It seems inappropriate to me that a book like this would have only one person’s name on the cover when so many have par- ticipated in putting it together. I’d like to acknowledge the sig- nifi cant role played by the people whose personal stories have given life to these pages. Dozens of men and women who have personally lived with the anguish of self-injury have opened their hearts and their journals so readers can hear fi rsthand what goes on beneath the surface. I want to thank particularly T, K, L, J, M, and R, who have trusted me.