How do women living with genital herpes and/or HPV (human papilloma virus) infections see themselves as sexual beings, and what choices do they make about sexual health issues? Adina Nack, a medical sociologist who specializes in sexual health and social psychology, conducted in-depth interviews with 43 women about their identities and sexuality in regards to chronic illness. The result is a fascinating book about an issue that affects over 15 million Americans, but is all too little discussed.

Damaged Goods adds to our knowledge of how women are affected by living with chronic STDs and reveals the stages of their sexual- self transformation. From the anxiety of being diagnosed with an STD to issues of blame and shame, Nack-herself diagnosed with a cervical HPV infection-shows why these women feeling that they are "damaged goods," question future relationships, marriage, and their ability to have healthy children.

They cut their arms and legs with knives and razors; scratch at their skin; burn, bruise, or stick themselves with cigarettes, hammers, pins, and other objects; bang their heads and  limbs; and break their own bones. Although women who live with self-injury have recently gained recognition in the media, they have, as a result, become even more stigmatized.

In this book, author Jane Wegschneider sheds light on this misunderstood condition. Fifteen women talk about their battle with self-injury and explain how and why they repeatedly and deliberately injure themselves. Most admit they do it because it makes them feel high or safe. They also describe living with ceaseless shame, secrecy, and fear of discovery which could make them unemployable and ostracized. Candidly discussing their attempted and successful recoveries, they reveal the impact living with self-injury has on their day-to-day lives -- where they are competent workers, partners, friends, and mothers.

Hear the voices of these women as they speak to a public that generally sees self-injury as frightening, senseless, and repulsive. Concealing scars or other signs of injury is crucial for them and partly dictates their daily routines, choice of clothes, and the lies they tell to excuse any traces of injury. For these productive women who work outside of the home and often raise children, hiding self-injury is of paramount importance during their workdays and in their relationships with partners, families, and friends.

Hyman's approach is unique in that she not only talked to these women but also really listened to their stories -- something rare in the misunderstood realm of self-injury. Professionals, perplexed by self-injury, have not always tolerated its complexity. As a result those who injure themselves have remained shrouded in secrecy, isolation, and shame -- until now.

This  book offers compassion as well as encouragement for recovery by making available the emotional experiences of sufferers in their own words. It is an important book for those who self-injure, their loved ones, anyone who knows of or suspects self-injury in a friend, and mental care professionals.