Cultural Implications of Sex, Shame & Vulnerability

Cultural Implications of Sex, Shame & Vulnerability


This course includes

3:31:22 of Course Material (View)
Lifetime access after purchase

The instructors

Pelvic Health Solutions (View bio)

A strong therapeutic relationship is a required element for successful therapeutic outcomes. Shame, the intensely painful feeling of believing that we are flawed and therefore unworthy of love and belonging, can be a significant and often unnamed barrier to establishing these connections. Learn how to develop strong, trusting relationships by recognizing shame in both yourself and your clients. What we often think of as “resistant” or “challenging” clients may, in fact, be the expression of shame.

In this course by Pelvic Health Solutions (PHS), we explore the impact of therapeutic relationships on outcomes and the effect of shame on our lived experiences.

Course objectives:

  1. To explore the physiological experience of shame and how it connects to physical pain.
  2. To understand the relationship between vulnerability, scarcity, shame and comparison
  3. Become aware of the defensive strategies clients (and ourselves) use to protect against shame and vulnerability and the impact this may have on behavioural health outcomes.
  4. Describe shame- resilience and learn how to walk through shame with courage, compassion and connection

This course is open to all health care professionals – physiotherapists, physiotherapy students, physiotherapy assistants, occupational therapists, chiropractors, naturopathic doctors, massage therapists, registered kinesiologists, medical doctors, nurses and midwives.

Melissa Pyne, BA, MSW, RSW 

Melissa is a registered social worker with over 10 years experience in the field of mental health and addiction. Currently, she works full time in the adult outpatient Mental Health and Addiction Program at Grand River Hospital delivering group and individual therapy to adults in acute mental health crisis. In addition to her work at the hospital, Melissa works at Qualia Counselling Services, a full service counselling agency specializing in Cognitive Behavioural Therapy.  She also provides field supervision to Laurier's MSW students. 

Melissa holds an BA (hons.) in Psychology from York University and a Masters in Social Work from Wilfrid Laurier University. She is certified in Concurrent Disorders and is credentialed through the Canadian Association of Cognitive Behavioural Therapies. In order to help people unlock their full potential, Melissa has certified in the Daring Way, a highly experiential methodology in developing shame resiliency based on the research of Dr. Brené Brown.

The instructors
Pelvic Health Solutions

Pelvic Health Solutions is an evidence-based teaching company that was founded in 2010 by Nelly Faghani and Carolyn Vandyken, out of the need to develop pelvic health resources in Ontario, an under serviced health concern in this province. Since the inception of our teaching company, pelvic health physiotherapy has blossomed from a handful of physiotherapists to well over 300 therapists now rostered with the Ontario College of Physiotherapists. Pelvic Health Solutions provides continuing education courses for a variety of practitioners, including mentoring and clinical resources for therapists to utilize with their patients. Our mission is to provide evidence-based, biopsychosocial resources to patients and health care practitioners for the assessment and treatment of pelvic health problems in our province and abroad.


Welcome Package

The WHO Definition of Health

Objectives & Guidelines

The Arena

Daring Greatly - Group Discussion

Arena Moments

Debunking Myths

The Arena Floor Plan

Meet Miranda




An Overview

Distinguishing Between 4 Self Conscious Affects

Physiology of Shame

Hopeless vs. Helpless

Interpersonal Strategies



Shame Resistance vs. Shame Resiliency

Noticing Phase

Challenging Phase

Tell Your Story

Learn and Ask

When Shame Shows up in the Room: Quick Tips




Barriers to empathy

Recognizing my Gremlins



Self Compassion

What does Grounding Mean

Self Esteem vs Self Compassion

What is Self Compassion

Exercise in Self Kindness



What Happens in Relationship?

Shame is Fear of Disconnection

The Difference Between Acceptance & Belonging

The 3 Shields

Moving Towards

All The Right Answers

Moving Against

The Bowtie

Strategies of Disconnection

I Am Enough

Think of a Patient

How Can You Use This Information With Patients

Perfectionism & Patients Not Wanting To Talk

Shame as a Factor

What came up for you?



Common Humanity & Mindfulness of Emotion

Common Humanity vs Isolation

Mindfulness of Emotion

How we can help develop Shame Resilience