Shame, from an older English word, meaning "to cover". Shame is a feeling arising from the realisation that a person has done something wrong, dishonourable and perhaps, immoral. As a result of shame people living with HIV turn away from their status, cover up the fact that they are HIV positive and remove themselves from the social and cultural life of the community. Closely related to stigma, shame is both and internal state as well as an externally imposed state. For people living with HIV both formas of shame can lead to actions that endanger their lives and the lives of others.