Substantial numbers of adolescents suffer from the detrimental effects of internalized shame, however no assessment scale existed specifically for use with youth. Consequently, this study utilized multidimensional scaling, focus groups and questionnaires to develop the Adolescent Internalized Shame Scale. Analyzes revealed some clinicians do not adequately differentiate shame and guilt, adolescents unquestionably comprehend the feelings and ramifications of shame and there are significant gender differences in how youth experience shame. Statements generated by youth during focus groups and on the questionnaires raise considerable concerns regarding the painful experience of shame, and the resultant feelings of self-harm and suicide. In addition, the youth generated statements confirmed the desire of some youth to respond to shame with anger or rage, thus highlighting the gravity of the situation and necessity for effective intervention by clinicians.

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