Self
Injury
Adult -
CAPTĪV
Skin Game - Caroline
Kettlewell - Amazon US
UK
Amazon.com
A number of recent books by journalists and therapists have probed the social
and psychological forces behind the alarming practice of self-mutilation; this unflinching
memoir tells readers what it feels like. Caroline Kettlewell made her first attempt at age
12 with a Swiss Army knife, too dull to perform satisfactorily, but she quickly graduated
to razor blades. "There was a very fine, an elegant pain," she writes of her
initiation. "In the razor's wake, the skin melted away ... then the blood welled up
... the chaos in my head spun itself into a silk of silence." Describing her tense
but not unusually difficult youth, the author doesn't spend a lot of time trying to figure
out why she was so unhappy, concentrating instead on making palpable her sense of dread
and terror of being out of control, emotions relieved by the act of cutting. Some readers
may wish for more self-analysis, but others will find Kettlewell's austere prose and
sensibility refreshing. "I kept cutting because it worked. When I cut I felt better,
" she explains. "I stopped cutting because I always could have stopped
cutting." Not the fanciest way to put it, but those sentences, like the entire book,
have the cadences of "the plain and inelegant truth." --Wendy Smith
Self Injury: Psychotherapy
With People Who Engage in Self-Inflicted Violence -
Bodies Under Siege :
Self-Mutilation and Body Modification in Culture and Psychiatry - Paper
Armando R. Favazza - Hardcover
Review by llama@palace.net from Seattle, WA, USA , March 2, 1998

Valuable information for understanding self-injury -
This is the second edition of Bodies under Siege, and in it Favazza improves an excellent
survey of self-mutilation by adding extensive material on classification and treatment of
self-injurious behavior. The original edition was probably the first important book on
this topic. Part one is a fascinating sociological overview of mutilative behavior in
society and religion, placing it in context. Favazza explores the links between
cannibalism, self-injury, and eating disorders in this section. You can understand SI
without knowing this information, but the context is useful.
In part two, he looks at specific clinical cases of self-mutilation. Having read this
section, I was able to much more easily understand the distinctions between types of
self-injury that Favazza draws in part three. The epilogue, combined with the information
in part three, helped me to understand where the line between self-injury and ornamental
body modification lies. Those who self-injure will probably be most interested in part
three, where Favazza explores the types of pathological self-injury and discusses
psychiatric classifications and treatment. Bodies under Siege is not meant as a self-help
book. It will, however, give you insight into the origins of self-injury and into the ways
in which the psychiatric profession views this behavior (and how those views are slowly
changing), as well as suggesting directions for those seeking treatment.
Cutting : Understanding
and Overcoming Self-Mutilation - Steven Levenkron
Known as the illness of the 1990s, close to
two million Americans and possibly more suffer from the psychological disorder of
self-mutilation. The most prominent public admission was that of Princess Diana.
Written for the self-mutilator, parents, friends, and therapists, Levenkron unravels step
by step the mindset of the self-mutilator, explains why the disorder manifests in
self-harming behaviors, and, most of all, describes how the self-mutilator can be helped.
Through riveting case studies and conversations with his patients, the profile of the
self-mutilator emerges: someone who is typically fearful of people and abandonment, whose
attachments are hostile or tenuous at best, who lacks interpersonal trust, and who often
can't stay focused in a relationship of any depth. Cutting tells the reader where to turn
for help and offers important skills the self-mutilator must learn - what Levenkron calls
the "Attachment-Dependency Trust Axis" - in order to overcome the affliction.
The Scarred Soul :
Understanding & Ending Self-Inflicted Violence - Tracy Alderman, Ph.D.
Self-inflicted violence. Written for the victims of this
addiction--and for mental health professionals--The Scarred Soul explores the reasons
behind this behavior and shows how to overcome the psychological traps that lead to
self-destructive acts. Illustrations and charts.
From the author, Tracy Alderman, Ph.D.
"My hope is that The Scarred Soul will help educate people
on the topic of self-inflicted violence. There are numerous activities designed to help
you better understand and cope with this difficult issue. Therapists, friends and family
members of people who engage in self-inflicted violence can also benefit from reading this
book. I wrote this book because the topic is so misunderstood and largely ignored. I hope
you find it useful."
Women Who Hurt Themselves
: A Book of Hope and Understanding - Dusty Miller
From Kirkus Reviews , 03/15/94
Women Who Hurt Themselves explores the suffering of women who
reenact childhood trauma, particularly abuse or neglect, through self-destructive
behavior. Miller is a therapist who has treated hundreds of women with this condition
(which she labels Trauma Reenactment Syndrome, or TRS) and whose behaviors include
self-mutilation, alcoholism, drug addiction, and eating disorders
Understanding Self-Injury: A
Workbook For Adults - Kristy Trautmann, B.S. and Robin Connors, Ph.D.
Self-injury has remained one of the most hidden aspects of many
survivors' lives and one of the least understood effects of trauma. This unique workbook
for people who deliberately hurt themselves provides information and elicits
self-exploration through focused writing and drawing exercises. Choice and pacing are
encouraged, making it accessible to people with varying needs and resources.
A Bright Red Scream :
Self-Mutilation and the Language of Pain - by Marilee Strong
From Kirkus Reviews , September 15, 1998
A compassionate and informed discussion of self-mutilation, the ``addiction of the '90s,
practiced by two million or more Americans. Self-mutilation has surfaced as a fad of
pubescent girls, who use razor blades to carve their forearms with, for instance, names of
their boyfriends. It's called cutting and is what Dr. Armando Favazza, in the preface,
refers to as ``superficial/moderate'' self-mutilation. In other cultures or at other
times, cutting, flagellation or similar forms of self- mortification have been regarded as
physically healing, spiritually uplifting, or tribally bonding. Today Americans are
horrified at the idea of painful blood-letting, associating it immediately with suicide.
But the cutters described here are neither faddish or suicidal. They are using their
razors, knives, broken glassor cigarette lightersto live. Like anorexia and bulimia (also
efforts to gain control), some forms of self-mutilation serve as controls for unbearable
rage and emotional pain that would otherwise lead to a psychotic break. Many cutters have
suffered sexual or physical abuse as children, and the trauma they carry with them as
adults is similar to post-traumatic stress disorder, says Strong. Among the symptoms is
dissociation, where mind and body separate, leaving ``numbness and emptiness.'' For some,
the only way to reunite the two is by hurting themselvesthe pain returns them to
awareness. It may also release ``natural opiates,'' like endorphins, that minimize the
emotional and physical pain; that may be one reaction that contributes to the addictive
nature of the experience. Strong (a journalist who has written previously on child victims
of war trauma) examines the theories of physiology, psychology, sociology, and
neuroscience in relation to the need to self-mutilate; enriching her research are
interviews with more than 50 cutters, some found on the Internet site where self-
mutilators can talk to one another. The final two chapters discuss treatment alternatives.
Humane, empathetic, and informed exploration of a frightening complex of behavior; it will
be valuable to professionals, families, friends, and most of all to the cutters
themselves. (Author tour) -- Copyright Š1998, Kirkus Associates, LP. All rights
reserved.
Young Adult -
Self-Mutilation -
Alicia Clarke
Everything You Need to
Know About Self-Mutilation : A Helping Book for Teens Who Hurt Themselves - Gina Ng
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