Shame appears in a variety of forms and in different states of mind. Different forms of shame, such as adaptive shame at violating internal standards, maladaptive internalized shame from being treated as lacking in human value, and secondary shame about one's feelings or impulses, all require different forms of intervention. We argue for the importance of a differential treatment perspective in working with shame and all emotions. The transcript of an episode of working with shame from abuse is presented as an example of one form of work with shame.

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