Shame Erskine
Shame Erskine
 with several questions: How and when do I define          Clinical practice and theoretical development
 people? Do I ascribe motivation rather than            push and pull each other in the process of evolv-
 facilitate the person's self-understanding of his      ing. Clinical interventions that make use of
 or her behavior? What is the effect of my inner        respect (Erskine & Moursund, 1988); empathic
 affect or behavior on the other person? Am I,          transactions (Clark, 1991); emotional engage-
 in my attempt to be therapeutic, implying to the       ment (Cornell & Olio, 1992); inquiry, attune-
 client, "Something is wrong with you?"                 ment, and involvement (Erskine, 1991a;
    The theoretical ideas on shame and defensive        Erskine, 1993; Erskine & Trautmann, 1993)
 self-righteousness and the clinical interventions      have revealed that shame and self-protective
 presented in this article are the result of several    fantasies are dominant in the lives of many
 years of my investigating my errors as a therapist,    clients. However, these phenomena have not
 the ruptures I have created in the therapeutic rela-   been adequately integrated with a transactional
 tionship with clients, and the methods that may        analysis theory of ego states and scripts.
 increase a client's sense of shame. A respectful       Clinical experience helped to evolve a
 inquiry into each client's phenomenological ex-        theoretical understanding that views shame and
perience of our therapy process provided a              self-righteousness as archaic intrapsychic
transaction-by-transaction exploration of my            dynamics designed to protect the individual
empathic failures, misperceptions of develop-           from reproach, humiliation, and the loss of con-
 mental levels of functioning, and affective            tact in relationship. Unresolved archaic shame
 misattunements-the interruptions to contact-           increases the pain of any current criticism. Ar-
 in-relationship. When I take responsibility for        chaic intrapsychic conflict adds a toxicity that
the ruptures in the therapeutic relationship, my        floods current humiliation with debilitating
therapy focuses on attuning to the client's af-         shame or defensive self-righteousness.
fective experience and responding with a
reciprocal affect. My therapeutic involvement           The Literature
is in my consistency, responsibility, and de-              In the transactional analysis literature, shame
pendability. It is in the exploration and resolu-       and self-righteousness have received little atten-
tion of the ruptures in our relationship that I         tion, either as theoretical topics or as areas of
can be most effective in uncovering the core            clinical concern. Obliquely, Berne (1972), Ernst
script beliefs that determine the significant in-       (1971), and Erskine and Zalcman (1979) all
terpersonal experiences in my client's life.            presented a theoretical basis for understanding the
    Transactional analysis psychotherapy in the         existential position and script beliefs related to
 1970s and early 1980s was marked by the defin-         shame. Erskine's (1988) description of Child ego
ing of clients' behaviors and was skewed by             state defenses against intrapsychic conflicts, when
clinical methods that emphasized explanation,           elaborated to include affect and fantasy, provides
confrontation, and behavioral change. Such              an ego state theory for understanding the
methods often overshadow underlying issues              dynamics of shame and self-righteousness.
related to shame and self-righteousness. To define         English (1975) directly addressed shame and
a client's feeling as a racket, or behavior as a        social control, describing shame as "the price
game or as scripty is adverse to resolving              of the child's having internalized a specific
psychological problems that originate in the ex-        message of control from his family and
perience of humiliation, neglect, or abuse.             culture" (p. 26). She went on to say that the
   To define someone, even if accurately, may           effect is the inhibiting, limiting, and control-
devalue and humiliate them. To genuinely in-            ling of expansive curiosity. English emphasized
quire about another's experience, motivation,           that the act of shaming children serves "the
self-definition, and the meaning of their               function of adapting the child to the family's
behavior avoids potential humiliation. To re-           civilization, for better or worse" (p. 26).
spond with empathy and attunement empowers                 Recently, Klein (1992) defined righteousness
the person to fully express feelings, thoughts,         as "the core of the defensive structures of our
perceptions, and talents. Inquiry, attunement,          egos" (p. 76). She indirectly related the defen-
and involvement invite a revealing of the               siveness of self-righteousness to shame when
other's underlying meaning and unconscious              she described righteousness as "the camouflage
motivation.                                             for our negative self-esteem" (p. 78).
Although Berne (1972) and Ernst (1971) did              injuries [with] low self-esteem, poor self-
not specifically write about shame or self-             concept, or diminished self-image. (p. 25)
righteousness, dynamics related to these feel-
                                                        Shame becomes activated whenever fun-
ings are reflected in the existential positions of
                                                        damental expectations of a significant
"I'm not-OK-You're OK" or in the defense
                                                        other (imagined scenes of interpersonal
 "I'm OK-You're not-OK."
                                                        need) or those equally fundamental ex-
   The general psychotherapy literature on
                                                        pectations of oneself (imagined scenes of
shame and self-righteousness has also been
                                                        accomplishment or purpose) are suddenly
sparse, although recently the concept of shame
                                                        exposed as wrong or are thwarted. (p. 35)
has received increased attention. Goldberg began
 Understanding Shame (1991) by tracing the              Silvan Tomkins (1963) described shame as
origin of the modem English word "shame"             one of the nine human affects: as "the affect
from the Indo-European word "schame," which          of indignity, of defeat, of transgression and
means "to hide" or "cover up." He continued          alienation" (p. 118). As one of the first
with clinical case examples of how individuals       psychologists to seriously investigate emotions,
hide and cover up their full self-expression         Tomkins (1962, 1963, 1991) pioneered an
following incidents of insult and disgrace. Each     elaborate theory that gave voice to many
of Goldberg's examples about shame reflected a       psychotherapists' clinical observations of the
debasing, degrading, or humiliating experience       interplay between affect, perception, cognition,
inflicted by the behavior of another person. Ac-     bodily reactions, and behavior. Tomkins was
cording to Goldberg (1991), shame is caused          particularly interested in facial, respiratory, and
by "the loss of loving connection with signifi-      body gestures as an expression of various af-
cant others, who are, or are believed to be,         fects and how emotions serve as the primary
necessary to one's psychological and physical        motivational system for human beings. He
survival" (p. 59). The result is the loss of self-   described shame as an affect on a continuum
esteem and the protective hiding of the              with humiliation, shame being of lesser inten-
degraded sense of self both from others and any      sity and humiliation related to much greater af-
possible future reproach and insult. Shame           fect arousal. Although Tomkins theorized that
represents a special fear-"like an instinct for      shame was among the nine primary affects that
self-preservation" (p. 18), like "a silencing        motivated cognition and behavior, he described
vehicle that keeps the misery a secret" (p. 22).     shame as always occurring in the presence of
In essence, shame is a lonely yet self-protective    other emotions. Shame serves as an alternator
experience. However, Goldberg also views             or impediment to the expression of interest, ex-
shame as "the crucible of human freedom,"            citement, or joy, and it interferes with the
with a constructive potential (1990, p. 591).        pleasure of an experience.
   Lynd (1958), one of the earliest writers on          Nathanson (1992) applied Tomkins's affect
shame, defined shame as a sense of injury to         theory-specifically as it relates to shame and
the trust of oneself and of others. Lewis (1971)     pride-to descriptions of daily life and to
described shame as a reduction in self-esteem        psychotherapy and psychoanalysis. The
and in the esteem of others resulting in fury or     psychoanalytic writers have generally ignored
anger that functions to regain a sense of being      the topic of shame. From a psychoanalytic
valued. Wilson (1990), writing for a lay au-         perspective shame is a resistance-a reaction
dience, said, "Shame.is a strong sense of be-        formation that intends the converse of what is
ing uniquely and hopelessly different and less       phenomenologically experienced. Shame is
than other human beings" (p. 25).                    seen as inhibiting exhibitionist impulses by
   Kaufman, in The Psychology of Shame               disguising forbidden drives and wishes from
(1989), wrote:                                       awareness (Goldberg, 1991).
                                                        Erikson (1950, 1959, 1968) was one of the
     Phenomenologically, to feel shame is to
                                                     first psychoanalytic developmental theorists to
     feel seen in a painfully diminished sense.
                                                     dispense with Freud's instinctual drive theory
     (p. 17)
                                                     and the central importance of guilt in that
     Shame is the source of what has been            paradigm. Instead, he wrote about the on-
     referred to as narcissistic wounds or           tological development of identity throughout the
 life cycle. He described eight developmental          As 1 use the term, anxiety is a sign that
 stages or crises through which individuals form       one's self-esteem, one's self-regard is en-
and refine their identity-a personal approach          dangered. . . . Anxiety is a signal of
to viewing self and the world. Erikson's second        danger to self-respect, to one's standing
stage centered on a sense of autonomy versus           in the eyes of significant persons present,
shame and doubt. He (1968) wrote that just as          even if they are only ideal figures from
autonomy and pride emanate from a sense of             childhood. (p. 207)
inner goodness, so doubt and shame derive           Sullivan also described how people use anger
from the sense of badness: "A sense of self-        and "misunderstanding" to avoid the anxiety
control without loss of self-esteem is the on-     of •'foreseen lowering of self-esteem" (p. 207).
togenetic source of a sense of free will. From        Self-righteousness has received even less at-
an unavoidable sense of loss of self-control and   tention in the psychotherapy literature than has
of parental overcontrol comes a lasting propen-     shame. The literature on the treatment of nar-
sity for doubt and shame" (p. 109). The quality     cissistic disorders is one area in which writers
of the relationship between a child and parent     have implied a direct connection between
is the primary factor in whether the child         humiliation, shame, low self-evaluation,
develops a sense of self-worth and competen-       rageful anger, and self-righteousness (Kohut,
cy or a feeling of being powerless, inhibited,      1978; Lewis, 1987; Modell, 1986; Morrison,
and shamed. "The quality of autonomy which          1986; Reich, 1986; Wurmser, 1987). Bursten
children develop depends on their parents'          (1973) described the adoption of a stance of ar-
ability to grant autonomy with dignity and a       rogance, self-glorification, and aggressiveness
sense of personal independence which they          as the repair of shame. Bach (1985) defined the
derive from their own lives" (Erskine, 1971,       narcissistic grandiose fantasy as a defense
p. 60). Shame results when parents resort to       against an "experienced defect in the sense of
belittling or teasing, which impels the child to   self which requires some unusual overcompen-
abandon desires and interests; doubt results       sation" (p. 93). Overcompensation is ac-
from external overcontrol which robs the child     complished through self-righteous fantasies, a
of the sense of efficacy-that he or she is         defense against shame and low self-esteem
capable of controlling himself or herself (Wolf,   caused by humiliating experiences with others.
1988).                                             Horowitz (1981) related self-righteous rage and
    Lewis (1971, 1987), following Erikson's        the attribution of blame to others as a defense
ideas, seemed to be one of the first psycho-       against insult and shame. Basch (1988) provided
analytic writers to relate the phenomenon of       a clinical example of the reversal of insult and
shame to clinical practice. She emphasized the     shame in the case of a woman who was dread-
struggle to regain a sense of being valued         fully humiliated and fantasized revenge as a
following a loss of value or esteem in the eyes    disavowal of her sense of shame. Goldberg
of others or one's self. Wurmser (1981)            (1991) related such self-righteous fantasies to an
described shame as related to beliefs about        attempt at gaining control over powerlessness.
something being wrong with the self, that is,      Wallace and Nosko (1993) described how rage
"I am weak," "I am dirty," "I am defective"        and violence serve as a means of avoiding the
(pp. 27-28). Basch (1988) gave shame a signifi-    sense of abandonment linked to shame in men
cant place within psychoanalytic self              who batter their wives. Although self-righteous-
psychology theory. He described shame as "a        ness has not received adequate attention in the
painful emotion. . . . a basically protective      clinical or theoretical literature, the authors
maneuver" (p. 136) that puts an end to self-       who do describe the phenomenon imply that
expression or expectations. Both Kohut (1977,      self-righteousness is a defensive process used
1984) and Morrison (1987) related the origin       to ward off a sense of shame and the memories
of shame to experiences of empathic failure in     or anticipation of humiliation and reproach.
current life and also, importantly, to feelings       The clinical methods for the treatment of
of insecurity resulting from early childhood       shame and self-righteousness that emphasize
parental empathic failure.                         respect, attunement, and a contactful relation-
   Sullivan (1954) described the dynamics of       ship are more fully developed than is a defined
shame with the term anxiety:                       theoretical perspective in this area. The
distinction between shame and humiliation           therapy, both Miller (1987) and Jordan (1989)
needs to be clarified. Is shame an innate human     validate this explanation by relating shame to
affect or a combination of intrapsychic pro-        the loss of human connection.
cesses that include emotions, belief systems,           Shame is most importantly a felt sense
and defense processes? Is shame a reaction to           of unworthiness to be in connection, a
the current behavior of others, the result of ar-       deep sense of unlovability, with the ongo-
chaic introjections and compliance, or an ex-           ing awareness of how very much one
istential position? Further, how can these              wants to connect with others. While
phenomena be explained within the framework             shame involves extreme self-conscious-
of transactional analysis theory?                       ness, it also signals powerful relationship
                                                        longings. (Jordan, 1989, p. 6)
Shame: A Theoretical Clarification                  Kaufman (1989) similarly expressed that shame
   Shame is a self-protective process used to       reflects the need for contact in relationship: "In
avoid the affects that result from humiliation      the midst of shame, there is an ambivalent
and vulnerability to loss of contact-in-            longing for reunion with whomever shamed
relationship with another person. When              us" (p. 19). Shame is an expression of an
children, and even adults, are criticized,          unaware hope that the other will take respon-
devalued, or humiliated by significant others,      sibility for repairing the rupture in the
the need for contact and the vulnerability in       relationship.
maintaining the relationship may produce a self-       Tomkins (1963) wrote that shame is the af-
protective defensive affect and compliance with     fect present when there has been a loss of
the imposed diminishing definitions. Shame is       dignity, defeat, transgression, and alienation.
a complex process involving:                        He implied that shame is an affect different in
    1) a diminished self-concept, a lowering        nature and function from the other eight affects
    of one's self-worth in compliance with          in his theoretical schema. The affect of shame,
    the external humiliation and/or intro-          according to Tomkins (see Nathanson, 1992),
   jected criticism;                                serves as an alternator or impediment to other
    2) a defensive transposition of sadness         affects-a defensive cover for interest and
    and fear; and                                   joy. Tomkins's ideas parallel Fraiberg's
    3) a disavowal of anger.                        (1982/1983) observations about the formation
Shames involves a disavowal of anger in order       of psychological defenses in children. She
to maintain the semblance of a connected rela-      described the process of "transformation of
tionship with the person who engaged in             affect" (p. 71), in which one affect is
humiliating transactions. When anger is             substituted or transposed for another when
disavowed, a valuable aspect ofthe selfis lost:     the original affect fails to bring about the
the need to be taken seriously and respectfully,    necessary contact between the child and the
and the need to make an impact on the other         caretaking adult, sometimes as early as nine
person. One's self-worth is diminished.             months of age. When the child is humiliated,
   Shame also involves a transposition of the af-   the fear of a loss of relationship and the sadness
fects of sadness and fear: sadness at not being     of not being accepted are transposed into
accepted as one is-with one's own urges,            the affect of shame. Shame is composed of
desires, needs, feelings, and behaviors-and         sadness and fear, the disavowal of anger, and
fear of abandonment in the relationship because     a lowered self-concept-compliance with the
of who one is. The fear and the loss of an aspect   humiliation.
of self (disavowal of anger) fuel the pull toward      This compliance with humiliation ensures a
compliance-a lowering of one's self-esteem in       continuing relationship and, paradoxically, is
order to establish confluence with the criticism    a defense as well. This self-protective lowering
and/or humiliation.                                 of worth is observableamong wild animals when
   Compliance with the humiliation, the             one animal crouches in the presence of another
transposition of fear and sadness, and the          to avoid attack and to guarantee acceptance. It
disavowal of anger produce the sense of shame       is self-protective to lower one's status in order
and doubt described by Erikson (1950). Writing      to hold off aggression when a fightfor dominance
from a feminist perspective on relationship         might occur. The lowered self-concept or
or self-criticism that is a part of shame lessens         The Parent ego states are the manifestations
the pain of the rupture in relationship while at       of introjections of the personalities of actual
the same time maintaining a semblance of rela-         people as perceived by the child at the time of
tionship. The often quoted boxing coach's              introjection (Erskine, 1988; Loria, 1988). Intro-
phrase, "Beat 'em to the punch," describes the         jection is a defense mechanism (including
function of lowered self-esteem and self-              disavowal, denial, and repression) frequently
criticism used as a defense against possible           used when there is a lack of full psychological
humiliation from others. However, the punch            contact between a child and the adults responsi-
is delivered to one's self in the form of              ble for his or her psychological needs. Introjec-
diminished self-worth.                                 tion is an unaware identification with the beliefs,
                                                       feelings, motivations, behaviors, and defenses of
Shame and Self-Righteousness:                          the other. The significant other is made part of
A TA Perspective                                       the self (ego), and the conflict resulting from
   The formulations of a transactional analysis        the lack of need fulfillment is internalized so
theory of shame and self-righteousness require         that the conflict can seemingly be managed
that the concepts be integrated within ego state       more easily (Perls, 1977; Rosenfeld, 1978).
theory and script theory. To arrive at an                 Parent ego state contents may be introjected
understanding of how the phenomena of shame            at any point throughout life and, if not reex-
and self-righteousness function within ego             amined in the process of later development, re-
states, it is essential that the concepts being used   main unassimilated or not integrated into the
be clearly defined. Berne (1972) recommended           Adult ego state. The Parent ego states constitute
that theoretical discussions remain within a           alien chunks of personality, embedded within
given set of concepts and definitions so that the      the ego and experienced phenomenologically
definitions used "belong to the same                   as if they were one's own, but, in reality, they
framework or come from the same viewpoint"             form a borrowed personality, potentially in the
(p. 412). The following definitions of ego states      position of producing intrapsychic influences
are provided as a conceptual framework for             on the Child ego states.
such a theoretical exploration. Many of them              The Adult ego state consists of current, age-
draw from and rely on material I have                  consistent emotional, cognitive, and moral
previously published (see Erskine, 1980, 1988,         development; the ability to be creative; and the
1991b, 1993; Erskine & Moursund, 1988).                capacity for full, contactful engagement in
                                                       meaningful relationships. The Adult ego state
Ego States                                             accounts for and integrates what is occurring
   In 1961 Berne defined the collective Child          moment-by-moment internally and externally,
ego states as an archaic ego consisting of fixa-       past experiences and their resulting effects, and
tions of earlier developmental stages: as "relics      the psychological influences and identifications
of the individual's own childhood" (p. 77). The        with other significant people in one's life.
Child ego state is the entire personality of the          Archaic shame is an internal expression of
person as he or she was in that previous               an intrapsychic conflict between a reactive
developmental period (Berne, 1958/1977,                Child ego state and an influencing Parent ego
1961, 1964). When functioning in a Child ego           state. When a Child ego state is active (either
state the person perceives internal needs and          subjectively reportable or behaviorally observ-
sensations and the external world as he or she         able), by theoretical inference a Parent ego state
did at a previous developmental age. "This in-         is cathected and intrapsychically influencing
cludes the needs, desires, urges, and sensations;      (Berne, 1961; 1964). "The individual manifests
the defense mechanisms; and the thought pro-           an attitude of child-like compliance" (Berne,
cesses, perceptions, feelings, and behaviors of        1961, p. 76) and/or may make use of childhood
the developmental phase where fixation oc-             defenses such as avoidance, freezing, or
curred" (Erskine, 1988, p. 17). The Child ego          fighting (Fraiberg, 1982/1983); ego splitting
state fixations occurred when critical childhood       (Fairbairn, 1954); transformation of affect and
needs for contact were not met, and the child's        reversal of aggression (Fraiberg, 1982/1983);
use of defenses against the discomfort of the          and fantasy (Erskine, 1988, p. 18; Erskine &
unmet needs became habitual (Erskine, 1980).           Moursund, 1988, p. 23).
Woollams, 1973). Each author presented his             Racket System: A Model for Racket Analysis"
or her unique ideas and provided interesting           (Erskine & Zalcman), it has become clear that
theoretical perspectives, useful directions, and       the American term "racket" does not directly
new dimensions to clinical practice. Yet only          translate into other languages. In the service of
a few of these theoretical contributions were          providing an international uniformity in transac-
consistent with Berne's perspective on script          tional analysis theory and terminology, I recom-
as transference phenomena or his developmen-           mend using the term script system rather than
tal and intrapsychic theory of ego states              racket system and intrapsychic analysis rather
(Erskine, 1991b). Various models of ego states         than racket analysis. The concepts remain the
(Trautmann & Erskine, 1981) were used as the           same; only the terms are different.
basis for script matrices without referring to            The script system (originally published as the
Berne's original conceptualizations of ego states      racket system) provides a model for under-
and without defining the rationale for refor-          standing the systemic dynamics among the
mulating ego state and script theory. Berne            intrapsychic, behavioral, and physiological
(1972) also contributed to this theoretical in-        dimensions of life script. The script system
consistency by mixing concepts and models in           diagrams how the intrapsychic reactions (defen-
his later writing. He lessened the impact of           sive conclusions and decisions) and introjec-
what his developmental and relational theories         tions that form the core of a life script are
had to offer and thereby diminished his own            organized as script beliefs; how these core
creative extension of psychoanalytic and               beliefs are manifested in behavior, fantasy, and
psychotherapy theory.                                  physiological tensions; and how an individual
   In the psychotherapy of shame and self-             structures his or her perceptions and interpreta-
righteousness, as with many other psycho-              tions of experience to provide reinforcement of
logical disturbances rooted in disturbances of         script beliefs. It graphically depicts a cross sec-
relationship, the therapy is enhanced if the           tion of the script-how the life script is lived
psychotherapist has a consistent and cohesive          out in the here-and-now.
relationship-oriented theoretical basis for deter-        The script system correlates with ego state
mining treatment planning and subsequent               theory while providing an alternative perspec-
clinical interventions. Although several defini-       tive on the organization of introjections and/or
tions of script exist in the transactional analysis    defensive reactions- the exteropsychic and ar-
literature (Cornell, 1988; Massey, 1989), the          chaeopsychic fixations of the ego. These fixa-
following definition of script (Erskine, 1980)         tions, in the form of script beliefs, serve as
is provided as a basis for correlating Berne's         cognitive defenses against awareness of the
original definitions of ego states with an opera-      needs and feelings present at an earlier age
tional definition of life script and as ground for     when need-fulfilling interpersonal contact was
a consistent discussion of psychodynamics and          missing and script beliefs were formed or in-
psychotherapeutic methods: Script is a life plan       trojected. When operational, the script system
based on introjections and/or defensive reac-          depicts contamination of the Adult ego by
tions made under pressure, at any developmen-          Parent and Child ego states.
tal age, which inhibit spontaneity and limit              The script system is defined as a "self-
flexibility in problem solving and in relating to      reinforcing, distorted system of feelings,
people.                                                thoughts and actions maintained by script-
   These introjectionsand/or defensive reac-           bound individuals" (Erskine & Zalcman, 1979,
tions occur under the pressure of failures in a        p. 53). In a child's attempt to make sense of
contactful and supportive relationship. The            the experience of a lack of contact in relation-
needs for contact and related feelings of loss         ship he or she is faced with answering the ques-
of relationship are denied and suppressed in the       tion: "What does a person like me do in a
adoption of defensive reactions and introjec-          world like this with people like you?" When
tions. This defensive process forms the "intra-        the child is under pressure from a lack of con-
psychic core of the script" (Erskine, 1980,            tact in relationship that acknowledges,
p. 104).                                               validates, or fulfills needs, each of the three
   Since its initial presentation in 1975 by Erskine   parts of this question may be answered with a
and Zalcman and its publication in 1979 as "The        defensive reaction and/or the unconscious
  defensive identification with the other that con-     serves as a cognitive defense against awareness
  stitutesintrojection. When the introjections and      of the needs for relationship and the feelings
  the defensive conclusions and decisions are not       of sadness and fear present at the time of the
  responded to by a contactful, empathic other          humiliating experiences.
  person, they often become, in an attempt to gain         When the script belief "Something's wrong
  self-support, fixated beliefs about self, others,     with me" is operational, the overt behaviors
  and the quality of life-the core of the life         of the script display are often those that are de-
  script. These script beliefs function as a           scribed as inhibited or inadequate: shyness, lack
  cognitivedefense against awareness of the feel-      of eye contact in conversation, lack of self-
 ings and needs for contact in relationship that       expression, diminished expression of natural
 were not adequately responded to at the time          wants or needs, or any inhibition of natural ex-
 when the script beliefs were formed. The              pression of one's self that may be subject to
 presence of script beliefs indicates a continu-       criticism.
 ing defense against the awareness of needs for           Fantasies may include anticipating inade-
 contact in relationship and the full memory of        quacy, failures in performance, or criticism that
 disruptions in relationship.                          concludes with a reinforcement of the script
    The script display consists of all the overt and   belief "Something is wrong with me." Other
 internal behaviors that are manifestations of the     fantasies may involve a rehashing of events and
 scriptbeliefs and denied feelings and needs. The      reshaping memory in such a way as to reinforce
 scriptdisplay also includes the reported internal     the core script beliefs. In some cases, the script
                                                       belief is manifested in physiological restrictions
 experiences of physiologicaltension and the fan-
                                                       such as headaches, stomach tensions, or other
 tasies that support the script beliefs by providing
                                                       physical discomforts that inhibit the individual
 reinforcing experiences. The reinforcing ex-
                                                       from behaving in a way that might be subject
 periences are the selected recall of transactions,
                                                       to humiliating comments from others, while
 fantasy, and bodily sensations that reinforce the     simultaneously providing internal evidence that
 script belief. Those experiences that do not          "Something's wrong with me." Often old
 reinforce the script beliefs are often negated        memories of humiliating experiences are
 (Erskine & Moursund, 1988, pp. 33-36).                repeatedly recalled to maintain a homeostasis
    In Robert's case, during elementary school         with core script beliefs and denial of the
 he adopted the core script belief "Something          original needs and feelings. Yet in inhibiting
 is wrong with me" in compliance with the              one's self or in self-criticizing fantasies, the
 humiliation by the children and teachers and as       need for contact in relationship remains as an
a pseudosatisfaction of his need to be accepted        unaware hope for the reestablishment of a con-
by them. From the perspective of ego state             tactful relationship and for full acceptance by
theory, the core of Robert's sense of shame            the other. It is as if he were saying to those who
consists of a child's defensive transposition of       did the ridiculing, "If! become what you define
sadness and fear, a disavowal of anger at not          me to be, then will you love me?"
being treated respectfully, a fixated diminished          Robert, as an example of someone using the
self-concept in compliance with the introjected        dynamics of a double defense of self-
criticism, and a child's need for contact-in-          righteousness, entered therapy unaware of any
relationship. This natural need for relationship       hope or need for relationship. His script display
keeps the Child ego states dependent and loyal-        appeared to be the opposite of his script belief:
ly attached to a Parent ego state and ensures          He perfected his speech and behavior in such
compliance with the introjected humiliation.           a way that there was no external evidence that
When the pain of not being accepted as one is          "Something's wrong with me." His fantasies
becomes too great, as in Robert's situation, a         were self-righteous, focusing on what was
defensive self-righteous fantasy may be used           wrong with the other. He remained hypersen-
to deny the need for relationship while                sitive to criticism with an unaware longing for
simultaneously expressing the need to make an          someone in authority to tell him he was OK.
impact and be treated respectfully.
   From the perspective of script theory, the          "Something's Wrong With Me"
sense of shame is comprised of the core script          The compounded and continual reinforce-
belief "Something's wrong with me" that                ment of the script belief" Something is wrong
with me" presents the therapist with complex           In many cases the message is delivered in the
challenges specific and unique to the psycho-          form of a criticizing question: "What's wrong
therapy of shame and self-righteousness. In            with you?" The psychological message is,
many clinical cases this particular script belief       "You wouldn't be doing what you are doing
is inflexible in response to the frequently used       if you were normal (or OK)." Such criticism
transactional analysis methods of explanation,         fails to value the child's natural and spon-
confrontation, and interpretation; programmed          taneous behavior, understand the child's
redecision; an emphasis on behavioral change;          motivation, or investigate what may be miss-
or dogmatic reparenting. Each of these sets of         ing in the relationship between the child and
methods provides only partial or temporary             the person doing the criticizing. A child who
change in the frequency or the intensity of the        forms such a script belief in compliance with
complex script belief that is at the core of shame     criticism may become hypersensitive to
and self-righteousness. In fact, the very use of       criticism, fantasize anticipated criticisms, and
these methods frequently communicates                  collect reinforcing memories of past criticisms.
"Something is wrong with you," which then              The intrapsychic function is to maintain a sense
can reinforce the core script belief, increase         of attachment in the relationship at the expense
denial of the need for contact in relationship,        of a loss in natural vitality and the excitement
and thereby increase the sense of shame or self-       of spontaneity.
righteousness. Through the use of methods that            When children are faced with an impossible
emphasize respect (Erskine & Moursund,                 task, they often conclude, "Something's wrong
1988); empathic transactions (Clark, 1991);            with me. " With such a conclusion they can de-
emotional engagement (Cornell & Olio, 1992);           fend against the discomfort of the missing con-
and gentle inquiry, affective attunement, and          tact needs and maintain a pseudosemblance of
involvement (Erskine, 1991a; Erskine, 1993;            relationship. Dysfunctional families often pre-
Erskine & Trautmann, 1993), the opportunity            sent impossible demands to children. It is im-
for reinforcement of the script belief during the      possible for a young child to stop an alcoholic
therapy process is considerably lessened.              parent from getting drunk, or for a baby to cure
   In order to facilitate treatment planning and       depression, or for an elementary school child
refine clinical interventions, it is essential to      to be a marriage therapist. It is impossible for
distinguish the intrapsychic functions as well         a child to change gender to satisfy a parent's
as the historical origins of the core script belief.   desire to have a dream fulfilled. Each of these
The complex historical origin of "Something            examples represents a reversal of the care-
is wrong with me" within the Child ego states          taker's responsibility for the welfare of the child
can be understood from three perspectives:             and a loss of contact in relationship. Further
   - messages with compliant decisions;                disruptions in relationship are experienced as
   - conclusions in response to an impossibility;      "my fault," and they deflect from awareness
     and                                               of needs and feelings present when the welfare
   - defensive reactions of hope and control.          of the child is not being honored.
Each of the ways in which the script belief was           The script belief "Something is wrong with
formed has unique intrapsychic functions that          me" may be formed in a third way-as a defen-
require specific emphasis in psychotherapy.            sive reaction of control and hope, the hope for
   The concept of injunction and counterinjunc-        a continuing and contactful relationship. When
tions, malevolent attributions, and lethal paren-      family relationships are dysfunctional, a child,
tal messages with corresponding compliant              needing contact in relationship, may imagine
decisions is well-established in the theory of         that the caretaker's problems are the child's
script formation (Berne, 1972; Goulding &              fault: "I made dad get drunk," or "I made
Goulding, 1979; Steiner, 1971). In the face of         mother get depressed," or "I caused the sex-
a potential loss of relationship, a child may be       ual abuse to happen ... so, therefore,
forced to make a defensive, compliant decision         something must be wrong with me!" By tak-
to accept as his identity the definition of those      ing the blame, the child is not only the source
on whom he is dependent. This may be an adap-          of the problem, but can also imagine being in
tation to and compliance with overt or implicit        control of solving the problem: "I'll be very
messages of "Something's wrong with you."              good," "I'll hurry up and grow up," "I can
 go to therapy to get fixed," or "If things get      states of the ego (Erskine, 1991a). The func-
 very bad I can kill myself because it is all my     tions are once again provided through contact
fault. " The function of such reactions is to        in an interpersonal relationship and are no
create a hopeful illusion of need-fulfilling         longer a self-protective function.
caretakers that defends against the awareness
of a lack of need fulfillment within the primary      Shame in the Parent Ego States
relationships. The caretakers are experienced            When the core script belief within a Child
as good and loving, and any ignoring, criticiz-       ego state is formed either as compliant deci-
ing, beating, or even raping is because               sions, conclusions in response to an impossibili-
 "Something's wrong with me." Here the core          ty, defensive reactions of hope and control, or
script belief may function as a defensive con-       any combination of these three, there is most
trol of the feelings of vulnerability in             likely an absence of a caring, understanding,
relationship.                                        and communicating relationship. When there
   Within the Child ego states, each of these         is a lack of full psychological contact between
three origins of the core script belief has          a child and the adults responsible for his or her
specific intrapsychic functions of identity,         welfare, the defense of introjection is frequently
stability, and continuity. With a particular per-    used. Through the defensive, unaware iden-
son there may be only one way the script belief      tification that constitutes introjection, the
was formed. Frequently, however, the core            beliefs, attitudes, feelings, motivations,
script beliefs have more than one origin and         behaviors, and defenses of the person on whom
multiple intrapsychic functions. Any combina-        the child is dependent are made part of the
tion of these three defensive reactions made         child's ego in the form of a fragmented, ex-
under pressure increases the complexity of the       teropsychic state. The function of introjection
functions. The core script belief "Something's       is to reduce the external conflict between the
wrong with me" is often compounded by these          child and the person on whom the child depends
multiple functions.                                  for need fulfillment. The introjected Parent ego
   It is essential in an in-depth psychotherapy      state may be active in transactions with others,
of script cure to assess the origins and intra-      intrapsychically influencing, or phenomeno-
psychic functions of a script belief and to value    logically experienced as self.
the significanceof how those multiple functions          An active Parent ego state may transact with
help the client to maintain psychological            family members or colleagues as the introjected
homeostasis. The psychotherapy of shame and          other once did, for example, communicating,
self-righteousness is complex because of the         "Something's wrong with you!" The function
compounded and continually reinforcing multi-        of such a transaction is to provide temporary
ple intrapsychic functions. Merely to identify       relief in a Child ego state from the internal
a script belief and attempt methods of change        criticism of a Parent ego state and to continue
or redecision overlooks the psychological func-      denial of the original need for contact-
tions in forming and maintaining the script          in-relationship.
belief. Such efforts may increase the intensity          The intrapsychically influencing Parent ego
of the intrapsychic function and may make the        state is a replay of the criticism introjected in
fixed core of the script less flexible. A respect-   the past. It perpetuates the cycle of compliance
ful and patient inquiry into the client's            with the criticism and the defensiveness of
phenomenological experience is required to           sadness and fear within a Child ego state. This
learn the unique combination of intrapsychic         defensive cycle of shame functions to maintain
functions. It is then the task of a relationship-    an illusion of attachment and loyalty to the per-
oriented psychotherapist to establish an             son with whom the child was originally long-
affective, developmental attunement and in-          ing for a contactful relationship.
volvement that provides for the transferring of         Shame in the Parent ego state not only may
defensive intrapsychic functions to the relation-    be active and/or influencing, but it may also
ship with the therapist. Through the therapist's     be experienced as self. The parent's sense of
consistency, dependability, and responsibility       shame may have been introjected. With the
in contact-in-relationship, the client can relax     cathexis of the introject the shame is misiden-
defensive processes and integrate fragmented         tified as one's own (Erskine, 1977). The script
belief "Something's wrong with me" may ac-           ever-increasing understanding of who the client
tually exist in a Parent ego state. The cycle of     is and the experiences to which he or she has
shame-compliance with the criticism,                 been subjected. The process of inquiring must
transposition of sadness and fear, the disavowal     be sensitive to the client's subjective experience
of anger, and longing for relationship-may be        and unaware intrapsychic dynamics to be ef-
mother's or father's. Defensive self-righteous-      fective in discovering and revealing needs, feel-
ness may also be the result of the cathexis of       ings, fantasies, and defenses. A major focus of
an introjection.                                     a gentle inquiry is the client's self-discovery of
   For example, for years Susan suffered with        longing for relationship, interruptions to con-
a debilitating shame related to her own sense        tact (both internally and externally), and
of inadequacy, having a mother who was alter-        memories that in the past necessarily have been
nately depressed and angry, and the fear that        excluded from awareness. An important but
she would someday be "crazy" too. The ini-           lesser focus is the psychotherapist's increased
tial phase of therapy acknowledged her own           understanding of the client's phenomenological
needs for attention, validated the emotional         experience and intrapsychic functioning. In
neglect of her childhood, and normalized the         many cases it has been important to clients to
defensive process of "Something's wrong with         discover that the therapist is genuinely in-
me. " Psychotherapy then focused on the intro-       terested in listening to them and in knowing
jected shame that was originally mother's. With      who they are. Such discoveries about the rela-
a contact-oriented in-depth psychotherapy with       tionship with the psychotherapist present a jux-
the Parent ego state that emphasized inquiry,        taposition (Erskine, 1993) between the contact
attunement, and involvement, Susan was able          available in the here-and-now and the memory
to vividly remember wanting to bear the burden       of what may have been absent in the past. The
for her mother so her mother could be free of        juxtaposition presents an opportunity to
suffering. During a Child ego state to Parent        acknowledge what was needed and to validate
ego state dialogue, she succinctly described the     that feelings and self-esteem may well be
process: "I love you so much, Mom, I'll carry        related to the quality of relationship with
your shame for you!"                                 significant others.
                                                        Shame may be a significant dynamic in most
Clinical Interventions                               relationship difficulties, including depression,
   The psychotherapy of shame and self-              anxiety, obesity, addictions, and characterolog-
righteousness begins with the therapist newly        ical presentations. The therapist's attunement
discovering each client's unique psychody-           to the unexpressed sense of shame provides the
namics. Each shame-based client will present         opportunity for clients to reveal their inner pro-
a different cluster of behaviors, fantasies, in-     cesses of feelings, fantasies, desires, and
trapsychic functions, and self-protective            defenses. Attunement involves a sense of be-
defenses. The theoretical perspectives de-           ing fully aware of the developmentally based
scribed in this article are generalizations from     needs, affect, and self-protective dynamics-a
clinical practice and the integration of several     kinesthetic and emotional sensing of what it is
theoretical concepts. The theory is not meant        like to live with their experiences. Attunement
to represent a statement of what is, but rather      occurs when the therapist honors the client's
to serve as a guide in the therapeutic process       developmental level of coping with shame and
of inquiry, attunement, and involvement. Im-         avoids defining or categorizing the client's fan-
portantly, the phenomena of shame and self-          tasies, motivations, or behavior. Attunement
righteousness explained from the perspective         also involves sensitively communicating to the
of transactional analysis theory may encourage       client that the therapist is aware of the client's
transactional analysts to explore with each          inner struggles-that the client is not all alone
client his or her unique experience of shame         in the sadness at not having been accepted as
and to adopt a relationship-oriented psycho-         one is, and in the fear of loss of relationship
therapy approach.                                    because of who one is. The therapeutic pro-
   A patient, respectful inquiry into the client's   cesses of attunement and involvement
phenomenological experience will provide             acknowledge the difficulty in revealing one's
both the client and the therapist with an            inner confusion and struggles, value the
desperate attempt at self-support and coping,            for his or her phenomenological experiences.
and simultaneously provide a sense of the               It evolves from the therapist's empathic inquiry
therapist's presence.                                   into the client's experience and is developed
   Some shame-based clients will not have had           through the therapist's attunement with the
the experience of talking about needs or have           client's affect and validation of needs. Involve-
a sense of language that is related to affect and       ment is the result of the therapist being fully
inner processes. In some families, to have              contactful with and for the client in a way that
needs or express emotion may result in the child        corresponds to the client's developmental level
being ignored or ridiculed. When there has              of functioning (Clark, 1991).
been a lack of attunement, acknowledgment,                 Shame and self-righteousness are defensive
or validation of needs or feelings within the           processes wherein an individual's worth is dis-
family or school system, the client may have            counted and the existence, significance, and/or
no language of relationship with which to com-          solvability of a relationship disturbance is
municate about his or her affect and needs              distorted or denied. A therapist's involvement
(Basch, 1988; Tustin, 1986). There is often an          using acknowledgment, validation, normaliza-
absence in such family or school systems of the         tion, and presence diminishes the internal dis-
interpersonal affective contact (a nonverbal            counting (Schiff & Schiff, 1971) that is part of
transaction) in which the expression of affect          the defensive denial accompanying shame.
by one person in relationship stimulates a cor-            Through sensitivity to the manifestation of
responding affect of reciprocity in the other.          shame and in understanding the intrapsychic
  Affectis transactional-relational in its nature,      functions of shame and self-righteousness, a
requiring a corresponding affect in resonance.          psychotherapist can guide a client to acknowl-
 The expression of the affect sadness requires          edge and express feelings and needs for rela-
 the reciprocal affect of compassion and possi-         tionship. Acknowledgment is the therapeutic
ble acts of compassion; the expression of the           antidote to discounting the existence of a disturb-
 affect anger requires the' reciprocal affects of       ance in relationship. Acknowledgment becomes
attentiveness, seriousness, and responsibility          internal anddissolves the denial of affect or needs
and perhaps acts of correction; the expression          when given by a receptive other who knows and
of the affect fear requires reciprocal affects and     communicates about needs and feelings.
actions related to security; and the expression            Therapeutic validation occurs when the
of the affect joy requires the reciprocal affects       client's sense of shame, diminished self-worth,
of vitality and expression of pleasure.                and defensive fantasies are experienced as the
   Attunement includes the therapist's sensing         effect of significant relationship disturbances.
of the client's affect, and in reciprocity he or she    Validation is the cognitive linking of causeand
is stimulated to express a corresponding affect        effect, the therapeutic response to discounting
and resonating behavior, a process similar to the       the significance of a disturbance in relationship.
one Stem (1985) described in healthy interaction        Validation provides a client with an enhanced
between an infant and his or her mother. The            value of phenomenological experience and
reciprocal affect in the therapist may be expressed    therefore an increased sense of self-esteem.
by acknowledging the client's affect and leads to          Normalization involves depathologizing and
validation that affect has a function in their rela-   countering the discounting of the solvability of
tionship. It is essential that the therapist be both   a relationship disturbance. Many clients as
knowledgeable of and attuned to the client's           children were told "Something's wrong with
developmental level in the expression of emo-          you" or, when faced with the impossibility of
tions. The client may need to have his or her          being responsible for their parents' welfare,
affect and needs acknowledged, but lack the            they concluded "Something's wrong with me."
social language to express the emotions in con-        The burden of responsibility for the rupture in
versation. It may be necessary for the therapist       the relationship was falsely placed on the child
to help the client name his or her feelings,           and not on a grown-up caretaker. The
needs, or experiences as an initial step in gain-      therapeutic antidote to discounting the solvabili-
ing a sense of making an impact in relationship.       ty of a problem is the assigning of responsibility
   Involvement begins with the therapist's com-        for the relationship. It is imperative that the
mitment to the client's welfare and a respect          therapist communicate that a client's experience
 Cornell, W. F., & Olio, K. A. (1992). Consequences of         Erskine, R. G., & Zalcman, M. J. (1979). The racket
    childhood bodily abuse: A clinical model for affective        system: A model for racket analysis. Transactional
    interventions. Transactional Analysis Journal. 22,            Analysis Journal, 9, 51-59.
    131-143.                                                   Fairbairn, W. R. D. (1954). Psychoanalytic studies ofthe
 English, F. (1972). Sleepy, spunky, and spooky: A revised        personality. New York: Basic Books.
    second order structural diagram and script diagram.        Fraiberg, S. (1983, Fall). Pathological defenses in infan-
    Transactional Analysis Journal, 2(2), 64-67.                  cy. Dialogue: A Journal ofPsychoanalytic Perspectives,
 English, F. (1975). Shame and social controL Transactional       65-75. (Original work published in Psychoanalytic
   Analysis Journal, 5. 24-28.                                    Quarterly, 51, 612-635, 1982)
Erikson, E. (1950). Childhood and society. New York:           Goldberg, C. (1990). The role of existential shame in the
    Norton.                                                       healing endeavor. Psychotherapy, 27, 591-599.
Erikson, E. (1959). Identity and the life cycle.               Goldberg, C. (1991). Understanding shame. Northvale,
   Psychological Issues. 1. 18-171.                               NJ: Jason Aronson.
Erikson, E. (1968). identity: Youth and crisis. New York:      Goulding, M. M., & Goulding, R. L. (1979). Changing
   Norton.                                                        lives through redecision therapy. New York:
Ernst, F. H., Jr. (1971). The OK corral: The grid for get-        Brunner/Mazel,
   on-with. Transactional Analysis Journal, 1(4), 33-42.       Holloway, W. H. (1977). Transactional analysis: An in-
Erskine, R. G. (1971). The effects ofparent-child interac-        tegrative view. In G. Barnes (Ed.), Transactional analysis
   tion on the development ofa concept ofself: An Erikso-        after Eric Berne: Teachings and practices of three TA
   nian view. Unpublished manuscript, Purdue Universi-           schools (pp, 169-221). New York: Harper's Co1lege
   ty, Department of Clinical Psychology, Lafayette,             Press.
   Indiana.                                                    Horowitz, M. (198 I). Self-righteous rage and attribution
Erskine, R. G. (1977). The fourth degree impasse. In C.          of blame. Archives ofGeneral Psychiatry, 38, 1233-1238.
   Moiso (Ed.), TA in Europe: Contributions to the Euro-       Jordan, J. V. (1989). Relational development: Therapeutic
  pean Association of Transactional Analysis Summer Con-         implications of empathy and shame. Work in Progress,
  ferences. 1977-1978 (pp. 33-35). Geneva, Switzerland:          No. 39. Wellesley, MA: Stone Center Working Paper
   European Association for Transactional Analysis.              Series.
Erskine, R. G. (1980). Script cure: Behavioral, intrapsychic   Kahler, T., with Capers, H. (1974). The miniscript. Trans-
   and physiologicaL Transactional Analysis Journal, 10,         actional Analysis Journal, 4(1), 26-42.
   102-106.                                                    Kaufman, G. (1989). Thepsychologyofshame. New York:
Erskine, R. G. (1988). Ego structure, intrapsychic func-         Springer.
   tion, and defense mechanisms: A commentary on Eric          Klein, M. (1992). The enemies of love. Transactional
  Berne's original theoretical concepts. Transactional           Analysis Journal, 22, 76-81.
  Analysis Journal. 18. 15-19.                                 Kohut, H. (1977). The restoration ofthe self. New York:
Erskine, R. G. (1989). A relationship therapy:                   International Universities Press.
   Developmental perspectives. In B. R. Loria (Ed.),           Kohut, H. (1978). Thoughts on narcissism and narcissistic
  Developmental theories and the clinical process: Con-          rage. In P. Ornstein, (Ed.) The search for the self:
  ference proceedings of the Eastern Regional Transac-           Selected writings of Heinz Kohut, 1950-1978 (VoL 2)
  tional Analysis Association Conference (pp. 123-135).          (pp. 615-658). New York: International Universities
  Stamford, CT: Eastern Regional Transactional Analysis          Press.
  Association.                                                 Kohut, H. (1984). How does analysis cure? Chicago, IL:
Erskine, R. G. (1991a). The psychotherapy of dissocia-           University of Chicago Press.
  tion: Inquiry, attunement and involvement. In B. R. Loria    Lewis, H. B. (1971). Shame and guilt in neurosis. New
  (Ed.), The Stamford papers: Selections from the 29th an-       York: International Universities Press.
  nual 1TAA conference (pp, 53-58). Madison, WI:               Lewis, H. B. (1987). Shame and the narcissistic personali-
  Omnipress,
                                                                 ty. InD. L Nathanson (Ed.), Ihemanyfacesofshame
Erskine, R. G. (199Ib). Transference and transactions:
                                                                 (pp. 93-132). New York: Guilford.
  Critique from an intrapsychic and integrative perspec-
                                                               Loria, B. R. (1988). The parent ego state: Theoretical foun-
  tive. Transactional Analysis Journal. 21. 63-76.
Erskine, R. G. (1993). Inquiry, attunement, and involve-         dations and alterations. Transactional Analysis Journal,
  ment in the psychotherapy of dissociation. Transactional       18, 39-46.
  Analysis Journal, 23. 184-190.                               Lynd, H. (1958). On shame and the search for identity.
Erskine, R. G., & Moursund, J. P. (1988). Integrative            New York: Wiley.
  psychotherapy in action. Newbury Park, CA: Sage              Massey, R. F. (1989). Script theory synthesized systemical-
  Publications.                                                  ly. Transactional Analysis Journal, 19, 14-25.
Erskine, R. G., & Trautmann, R. L (1993). The process          Miller, J. B. (1986). What do we mean by relationship?
  of integrative psychotherapy. In B. R. Loria (Ed.), The        Work in Progress, No. 22. Wellesley, MA: Stone Center
  boardwalk papers: Selections from the 1993 Eastern             Working Paper Series.
  Regional Transactional Analysis Association Conference
                                                               Miller, J. B. (1987). Toward a new psychology of women
  (pp. 1-26). Atlantic City, NJ: Eastern Regional Trans-
  actional Analysis Association.                                 (2nd ed.). Boston: Beacon.
Erskine, R. G., & Zalcman, M. J. (1975, August).               Modell, A. H. (1986). A narcissistic defense against af-
  Rackets: Beliefs and feelings. Presentation at the 13th        fects and the illusion of self-sufficiency. In A. P. Mor-
  International Transactional Analysis Conference, San           rison (Ed.), Essential papers on narcissism (pp, 293-307).
  Francisco, CA.                                                 New York: New York University Press.
Morrison, A. P. (1986). Shame, ideal self, and narcissism.     Surrey, J. L. (1985). The "self-in-relation": A theory of
  In A. P. Morrison (Ed.), Essential papers on narcissism        women's development. Work in Progress. No. 13.
  (pp. 348-371). New York: New York University Press.            Wellesley, MA: Stone Center Working Paper Series.
Morrison, A. P. (1987). The eye tuned inward: Shame and        Tomkins, S. (1962). Affect. imagery, consciousness: VoL
  the self. In D. L. Nathanson (Ed.), The many faces of          1. The positive affects. New York: Springer.
  shame (pp. 271-291). New York: Guilford.                     Tomkins, S. (1963). Affect, imagery, consciousness: Vol.
Nathanson, D. (1992). Shame and pride: Affect. sex. and          2. The negative affects. New York: Springer.
  the birth of the self. New York: Norton.                     Tomkins, S. (1991). Affect, imagery. consciousness: Vol.
Perls, L. (1977, July). Conceptions and misconceptions in        3. The negative affects: Anger and fear. New York:
  Gestalt therapy. Keynote address presented at the Euro-        Springer.
  pean Association for Transactional Analysis Conference,      Trautmann, R. L., & Erskine, R. G. (1981). Ego state
  Seefeld, Austria.                                              analysis: A comparative view. Transactional Analysis
Reich, A. (1986). Pathologic forms of self-esteem regula-        Journal, 11, 178-185.
  tion. In A. P. Morrison (Ed.), Essential papers on nar-      Tustin, F. (1986). Autistic barriers in neurotic patients.
  cissism (pp. 44-60). New York: New York University             London: Karnac.
  Press.                                                       Wallace, B., & Nosko, A. (1993). Working with shame
Rosenfeld, E. (1978). An oral history of Gestalt therapy,        in the group treatment of male batterers. International
  Part I: A conversation with Laura Per/so The Gestalt Jour-     Journal of Group Psychotherapy, 43. 45-61.
  nal. 1(1), 8-31.                                             Wilson, S. D. (1990). Release from shame: Recovery for
Schiff, A. W., & Schiff, J. L. (1971). Passivity. Transac-       adult children ofdysftmctional families. Downers Grove,
  tional Analysis Journal, 1(1), 71-78.                          IL: Interuniversity Press.
Steiner. C. (1971). Games alcoholics play. New York:           Wolf, E. S. (1988). Treating the self: Elements ofclinical
  Grove Press.
                                                                 self psychology. New York: Guilford.
Stem, D. N. (1985). The interpersonal world ofthe infant.
                                                               Woollams, S. J. (1973). Formation of the script. Transac-
  New York: Basic Books.
                                                                 tional Analysis Journal, 3(1), 31-37.
Stolorow, R. D., Brandschaft, 8., & Atwood, G. (1987).
  Psychoanalytic treatment: An intersubjective approach.       Wurmser, L. (1981). The mask ofshame. Baltimore: John
  Hillsdale, NJ: The Analytic Press.                             Hopkins University Press.
Sullivan, H. S. (1954). Problems of communication in the       Wurmser, L. (1987). Shame-the veiled companion ofnar-
  interview. In H. S. Perry & M. L. Gawel (Eds.), The            cissism. In D. L. Nathanson (Ed.), The many faces of
  psychoanalytic interview (pp. 206-226). New York:              shame (pp. 64-92). New York: Guilford.
  Norton.