"When shame is toxic," Bradshaw advises (ibid, p. 5), "it is an excruciatingly internal experience of unexpected exposure. It is a deep cut felt primarily from the inside. It divides us from ourselves and from others. When our feeling of shame become toxic... , we disown ourselves." "Feelings of shame are usually attached to what someone else has said or done to us, or how we perceive our standing in relationship to someone else or to people in general," according to Breggin (op. cit., p. 78). "The whole process feels external. We believe that other people find us unworthy and we may begin to feel they are right."

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