“…Shame is a complex emotion that is experienced as a painful, self-focused affect Parker, 1998) and, like hypersexuality, has been correlated with several manifestations of psychopathology including anxiety, depression, somatization, obsessive-compulsive disorders, aggression, interpersonal sensitivity, substance-related disorders, post-traumatic stress disorders, diminished self-effi cacy, violence and low self-esteem (e.g., Baldwin, Baldwin, & Ewald, 2006;Brown, 2004;Gilbert, 2000;Harder, 1995;Lewis, 1971Lewis, , 1987Nathanson, 1992Nathanson, , 1994Tangney & Dearing, 2002). Shame has also been observed among borderline patients who exhibit patterns of sexual impulsivity (Rizvi & Linehan, 2005).…”