The therapist, who by this time had less than a year to live, took a brief time-out at this point to share once again with the depressed person her (i.e., the therapist’s) conviction that self-hatred, toxic guilt, narcissism, self-pity, neediness, manipulation, and many of the other shame-based behaviors with which endogenously depressed adults typically presented were best understood as psychological defenses erected by a vestigial wounded Inner Child against the possibility of trauma and abandonment.
