.||Song, J. Y., & Park, K. H. (2009). The sociocultural variables influencing social anxiety with concern for offending others : Focusing on che-myeon, nun-chi, and self-construal. The Korean Journal of Health Psychology, 14, 329-343.
|65.||Spielberger, C. D., Krasner, S. S., & Solomon, E. P. (1988). The experience, expression, and control of anger. In M. P. Janisse (Ed.), Health psychology: Individual differences, stress, and health psychology (pp. 89-108). New York, State of New York: Springer- Verlag.
|66.||Sung, S. Y., & Park, K. H. (2018). The relationships between internalized shame and suicidal ideation: Dual mediating effects of anger suppression and depression among college students. The Korean Journal of Health Psychology, 23, 209-230.
|67.||Takahashi, T. (1989). Social phobia syndrome in Japan. Comprehensive Psychiatry, 30, 45-52.
|68.||Tangney, J. P., Wagner, P., & Gramzow, R. (1992). Proneness to shame, proneness to guilt, and psychopathology. Journal of Abnormal Psychology, 101, 469-478.
|69.||Vaillant, G. E., Bond, M., & Vaillant, C. O. (1986). An empirically validated hierarchy of defense mechanisms. Archives of General Psychiatry, 43, 786-794.
|70.||Wells, M., & Jones, R. (2000). Childhood parentification and shameproneness: A preliminary study. American Journal of Family Therapy, 28, 19-27.
|71.||Won, J. S. (2006). The effects of covert narcissistic personality tendency on depression: the mediational role of the fear of negative appraisal, subjective frustration experience, and socially prescribed perfectionism (Unpublished Master’s Thesis). Yonsei University, Seoul, Korea.|