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Shame Matters: Attachment and Relational Perspectives for Psychotherapists (The Bowlby Centre Monograph Series)

Understanding shame as a relational problem, Shame Matters explores how people, with support, can gradually move away from the relentless cycle of shame and find new and more satisfying ways of relating.

Orit Badouk Epstein brings together experts from across the world to explore different aspects of shame from an attachment perspective. The impact of racism and socio-economic factors on the development and experience of shame are discussed and illustrated with clinical narratives. Drawing upon the experience of infant researchers, trauma experts and therapists using somatic interventions, Shame Matters explores and develops understanding of the shameful deflations encountered in the consulting room and describes how new and empowered ways of relating can be nurtured. The book also details attachment-informed research into the experience of shame and outlines how it can be applied to clinical practice.

Shame Matters will be an invaluable companion for psychotherapists, clinical psychologists, counsellors, social workers, nurses, and others in the helping professions.


Editor of the Attachment Journal

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  1. Article: Tarnation/ Director J.Caouette – film review/ Attachment Journal, Vol.1/.3, Karnac, 2007.

  2. Article: Can Tony Sopranos be redeemed; is there such a thing as a criminal personality? Attachment journal, Vol.2/2, Karnac, 2008.

  3. Article: Positive thinking does not stop bad things happening/ an attachment approach to OCD. Attachment Journal, Vol.2/1, Karnac, 2008.

  4. Article: ‘And what about the bad breast ? an attachment viewpoint on Klein’s theory. Attachment journal, Vol.4/2,Karnac, 2010.

  5. Article: Mothers are not the only primary care-givers. Attachment Journal, Vol. 4/3, Karnac, 2010.

  6. Article: Edvard Munch Exhibition at Tate, review for Attachment Journal, Vol. 5/3, Karnac, 2012.

  7. Editorial: Attachnet: The impact of the internet on our relationships. Attachment Journal, Vol 8, no.3, Karnac, 2014.

  8. Book chapter: Living with the reality of Dissociative Identity Disorder/ Chapter 12: "How far have we come", Edited by Xenia Bowlby, Karnac, 2014.

  9. Article: Cross the bridge to redefine the pain/ written for ESTD Newsletter, March 2015, Attachment Journal, Vol 9/3, Karnac, 2015.

  10. Editorial: "Gaslight": Knowing what you are not suppose to know and feeling what you are not suppose to feel, Attachment journal, Vol.11/1, Karnac, 2017.

  11. Article: The Occupied Body: On chronic fatigue, co-regulation and Psychoneuroimmunology, Attachment Journal, Vol 11/3, Karnac, 2017.

  12. Article:  From Proximity Seeking to Relationship Seeking working toward separation from the abusive group, published in German as "Von der Suche nach zur nach der Bezeiung" in Die Macht von Gruppenbindungen" (Ed Kal Heinz Brisch, Nachfolger Gmbh, Stuttgart, 2018)

  13. Article: Name is Dot,  Attachment Journal, Vol 12/1,Phoenix Publishing House, 2018.

  14. ​Book chapter: Trauma Work via the Lens of Attachment Theory, Gaslight Reality Distortion by Familiar Attachment Figures, Chapter 29, pg 347- 363 Approaches to Psychic Trauma, Theory and Practice Edited by Dr Bernd Huppertz.  Published by Rowman & Littlefield, 2019.

  15. Article: From Proximity Seeking to Relationship Seeking: Working Towards Separation from the "Scaregivers", Frontiers in the Psychotherapy of Trauma and Dissociation,ISSTD 2019.

  16. Article: “The Most tender Place in My Heart is for Strangers”: sexual addiction, the fear system and dissociation through an attachment lens. Vol 13/1, 2019, Phoenix Publishing House.

  17. Article: Between the Screen and the Mask: on life and teletherapy in the time of the Pandemic. Attachment,14/1, Phoenix Publishing House, 2020.

  18. Chapter 3: Primary shame: needing you and the economy of affects. In Shame Matters, 2021, Routledge.

  19. Chapter 9: "Suicide Addict": the sovereignty of shame in the dissociated mind. In Shame Matters, 2021, Routledge

  20. Chapter: John Bowlby, Attachment Theory and Attachment Based psychoanalytic psychotherapy. In "Underlying assumptions in Psychoanalytic schools: A comparative perspective."  edited by Bernd Huppertz (in press for 2022)

Film & theatre reviews

Published in ESTD Newsletter and Attachment - New Directions:

  1. Tarnation (2007)

  2. Dogtooth (2010)

  3. Catfish, (2010)

  4. Animal Kingdom (2010)

  5. Project Nim (2011)

  6. Shame (2012)

  7. Martha Marcy May Marlene (2012)

  8. Brimstone & Treacle, a play (2012)

  9. Nostalgia for the Night (2012)

  10. Dolphin Boy (2013

  11. The Master, (2013)

  12. Beyond the Hills, (2013)

  13. The Act of Killing, (2013)

  14. Augustine, (2014)

  15. Miss Violence (2014)

  16. Ex Machina (2015)

  17. Himmler: the Decent One (2015)

  18. Force Majeure (2015)

  19. Gaslight (2016)

  20. Arrival (2017)

  21. Wizard of Lies (2017)

Loveless (2017)

Book reviews

  1. ‘Waking up in Toytown’ John Burnside, Cape 2010.

  2. ‘Coping with trauma-related Dissociation’ Boon, Steel, Van der Hart,  A Norton Professional Book, 2011.

  3. ‘Healing the Unimaginable: Treating Ritual Abuse and Mind Control’ Alison Miller, Karnac, 2011.

  4. ‘The Child Survivor: Healing Developmental Trauma and Dissociation’ Joyanna L. Silberg, Routledge, 2012.

Exhibition Reviews:

  1. 'Edvard Munch: The Modern Eye' 2012 

  2. 'Haroun Farocki: Berlin 2014′. ESTD Newsletter December 2014.

  3. 'Yayoi Kusama: Sculptures, Paintings & Mirror Rooms' 2016.


1.“Trauma therapy” - ISSTD, 2018.
2.”Baby Narcissus” - Attachment, 14/2, Phoenix 2020.
3. “Virtual Intimacy” - Attachment, 15/1, Phoenix, 2021.
4. “Penny Goes to Church on Sundays”, 15/2, Phoenix, 2021.

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