Editing a volume on self-injurious behaviors might be characterized as an act of bravery. Few authors, excepting Dr. Armando Favazza, a contributor to this volume, have dedicated a book to this topic. The scope of the book is capacious, covering self-injurious behaviors encountered in autism, Tourette’s syndrome, mental retardation, psychosis, trichotillomania, and borderline personality disorder. Bravery is certainly involved in working with patients who injure themselves. As Guralnik and Simeon point out, “Clinicians are often scared away from work with such patients…[and, partially as a result,] a suspicious paucity of literature deals directly with treatment of self-injury” (p. 191). The editors’ objective was to target a book for clinicians yet make it “sophisticated in its data base and research findings.” Their predicament is that their heroic goal involves a clinical area about which little has been written. I might boldly suggest that the editors could have strengthened the book by examining the boggy ground between self-injurious and suicidal behavior. Unfortunately, these areas of inquiry have tended to have separate literatures and theoretical models, although patients’ intentions in injuring themselves are seldom purely separated.