I found the book disturbing in its compelling, detailed descriptions of the author's desire to self-injure. It's difficult to read something to which one so intimately relates. Hopefully someone will read this and realize they are not alone. There are many of us with this unhealthy way of coping with emotions and life. I no longer engage in self-injury. It has been six months since the last time. There is hope available. Amazon, your list of books for people to read that read this book is sorely missing the book, Bodily Harm by Karen Conterio and Wendy Lader. Not only is it a compassionate, encouraging book, but is based on Conterio and Lader's program in the suburbs of Chicago established to exclusively treat Self-Injury and the book offers concrete, tried suggestions for help. Skin Game is being added to my library of well-written books on the subject, of which I have found few. It is not for the faint-of-heart, however.