← Back to Blog

What Shapes Our Sense of Dignity

Many people grow up hearing the word dignity without fully understanding what it means until later in life, when it begins to take on more personal relevance. For some, this awareness develops in young adulthood, often alongside a growing attention to how they are treated by others, how they treat themselves, and what they are willing to tolerate in relationships and environments.

It’s a word I commonly use in therapy with teens and young adults, and something that continues to be explored well into adulthood. But where does dignity come from, and what does it actually look like in everyday life?

First, it’s important to look at what dignity really means. Dignity is often defined as:

“The inherent worth, honor, and self-respect that every human being possesses, demanding they be treated ethically, valued as equals, and respected regardless of their circumstances.”

What stands out to me in this definition is that it moves beyond self-respect alone. It includes worth, honor, and the expectation of being treated with humanity regardless of the situation or setting. Dignity is not something that changes depending on who is in front of you. It reflects a more consistent recognition of a person’s value.

And while dignity is often discussed in social or moral terms, research also suggests that it has meaningful effects on overall wellbeing and health outcomes.

In a review article written by Carlos Laranjeira titled Dignity promotion in people with advanced chronic diseases: Contributions for a value-based healthcare practice, the author discusses research showing that preserving a patient’s dignity can improve both emotional and physical outcomes. The article references findings from Amina Gbene Fuseini and colleagues, noting that:

“Identifying and enhancing the patient’s dignity can boost their confidence and contentment with treatment, enhance care, minimize hospitalization length, and improve patient outcomes. In contrast, the loss of a patient’s dignity can have a negative impact on the patient’s physical and mental health.”

What feels important about this idea is that dignity extends far beyond politeness or kindness. It influences how safe people feel, how they understand themselves, and even how they physically respond to the world around them. Being treated with dignity affects not only relationships, but also the way people carry themselves internally.

In many ways, dignity is also a developmental skill. It can absolutely be modeled by caregivers, family systems, friendships, mentors, and communities. But it is also something many people learn through experience, often after realizing what dignity does not look like.

Sometimes it shows up quietly. A moment where you leave a conversation feeling smaller than before. A relationship where your boundaries are consistently dismissed. A situation where you find yourself thinking, “Why do I keep ending up here?” Or even a subtle realization that the way someone spoke to you did not sit right, even if you couldn’t explain why at the time.

Dignity often begins to develop in those moments of discomfort. Not always as immediate confidence, but as awareness. A growing recognition that something feels misaligned between how you are being treated and how you deserve to be treated.

I think most people can picture someone who seems deeply grounded in their dignity. Sometimes it’s someone in real life, sometimes someone portrayed on television or social media. They carry themselves in a way that communicates self-respect without needing to announce it. They seem able to set boundaries, advocate for themselves, and remain steady in situations where others might shrink.

It can be easy to assume people like this never struggled with insecurity or self-doubt. But often, the opposite is true. Many people who appear the most grounded in their dignity developed it precisely because they had experiences that challenged it. What may look effortless now was often built through reflection, discomfort, mistakes, and learning where their limits were.

And that leads into something closely connected to dignity: self-confidence.

Without some level of confidence in your own worth, it becomes much harder to recognize when dignity is being compromised. If you do not believe you deserve respect, fairness, or emotional safety, it can feel difficult to respond when those things are missing.

Self-confidence does not necessarily mean believing you are better than others or always feeling certain of yourself. More often, it looks like trusting your internal reactions enough to pause and ask questions. Questions like:

Developing dignity and self-confidence tends to be less about becoming emotionally untouchable and more about becoming more aware of your internal experiences. It involves noticing when something feels respectful, when something feels harmful, and learning to respond rather than automatically dismissing yourself.

And much like many aspects of emotional growth, this process is rarely linear. There are moments where dignity feels strong and clear, and other moments where it becomes harder to access, especially in environments that encourage self-doubt, comparison, or people-pleasing.

But over time, continuing to return to the question of “What do I believe I deserve?” can slowly reshape the way someone moves through relationships, boundaries, and even their own internal dialogue.

One way to begin exploring this more intentionally is through reflection:

Like many aspects of personal growth, dignity is not something that appears all at once. It often develops gradually through awareness, reflection, relationships, and experience. Sometimes it grows quietly in moments where we finally recognize that something no longer feels acceptable. Other times, it grows through learning how to respond differently than we once did.

In my work with teens and young adults, conversations about dignity often become less about perfection or confidence alone, and more about developing a steadier relationship with self-worth. Not the kind that depends entirely on external validation, but the kind that slowly becomes internalized through practice, boundaries, and self-awareness.

Over time, dignity becomes less about proving your worth to others and more about recognizing that your worth was already there to begin with.

References

Laranjeira, C. (2023). Dignity promotion in people with advanced chronic diseases: Contributions for a value-based healthcare practice. Frontiers in Public Health, 11, 1156830. https://doi.org/10.3389/fpubh.2023.1156830

Fuseini, A. G., Rawson, H., Ley, L., & Kerr, D. (2022). Patient dignity and dignified care: A qualitative description of hospitalised older adults’ perspectives. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.16286

Related reading: When Control Needs Breathing Room · Between Light and Darkness

Ready to work on this?

If you’re looking to build a steadier relationship with your own sense of worth and dignity, therapy can help. Amber works with adults and adolescents in McLean, Virginia and via telehealth.

Get in touch