Q. What is Shame?
RENOWNED US clinical psychologist Gershen Kaufman once wrote: "Whenever feelings of shame are encountered, they can be reduced by becoming addicted to something."
After more than 40 years of dealing with people who have been suffering from addictions, I say: "Shame is the engine that drives all addictions."
However, when talking of solutions for drug users, an important element that needs to be added to the multi-pronged approach is understanding the psychology of shame.
Shame is a particularly intense, and often incapacitating, negative emotion involving feelings of inferiority, powerlessness and self-consciousness - along with the desire to conceal deficiencies.
Traditional psychoanalytic theory focuses directly or indirectly on the object of addiction - be it alcohol, drugs, gambling, sex, work or relationships.
But healing comes when it is realised that it is not so much the object of addiction that is paramount but the process that permits the attachment to develop.
Shame-based syndromes are usually at the root of this process. They begin in childhood when "normal" development is interrupted and becomes twisted or pathological.
The trigger can be sexual or physical abuse or another broadscale trauma. But often it is more discreet. When a parent is detached, not providing assurance to the child that he or she is loved, respected, cared for and appreciated, the child may sense that they are not worthy or significant in the family - and therefore insignificant in the scheme of life. They may grow with the self-perception that they are damaged.
Some become co-dependent, or seek endlessly to please someone else in an effort to appear "significant". This people-pleasing may especially take grip in the workplace. They are desperate to be seen as "a good worker".
But in reality, they are unwittingly being driven by two key aspects of what is known as "disgrace shame". These are self-blame and self-criticism. Their hidden critic whispers: "I should have always mastered everything."
As their pain deepens, they are still in a state of "dis-ease". They stumble into friendships and relationships and test activities and boundaries at random.
Some of these pursuits will be satisfied in a season, only to be replaced by others that are more problematic, such as the desire to oppose authority (oppositional personality disorder) or take up smoking, drugs, alcohol, gambling, antisocial and unsafe sexual behaviours or violence.