Skin Game

Following last year's A Bright Red Scream by journalist Marilee Strong, Cutting by psychotherapist Steven Levenkron and Bodily Harm by self-injury treatment program directors Karen Conterio, Wendy Lader and Jennifer Kingson Bloom, this memoir is touted as the first personal account of compulsive self-mutilation. However, Kettlewell's story leaves more questions unaddressed than it answers. Having regularly cut her body with razor blades for most of her life, at age 36 she does not seem to have enough distance from her actions to fully understand them. Searching for a reason for her behavior, she writes about the distress and anxiety she felt during most of her childhood in rural Virginia, where her educated Northern parents were rarities. Unsure if her misery was justified, Kettlewell never talked about it, instead escaping by cutting her arms and legs, which allowed her to focus only on the present moment, the certainty of blood and pain. She still doesn't know whether she is entitled to the mental anguish she continues to suffer, and the bulk of the book, by detailing her misery, simply begs the question.We learn surprisingly few details about her life--a first marriage is summarized in a few sentences; her eating disorder in a few pages; her parents, second husband and child are never fully characterized. The text jumps repetitively and illogically between episodes, occasionally registering confusion at the level of the sentence structure (""Which one of us did I lie to protect?"" is typical), and rife with maudlin metaphors and similes (""summer fell across my lap like a corpse""). Although Kettlewell's story shows courage in the writing, it will make most readers feel like voyeurs. (July)