A Book of Hope and Understanding Filled with moving stories, this powerful book was the first to focus on women who engage in different forms of self-mutilation. Miller is widely recognized as the first expert to identify the roots of "cutting" and other self-injurious behavior in women. These women suffer from what she calls "Trauma Re-enactment Syndrome" (TRS), a pattern of behavior in which they re-enact severe psychological or physical harm done to them as children. In the decade since her work was first published, new research has supported Miller's perspective. In her introduction to this tenth anniversary edition, Miller discusses what self-harming women and abuse survivors have known all along: that self-injury activates endorphins that actually calm the psychic pain of old wounds. She describes the latest treatments geared to this view--and offers, once again, hope and understanding to the women themselves and to those who care for them.