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A Bright Red Scream: Self-Mutilation and the Language of Pain, by Marilee Strong
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Self-mutilation is a behavior so shocking that it is almost never discussed. Yet estimates are that upwards of eight million Americans are chronic self-injurers. They are people who use knives, razor blades, or broken glass to cut themselves. Their numbers include the actor Johnny Depp, Girl Interrupted author Susanna Kaysen, and the late Princess Diana.Mistakenly viewed as suicide attempts or senseless masochism--even by many health professionals--"cutting" is actually a complex means of coping with emotional pain. Marilee Strong explores this hidden epidemic through case studies, startling new research from psychologists, trauma experts, and neuroscientists, and the heartbreaking insights of cutters themselves--who range from troubled teenagers to middle-age professionals to grandparents. Strong explains what factors lead to self-mutilation, why cutting helps people manage overwhelming fear and anxiety, and how cutters can heal both their internal and external wounds and break the self-destructive cycle. A Bright Red Scream is a groundbreaking, essential resource for victims of self-mutilation, their families, teachers, doctors, and therapists.
- Sales Rank: #58850 in Books
- Published on: 1999-10-01
- Released on: 1999-10-01
- Original language: English
- Number of items: 1
- Dimensions: 8.00" h x .60" w x 5.30" l, .48 pounds
- Binding: Paperback
- 272 pages
Amazon.com Review
"A bright red scream" is how one of the subjects Marilee Strong interviews in this chilling yet compassionate study of self-mutilation describes the sensation of intentionally inflicting pain upon oneself. It is a compulsion that, while shocking and bewildering to most people, affects 2 million or more Americans and countless others around the globe--one of whom, the late Princess Diana, also suffered from the eating disorders that characterize between 35 to 80 percent of all cutters. Rejecting the classic psychiatric wisdom that views self-mutilation as a species of suicidal behavior, Strong links the phenomenon instead to the will to live--often in the face of such overwhelming childhood abuse that the resulting dissociative behaviors are something akin to posttraumatic stress disorder. Strong touches on other issues as well: Why are most cutters women? And is the current fascination with tattooing and piercing, from its most extreme forms in the "alternative" culture to its growing mainstream acceptance, a sublimation of the cutters' instinct? Through interviews with more than 50 self-injurers, Strong tells the moving story not only of their rage and self-punishment, but also of the courageous journey towards reintegration. (The book also contains an introduction by psychiatrist Armando R. Favazza, author of Bodies Under Seige, one of the leading clinical experts on self-mutilation.) --Patrizia DiLucchio
From Publishers Weekly
Strong's research into "cutters" combines journalistic passion with academic integrity. Through dozens of interviews conducted for a 1993 San Francisco Focus article, she explores the reasons that lead over two million Americans to injure themselves regularly and deliberately with such items as knives, razor blades and broken glass. Although most cutters are young women who have been emotionally, sexually, or physically abused as children, Strong's research shows that this specific type of self-harm also appears in other groups. Most interviewees here claim to use cutting to distance themselves from pain and rage, or to "feel something" after years of abuse have left them emotionally numb. The powerful first-person stories, in which the cutters describe their ritualistic methods and somewhat addictive cravings for seeing their own blood, highlight the problem and ultimately lead to understanding and sympathy for those who suffer from the disorder. (A foreword from University of Missouri-Columbia psychiatrist Armondo Favazza, author of Bodies Under Siege, discusses past difficulties in bringing the disorder to the public's attention.) In addition to presenting a psychological focus, Strong also investigates possible neurological and chemical changes that both abuse and cutting can cause. A brief foray into comparison with the American tattooing trend and scarification in other cultures proves to be the book's only weak point, drawing on hypotheses rather than concrete fact. The author recovers quickly, however, when she explores the comprehensive programs and treatments available to cutters. Riveting and dynamically written, this book is an important addition to psychological literature. Agent, Sandra Dijkstra. Author tour.
Copyright 1998 Reed Business Information, Inc.
From Booklist
Pulitzer Prize^-winning journalist Strong expands on a previous groundbreaking article on "cutters" or self-mutilators, who are mostly women with histories of abuse or dissociation who injure themselves to deal with feelings of anxiety or numbness. Through interviews with psychiatrists, researchers, and those who self injure, Strong thoughtfully presents current cultural, cognitive, psychoanalytic, and pharmacological perspectives on the causes of cutting, its diagnosis, and treatment. She manages to explicate self-injury as a symptom and a disorder in itself--a morbid form of self-help--well and movingly. The frustration over the current limitations of science and, in particular, of the standard diagnostic tools in treating and explaining the baffling disorder is palpable. An impressive complement to Mary Pipher's best-selling explication of the woes of adolescent girls, Reviving Ophelia (1994), and Daphne Scholinski and Jane Meredith Adams' case study, The Last Time I Wore a Dress. Jennie Ver Steeg
Most helpful customer reviews
136 of 142 people found the following review helpful.
Answers The Question Of "Why" From Many Angles
By Renee McElwee
Now in my mid-30's, I bought this book after seeing the movie Secretary and recognizing myself as a teen in the main character of the movie. Although, in my case, I overcame my urges to self-injure (in ways other than cutting, which this book addresses) on my own and through the process of maturation and some very focused self-examination in my 20's, I still found myself fascinated as to why I, or any person, would resort to self-mutilation as a way to feel relief and a temporary sense of peace since the act and the resulting feelings seem so incredibly incongruent. This book took me back and allowed me to see and understand myself in ways I never expected and far beyond what I had already ascertained self-mutilation was about based on my own self-understanding. It also allowed me to see where I still lean toward the behavior in subtle, almost undetectable ways even though I have been under the impression for over 15 years that I no longer "act out" or would be considered a self-mutilator.
The book is extremely well written and researched and the case studies sited enable the reader to identify - whether you are or were a self-injurer yourself or know someone who is. The author suggests many reasons why self-mutilators do what they do, why and how this gamut of behaviors addresses crucial needs they have and why it isn't as easy to refrain from when a loved one who doesn't really understand says, "Stop that!" Strong explains the behavior from psychological, emotional, spiritual, physical, chemical, environmental and medical perspectives so that one can gain a full and well rounded picture of self-mutilation, it's causes and it's effects - both overt and obvious as well as subtle and nearly imperceptible.
The most startling revelation I experienced while reading this book - which is a page turner in and of itself - is that I had the impression that I was somehow unique and special in the fact that I was a self-mutilator (because it is such a personal method of self-expression often shrouded in cultivated secrecy and privacy on the part of the self-mutilator) and that I managed to overcome my urges by finally learning how to feel my feelings and address my issues in healthier ways as "normal" people do. This book, however, made me realize that it was almost formula pre-destiny based on the circumstances of my upbringing that would serve as the basis and foundation for the ways I acted out down the road in my teenage years. I was left with the sense that, given all the criteria of what makes a injurer an injurer, I almost had no choice but to do what I did in order to survive and cope - and the act IS a form of survival and coping when you are given the message while growing up that control and perfection is crucial and any overt, yet healthy and normal, form of emotional expression is not okay for whatever reason. This realization made me a bit angry for a time and left me feeling that the path I'd taken in life that I thought was of my own free will was actually one that was chosen for me, in a sense, by those who had a hand in my upbringing; that what I had spent years attempting to address and overcome was actually something I may not have had to address at all had my formative years and childhood been different because, quite simply, self-mutilation is an effect of a cause. I was left wondering what else I may have done with my time and energy had I not had to grapple with this because, for many years, it was a behavior that consumed me - both in the doing of it and then, later, the overcoming of it.
Self-mutilation isn't something people just choose to do without reason or without a deep-seated basis of history that, in a strange way, actually supports the behavior. This book sheds illuminating light on how and why self-mutilators develop into who they are and why they do what they do and it also makes a strong case as to why this is not an act that suggest suicidal tendencies as many suspect, but rather an extreme way of trying to stay alive and save ones own life by expressing emotions, as all humans need to do, in a secretive way that prevents backlash from those around the person who have made it clear that the normal path of expression is not acceptable.
For anyone who self-mutilates and wishes to understand themselves on some very deep levels in order to gain insight - which in and of itself may generate the path toward overcoming the behavior, although some suggestions for treatment and help are given in the book - or those who know and love a person who self-mutilates but doesn't quite understand why they do what they do, thus far I have read no other book that addresses the issue better than this one does and cannot recommend it enough.
33 of 35 people found the following review helpful.
i found myself in a book
By A Customer
It was quite by accident that I found this book. I am still healing from the last time I cut myself in an effort to get the pain out. I believed I was suicidal (maybe I still am) but now I know that there are others who feel the same.
Ms Strong's book explained to the smallest detail all the things happening to me, and helped me feel less of a freak. Not only does this book help people who mutilate themselves to understand why they do it, but she gives great advise on steps to take to move toward ending the nightmare.
This book does not condemn cutters or label them as crazy or disgusting. It doesn't even say that we must stop the slashing that sometimes saves our lives. It is written to inform that there are many, many people hurting so badly on the inside that they must see their pain in the form of blood being discharged from their own bodies, and by offering concrete ways of stopping the pain.
I found "A Bright Red Scream" difficult to put down because it was as though I saw myself actually being seen as me for the first time. I became upset in parts of the book where I learned that we don't always want to give up our ways of dealing because we don't want to do the work, or that we have become attached to what we know works for us. If I am going to be honest with myself, I know these are true statements, at least in my case. I am grateful for this insight.
0 of 0 people found the following review helpful.
New eyes
By purple
This book has given me so much insight .... I work with teenagers and this has helped me to look at them through new lenses.
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