Fear of compassion is associated with treatment ambivalence and negative expectations for treatment in people with anxiety
Abstract
Objectives: Fears of compassion are hypothesized to be associated with treatment attitudes, but this relationship has not yet been explored. Methods: Measures of fear of compassion and treatment expectations and ambivalence were administered to those with above‐average anxiety ( N = 302) and those who met criteria for an anxiety or related disorder ( N = 40). Results: In those with anxiety disorders, fear of receiving compassion and fear of self‐compassion were strongly correlated with treatment ambivalence. In both samples, higher fear of receiving compassion was associated with more negative expectations for treatment. Conclusions: Fear of compassion is associated with treatment ambivalence and treatment expectations and may be an important target early in treatment. Practitioner Points: Fears of receiving compassion and self‐compassion were related to treatment ambivalence and negative treatment expectations There may be benefit in targeting fear of compassion early in treatment
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FOC is associated with treatment ambivalence and negative treatment expectations.
“we know that FOC is associated with treatment ambivalence and negative treatment expectations (Merritt & Purdon, 2021).”
From A preliminary investigation of the relationships between attachment insecurity, fear of compassion, and <scp>OCD</scp> severity (2025) · cites this paper as Merritt & Purdon, 2021
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Cites
Introducing compassion-focused therapy
Gilbert, P. (2009) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.107.005264 · Cited by 1,435 · see citing works
Self-compassion, Achievement Goals, and Coping with Academic Failure
Neff, K. D., Hsieh, Y.-P., & Dejitterat, K. (2005) · Self and Identity · doi:10.1080/13576500444000317 · Cited by 1,221 · see citing works
Fears of compassion: Development of three self‐report measures
Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1348/147608310x526511 · Cited by 973 · see citing works
Efficacy of treatments for anxiety disorders: a meta-analysis
Bandelow, B., Reitt, M., Röver, C., Michaelis, S., Görlich, Y., & Wedekind, D. (2015) · International Clinical Psychopharmacology · doi:10.1097/yic.0000000000000078 · Cited by 555 · see citing works
The Role of Outcome Expectations and Attitudes on Decisions to Seek Professional Help.
Vogel, D. L., Wester, S. R., Wei, M., & Boysen, G. A. (2005) · Journal of Counseling Psychology · doi:10.1037/0022-0167.52.4.459 · Cited by 384 · see citing works
Fears of compassion and happiness in relation to alexithymia, mindfulness, and self‐criticism
Gilbert, P., McEwan, K., Gibbons, L., Chotai, S., Duarte, J., & Matos, M. (2012) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1111/j.2044-8341.2011.02046.x · Cited by 285 · see citing works
Kirby, J. N., Day, J., & Sagar, V. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.03.001 · Cited by 232 · see citing works
Younger, J., Gandhi, V., Hubbard, E., & Mackey, S. (2012) · Clinical Trials · doi:10.1177/1740774512465064 · Cited by 212 · see citing works
Assessing clinical significance of treatment outcomes using the DASS-21.
Ronk, F. R., Korman, J. R., Hooke, G. R., & Page, A. C. (2013) · Psychological Assessment · doi:10.1037/a0033100 · Cited by 165 · see citing works
Price, M., & Anderson, P. L. (2012) · Psychotherapy · doi:10.1037/a0024734 · Cited by 99 · see citing works
Thomas, S. J., Caputi, P., & Wilson, C. J. (2014) · Journal of Clinical Psychology · doi:10.1002/jclp.22022 · Cited by 71 · see citing works
Scared of compassion: Fear of compassion in anxiety, mood, and non‐clinical groups
Merritt, O. A., & Purdon, C. L. (2020) · British Journal of Clinical Psychology · doi:10.1111/bjc.12250 · Cited by 54 · see citing works
Self-citationRowa, K., Gifford, S., McCabe, R., Milosevic, I., Antony, M. M., & Purdon, C. (2014) · Journal of Clinical Psychology · doi:10.1002/jclp.22096 · Cited by 30 · see citing works
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Asano, K., Tsuchiya, M., Okamoto, Y., Ohtani, T., Sensui, T., Masuyama, A., Isato, A., Shoji, M., Shiraishi, T., Shimizu, E., et al. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.903842 · Cited by 17 · see citing works
Expectations in psychotherapy: An overview
Antichi, L., Cacciamani, A., Chelini, C., Morelli, M., Piacentini, S., & Pirillo, L. G. (2022) · RICERCHE DI PSICOLOGIA · doi:10.3280/rip2022oa13574 · Cited by 9 · see citing works
Katan, A., Carter, J., & Kelly, A. C. (2025) · British Journal of Clinical Psychology · doi:10.1111/bjc.12542 · Cited by 2 · see citing works
McNeil, A., & Purdon, C. (2025) · British Journal of Clinical Psychology · doi:10.1111/bjc.12533 · Cited by 1 · see citing works
“For example, we know that FOC is associated with treatment ambivalence and negative treatment expectations (Merritt & Purdon, 2021).”
Self-citationFear of Compassion and Big Five Personality Traits in College Students
Volk, K., Mehr, K. E., & Mills, J. A. (2023) · Journal of College Student Psychotherapy · doi:10.1080/87568225.2023.2181256 · Cited by 1 · see citing works
“Additionally, these findings may help college counseling clinicians identify which clients may demonstrate ambivalence and negative expectations for treatment (Merrit & Purdon, 2021) and initiate early discussion about expectations and potential barriers to treatment.”
BackgroundInfluentialMitgefühl in der Psychotherapie
Aguilar-Raab, C. (2026) · Die Psychotherapie · doi:10.1007/s00278-026-00868-8
Barat, S., Radaee, H., Nikbakht, H., Ramezani, A., Zohouri, S., & Faramarzi, M. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-115987
“Third, potential confounding variables such as perceived social support and prior psychiatric history were not assessed, although they are known to influence both maternal conflict and psychological distress.”
Research Progress on the Influence of People from Childhood Trauma to Fear of Compassion
Cheng, Z.-L. (2025) · Transactions on Materials, Biotechnology and Life Sciences · doi:10.62051/3k7msa11
“Another research has also pointed out that compassionless also plays a significant role in common psychological disorders such as anxiety, especially the negative part, which is not conducive to the complete of psychological counseling and diagnosis and treatment services [12].”
- Authors
- Merritt, O. A., & Purdon, C.
- Affiliations
- University of Waterloo (CA)
- Corresponding author
- Merritt, Olivia A.
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2021-06-12
- Volume
- 60
- Issue
- 4
- Pages
- 546-555
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W3166801878
- Cited by
- 10
- References
- 0
- Citations by year
- 2026: 2 · 2025: 4 · 2023: 2 · 2022: 2
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- UWSpace (University of Waterloo) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- fear of compassion, self-compassion, treatment expectations, anxiety disorders, treatment attitudes, early intervention
- MeSH terms
- Anxiety, Anxiety Disorders, Empathy, Fear, Humans, Motivation
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