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(Paperback - REV)
The author of the seminal and groundbreaking Treating and Overcoming Anorexia Nervosa now explains the phenomena of self-mutilation, a disorder that affects as many as two million Americans.
"...explains why this disorder, which affects as many as two million Americans, manifests itself in self-harming behavior...describes treatment options for the self- mutilator."
The psychotherapist whose books (including the novel The Best Little Girl in the World) have illuminated the nature and treatment of obsessive-compulsive disorder (OCD), anorexia nervosa and bulimia now shines the spotlight on another misunderstood behavioral disorder: self-mutilation. Levenkron begins by advising desensitization to the disturbing wounds, scars and blood-letting patients inflict upon themselves, redirecting focus toward the underlying issues. He likens cutting to OCD in that it is a compulsive act meant to relieve unbearable emotional pain, and to eating disorders in that it is a method of seizing control. Like anorexics, most cutters are girls, unable to express anger toward others, instead turning it against themselves. Levenkron is careful to explain that cutting is not the same as body piercing or tattooing, which reflect "adolescent trendiness," and that cutters are not suicidal, their wounds life-threatening only rarely and accidentally. Cutting is done secretly, "usually in a trancelike state," and "the act of creating pain... or drawing blood, is in itself the goal." Cutters then develop an "addiction" to this method of exchanging physical pain for emotional pain. With many examples from his practice, Levenkron provides clear and comprehensive information on the causes and effective treatments of this mysterious disorder, specific advice for therapists and an encouraging sense of hope for patients and their families. (May)
More Reviews and RecommendationsSteven Levenkron is a psychotherapist and the author of seven previous books, including Cutting and The Anatomy of Anorexia. He lives and practices in New York City.
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August 15, 2009: Dr. Levonkron seems to have unending reserves of patience, understanding, and knowledge for self-injurers and those who love them. I was comforted and empowered by his book. As the friend of a self-injurer, Cutting pointed out to me the character traits she needs from me, and how I should interpret her behavior. An excellent book that should be read by parents, teachers, teenagers, and mental health professionals.
I Also Recommend: Skin Game.
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July 02, 2009: I read this book because of my daughter. I am not a cutter but she is. Before I read the book I thought "how could she do this to herself. I used to make her promise me that she wouldn't hurt herself anymore. The book did desensitize me in a way to cutting...it had desensitize me so that I could help her. I now have a new perspective on her cutting and can talk about it openly with her. My biggest pet peeve is when people tell me that she does it for attention. This has nothing to do with attention, this has to do with real psycological pain. And it is my job, as a parent, to give my daugther the tools to deal with that pain and alternatives to cutting that give her the same release.