Introduction Shame is a mighty force. It can make one feel inherently flawed or defective, invalid as a human, and essentially unlovable. In its extreme form, it is experienced as an internal and ultimate truth about one’s core being. Shame takes one prisoner, inhibiting spontaneity, draining life’s energy, creating emotional paralysis, and triggering an impulse to disappear. Women with eating disorders are often consumed by their shame, living under its spell and tormented by its power.