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Shame in Medicine: 5. Indoctrination

The Nocturnists

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How Do You Know if You're Feeling Shame?

How do you know if you're feeling shame because you're actually being shamed or if you're having an outsized emotional reaction to something normal, like just being asked a question on rounds? I don't think you do know in a moment. And that's the thing about shame is that it can distort your view of objective reality. So irrespective of how silly or trivial, the trigger may seem that induces a shame reaction in yourself. Once it takes root, it doesn't matter how trivial or benign it was. It's important.

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