School of Behavioral Sciences


Doctor of Philosophy in Counselor Education and Supervision (PhD)


John C Thomas


Externalized Shame, Internalized Shame, Shame, Somatic Pain, Somatic Symptoms


Counseling | Counselor Education


Shame has been linked to several types of psychopathology, however its role in health and wellness is less understood. This study sought to answer the following questions to bring further theoretical understanding to the unique features that shame plays in somatic pain and symptoms. First, does internalized shame predict somatic pain and symptoms? Second, does externalized shame predict somatic pain and symptoms? Third, does internalized shame predict a greater influence over somatic pain and symptoms than externalized shame? Lastly, does externalized shame moderate the relationship between internalized shame and somatic pain and symptoms? This study revealed that internalized and externalized shame demonstrated a correlational relationship in the role in somatic pain and symptoms, however when added into the regression model externalize shame accounted for the variance of internalized shame, revealing that when compared to externalized shame, internalized shame did not have a stronger relationship to somatic pain and symptoms. Lastly results found no moderation affect between internalized shame externalized shame and somatic pain and symptoms. Limitations and future research recommendations are discussed.