“But beyond this, and even more important, my problem is not just what I am sensing but that I do not feel adequate to respond to it. I perceive, beginning at nonconscious levels of awareness, that I do not have what it takes to tolerate what I feel. I am not just sad, angry or lonely. But ultimately these feelings rest on the bedrock that I am alone with what I feel, and no one is coming to my aid. Shame undergirds other affective states because of its relationship to being left. And to be abandoned ultimately is to be in hell. This terror of being alone drives my shame-based behavior and, ironically, takes me to the very place I most fear going—to the hell of absolute isolation.”