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"Depression: What depressed person doesn't think of himself or herself as a miserable, unredeemable failure? Anger: As in "STAY AWAY or you will see me, and what you see won't be pretty." Look for the paradoxical combination of self-loathing and arrogant judgment. Men are specialists at this. Anorexia: The deep logic of anorexia is that you are unworthy and deserve nothing, so you give yourself nothing. If you give yourself nothing, perhaps you will disappear, or at least less of you will be seen. Fear and withdrawal: You might as well avoid other people since you feel like you don't belong with them. You don't want to be seen. Exhibitionism: The person who is the life of the party acts shameless in the hope that such a thing is possible. Addiction: This will both cause shame and cure it, at least temporarily. Cutting: This seems like the perfect treatment. It punishes you for being "bad," and the blood makes you feel punished and therefore cleansed. Of course cutting silences shame for only an hour or so, but at least that's something. Fears of being exposed: Among the socially or financially successful can lurk a persistent sense that they are only one misstep from being found out and humiliated. Suicide: Sadly, some people who expect to be exposed and humiliated feel as if they have no alternative but suicide. Many others who live with shame wish they could take their lives, but they are too afraid of what death might bring. Doubts that God could ever love you: Who could love something so gross?