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Bodies under Siege: Self-mutilation and Body Modification in Culture and Psychiatry
Armando R. Favazza

The Johns Hopkins University Press, 1996 - 400 pages

average customer review:based on 14 reviews
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Very comprehensive book (essential for those who self-injure)

I've been cutting myself for many years, and have read books on the subject for a number of those years. This is by far one of the best I've read for Favazza does an extremely deep study into the history of self-injury, both cultural forms and what he terms "deviant" forms. While not as entertaining as "A Bright Red Scream," and definately more scholarly than most books on the subject, I still consider it essential for those who cut or the loved ones of those who cut. However, it isn't so much a personal or supportive book, and will mostly trigger more cutters than it will help. The only reason I give it four stars instead of five though is because of some of the misconceptions that even the author shows, such as relating self-injury to body piercing and such (which he has already gotten some heat about already.) I also don't like the terms "mentally ill," "wrist slashers," " slicers," etc. as words for those who cut. I also found the first few pages of chapter 11 very hard to read for similar reasons.


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Although instances of deliberate skin-cutting are recorded as far back as the old and New Testaments of the Bible the behavior has generally been regarded as a symptom of various mental disorders. With the publication of Bodies Under Siege, a book described in the New York Times Magazine (July 17, 1997) as "the first to comprehensively explore self-mutilation," Dr. Armando Favazza has pioneered the study of the behavior as significant and meaningful unto itself. Drawing from the latest case studies from clinical psychiatry he broadens our understanding of self-mutilation and body modification and explores their surprising connections to the elemental experiences of healing, religions, salvation, and social balance.

Favazza makes sense out of seemingly senseless self-mutilative behaviors by providing both a useful classification and examination of the ways in which the behaviors provide effective but temporary relief from troublesome symptoms such as overwhelming anxiety, racing thoughts, and depersonalization. He offers important new information on the psychology and biology of self-mutilation, the link between self-mutilation and eating disorders, and advances in treatment. An epilogue by Fakir Musafar, the father of the Modern Primitive movement, describes his role in influencing a new generation to "experiment with the previously forbidden 'body side' of life" through piercing, blood rituals, scarification, and body sculpting in order to attain a state of grace.

The second edition of Bodies Under Siege is the major source of information about self-mutilation, a much misunderstood behavior that is now coming into public awareness.




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