chapter  30
14 Pages

Shame in the Family Relationships of Borderline Patients

COMPARED TO THE more easily conceptualized emotions-anxiety, guilt, and depression - shame has been bypassed in our theorizing. The reasons for this are complex and far-reaching. The result of this oversight, however, is our failure to integrate aspects of our understanding of defense in severe character pathology, especially its interpersonal manifestations. The neglect of shame and the difficulty conceptualizing it has res\llted in models that lend themselves better to more mechanically derived notions based on guilt, ones that tend to give us an incomplete and misleading view of the patient in intimate personal relationships.