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Some of them will self-injure so as to generate a strong sensation that is capable of bringing them back to feeling something again. Not all numb dissociated people will use physical pain to "return"; some will use other strong sensations such as are afforded by drugs or sex, etc. Sometimes, people who self-harm are not skilled at using language to describe their inner experiences.This can be because they are not particularly good with words.She coped with this compulsion by cutting herself, which refocused her attention, however temporarily, away from her suicidal ideation.This wasn't perhaps the most ideal coping solution in the world, but it was what she had come up with, and it was functioning to keep her alive.Sometimes an aspect of a person's chaotic internal experience is that feelings and thoughts build up a subjective state of tension or arousal that motivates people to do something to take action to reduce that tension or arousal.Cutting or burning one's self can, apparently, serve such a tension-reducing function. I read an account of a young woman who was consumed with suicidal thoughts which pushed her towards a compulsive feeling that she should end her life.This process of physical expression of inner experience is sometimes called "acting out." One rather impulsive and aggressive form of acting out involves inflicting wounds on one's self with the intention of using these physical wounds as a communications device.

There is a tendency to panic when you see someone you care about bleeding from self-inflicted wounds, or covered with scars.

Self-injurers sometimes use this pain sensation to override painful background chatter that fills their minds.

For example, they may have been traumatized by a rape experience such that they have PTSD symptoms and constantly be replaying that rape in their minds.

Traumatized people sometimes cope with their trauma by dissociating.

Dissociation is a mental and emotional state where the normal unitary experience of consciousness gets chopped up into disconnected parts.

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What people may not realize is that it is also painful to not feel anything.

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