I start to get the feeling that something is really wrong. Like all the drugs put together – the lithium, the Prozac, the desipramine, and Desyrel that I take to sleep at night – can no longer combat whatever it is that was wrong with me in the first place. I feel like a defective model.

Our need to be "greater than" or "less than" has been a defense against toxic shame. A shameful act was committed upon us. The perpetrator walked away, leaving us with the shame. We absorbed the notion that we are somehow defective. To cover for this we constructed a false self, a masked self. And it is this self that is the overachiever or the dunce, the tramp or the puritan, the powermonger or the pathetic loser.