In this classic volume, Kaufman synthesizes object relations theory, interpersonal theory, and, in particular, Silvan Tompkins's affect theory, to provide a powerful and multidimensional view of shame. Using his own clinical experience, he illustrates the application of affect theory to general classes of shame-based syndromes including compulsive; schizoid, depressive, and paranoid; sexual dysfunction; splitting; and sociopathic. This second edition includes two new chapters in which Dr. Kaufman presents shame as a societal dynamic and shows its impact on culture. He examines the role of sham.