Sacred Pain: An Exploration of Self-Injury and its Meaning

By Rosasophia, IV, KEW

 

 

About Self-Injury: Who Does it and Why

   Intentional harm to oneself is surprisingly common. It has been estimated that 1-3% of the population engages in "self-mutilation" (note that self-mutilation has become the accepted term for self-harm, even though the "mutilation" is often mild). Thus, with the exception of the mainstream body-mods, such as ear-piercing, small tattoos, etc., self-mutilation is more common than body modification. For comparison, the major mental illnesses, schizophrenia, and manic-depressive disorders each has an incidence in the 1% range. There are three classes of self-injury: Major self-mutilation includes drastic acts of self-injury such as self-castration, amputation of a limb, or removal of an eye.  Usually these acts are the result of psychosis or acute intoxication.  Often these acts have religious or sexual undertones (Strong, 1998, p. 26).  Stereotypic self-injury includes head-banging, biting, and skin scratching.  Rhythmic and monotonous behaviors of this sort are generally associated with organic brain disorders such as autism, mental retardation, and Tourette's syndrome.  Moderate/superficial self-mutilation is the most common type of self-injury and falls into three subtypes: episodic, repetitive, and compulsive.  Cutting with sharp objects such as razors, knives, or glass is the most commonly used method of injury, followed by burning and hair pulling.  By definition, self-mutilation does not include suicide attempts or injury that is incidental to another activity, such as masturbation. In short, it includes injury done with intent to they are not knowledgeable as to the widespread nature of the practice. Cutters tend to be far more likely to be female than male. Women are prone to "act in" whereas men are more likely to "act out". “People who self-injure tend to be dysphoric -- experiencing a depressed mood with a high degree of irritability and sensitivity to rejection and some underlying tension -- even when not actively hurting themselves.” (Secret Shame, 2003) Self-injury often functions to bring relief from unbearable feelings of dysphoria often triggered by oversensitivity to rejection. A constructivist theory of self-injurious behavior (Deiter, Nicholls, & Pearlman, 2000) holds that people who self-injure usually have not developed three important self-capacities: the ability to tolerate strong affect, the ability to maintain a sense of self-worth, and the ability to maintain a sense of connection to others. The first of these speaks directly to the affect-regulation role of self-harm; the others are perhaps related to its communicative functions. Pearlman et al. (2000) note that "when children experience shaming and punitive rhetoric or physical blows rather than responsive words" they cannot internalize others are loving and cannot develop the capacity to maintain a sense of connection to others. They further state, "The ability to experience, tolerate, and integrate strong affect cannot develop fully when strong feelings are met with punishment or derision." Having a sense that some feelings are unacceptable and not allowed also impairs this ability. And the ability to maintain a sense of oneself as a person of worth cannot be developed when a child never feels she is good enough, when her existence and accomplishments are met with silence or abusive words or actions. (Secret Shame, 2003)

   Cutters also have a large likelihood to have an eating disorder, particularly bulimia, or anorexia. Often a person will cut for a period, then stop cutting, but become bulimic and so on. Self- mutilation is often regarded as being part of the personality damage, which results from childhood sexual abuse. In many cases, however, it appears to be a way to cope with some of the less pleasant states resulting from mood disorders such as manic-depressive illness. Cutting is almost always a method of dealing with a more fundamental problem. It can be potentially harmful and damaging for a person to stop cutting without first treating the underlying problem.    Some experts say that self-injury is a form of acting out those feelings that a person is unable to identify and therefore unable to verbalize or otherwise express.  Acting out occurs when a person relives or indirectly expresses unconscious pain.  Self-injury, eating disorders, violence against others, and severe depression can all be seen as “acting out via the body”. (Horsefall, 1999, 430) Disfigurement may also be a way of externalizing anger or other elusive emotions.

    Psychological and Religious Parallels

 

0. The Unicorn is speech.  Man, rule thy Speech!  How else shalt thou

master the Son, and answer the Magician at the Right Hand Gateway of the

Crown?

1. Here are practices.  Each may last for a week or more.

alpha . Avoid using some common word, such as "and" or "the" or "but"; use a

paraphrase.

beta . Avoid using some letter of the alphabet, such as "t", or "s". or

"m"; use a paraphrase.

xi . Avoid using the pronouns and adjectives of the first person; use a

paraphrase.

Of thine own ingenium devise others.

2. On each occasion that thou art betrayed into saying that thou art sworn

to avoid, cut thyself sharply upon the wrist or forearm with a razor; even as

thou shouldst beat a disobedient dog.  Feareth not the Unicorn the claws and

teeth of the Lion?

3. Thine arm then serveth thee both for a warning and for a record.  Thou

shalt write down thy daily progress in these practices, until thou art

perfectly vigilant at all times over the least word that slippeth from thy

tongue.

Thus bind thyself, and thou shalt be for ever free.

 

-        LIBER III VEL JUGORUM (Crowley, 1998)           

 

    In ritual contexts people often willingly injure or allow themselves to be injured in the belief that the injuries are beneficial to themselves or the community. Many people who self-injure believe that it not only brings release to themselves, but also keeps them from being a danger to others. Both types of self-injury seem to revolve around a sense of empowerment and affirmation. Ariel Glucklich writes, “The interior landscape of individuals who injure themselves seldom matches either the traumatic shock that clinicians and reductionists attach to injury, or the theories of the neurological and psychological sciences.” (2003, p.1) The inner consciousness of these individuals with all their complexity and ambiguities more closely resemble the mental terrain of saints or mystics who acquire, or claim to acquire, spiritual power by austerities and self-flagellation than anything else.   Religious and psychiatric self-injury have striking similarities: both can involve shifting levels of consciousness, hearing, seeing, feeling, or tasting things others do not; altered perceptions of one’s body, one’s surroundings, and time. In both cases self-injury is can be a release of mounting tension, either voluntary tension achieved through ritual music, chanting, or dance, or the involuntary tensions produced by life events. In both cases, self-injury is often not perceived as painful because the mind is already in a trance-like state. (Hyman, 1999, p.193) Purging the self is an act of purification.  It is the act of spiritual self-cleansing or the act of cleansing the body to achieve a higher state of consciousness.  Blood is intrinsically symbolic and therefore its sacrifice is universal and multicultural.  Many people who self-harm engage in purging the body of food (bulimia) and as a result have become anorexic.  Starving the body has become fashionable under the auspices of attaining the perfect body or in religious ritual as fasting to cleanse the body.  Often people who are anorexic and/or bulimic also self-injure such as Princess Diana (Harris, 2000, p.172 ) “It is not a coincidence the words purgation and purgatory are inextricably tied together: The act of self-cleansing (purgation) is religiously and symbolically linked to the temporary uncertainty of one’s fate.” (p. 173)  "The spilling of blood both gives life during birth and takes it away at death....Bleeding has always signified healing, from the bloodletting of early medicine to the psychological release of ill will know metaphorically as 'getting rid of bad blood'". (Strong, 1998, p. 34)  Shamans and other mystics visualize themselves being torn from limb to limb, their blood drained, and their bodies resembled and resurrected as a necessary step towards enlightenment and the ability to heal others.  Cutting and scarification during adolescent initiation rites are tests of strength, courage, and endurance that help make the transition into adulthood. Perhaps modern day lack of formal markers and ambiguous boundaries between adolescence and adulthood is a factor in the growing popularity of cutting among youth. "Scars like blood are also richly symbolic.  They provide a permanent, physical record not only of pain and injury but also of healing." (p.35)

    Many people who self-injure in non-religious contexts do so for reasons that have overlapping religious connotations and produce affects similar to religious rituals. Self-injury serves many functions and frequently these overlap:   The cutting of the skin and the spilling of the Text Box: 1. Self-injury serves as a suicide deterrent. 
2. Self-injury serves as a temporary stress reliever by producing a sense of calm and well-being. 
3. Self-injury serves as a form of communication (a symbolic language, a way of expressing oneself without words). 
4. Self-injury serves as a method of validating one's existence. In other words, it terminates episodes of dissociation or depersonalization (feeling disconnected from oneself, feeling numb, or as if the world is unreal). 
5. Self-injury serves as a method for gaining a sense of control or of empowerment.
6. Self-injury serves as a method of cleansing away perceived badness/evil/flaws. 
7. Self-injury serves as a form of self-punishment for perceived wrongdoings. 
8. Self-injury serves as a method of blocking out memories of abuse/an abuser(s). 
9. Self-injury serves as a way of re-creating the familiar scenario-the known. 
(SIARI, 2003) 
 

blood are performed intentionally for the strengthening of a higher telos or purpose. The act of self-directed violence asserts the dominion of the ego over lesser bodily subsystems. It does so by manipulating conscious signals--hurt--through the information circuits of the body-self. Consequently, these acts become acts of autonomy and even empowerment--in the very words of many self-mutilators. And paradoxically, while ego inflicts pain on the body-image, it registers in a different manner than the pain of an accidental nick of a razor blade, not to mention the cut inflicted by a torturer. (Glucklich, 2003, p.15) There are those who have predispositions towards developing addictions to such practices. There are two biological factors in developing this addiction. First prior to cutting the person is likely to experience an adrenaline rush as part of the automatic nervous system's flight-or-flight response to danger and second, after cutting the body will release endorphins to kill the pain, which will induce a feeling of calm tranquility.

     Self inflicted renouncement, abnegation, suffering, and detachment are found in Buddhism, Hindi, Islam, Judaism, and Christianity.  In Catholicism the attempt to control the body through self- inflicted pain is referred to as mortification.  Mortifications are used to control bodily passions and appetites.  The most severe mortification is deliberately self-inflicted pain.  Methods range from kneeling on bare knees erect on the floor in prayer to self-flagellation. “One former nun described that is called ‘the discipline’: self-flagellation on the buttocks and legs three times weekly with either a lighter whip meant to hurt but leave no traces, or a heavier one that can draw blood. “ (Hyman, 1999, 191)

    In the Middle Ages self-inflicted discomfort and pain was considered an appropriate act of devotion.  In addition to denying themselves food monks would wear coarse shirts made from hair, chain mail, metal plates, whip themselves, and roll in thorn bushes and nettles.  These ascetic practices were meant to subdue sexual desires, redress guilt, express devotion, and avoid punishment after death. Some monks considered learning to be indifferent to the body and to suffering to be training for paradise. (p.191)

 

    The truly humble person will have a genuine desire to be thought little of, and persecuted, and condemned unjustly, even in serious matters. For, if she desires to imitate the Lord, how can she do so better than in this?

- St. Teresa of Avila: The Way of Perfection (Peers, 1964, Chapter, 13)

 

    Following in the ascetic footsteps of the early desert fathers, and ignited by the burgeoning ecclesiastical prominence of the suffering of Christ, religious self-flagellation originated in the eleventh century among Italian hermits and monastic reformers, notably Saint Peter Damian (1007-1072). With the rise of mendicant orders, in particular the Franciscans and Dominicans, the lay Third Orders of Penance, and ultimately flagellant confraternities in early thirteenth century Europe, "the discipline", as self-flagellation was known, spread rapidly until it became "not only a normal feature of monastic life throughout Latin Christendom but the commonest of all penitential techniques" (Barker, 1997, Cohn, 1970,p.127). Aside from vicarious participation in the passion of Jesus Christ, who was flagellated (Matthew 27: 26; Mark 15: 15; John 19: 1) on Maundy Thursday, prior to his crucifixion and death on Good Friday, corporeal subjugation was intended to catalyze the transition from a life devoted to gratification of bodily desires to a higher sanctified life in the spirit (Barker, 1997, Sabbatucci, 1987, p.114). As Thomas à Kempis (1380-1471) suggested in his The Imitation of Christ, the triumph of spirit over matter, soul over body, and eternal over temporal is made possible and manifested through self-discipline and denial (Barker, 1997, Zialcita, 1986, p.61).

     Dominic Loricatus, an eleventh-century ascetic, was renowned for his mortifications.  His very name derives from lorica, which means heavy metal plates.  He hung these plates from his body, which he gradually increased until he had eight hanging on his neck, hips, and legs.  He “turned the reciting of the Psalters into rituals of self-injury: for every ten Psalms he would whip himself a thousand times, and for every fifteen perform one hundred genuflexions [sic].  Loricatus regularly recited the Psalters twenty times every six days.  He is said to carry the wounds of Christ on his body.” (Hyman, 1999, 191-92)

    Accounts of self-mortification continue after the Middle Ages as well.   We have two particularly well-documented accounts of two Italian women from the sixteenth and seventeenth centuries.  Orsola Giuliani, born 1660, was influenced by her mother’s piety and by accounts of the saint’s lives.  Around the age of three, feeling the desire to suffer, she put her hand to the firepot so that it would burn like the martyred saints.  She also punished herself by putting her hand in an open door until it accidentally shut on her fingers after hearing about a Saint who had punished herself by slamming a trunk down on her fingers.  “But these things were mere notions done without any understanding,” she later said.  In describing her many secret acts of self-punishment she said, “I wanted no one to see me…I did all sorts of things, but without the light of God, because I did not understand what I was doing.  I only watched that no one would know.”

    The idea of marrying revolted Orsola, who only wanted to enter a convent, which is exactly what she did at the age of seventeen. There she was renamed Sister Veronica.  At the convent Sister Veronica bore a heavy wooden yoke on her shoulders, a large rock on her tongue, and beat herself with chains and sharply studded flagellating instruments.  She also reports the devil took her form and went around in her form to make her superiors angry. It was only with great difficulty that Veronica convinced her superiors that demons were about and that they were attacking her.  In her mid-thirties wounds appeared on her hands, feet, and breasts that would not stop bleeding. Her superiors suspected her injuries were self-inflicted rather than a sign from God. Though she was eventually canonized, they could not decide if she was a saint or a witch while she was alive.

 

   And we nuns are doing everything we can, by giving up our freedom for the love of God and entrusting it to another, and in putting up with so many trials -- fasts, silence, enclosure, service in choir -- that however much we may want to indulge ourselves we can do so only occasionally: perhaps, in all the convents I have seen, I am the only nun guilty of self-indulgence. Why, then, do we shrink from interior mortification, since this is the means by which every other kind of mortification may become much more meritorious and perfect, so that it can then be practised with greater tranquility and ease? This, as I have said, is acquired by gradual progress and by never indulging our own will and desire, even in small things, until we have succeeded in subduing the body to the spirit. I repeat that this consists mainly or entirely in our ceasing to care about ourselves and our own pleasures, for the least that anyone who is beginning to serve the Lord truly can offer Him is his life. Once he has surrendered his will to Him, what has he to fear? 

 

 - St. Teresa of Avila: The Way of Perfection (Peers, 1964, Chapter, 12)

 

    As a child Mary Magdalen de’Pazzi, a devout sixteenth-century Flourentine, would fast; wear a crown of thorns, whip herself, and before going to bed, tie, a prickly belt around her body.  When she was ten, she made a vow of virginity and chastity. After puberty she entered a convent where she burned herself with hot wax and continued to whip herself, sometimes with a chain.  While a nun she would sometimes writhe and convulse on the floor while experiencing hallucinations of being attacked and beaten.  She suffered from involuntary thoughts and lewd images that drove her to roll naked in thorns and whip herself until she bled.  She would also ask other nuns to whip, slap, spank, and walk upon her.  Sixty-two years after her death she was canonized.

    The Sufis built a system of asceticism and moral culture founded on the belief that there is an element of evil in humankind, a lower or appetitive soul. This evil self, the seat of passion and lust, is called nafs and is approximate to 'the flesh,' which with its allies, the world and the devil, constitutes the great obstacle to the attainment of union with God. The Prophet said: "Thy worst enemy is thy nafs, which is between thy two sides." (Nicholson, 1914, p. 40)  Mohammed ibnUlyan, an eminent Sufi, relates that one day something like a young fox came forth from his throat, and God caused him to know that it was his nafs. He trod on it, but at every kick he gave it grew bigger. He said. "Other things are destroyed by pain and blows: why dost thou increase?" " Because I was created perverse," it replied; "what is pain to other things is pleasure to me, and their pleasure is my pain." (p. 40)

    The nafs of Hallaj was seen running behind him in the form of a dog.  Other instances are recorded in which it appeared as a snake or a mouse.  Mortification of the nafs is the primary work of devotion, and leads, directly or indirectly, to the contemplative life. All the Sheykhs agree that no disciple who neglects this duty will ever learn the essentials of Sufism. The principle of mortification is that the nafs should be weaned from those things to which it is accustomed, that it should learn to resist its passions, that its pride should be broken, and that through suffering and tribulation its eyes should be opened to the vileness of its original nature and the impurity of its actions.   Self-mortification, as advanced Sufis understand it, is a moral transmutation of the inner man. "Die before ye die," does not imply that the lower self can be essentially destroyed, but that it can and should be purged of its evil attributes.  (p. 41)  

    The cutting of the skin and the spilling of the blood are performed intentionally for the strengthening of a higher telos or purpose. The act of self-directed violence asserts the dominion of the ego over lesser bodily subsystems. It does so by manipulating conscious signals--hurt--through the information circuits of the body-self. Consequently, these acts become acts of autonomy and even empowerment--in the very words of many self-mutilators. And paradoxically, while ego inflicts pain on the body-image, it registers in a different manner than the pain of an accidental nick of a razor blade, not to mention the cut inflicted by a torturer. (Glucklich, 2003, p.15)  Finally there is the occult method of disciplining the mind (or behavior-modification) of cutting the wrist or forearm with a razorblade whenever an unwanted thought or action occurs. There are many other ways to train one’s mind and behavior, but it is certainly interesting that Crowley would advocate “cutting”.  Liber Jugorum is not so unlike what the “cutter” does.  A “cutter” frequently cuts to curb unwanted thoughts, feelings and therefore potential behaviors.  For example someone may cut to stop unwanted thoughts of a lost love (obsession).  This is the very principle of Liber Jugorum.  Someone may cut to stop feelings of rage thereby stopping themselves from trashing a room or punching their spouse.  The behaviors are not so very different.  Feelings need to be recognized and expressed in ways that allow them to be released.  Ideally society would prefer other ways of expression.  Of course the goal is ultimately to no longer need to cut to control the thoughts, feelings, or behavior and this is where “cutters” often fail.  Some, however, do in the end succeed if given proper guidance and therapy.  On the other hand if cutting does not cause the practitioner any shame, harm, or distress and serves a meaningful, positive purpose in his or her life, why should they feel obligated to stop? If cutting becomes a danger or an addiction then it is a problem and not a tool.  Problems need to be eradicated and replaced with healthier options.

 

 

 

             

References:

Barker, M. (1997). The revival of religious self-flagellation in low-land christian philippines, from University of Hawaii at Manoa, Honolulu, Hawaii, Retrieved May 12, 2003, from http://www2.hawaii.edu/~millado/flagellationfolder/flagellation.html

Deiter, P., S. Nicholls & L.A. Pearlman. 2000. Self-injury and self capacities: Assisting an individual in crisies. Journal of Clinical Psychology 56 (9), 1173-1191.

Glucklich, A. 2003. Pain and self sacrifice: A phenomenological psychology of sacred pain. Harvard Theological Review Vol. 92.4:479-506. Retrieved June 5, 2003, from http://www.self-injury.net/resources/articles/readarticle.php?id=41
               Harris, J. 2000. Self-harm: Cutting the bad out of me. Qualitative Heath Research Vol 10, No. 2, 164-173.

Horsfall, J., PhD. 1999. Toward understanding some complex borderline behaviors. Journal of Psychiatric and Mental Health 6, 425-432.

Hyman, J.W. 1999. Women living with self-injury. Temple University Press: Philadelphia, Pa.

Lowen, Alexander, MD 1985. Narcissism: Denial of the true self. Collier Books: New York.
Secret Shame, 2003. Retrieved July 18, 2003 from http://www.palace.net/~llama/psych/intro.html

Nicholson, R. (1914).  The mystics of Isam. Routledge, Kegan Paul, London.  Retrieved May, 13, 2003, from http://www.sacred-texts.com/isl/moi/moi.htm

Peers, A.E., ed. (1964), Saint Theresa of Avila: The way of perfection. From the critical edition of P. Silverio de Santa Teresa, C.D. (Scanned by Harry Plantinga, 1995 from the Image Books ed.) Retrieved May 20, 2003, from http://www.ccel.org/t/teresa/way/main.html
SIARI. 2003. Retieved June 2, 2003 from http://www.siari.co.uk
Siegel D.J. 1999. The developing mind. The Guilford Press, New York, NY.

Sroufe, L.A. 1996. Emotional development: The organization of emotional life in the early years. New York: Cambridge University Press.

Strong, M. 1998. The Bright Red Scream. Penguin Books: New York.

Zialcita, Fernando N. (1986). Popular interpretations of the passion of Christ. Philippine Sociological Review 34: 56-62.




 

To get a better perspective of the phenomena, I recommend the following books:


Books:


Bodies Under Siege: Self-Mutilation in Culture and Society by Armando R. Favazza, M.D. This is generally regarded as the best overall book on the subject. If it has any drawbacks, they are that it devotes too little time to minor mutilations such as superficial cutting, and the causes thereof.

Women Who Hurt Themselves: A Book of Hope and Understanding by Dusty Miller. Despite the title, much of what is in this book applies to men too. The emphasis of this book is upon victims of childhood abuse, which accounts for many, but not all self-mutilators. Within this range it is very good.

Women Living With Self Injury by J. Hyman. This book also deals with the stories of women who self-injure, may of them abused as children. It looks into many aspects of self-injury and how it affects the lives of those affected by this secret shame.

A Bright Red Scream by Marilee Strong.  This is a wonderful, insightful book, which covers self-injury from the many angles it presents.  It includes personal accounts, psychological analyses, and a broad, compassionate view of the subject.

 

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