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“The United States is primarily a guilt-based culture. The dominant method of social control in this country involves teaching people to feel guilt about not living up to personal expectations. Contrast this with shame-based cultures like Japan. As researchers Ying Wong and Jeanne Tsai explain in their paper, Cultural Models of Shame and Guilt, shame is “associated with the fear of exposing one’s defective self to others. Guilt, on the other hand, is associated with the fear of not living up to one’s own standards.” In this formulation, guilt is based on failing to achieve personal ideals; shame is based on social exposure ["The Anti-Vaccine Movement Should Be Ridiculed, Because Shame Works," Gizmodo, February 6, 2015].”
Matt Novak

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