While parts of this book were informative and interesting, I think the name of the book was misleading. This was not a book about women who hurt themselves in general, but specifically a book about women who hurt themselves due to what the author calls "Trauma Reenactment Syndrome" (TRS). While this may certainly be a real phenomenon -- that some adult women hurt themselves after being abused or neglected in childhood -- it by no means can account for all women who hurt themselves. Perhaps this has to do with the fact that the book is somewhat outdated (first written in 1994, with an updated version written in 2005), but the author blatantly states near the beginning of the book: "In my own work, I find that women who have developed entrenched patterns of seriously self-harmful behavior are unlikely to do such things to themselves without an underlying history of abuse or neglect. I have yet to encounter a woman with a severe eating disorder, unremitting substance-abuse problems, or a history of self-mutilation who did not experience some childhood trauma, whether it was sexual abuse, physical abuse, severe neglect, or, in a few cases, chronic and incapacitating childhood illness." This I know to be absolutely untrue. Again, while this may be the case for SOME women who hurt themselves, it is by no means the case for all of them. This book was exclusively about how women who hurt themselves did so because of the trauma they experienced in childhood, and to say this is the case for all women who hurt themselves is false and misleading.
The other problem I had with the book was how the author seemed to refer to homosexuality as a choice. "The choice to be in lesbian relationships is sometimes related to the wish to avoid replication of a childhood abuse experience." Being a lesbian is not a choice. Period. To suggest that it is a choice is offensive and untrue.