ABSTRACT
This chapter explores how self-disgust may manifest as part of the experience of self-harm. In its primary form, disgust implies a set of behavioural and physiological rejection responses against contamination or incorporation of contaminant material. It involves a sudden arousal of feelings, physiological changes, and action impulses that aim to prevent the threatening object from crossing the body boundary or from spreading within it. People who self-harm are, prior to the act, either in a state of high arousal, in which overwhelming anger, anxiety, or a mixture of unidentifiable emotions is typically experienced, or they are depersonalised. Feeling out of control involves an experience of a lack of autonomy and agency over one’s internal states. The self-harm act “catches” emotions that were previously felt to be “untameable” and amorphous; the wound, scar, and/or blood become a representation of the experience that can be attended to, contemplated, and something that the individual can act upon.
