3SHAMEAlistair P D BainPage
A B S T R A C TShame is one of the single most painful of affects. It may originate in several differentways, most notably through developmental or attachment injuries, but shame that is
described as “toxic” can also result from traumatic events, especially from sexual
violence. Shame-based persons manifest a multiplicity of behaviours, includingblushing, attempting to hide or cover up, either physically or verbally, and anger.When a person presents for therapy they may not be aware of toxic shame as asignificant part of their pathology. The therapist needs to discern whether toxic shame
has a profound hold on the person’s being and respond with appropriate therapies.
Such therapies can vary enormously, de
pending on the practitioner’s area of expertise
and inclination, and may include modalities such as Person Centred Therapy,Narrative Therapy, Cognitive Behavioural Therapy and others.