Paranoid ideation has been acknowledged as an important thought process that is present in adolescents as well as in adults. Adverse childhood experiences, such as shame and hostile criticism from parental figures or significant others seem to have a fundamental role in the manifestation of paranoid ideation in youths, similar to what has been observed in adult populations.
The current study aims to explore the role of shame, self-criticism and the experiences of shame in childhood in predicting paranoid ideation.
A representative sample of 1657 adolescents, with ages between 14 to 18-year-old, attending public and private schools in S. Miguel Island-Azores (Portugal) participated in this cross-sectional study by completing a set of selfreport questionnaires to evaluate paranoia, shame experiences and self-criticism.
Girls presented significantly higher scores on External Shame, Self-criticism, Persecutory Ideas and Mistrust Feelings when compared with boys, but effect sizes were small. Findings suggested that models including shame, self-criticism and shame experiences can explain between 26% to 48% of paranoid ideation, particularly in its more severe form, persecutory ideation.
Generalization of the causal relationships should be cautioned due to the cross-sectional nature of the study. The current study raises a discussion about the relevance of developing preventive strategies focusing on parental education and social support, in addition to fostering socio-emotional skills in youths.
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Baião, R., Gilbert, P., McEwan, K., & Carvalho, S. (2015). Forms of self-criticising/attacking and self-reassuring scale: psychometric properties and normative study. Psychology and Psychotherapy, 88(4), 438–452. https://doi.org/10.1111/papt.12049.
Barreto Carvalho, C., Caldeira, S. N., da Motta, C., Sousa, M., Amaral, S., Benevides, J., & Rodrigues, S. (2016). Vamos sentir com o Necas! Programa de promoção de competências emocionais e sociais para o 1.° ciclo do ensino básico. Ponta Delgada: Secretaria Regional do Mar Ciência e Tecnologia.
Barreto Carvalho, C., Da Motta, C., Pinto-Gouveia, J., & Peixoto, E. (2015). Influence of family and childhood memories in the development and manifestation of paranoid ideation. Clinical Psychology Psychotherapy, 23(5), 397–406. https://doi.org/10.1002/cpp.1965.
Barreto Carvalho, C., Da Motta, C., Sousa, M., & Cabral, J. (2017). Biting myself so I don’t bite the dust: prevalence and predictors of deliberate self-harm and suicide ideation in Azorean youths. Revista Brasileira Délelőtt Psiquiatria, 39(3), 252–262. https://doi.org/10.1590/1516-4446-2016-1923.
Barreto Carvalho, C., Nunes, C., Castilho, P., Da Motta, C., Caldeira, S. N., & Pinto-Gouveia, J. (2015). Mapping non suicidal self-injury in adolescence: development and confirmatory factor analysis of the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents (ISSIQ-A). Psychiatry Research, 227(2–3), 238–245. https://doi.org/10.1016/j.psychres.2015.01.031.
Barreto Carvalho, C., Pereira, V., Sousa, M., da Motta, C., Pinto-Gouveia, J., Caldeira, S., & Fenigstein, A. (2014). Paranoia in the General Population: a revised version of the General Paranoia Scale for adolescents. European Scientific Journal, 2(23), 1–15.
Barreto Carvalho, C., Pinto-Gouveia, J., Peixoto, E., & Da Motta, C. (2014). Paranoia as a continuum in the population. Asian Journal of Humanities and Social Studies, 02(03), 2321–2799.
Barreto Carvalho, C., Sousa, M., Da Motta, C., Pinto-Gouveia, J., Caldeira, S., Peixoto, E. B., & Fenigstein, A. (2017). Paranoia in the general population: a revised version of the general paranoia scale for adults. Clinical Psychologist, 21(2), 125–134. https://doi.org/10.1111/cp.12065.
Brazão, N., Da Motta, C., & Rijo, D. (2013). From multimodal programs to a new cognitive-interpersonal approach in the rehabilitation of offenders. Aggression and Violent Behavior, 18(6), 636–643. https://doi.org/10.1016/j.avb.2013.07.018.
Campbell, M. L. C., & Morrison, A. P. (2007). The subjective experince of paranoia: comparing the experiences of patients with psychosis and individuals with no psychiatric history. Clinical Psychology and Psychotherapy, 14(1), 63–77. https://doi.org/10.1002/cpp.510.
Carona, C., Rijo, D., Salvador, C., Castilho, P., & Gilbert, P. (2017). Compassion-focused therapy with children and adolescents. BJPsych Advances, 23(4), 240–252. https://doi.org/10.1192/apt.bp.115.015420.
Carvalho, C. B., da Motta, C., Pinto-Gouveia, J., & Peixoto, E. (2018). Psychosocial roots of paranoid ideation: The role of childhood experiences, social comparison, submission, and shame. Clinical Psychology and Psychotherapy, 25(5), 650–661. https://doi.org/10.1002/cpp.2195.
Castilho, P., Pinto-Gouveia, J., & Duarte, J. (2015). Exploring self-criticism: confirmatory factor analysis of the FSCRS in clinical and nonclinical samples. Clinical Psychology and Psychotherapy, 22, 153–164. https://doi.org/10.1002/cpp.1881.
Castilho, P., Pinto–Gouveia, J., & Bento, E. (2010). Auto-criticismo, vergonha interna e dissociação: a sua contribuição para a patoplastia do auto-dano em adolescentes. Psychologica, 2(52), 331–360.
Coelho, S. A., Castilho, P., & Pinto-Gouveia, J. (2010). Recordação de experiências de ameaça e subordinação na infância, auto-criticismo, vergonha e submissão: a sua contribuição para a depressão em estudantes universitários. Psychologica, 2(52), 449–474.
Combs, D. R., Michael, C. O., & Penn, D. L. (2006). Paranoia and emotion perception across the continuum. The British Journal of Clinical Psychology, 45(Pt 1), 19–31. https://doi.org/10.1348/014466505X29099.
Combs, D. R., Penn, D. L., Chadwick, P., Trower, P., Michael, C. O., & Basso, M. R. (2007). Subtypes of paranoia in a nonclinical sample. Cognitive Neuropsychiatry, 12(6), 537–553. https://doi.org/10.1080/13546800701707306.
Da Motta, C., Cabral, J., Caldeira, S., & Barreto Carvalho, C. (2015). Is the offence the best defense? Influences of childhood experiences and paranoia in the aggression in Azorean youths Atacar será a melhor defesa? [A influência das experiências precoces e da paranoia na agressividade dos jovens açorianos] Revista de Estudios e Investigación en Psicología y Educación, 2(1), 47–53. https://doi.org/10.17979/reipe.2015.2.1.105
Fenigstein, A., & Vanable, P. (1992). Paranoia and self-consciousness. Journal of Personality and Social Psychology, 62(1), 129–138. https://doi.org/10.1037/0022-35188.8.131.52.
Freeman, D., Garety, P. A., Bebbington, P. E., Smith, B., Rollinson, R., Fowler, D., & Fowler, D. (2005). Psychological investigation of the structure of paranoia in a non-clinical population. Br J Psychiatry, 186(MAY), 427–435. https://doi.org/10.1192/bjp.186.5.427.
Freeman, D., Garety, P. A., Kuipers, E., Fowler, D., & Bebbington, P. E. (2002). A cognitive model of persecutory delusions. The British Journal of Clinical Psychology, 41(Pt 4), 331–347.
Freeman, D., Pugh, K., & Garety, P. (2008). Jumping to conclusions and paranoid ideation in the general population. Schizophrenia Research, 102(1–3), 254–260. https://doi.org/10.1016/j.schres.2008.03.020.
Gilbert, P. (2000). Social mentalities: internal ‘social’ conflicts and the role of inner warmth and compassion in cognitive therapy. In P. Gilbert & K. G. Bailey (Eds.), Genes on the couch: explorations in evolutionary psychotherapy (pp. 118–150). Hove: Brunner-Routledge.
Gilbert, P. (2001). Evolutionary approaches to psychopathology: the role of natural defences. The Australian and New Zealand Journal of Psychiatry, 35(1), 17–27. https://doi.org/10.1046/j.1440-1614.2001.00856.x.
Gilbert, P. (2003). Evolution, social roles, and the differences in shame and guilt. Source, 70(4), 1205–1230. https://doi.org/10.1017/CBO9781107415324.004.
Gilbert, P. (2005). Social mentalities: a biopsychosocial and evolutionary approach to social relationships. In M. W. Baldwin (Ed.), Interpersonal Cognition (pp. 299–333). New York, NY: Guilford Press.
Gilbert, P., Baldwin, M. W., Irons, C., Baccus, J. R., & Palmer, M. (2006). Self-criticism and self-warmth: an imagery study exploring their relation to depression. Journal of Cognitive Psychotherapy, 20(2), 183–200. https://doi.org/10.1891/jcop.20.2.183.
Gilbert, P., Birchwood, M., Gilbert, J., Trower, P., Hay, J., Murray, B., & Miles, J. N. (2001). An exploration of evolved mental mechanisms for dominant and subordinate behaviour in relation to auditory hallucinations in schizophrenia and critical thoughts in depression. Psychological Medicine, 31(6), 1117–1127. https://doi.org/10.1017/S0033291701004093.
Gilbert, P., Boxall, M., Cheung, M., & Irons, C. (2005). The relation of paranoid ideation and social anxiety in a mixed clinical population. Clinical Psychology and Psychotherapy, 12(2), 124–133. https://doi.org/10.1002/cpp.438.
Gilbert, P., Clarke, M., Hempel, S., Miles, J. N. V., & Irons, C. (2004). Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students. The British Journal of Clinical Psychology, 43(Pt 1), 31–50. https://doi.org/10.1348/014466504772812959.
Gilbert, P, Davidson, R. J, Ekman, P., & Scherer, K. (1998). What is shame? Some core issues and controversies. In P. Gilbert, B. Andrews (eds.), Shame: Interpersonal behavior, psychopathology, and culture (pp. 3–38). New York: Oxford University Press.
Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measure I: the other as shamer scale. Person Individ Diff, 17(5), 713–717.
Hemphill, J. F. (2003). Interpreting the magnitudes of correlation coefficients. American Psychologist, 58(1), 78–79. https://doi.org/10.1037/0003-066X.58.1.78.
IBM Corp. (2011). IBM SPSS Statistics for Windows, Version 20.0. [Computer Software]. Armonk, NY: IBM Corp.
Maroco, J. (2010). Análise de Equações Estruturais: fundamentos teóricos, software and Aplicações. Lisbon: Report Number.
Matos, M., Pinto-Gouveia, J., & Duarte, C. (2011). Other as Shamer. Versão portuguesa e propriedades psicométricas de uma medida de vergonha externa [Other as Shamer: Portuguese version and psychometric properties of a measure of external shame]. Manuscript submitted for publication.
Matos, M., Pinto-Gouveia, J., & Gilbert, P. (2013). The effect of shame and shame memories on paranoid ideation and social anxiety. Clinical Psychology and Psychotherapy, 20(4), 334–349. https://doi.org/10.1002/cpp.1766.
Mills, A., Gilbert, P., Bellew, R., McEwan, K., & Gale, C. (2007). Paranoid beliefs and self-criticism in students. Clinical Psychology and Psychotherapy, 14(5), 358–364. https://doi.org/10.1002/cpp.537.
Neely, M. E., Schallert, D. L., Mohammed, S. S., Roberts, R. M., & Chen, Y. J. (2009). Self-kindness when facing stress: The role of self-compassion, goal regulation, and support in college students’ well-being. Motivation and Emotion, 33(1), 88–97. https://doi.org/10.1007/s11031-008-9119-8.
Pinto-Gouveia, J., & Matos, M. (2011). Can shame memories become a key to identity? The centrality of shame memories predicts psychopathology. Applied Cognitive Psychology, 25(2), 281–290. https://doi.org/10.1002/acp.1689.
Pinto-Gouveia, J., Matos, M., Castilho, P., & Xavier, A. (2014). Differences between depression and paranoia: the role of emotional memories, shame and subordination. Clinical Psychology and Psychotherapy, 21(1), 49–61. https://doi.org/10.1002/cpp.1818.
Serviço de Intervenção nos Comportamentos Aditivos e nas Dependências (SICAD). (2016). Relatório Anual 2015: A Situação do país em Matéria de Drogas e Toxicodependências. [2015 Annua Report: The Country's situation in terms of Drugs and Drug Addiction]. Lisbon: Author.
Simões, A. (1993). São os homens mais agressivos que as mulheres? [Are men more aggressive than women?]. Revista Portuguesa Délelőtt Pedagogia, 27(3), 387–404.
Sousa, M., Barreto Carvalho, C., da Motta, C., Cabral, J. M., Pereira, V., Caldeira, S. N., & Peixoto, E. B. (2015). Characterization and predictors of paranoid ideation in youths. International Journal of Psychological and Behavioral Sciences, 09(2), 1710–1717.
Trower, P., & Chadwick, P. (1995). Pathways to defense of the self: a theory of two types of paranoia. Clinical Psychology, 2(3), 263–278. https://doi.org/10.1111/j.1468-2850.1995.tb00044.x.
Valiente, C., Cantero, D., Sánchez, A., Provencio, M., & Wickham, S. (2014). Self-esteem and evaluative beliefs in paranoia. Journal of Behavior Therapy and Experimental Psychiatry, 45(2), 297–302. https://doi.org/10.1016/j.jbtep.2014.01.002.
Van Os, J., Hanssen, M., Bijl, R. V., & Ravelli, a (2000). Strauss (1969) revisited: a psychosis continuum in the general population? Schizophrenia Research, 45(1–2), 11–20.
Webster-Stratton, C., Gaspar, M. F., & Seabra-Santos, M. J. (2012). Incredible Years® Parent, Teachers and Children’s Series: Transportability to Portugal of Early Intervention Programs for Preventing Conduct Problems and Promoting Social and Emotional Competence. Psychosocial Intervention, 21(2), 157–169. https://doi.org/10.5093/in2012a15.
Whelton, W. J., & Greenberg, L. S. (2005). Emotion in self-criticism. Personality and Individual Differences, 38(7), 1583–1595. https://doi.org/10.1016/j.paid.2004.09.024.
The authors would like to thank Joana Rodrigues for assisting with the preparation of this manuscript.
C.B.C.: contributed to the conceptualization and refinement of research design, coordinating data collection and methodological aspects concerning this paper, and manuscript revisions. M.S.: contributed with literature search and final revision. C.M.: conducted the literature review, selection and performance of statistical analyses, manuscript drafting, revisions and editing of the final manuscript. J.C.: contributed with literature search, and final editing.
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Carvalho, C.B., Sousa, M., da Motta, C. et al. The Role of Shame, Self-criticism and Early Emotional Memories in Adolescents’ Paranoid Ideation. J Child Fam Stud 28, 1337–1345 (2019). https://doi.org/10.1007/s10826-019-01363-2