Usually diagnosed as having a cluster b personality disorder dissociative disorder posttraumatic stress disorder ptsd substance abuse an eating disorder or more than one of these disorders they are most frequently women between ages 13 and 40. A bright red scream self mutilation and the language of pain is a 1998 non fiction psychology book written by american journalist marilee strong about self harm published by viking press it is the first general interest book on self harm. A bright red scream self mutilation and the language of pain is a comprehensive riveting look at self injury it features stories of people from all walks of life who intentionally hurt themselves for a plethora of reasons a history of sexual abuse early trauma severe neglect abusive and or alcoholic caregivers inconsistent upbringing other adults in the childs life who deny any abuse ever happened. A bright red scream self mutilation and the language of pain author marilee strong published on october 1999 marilee strong books amazonca. Strong explains what factors lead to self mutilation why cutting helps people manage overwhelming fear and anxiety and how cutters can heal both their internal and external wounds and break the self destructive cycle a bright red scream is a groundbreaking essential resource for victims of self mutilation their families teachers doctors and therapists