" Many self-mutilators, as well as anorexics and bulimics, come from families where physical appearance and prowess were stressed more than feelings and thoughts. Eating disorders are particularly rampant among female athletes, dancers, models, and others from whom approval is explicitly tied to their body. Like self-mutilators, anorexics and bulimics tend to be perfectionists who never feel good enough, despite their considerable achievements. Often they are the "good little girl"—the perfect, straight-A student, the quiet, conscientious one who never gave here parents any trouble—an identity they strenuously cling to in order to avoid conflict and abuse. But beneath the mask, they feel loathsome and defective, anything but special. They develop a rigidity of character and a right-or-wrong style of thinking that makes them acutely sensitive to criticism. Everything is either black or white, good or bad, success or failure, fat or thin. There is no in-between, no comfort in just being adequate. "

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