“Beautifully Strange”: Understanding the Experience of Tattooing and Piercing in Women Who Engage in Non-Suicidal Self-Injury
Bibliographic record
Abstract
Non-suicidal self-injury (NSSI) is defined as the deliberate and intentional damage or destruction of parts of one’s body, without the intention of committing suicide (Klonsky, 2009a; Shenk, Noll, & Cassarly, 2010; Whitlock, Eckenrode, & Silverman, 2006). NSSI is most often performed through cutting, burning, or scratching one’s skin (Briere & Gil, 1998; Conterio & Lader, 1998; Favazza & Conterio, 1989; Klonsky, 2007a, 2007b). The self-injury literature routinely distinguishes between NSSI and behaviours that are deemed socially acceptable, such as tattooing and piercing (Claes, Vandereycken, & Vertommen, 2005; Eberly, 2005; Heath, Toste, Sornberger, & Wagner, 2011; Walsh & Muehlenkamp, 2013). As a result, the relationship between NSSI, tattooing, and piercing is rarely acknowledged or explored in the research literature, leaving tattooing and piercing generally ignored in the discourse surrounding NSSI. In an attempt to understand the relationship between these acts further, I conducted a study to offer some possible answers to the research question: How might we understand the experience of tattooing and piercing in women who have engaged in NSSI? In this study, grounded in Gadamer’s (1960/1989) philosophical hermeneutics, ten Canadian and American women between the ages of 21 and 33 were interviewed about their experiences of engaging in NSSI, tattooing, and piercing. Their responses revealed a complex relationship between these behaviours. NSSI, tattooing, and piercing were explored and discussed in relation to a number of topics, including psychosocial integration, emotion regulation and dysregulation, tact, spirituality, art, impulsivity, embodiment, communication, harm reduction, and suicide. I found that NSSI, tattooing, and piercing have similar cultural and spiritual roots, can be ways of managing emotion dysregulation, can feel therapeutic, and can serve as forms of communication. Additionally, I found that tattooing and piercing can serve as substitutes for and forms of NSSI. Limitations, implications for practice, and directions for future research were also discussed.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".