Self-harm is thought by many to be a modern epidemic: a phenomenon of the late twentieth century, a symptom of extreme emotional turmoil in young people, particularly young women. Yet it was 150 years ago, within early asylum psychiatry, that self-mutilation was first codified as a category of behaviour, and explanations for a variety of self-injurious acts were conceived very differently. Psyche on the Skin charts the secret history of self-harm. sakriti opis