Ruth
Ruth’s eldest daughter began cutting herself during a long period of absence from school between the ages of 12 and 13. She no longer hides her cutting, which Ruth describes as horrifying.’
Ruth first noticed that her daughter, Sylvia (not her real name), who was 15 years old at the time of interview, had been cutting herself when Sylvia was 13. She had got drunk with a friend and both were admitted to hospital. Disinhibition led her to show the scars she had been hiding up to that point. Sylvia wouldn’t talk to her mum about the reasons for her self-cutting but Ruth relates it to a long painful illness which kept Sylvia off school for almost 18 months from the age of 12 (eventually diagnosed, tentatively, as abdominal migraine). During that time Sylvia spent a lot of time on her own and became depressed. She was under the care of a pain team, including a psychologist. Ruth had no idea that Sylvia was harming herself during this time.
Sylvia’s cutting increased after she was sexually assaulted, just after she returned to school at the age of 14. The shopkeeper was prosecuted and convicted, but, on one of the few occasions Syliva has talked to Ruth about her feelings and the reasons for her self-harm (to express myself’) she revealed that this assault left her feeling completely worthless. Ruth says that this incident had a devastating impact on Sylvia. Ruth describes her as an attractive, outgoing, bright girl who has recently done well in her English standard grade exam despite her long absence from school. Since the assault Sylvia cuts deeper and no longer tries to hide her cutting or her scars. Ruth describes her horrified response to seeing blood running down Sylvia’s arms from fresh, deep cuts. Since the sexual assault Sylvia has received weekly counselling from the Child and Adolescent Mental Health Service (CAMHS) but, Ruth says, her self-harming gets worse and worse.
The only person Sylvia continues to hide her scars from is her birth-father. She has also embargoed Ruth from talking to him about it. Both her birth-father and her stepfather seem to Ruth, who has researched self-harm, to have simplistic views about it, which she says is divisive and makes her feel alone in her thinking about it.
School hasn’t been helpful, in Ruth’s view, concentrating their concerns on Sylvia’s absences rather than on her health needs. Ruth feels excluded to some extent from CAMHS but understands that they can’t talk to her about Sylvia. She does occasionally see one of the psychologists herself and is able to talk about her own feelings and responses to Sylvia’s cutting. CAMHS staff suggested at one point that they have a joint session with Ruth and Sylvia, but Sylvia flatly refused. Ruth has received helpful information and support from a mental health charity.
Ruth has learned that self-harm is not just a teenage thing’ and is concerned that there might not be a time when Sylvia is likely to stop. At the same time she is optimistic for her future, hoping that she will go to university and, experiencing a different kind of life, will decide to stop self-harming.