| Throughout history, people have practiced a variety of forms of self-mutilation. However, during the last twenty years, there has been a shift in this behavior from what was once a form of cultural expression to what is now seen as a type of self-injury that has clinical and pathological implications. Even though the prevalence rates of this behavior have risen dramatically, particularly in settings such as emergency rooms, mental health centers, college campuses, and even high schools, little is known about self-mutilation. In addition, the terms for and definition of this behavior vary tremendously from person to person, making it difficult to state clearly what should be classified as self-mutilation. The purpose of this paper, therefore, is to review the current literature on self-mutilation, assess its strengths and weaknesses, and put forth recommendations for assessment and treatment of this behavior. |
