Lorraine, a woman in her early twenties, talked about the shame she felt when she finally opened up with her college roommate about the fact that her teenaged brother was schizophrenic and had a history of violence before he was stabilized on his medications. “She had asked me about him several times. I finally told her about him and I started crying. I explained that I’m not ashamed of him, but I’m ashamed that my parents have him living in a treatment center. She didn’t say anything back to me.” When I asked her what happened next