<i>Moving Shame</i> : using embodied practices to facilitate constructive shame engagement among interprofessional healthcare students

Shame is a pervasive yet often unspoken feature of health professions education, associated with burnout, emotional withdrawal, diminished empathy and threats to professional well-being. Experienced as a deeply affective and somatic phenomenon, shame can be difficult to access or address through conventional, cognitively oriented pedagogies. This study examines <i>Moving Shame</i>, an interprofessional workshop series that uses trauma-informed, embodied practices to support learners in recognising and engaging with shame in more constructive ways.13 students from five health professions programmes participated in a three-part series integrating trauma-sensitive yoga, body mapping, movement-based reflection, creative resources such as graphic medicine and podcasts, and facilitated group dialogue. Workshops were led by an educator with specialist training in trauma-informed embodied facilitation. Participants completed anonymous surveys before the series, immediately after completion and 6 months later. Quantitative measures assessed shame frequency, anxiety and depressive symptoms, with changes over time analysed using non-parametric tests. Qualitative free-text responses were analysed thematically to explore participants' experiences and perceived impacts.Participants demonstrated statistically significant and sustained reductions in reported shame frequency, anxiety and depressive symptoms at follow-up. Qualitative findings suggested shifts in how shame was recognised, shared and navigated, including increased bodily awareness, relational openness and a sense of collective permission to acknowledge vulnerability within educational spaces. These findings suggest that trauma-informed, embodied pedagogies may offer a meaningful approach to engaging shame in health professions education. Rather than functioning as a discrete intervention, impacts appeared to emerge through the relational and ethical conditions created by embodied practices and skilled facilitation. The study highlights implications for professional well-being, cultures of care and workforce sustainability, while raising questions about transferability, facilitation expertise and the ethics of working with vulnerability in educational contexts.

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Publication Details

Journal
Medical Humanities
Published
2026-01-28
DOI
https://doi.org/10.1136/medhum-2025-013512
Primary Topic
Emotions and Moral Behavior
Type
article
Field-Weighted Citation Impact
0.00

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article

Moving Shame : using embodied practices to facilitate constructive shame engagement among interprofessional healthcare students

Gemma Lucas, Trevor Sytsma, William Bynum, Heather Batchelder et al.
Medical Humanities
Emotions and Moral Behavior
article

Moving Shame : using embodied practices to facilitate constructive shame engagement among interprofessional healthcare students

Gemma Lucas, Trevor Sytsma, William Bynum, Heather Batchelder, Jordan Burnett
article en

Abstract

Shame is a pervasive yet often unspoken feature of health professions education, associated with burnout, emotional withdrawal, diminished empathy and threats to professional well-being. Experienced as a deeply affective and somatic phenomenon, shame can be difficult to access or address through conventional, cognitively oriented pedagogies. This study examines <i>Moving Shame</i>, an interprofessional workshop series that uses trauma-informed, embodied practices to support learners in recognising and engaging with shame in more constructive ways.13 students from five health professions programmes participated in a three-part series integrating trauma-sensitive yoga, body mapping, movement-based reflection, creative resources such as graphic medicine and podcasts, and facilitated group dialogue. Workshops were led by an educator with specialist training in trauma-informed embodied facilitation. Participants completed anonymous surveys before the series, immediately after completion and 6 months later. Quantitative measures assessed shame frequency, anxiety and depressive symptoms, with changes over time analysed using non-parametric tests. Qualitative free-text responses were analysed thematically to explore participants' experiences and perceived impacts.Participants demonstrated statistically significant and sustained reductions in reported shame frequency, anxiety and depressive symptoms at follow-up. Qualitative findings suggested shifts in how shame was recognised, shared and navigated, including increased bodily awareness, relational openness and a sense of collective permission to acknowledge vulnerability within educational spaces. These findings suggest that trauma-informed, embodied pedagogies may offer a meaningful approach to engaging shame in health professions education. Rather than functioning as a discrete intervention, impacts appeared to emerge through the relational and ethical conditions created by embodied practices and skilled facilitation. The study highlights implications for professional well-being, cultures of care and workforce sustainability, while raising questions about transferability, facilitation expertise and the ethics of working with vulnerability in educational contexts.

Medical Humanities
Duke University (US), University of Exeter (GB), Duke University Health System (US)
UK Research and Innovation
Quality Education
Openalex Percentile: Top 79%
Emotions and Moral Behavior
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