" Cutting redefines the body's boundaries, differentiating self from others. Blood flowing from the wound proves there is life inside the body instead of nothingness. On a subconscious level, according to psychoanalytic theory, stimulation of the skin through self-mutilation helps reintegrate the splintered sense of self by reactivating the body ego—perhaps by re-creating a tactile experience that, at least to cutters, is pleasurable and soothing. This fracturing of the sense of self is not the result of minor or accidental insults. "At some point every baby is going to roll off of the changing table, and it's met with great alarm and she gets scooped up and taken care of," says Scott Lines. "What we're talking about with cutters are impingements that happen so frequently that they become not only expected but the child believes that they are brought on by herself." Children in this situation begin to blame themselves for being abused or mistreated. Lines thinks it is no accident that the skin is the cutter's site of attack. He also wonders if it is no coincidence that the arms are the most common target, perhaps a symbolic attack on the mother's arms that did not adequately hold the child and keep her safe. "

― Marilee Strong , A Bright Red Scream: Self-Mutilation and the Language of Pain