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What is Self Harm?
Self harm is an act of deliberately hurting oneself either physically or emotionally.
When we think of self harm, many of us think of cutting. The image that pops into my head is one of razor blades and bandaged wrists. This is certainly a large part of self harm and there are many forms of physical harm people inflict on themselves purposefully and often ritualistically that can be mild to severe. Self harm is common amongst teenagers and there is a great deal of concern and fear amongst people (professionals included) around the dangers this form of coping creates. There are often a great deal of misconceptions about 'why' people do this as well as around the risk and dangers. A common misconception is that people who self harm are suicidal. This is often not the case. Self harm is a coping mechanism that people who are hurting emotionally adopt. It is done to create a sense of relief, regardless of what that relief may be to each individual person.
Why choose self harm?
The reason I am writing about self harm today is largely due to this question. Why hurt yourself MORE when you are already hurting? I feel it is this mentality that creates a big divide between people who self harm and those trying to understand why. To help someone who self harms or to help yourself if you are self harming, this is a very important question to gain answers to and seek to understand.
I mentioned before that the intention of self harm is to create a sense of relief. For a person who is self harming, the goal is to hurt less, not more. To understand how physical pain or discomfort makes a person hurt less, you need to understand how emotional pain can hurt. Many people find this concept so difficult to comprehend as we live in a world that has mastered the art of repressing painful emotions. Many of us are very cut off from our difficult emotions and wear many masks in our daily lives to hide how we really feel. People who self harm are struggling to keep these masks on. They are finding their emotions difficult to live with, to bare, to keep in. They are in pain. Inherently,they have lost a sense of control and feel powerless to their emotional pain.
Self harm is a controlled act. It gives the person control over their pain. They are able to choose their pain and where to place it. They are able to distract from the emotional pain by redirecting their senses to their self inflicted physical pain. They have taken ownership of their bodies. They have pushed through numbness and reconnected with something tangible, something real and something that they can feel and manage the feelings of. Many people feel so awful inside that this form of punishment mirrors what they feel they deserve. It reflects what they are feeling inside. The outside wound helps to highlight the inside wound in a way that is outside of the 'unknown'. We all fear the unknown to some extent. Many of us fear our internal pain. The more emotional trauma we have, the greater the internal pain and the more enormous and frightening this 'unknown' part of us becomes. Self harm is a coping mechanism, it is done to create relief and ultimately 'help' the person. This is not the mentality of suicide, this is not giving up. In fact, this is a fight for life, for connection, for relief.
The Emotions behind Self Harm:
This is not a black and white answer because each person is unique and there will be many different core emotions. Some people, depending on their past childhood experiences and trauma, may have more than one core emotion. I would say that people who reach this point of coping will have an accumulated range of trauma ranging from mild to severe. Childhood sexual abuse is a common example to give for trauma leading to self harm as a coping mechanism. Chronic neglect (physical and/or emotional), physical abuse, unprocessed grief, chronic emotional abuse and disability are also good examples. There are also situations such as bullying, medical trauma and other external stresses and hardship that may come into play. Thus the core emotions can be fear, anger, disgust, shame or sadness; it all depends on the experiences and individuals involved. The key factor to understand, however, is that these core emotions have not been regulated or processed by the individual. These feelings have been repressed and the trauma has not been integrated.
The act of self harm and actively harming oneself in order to gain relief is done from a place of shame and/or disgust. Self harm is the opposite of self love and self care. As this act is a reflection of what the person feels inside themselves, it reflects a self hatred and loathing. Self harm thus comes from these negative feelings inside that are, for want of a better word, 'dark'. The act of self harm is a form of self punishment and the person consciously or unconsciously believes that they deserve this pain. Internally they are punishing themselves through negative thinking, low self esteem and judgement. The physical act is a reflection of this. They are not placing value on their physical bodies and have become detached from who they really are (their authentic selves) underneath all their internal pain and suffering. Shame is linked to powerlessness. As mentioned above, self harm is a controlled act which invariably brings about a renewed sense of power (however short lived). For people who feel powerless, self harm may relieve this feeling of powerlessness and the sense of control and power understandably can become addictive.
Self Harm and connectedness:
The physical pain or discomfort also brings about a connectedness between the mind and body. For those who have endured physical and sexual abuse, this connectedness is a way to combat dissociation. Dissociation is a splitting of the mind from the body in order to cope with the physical trauma the body is enduring. This becomes a coping mechanism for many survivors of abuse, particularly sexual abuse. Survivors of this form of abuse develop many emotional triggers and will dissociate regularly when faced with reminders and triggers of their past abuse. Self harm is a way to feel, to connect to the body and to ground oneself back into reality or the present.
Self Harm is not always black and white:
Self harm is not always about cutting or burning or other visible methods. Many people harm themselves in other less overt ways. Eating disorders are a good example of this. Not all eating disorders require hospitalisation, starvation and obesity. Many people over or under eat and do this from a place of shame or disgust (self-loathing). I personally used to emotionally eat when struggling and at times still do. How many people eat food which they know is bad for them? How many people need caffeine to get by, a chocolate fix, a sugary reward for a tough day? Where is the line between treat and self harm? You just need to look at the number of people struggling with weight issues, body image issues and addictions to see that self harm is not a black and white issue. It is an emotional issue. Unprocessed emotions and trauma that have led to a place of shame and disgust.
How do you tackle Self Harm in terms of healing and awareness?
The first point I would like to make is that this is not a simple issue of 'attention seeking'. I find those 2 words extremely hindering in our modern world as I see them minimise and deflect very real and important issues going on for people. I often say to people, in any attention seeking context: If the person is going to this extreme to gain attention, it is a clear indicator of something being wrong. Our society likes to blame the victim. I feel this stems from fear and a lack of understanding and resources to deal with what they are being faced with. Seeking to understand, growing in awareness and finding compassion is vital.
We need to stop burying our heads in the sand. People who self harm are hurting and internally wounded. They need help not judgement. They are doing this from a place of shame, your judgement will increase this shame and place them more at risk. Ignoring them and pretending everything is fine is also shaming them as this translates into: I am not worthy of help, I disgust and repel people, I am not cared about, I am unlovable. This is when the self harm may start moving into a destructive path of suicidal ideation.
| Shame is at the root of low self esteem |
Self Harm is a cry for help. To help someone is to look past the behaviour and focus on their feelings. Listen, care, support and refrain from judgement. You can't remove someone's coping mechanism without giving them new ways to cope. The solution starts within, emotionally, through a positive relationship without judgement. Helping people to learn how to build up their self esteem and access self love. This is not an over night process and will often require professional support as well as support from loved ones. In a nutshell, the more support and care the person receives, the better!
Lets change the focus from 'what' the behaviour is to 'why' are people hurting so much internally? Why are people coping in this way? What do they need emotionally? Learn about the emotion 'shame'. The solutions lie within compassion, love and empathy.
Lets not turn our back on those most in need of help.
Be kind to yourselves
XX
Paula
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