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There is a tendency to panic when you see someone you care about bleeding from self-inflicted wounds, or covered with scars.Such panic interferes with thinking, and makes it harder for people to understand the motives behind self-injury.Feelings can also be dissociated or detached from the events that provoked them such as occurs in Depersonalization Disorder.
This basic understanding is not often there when people are confronted with someone who is cutting or burning or otherwise traumatizing themselves.
People don't have good reference points to use so as to understand what motivates self-injury or what people who self-injure are trying to accomplish.
That acts of self-injury are so often bloody and horrifying that it makes it harder for people to be thoughtful about what these acts mean.
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.
Traumatized people sometimes cope with their trauma by dissociating.