02/24/2026
If we assume that self-harm induces pain, then we will interpret it as masochism or self-punishment or a cry for help. And if we do 2 that, we will miss the core issue in self-harm of mastery- and relief-seeking. Because to interpret it as self-punishment usually leads the patient right into her feelings of shame and worthlessness, and she responds by thinking or saying, "But I am bad—I do deserve to be punished—and since I'll never feel anything but hate for myself, I'll never stop my self-harm." Or, "Since I will never be able to help myself, my only hope is to keep crying for help."