Many people were emotionally abused, neglected, or smothered in their childhood by their parents, grandparents, or other significant caretakers, or even close friends. Many of these people are unaware they were abused or neglected and continue to suffer from a wide range of problems throughout their lives. People who internalize the abuse manifest self-destructiveness, depression, suicidal thoughts, passivity, withdrawal (avoidance of social contacts), shyness, and a low degree of communication with others. They may have low self-esteem and feel guilty and remorseful. Many feel they are unworthy and that the world is a hostile environment in which they will fail. They are reluctant to take on new tasks, learn new skills, or take chances.