a chronic conviction that we are innately blameworthy and should expect, or even deserve, punishment or reproach… this type of guilt, or the fear of it, often strangles a robust ‘no,’ smothering self-assertion
Maté identifies internalized guilt as a pathological, characterological formation distinct from healthy remorse — one that suppresses self-assertion and predisposes the subject to physical and psychological distress.
, The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture, 2022thesis