" Some children who grow up the be cutters may have been forced to take on the mother's role in childhood due to their father's sexual abuse or their mother's death or incapacity. Or a mother may simply have been too overwhelmed by life circumstances to meet her children's needs. In some cases, both parents may be conscientiously attuned to their child but because of some physical trauma she must endure—such as childhood illness, accident, or extensive medical procedure—no amount of comforting can diminish the pain and distress the child has to manage. Whatever the source, the child is left feeling emotionally abandoned and her unmet needs and unsoothed fears create an overwhelming level of anxiety. Later in life, cutting or burning becomes her primary strategy for regulating her emotions and avoiding further mental deterioration. It is a means of self-soothing and in that sense it can be viewed as a flawed attempt at self-mothering. "

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