Wednesday, July 17, 2013

Understanding Self Injury


Often, I’m asked why teenagers engage in self harm. “Isn’t it for attention?” “Aren’t they just copying what they see on TV?” “How can they stand to hurt themselves on purpose?” The behavior of cutting or other forms of self harm seems so far removed from normal human acts it seems unfathomable to many adults. To a parent, teenage self injury can be terrifying. It leaves caregivers feeling helpless, frustrated, and scared. Yet if we look back on history, civilization is full examples of intentional self-harm crossing into many cultures.

As far back as early Greek mythology, Oedipus pierces his eyes with golden broaches in punishment for his behavior. Today's adolescents express self-hatred, engaging in self injury after a perceived failure. One sophomore girl bit her arm so viciously I could still see the bite marks days afterwards. She believed she deserved it after a misunderstanding with a boy she liked. In ancient Greek times, a shamed Spartan leader asked for a knife after being placed in stocks. Grabbing it quickly he proceeded to slice his own shins. Self harm is not a new issue. There were so many women in the late 19th century pricking themselves with needles, doctors called them the “needle girls”. Contrary to the prevalent belief self-harm is on the rise, recent research indicates it may actually have stabilized in the last five years.

In its infancy, the medical field has promoted the healing powers of self-harm as Hippocrates encouraged blood letting to cleanse the body. Scarification in African tribes was believed to protect oneself from diseases. Early common psychiatric practices, ironically, included the application of hot irons, purging, and cutting in the treatment of ‘hysterical women’.

Christmas Eve 1888, famous painter Van Gogh allegedly partially removed his ear lobe in a fit of rage. Angry self-harming teenager generally do not remove body parts but could relate to being enraged enough to carve on themselves. Even animals will engage in forms of self harm. Bored dog’s will lick until themselves they have an open wound. Stressed parrots over preen cutting their flesh. Agitated primates bite themselves. 

Religion has provoked much self harm. In Germany, Martin Luther, the founder of the protestant movement, for example, beat himself with a whip regularly. Hindu’s Lord Krishna enucleated his eyes to benefit his mind. Australian aborigine shaman candidates  mutilate and scraped their skin to promote their healing powers.

Mourning and grief have been motivators for self-harm In certain African tribes finger amputation is common in mourning; the more of the finger removed indicates the level of closeness to the deceased. In 2012, a large group of Shia Islamics cut themselves with razors commemorating the death of  a beloved leader. Today, loved ones memorialize their losses with tattoos.

Beauty can motivate self injury. Examples include ear piercings to tattoos to foot binding to plastic surgery. Other reasons include increased revenue for beggars and a soldiers quicker route home. Culture does much to dictate attitudes toward self harm, what is acceptable and what is not.  Shame has kept much teenage self injury hidden. While self harm is widespread in world history, it does not minimize the significance of a young person engaging in self injury. It is not a passing phase. As in many of the examples above, it is indicative of deep emotional pain. Consult professional help if you know a young person is hurting him/her self. Dialectical Behavior Therapy  (DBT) has proven highly successful at reducing/eliminating the behavior. Self injury is not resolved quickly but can take 3-12 months of counseling for progress to occur.

See resources below for further help.

http://www.mirror-mirror.org/selfinj.htm
http://www.fortrefuge.com/SelfInjuryBillOfRights.html
http://www.kristalmathis.com
http://www.Portlanddbt.com