" Feelings provoked by the sense of loss or abandonment—tension, anger, rage, fear, anxiety, panic—build to an overpowering crescendo. Cutters are unable to communicate their discomfort to others in order to draw support and have internalized no soothing image of a safe, loving caretaker to draw upon to nurture themselves, calm their fear and anger, and regain a sense of control. They are left feeling helpless, overwhelmed, and utterly alone. Because their emotions cannot be expressed or integrated, they have to be discharged in some other fashion. Strong feelings simply can't be dealt with on a mental level but seem instead to demand action. "

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