For some, the unworthiness runs deep and has been running a long time. It comes in a voice from the past. It is often the voice of someone who should have been trustworthy- a parent, an uncle, a grandparent. But instead this person told them that they were stupid and not good enough in speech and in action every chance they got. The voice stays with people, long past the end of the abusers’ life, and it is dreadfully hard to get rid of. It defines for them who they are and what their position in the world is: loser, disgusting, subhuman, undeserving.