“…Whereas external shame refers to how one thinks others see the self and the resulting negative feelings and behaviours related to beliefs about potential rejection or attack by others, internalized shame refers to the negative beliefs or feelings a person has about his or her own attributes or behaviour (Allan, Gilbert, & Goss, ; Gilbert, ; Goss, Gilbert, & Allan, ). The chronic and global nature of internalized shame can also be distinguished from state shame, which refers to the experience of shame as a transient and acute reaction in specific situations (Del Rosario & White, ). Perhaps unsurprisingly, chronic, global internalized shame has been associated with a wide variety of negative outcomes including depression, addiction, eating disorders, sexual abuse, and trauma, as well as feelings of abandonment and rejection (see Del Rosario & White, , for a review).…”