This is actually my first time of coming across the term "Biopsychosocial".
Such an amazing piece Abbey. I really wonder why people would tend to tilt towards self-harm in the bid to counter emotional stress. In my opinion, this is just like a temporary solution to a permanent problem, because it does not take away the problem, it just masks it and provides a temporary relief.
The only self-harm I've witnessed (in media though) was for fun. Have you heard about Tim Cridland (Zamora the Torture King) Abbey? He has superhuman tolerance to pain and performs unimaginable painful stunts for fun - like cutting himself, sword swallowing, piercing etc... Now I'm thinking; what if he developed the act as an adaptative mechanism to ward off emotional stress? Okay I don't know though, but it could be possible.
Nice piece as usual Abbey. Much love from Nigeria