Worthlessness and shame are linked to the idea of not belonging or being unworthy of belonging -- that is, a deep sense of belonging to life, to your sense of self, and to our earth. Compensatory strategies to win worthiness and belonging arise from here and effectively block the very thing it is pursuing. Transformation occurs when there is a critical mass of clarity about the harm of a particular way of thinking and behaving.
For each reactive pattern there is a perceived threat to a tender need. Knowing these tender needs helps us figure out how to interrupt these patterns and creating new ways of perceiving and relating to life. In addition to knowing the need, knowing the healing response and the primary reactive behavior helps with transformation.