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To add a little bit more to the "cutting oneself is not a socially sanctioned method of stress reduction" line. Alcohol and Cigarettes both have uses other than the merely numbing of emotion; they are both pleasurable activities in themselves and they are both frequently social activities. Self-mutilation is neither; it has no purpose other than the numbing of emotion. So, for this reason, it is less socially acceptable than the other two.
(Note: I am not endorsing smoking. Don't do it! -- From the man with the 'mysterious' cough)
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"Die Deutschen meinen, daß die Kraft sich in Härte und Grausamkeit offenbaren müsse, sie unterwerfen sich dann gerne und mit Bewunderung:[...]. Daß es Kraft giebt in der Milde und Stille, das glauben sie nicht leicht."
"The Germans believe that power must reveal itself in hardness and cruelty and then submit themselves gladly and with admiration[...]. They do not believe readily that there is power in meekness and calm."
-- Friedrich Nietzsche
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