In the realms of self-harm this is a painful behaviour linked to trauma, shame and a complete sense of overwhelm in the mind.

It is generally a secret, hidden act, unless done to punish a carer, in which case it may be overt as a way of getting attention.

Cutting can be an experiment, a one-off act, or it can be a well-hidden way of managing emotional torment.

Long-term, the consequences of cutting can be hard to accept, there are generally scars which tell the tale of the pain, but are easily mis-interpreted and judgements are easily made about the history.

During the MAP trainings we do look at this as a mechanism and work with ways to open up the shame fold.

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