The superego represents the internalized values and norms of society, and influences the behavior and emotions of the ego and the id. ¹ The superego develops from the id, the primitive and instinctive part of the personality, during the first five years of life, as a result of the child's identification with their parents and other authority figures. ^{2 3} The superego operates on two levels: the conscious level consists of the ego ideal, which is the ideal image of oneself that one strives to attain, and the unconscious level consists of the conscience, which is the source of guilt and shame when one fails to meet the standards of the ego ideal. ^{2 4} The superego can also conflict with the ego, the rational and realistic part of the personality, creating psychological tension and anxiety. ^{2 4 5}