ABSTRACT
Unrecognized guilt can block the exploration of feelings throughout all phases of treatment. Yet clinicians often struggle to recognize and work effectively with guilt. The author discusses how to distinguish between toxic and healthy guilt and suggests ways to diminish guilt that turns into self-attack. She encourages remorse that leads to repairs for causing pain to others. Frequently, the therapist must help the client overcome shame before the client finds the internal strength to take responsibility for harming others. Therefore undoing shame often results in an increased capacity to bear the guilt and use it toward a positive end. Client comments will demonstrate when guilt is at the forefront and needs attention. The author offers shame-sensitive interventions to disable toxic guilt. This chapter also looks at specific ways of using guilt to create new patterns that support closer relationships.
