ABSTRACT
The main focus of this chapter is to attend the acute and internalized shame as these are the unhealthy shame components. We do this by first being aware of the type of symptoms which are set off by them through the unconscious use of defence mechanisms initially adopted to shield the individual from the pain of such shame. As we carry out the symptomatic interventions, the therapist needs to be aware at the back of his or her mind that certain symptoms are likely to be linked to unresolved shame memories as its root cause. Only the dysfunctional or maladaptive symptoms are indicative of being originated from acute or internalized shame. In addition, we cannot presume across the board that shame is the only root cause of each of the above symptoms as there may be other contributory causes such as chemical imbalances and personality disorders. Surfacing shame from its hiddenness is an essential part of the therapy process. This must be managed carefully so as not to cause any collapse of the good rapport built up between the therapist and the client. A verbatim illustration is provided to show how this is done in actual practice.
