Add sections to the bookbuilder: The role of shame, self-criticism and self-compassion (Anne Garland RMN, MSc.
School of Health Sciences
The University of Nottingham)

 

With complex structures, e.g., a chapter with subsections, selecting only the chapter is likely to select only the chapter's title, so probably you want to select the chapter and all its subsections.

The text structure is shown below.

 
Section
Select
Title, author, date...
Abstract
Background
Aim
Methods
Findings
Conclusion
Associated outputs
Publications
Presentations
Associated training
Short Courses
Acknowledgements
Preface
Contents
List of Figures
List of Tables
List of Abbreviations
Chapter one: Introduction and overview
The significance of the study
Depression and co-morbid disorders
Motivation for conducting this study
The cognitive science of depression
The evidence base for Cognitive Behaviour Therapy (CBT)
Defining depression
TABLE 1: DSM-5 DIAGNOSTIC CRITERIA FOR MAJOR DEPRESSIVE DISORDER (APA 2013 P 160–161)
TABLE 2: DSM-5 DIAGNOSTIC CRITERIA FOR PERSISTENT DEPRESSIVE DISORDER (APA 2013 P 168–169)
Defining and treating persistent, treatment resistant depression
CBT Treatments for Depression
The way forward in persistent, treatment resistant depression
Chapter 2 Literature Review
[[Introduction ]]
The Practicality of theories: Defining a decision-making process
The conundrum of defining Shame as an affect
Cognitive-affective models of shame
Cognitive-Attributional theories of shame
Lewis’ attributional theory of self-conscious emotions
Standards, Rules and Goals (SRG’s)
Internal versus external evaluations
Attributions about self: Global versus Specific
Step 1: Survival-Goal Relevance
Step 2: Attentional Focus on Self and Activation of Self-Representations
Step 3: Identity-Goal Relevance
Step 4: Identity-goal congruence
Step 5: Internality attributions
Step 6: Stability, Globality, controllability attributions
The evolutionary and biopsychosoical psychology model of shame
The definition of self-criticism
The psychoanalytic Formulation of Self-criticism
The Behavioural Formulation of Self-criticism
The cognitive formulation of self-criticism
The evolutionary formulation of self-criticism
Theories of the nature and origins of self-criticism and self-blame
Defining compassion and self-compassion
An evolutionary formulation of compassion
Compassion as an appraisal elicited emotion
Compassion as a motivational system
Definition of self-compassion
Self-kindness versus self-judgment
Common humanity versus isolation
Mindfulness versus over identification or avoidance
Examining the Practicality of these theories of shame using Brawley’s criteria
A critique of Gilbert’s theory of shame
Chapter 3 Methods
Introduction
Research aims and objectives
Study Design
Philosophical Pragmatism as an epistemological foundation
Convergent Parallel Mixed Methods
PhD Study Context
The Study Sample
Sampling
The power calculation in this PhD study
Sample size
Recruitment Process
Inclusion and exclusion criteria for the RCT
Data Collection Methods
Step 1: Testing the psychometric status of OAS; FSCR and SCS
Rationale for chosen measures of shame, self-criticism and self-compassion
An overview of each measure
Other as Shamer Scale (OAS)
The forms of self-criticising/attacking and self-reassuring scale (FSCRS)
Self Compassion Scale (SCS)
Step 2: Modelling variance in depressive symptoms against shame, self-criticism and selfcompassion
Rationale for chosen measures of depression
Hamilton Depression Rating Scale-17 (HDRS-17)
Beck Depression Inventory-I (BDI-I)
The Patient Health Questionnaire (PHQ-9)
Step 3: Exploring patients lived experience of shame, Self-criticism and self-compassion Procedure for quantitative data collection
Description of Qualitative Data Collection Method
TABLE 5: TYPES OF QUESTIONS FOR IN-DEPTH INTERVIEWS
Quantitative data analysis
Establishing reliability and validity of the OAS, FSCR and SCS
Defining reliability
Defining validity
Testing reliability
Testing validity
Internal consistency
Modelling variance of depression in relation to shame, self-criticism and self-compassion
An overview of Interpretative Phenomenological Analysis
The argument for epistemological coherence: The Primacy of Praxis revisited
Ethical considerations
Data Management
Confidentiality
Process for obtaining informed consent
Fieldwork and safety guidelines
Ethics Approval to conduct this research
Chapter 4 Quantitative Results
Introduction
1. Descriptive statistics
I. Reliability
I. Univariate and multivariate regression analysis
The demographic profile of the study cohort
TABLE 6: DEMOGRAPHIC CHARACTERISTICS OF THE STUDY COHORT AT BASELINE
Healthy Controls
Descriptive Statistics for Other as Shamer Scale (OAS) baseline
TABLE 10: SUMMARY STATISTICS FOR OAS AT BASELINE
TABLE 11: DISTRIBUTION FOR EACH SUB-SCALE OF OAS AT BASELINE
TABLE 12: CRONBACH’S ALPHA SCORES AT BASELINE FOR OAS SCALE
TABLE 13: ITEM STATISTICS FOR SUB-SCALE INFERIOR AT BASELINE
TABLE 14: ITEM STATISTICS FOR SUB-SCALE INFERIOR AT BASELINE
TABLE 15: ITEM STATISTICS FOR SUB-SCALE EMPTINESS AT BASELINE
TABLE 16: ITEM TO ITEM CORRELATION FOR SUB-SCALE EMPTINESS AT BASELINE
TABLE 17: ITEM STATISTICS FOR SUB-SCALE MISTAKES AT BASELINE
TABLE 18: ITEM TO ITEM CORRELATION FOR SUB-SCALE MISTAKES AT BASELINE
Split-Half Reliability for OAS at baseline
TABLE 19: SUMMARY ITEM MEANS STATISTICS FOR OAS AT BASELINE
Test-retest reliability for OAS at baseline and 6 months
TABLE 21: TEST-RETEST RELIABILITY FOR OAS AT BASELINE AND 6 MONTHS
Confirmatory Factor Analysis (CFA)
TABLE 22: THE CONTINUOUS LATENT VARIABLES AND INDICATORS TESTED FOR OAS, FSCSR AND SCS
Confirmatory Factor Analysis for Other as Shamer Scale
FIGURE 6: CONFIRMATORY FACTOR ANALYSIS PATH DIAGRAM FOR THE OTHER AS SHAMER SCALE (OAS)
Descriptive Statistics for Forms of Self-Criticising Self -Reassuring Scale (FSCRS)
TABLE 24: SUMMARY STATISTICS FOR FSCSR AT BASELINE
TABLE 25: DISTRIBUTION FOR EACH SUB-SCALE OF FSCSR AT BASELINE
TABLE 26: CRONBACH’S ALPHA FOR FSCSR AT BASELINE
TABLE 27: ITEM STATISTICS FOR SUB-SCALE INADEQUATE SELF AT BASELINE
TABLE 28: ITEM TO ITEM CORRELATION FOR SUB-SCALE INADEQUATE SELF AT BASELINE
TABLE 29: ITEM STATISTICS FOR SUB-SCALE HATED SELF AT BASELINE
TABLE 30: ITEM TO ITEM CORRELATION FOR SUB-SCALE HATED SELF AT BASELINE
TABLE 31: ITEM STATISTICS FOR SUB-SCALE REASSURED SELF AT BASELINE
TABLE 33: SUMMARY ITEM MEANS STATISTICS FOR FSCSR AT BASELINE
TABLE 34: SPLIT HALF RELIABILITY SCALE STATISTICS FOR FSCSR AT BASELINE
Test-retest reliability for FSCSR at baseline and 6 months
TABLE 35: TEST -RETEST RELIABILITY FOR FSCSR BETWEEN BASELINE AND 6 MONTHS
Confirmatory Factor Analysis for the Forms of Self-Criticism and self-Reassurance Scale (FSCSR)
TABLE 36: MODEL FIT INDICES FOR FSCSR
FIGURE 7: CONFIRMATORY FACTOR ANALYSIS PATH DIAGRAM FOR THE FORMS OF SELF-CRITICISING AND SELFREASSURING SCALE (FSCSR)
Descriptive Statistics for Self-Compassion Scale (SCS) baseline
TABLE 37: SUMMARY STATISTICS FOR SELF-COMPASSION SCALE (SCS) AT BASELINE
TABLE 38: DISTRIBUTION FOR EACH SUB-SCALE OF SCS AT BASELINE
TABLE 39: CRONBACH’S ALPHA FOR SCS AT BASELINE
TABLE 40: ITEM STATISTICS FOR SUB-SCALE SELF-KINDNESS AT BASELINE
TABLE 41: ITEM TO ITEM CORRELATION FOR SUB-SCALE SELF-KINDNESS AT BASELINE
TABLE 42: ITEM STATISTICS FOR SUB-SCALE SELF-JUDGMENT AT BASELINE
TABLE 43: ITEM TO ITEM CORRELATIONS FOR SUB-SCALE SELF-JUDGEMENT AT BASELINE
TABLE 44: ITEM STATISTICS FOR SUB-SCALE COMMON HUMANITY AT BASELINE
TABLE 45: ITEM TO ITEM CORRELATIONS FOR SUB-SCALE COMMON HUMANITY AT BASELINE
TABLE 46: ITEM STATISTICS FOR SUB-SCALE ISOLATION AT BASELINE
TABLE 47: ITEM TO ITEM CORRELATIONS FOR SUB-SCALE ISOLATION AT BASELINE
TABLE 48: ITEM STATISTICS FOR SUB-SCALE MINDFULNESS AT BASELINE
TABLE 49: ITEM TO ITEM CORRELATIONS FOR SUB-SCALE MINDFULNESS AT BASELINE
TABLE 50: ITEM STATISTICS FOR SUB-SCALE OVERIDENTIFICATION AT BASELINE
TABLE 51: ITEM TO ITEM CORRELATIONS FOR SUB-SCALE OVERIDENTIFICATION AT BASELINE
TABLE 52: SUMMARY ITEM MEANS FOR SCS AT BASELINE
TABLE 53: SPLIT HALF RELIABILITY SCALE STATISTICS FOR SCS AT BASELINE
Test-retest reliability for SCS at baseline
TABLE 54: TEST RETEST FOR SCS AT BASELINE AND 6 MONTHS (**. CORRELATION IS SIGNIFICANT AT 0.01 LEVEL (2 TAILED)
Confirmatory Factor Analysis (CFA) for SCS
TABLE 55: MODEL FIT INDICES FOR SCS
Objective 2: To determine how levels of shame, self-criticism and self-compassion correlate with level of depression
TABLE 56: INFLUENCE OF OAS, FSCSR AND SCS ON HRSD-17 BY UNIVARIATE AND MULTIVARIATE REGRESSION MODELLING
TABLE 57: INFLUENCE OF OAS, FSCSR AND SCS ON BDI-I UNIVARIATE AND MULTIVARIATE REGRESSION MODELLING
TABLE 58: INFLUENCE OF OAS, FSCSR AND SCS ON PHQ-9 UNIVARIATE AND MULTIVARIATE REGRESSION MODELLING
Chapter 5 Qualitative results
Reflexivity
TABLE 59: DEFINITION OF ‘COGNITION’ WITHIN IPA
The cohort
Emergent themes and sub-themes in the qualitative data
1. Childhood adversity and social milieu
2. Sense of self
3. The function of self-criticism 4. Absence of self-compassion
1. Childhood adversity and the social milieu
(i) No expectation
(ii) Every expectation
(iii) Behind closed doors
Reluctance to speak about childhood
3. Sense of self
I. Not good enough/inferior/failure-self-criticism
ii. unimportant/not counting/not worthy-self-blame
iii. Bad/inadequate/insignificant/worthless: self-hate/loathing
3. The function of self-criticism/self-hating
i. Intellectual appreciation with good intentions
ii. Not understood/incomprehension
iii. Risky
iv. Not deserved
5. Avoidant coping
7. Memory and information processing biases in depression
Summary
Chapter 6 Discussion
Introduction
Summary of Findings
Examination of the psychometric properties of the OAS, FSCSR and SCS in the study cohort
Examination OAS by sub-scale
Sub-scale inferior
Sub-scale emptiness
Sub-scale mistakes
Suggested revisions to the OAS
Previous studies of the psychometric properties of the OAS
Examination of the FSCSR and its sub-scales in relation to persistent treatment resistant depression
Subscale Inadequate self
Subscale Hated self
Subscale Reassured self
Previous studies of the psychometric properties of the FSCSR
Examination of the SCS by sub-scale in relation to persistent treatment resistant depression
Previous studies of the psychometric properties of the SCS
evolutionary biopsychosocial model
A continuum of shame and self-criticism and absence of self-compassion in persistent, treatment resistant depression
FIGURE 9: FORMULATION OF A CONTINUUM OF SHAME, SELF-CRITICISM AND ABSENCE OF SELF-COMPASSION IN PERSISTENT TREATMENT RESISTANT DEPRESSION
Defining the parameters of approval and subjugation
Shame of not meeting expectation: Every expectation
Shame, ridicule and humiliation: No expectation
Riven with shame: trapped and defeated
Clinical implications of these findings and avenues for future research
Strengths of this study
Limitations of this study
Conclusion
References
Frost, J. (2019). Regression Analysis: An Intuitive Guide for Using and Interpreting Linear
Health Research Authority (HRA) (2015) East Midlands-Nottingham Research Ethics
Nursing and Midwifery Council (NMC) (2018) The Code: Professional Standards of Practice and Behaviours for Nurses, Midwives and Nursing Associates. Available at: [[https://www.nmc.org.uk/][https://www.nmc.org.uk]][[https://www.nmc.org.uk/][/]][[https://www.nmc.org.uk/][ ]]
Appendices
Appendix I: Continuum of Schools of Cognitive Behavioural Psychotherapies (adapted from Gilbert 2007b)
Appendix III: Proposed criteria for Multiple-Therapy-Resistant (MTR) Major Depressive Disorder
Appendix V: Appraisal model of compassion illustrating how witnessing negative outcomes leads to felt compassion with moderation of relevance to self
Appendix VI: Theories of shame measured against Brawley’s (1993) Practicality of a theory criteria
Appendix VII: Consort diagram of participant flow through RCT
Appendix VIII: Email invitation to participate as a healthy control in the study
Appendix IX: Healthy Controls: Screening Questionnaire Introduction and Background Information
Mental Health Status
Invitation to take part in the study
Expenses and payments
Involvement of the General Practitioner/Family doctor (GP)
Participant Consent Form
Appendix XII: Other as Shamer Scale
Appendix: XIII: The Forms of Self-Criticising and Self-Reassuring Scale (FSCRS)
Appendix XIV: Self Compassion Scale (SCS)
Appendix XV: Hamilton Depression Rating Scale-17</strong> (Hamilton, 1960)
Appendix XVI: Beck Depression Inventory-I (BDI-I)
Appendix XVII: The Patient Health Questionaire-9 (PHQ-9)
Appendix XVIII: Qualitative Interview Topic Guide
Study title: Mood Disorder RCT – An investigation into the role of Shame, self-criticism and self-compassion in persistent, treatment resistant depression
Present the purpose
Discuss procedure
Background information and rapport building
Research topic
Key questions
Summary
Thanks, and close
Appendix XIX: Histogram and box plot for the OAS sub- inferior at baseline
Appendix XX: Histogram and box plot for the OAS sub-scale emptiness at baseline
Appendix XXI: Histogram and box plot for the OAS sub- mistakes at baseline
Appendix XXII: Histogram and box plot for the FSCSR sub-scale inadequate self at baseline
Appendix XXIII: Histogram and box plot for the FSCSR sub- hated self at baseline
Appendix XXIV: Histogram and box plot for the FSCSR sub-scale reassured self at baseline
Appendix XXV: Histogram and box plot for the SCS sub-scale self-kindness at baseline
Appendix XXVI: Histogram and box plot for the SCS sub-scale self-judgement at baseline
Appendix XXVII: Histogram and box plot for the SCS sub-scale common humanity at baseline
Appendix XXVIII: Histogram and box plot for the SCS sub-scale isolation at baseline
Appendix XXIX: Histogram and box plot for the SCS sub-scale mindfulness at baseline
Appendix XXX: Histogram and box plot for the SCS sub-scale overidentification at baseline
Appendix XXXI: Example of steps of qualitative data analysis (participant 12)
Appendix XXXII: Photographs of an example of a mind map (participant 12)
Appendix XXXIII: Biographies of participants in qualitative arm of this PhD study
Appendix XXXIV: The subscales and items of the OAS
Emptiness:
Mistakes:
Appendix XXXV: The sub-scales and items of the FSCSR
Inadequate Self
Hated Self
Reassured Self
Appendix XXXVI: The items and sub-scales of the SCS
Self-Kindness
Self-judgement
Common Humanity
Isolation
Mindfulness
Overidentification
Source, notes...