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First published June 12, 2012
Substance abusers can learn healthy behaviors that provide the same (albeit less potent) good feelings they used to seek from a bottle, a pill, or a needle. In fact, that may be what makes some rehab programs so effective for certain addicts. If you look at the behaviors these program encourage – socializing, companionship, anticipation, planning, and purpose – they’re all part of an ancient, calibrated system that doles out internal neurochemical rewards. (p. 109)
Release … and relief – those are the same reasons cutters give for why they cut. The same intensity and promise of sudden relief we might get from pulling a single strand of hair or picking a pimple, dialed way, way up, leads cutters to carve lines in their skin with razor blades. If we accept that this behavior is on the same spectrum as less destructive forms of grooming, as my veterinarian colleagues would suggest, then self-mutilation is truly grooming gone wild. (p. 168)