“A factor that plays an important role in both self-mutilation and eating disorders is a distorted body image. Although many women suffer from poor body image brought about by oppressive public attitudes and media images, societal pressure alone does not cause the kind of deep-seated mental and physiological disturbance that leads to serious and chronic self-mutilation or eating disorders. Cutting and burning, starving and stuffing, bingeing and purging all reflect both an extreme preoccupation with the body and an equally strong sense of alienation from it. The body is viewed as the enemy—an adversary that must be punished and controlled at all costs. At the same time, the body seems dead, unreal, separate from the soul. It's reality must constantly be proven. The root causes of this are much more closer to home. Like the skin ego, body image begins to form with the earliest skin contact between parent and infant. Whether a positive or negative body image ultimately develops as the child grows into adulthood depends on, among other things, the sense of power, control, and autonomy the child feels over her physical self. Inviolate body boundaries are essential to a healthy body image. Intrusive and neglectful caregiving results in poor body image and the compulsive need to artificially create and enforce body boundaries though behaviors like cutting and eating disorders.”