Hello, It is all self harm I think. When I was cutting the most my old therapist would try to get me to scratch or pop the rubber band thing. Her basic phil. was do less harm then no harm, like you said get you of the addictive behavior. I haven't cut in two yrs. but I substote with other bad behavior. I squeeze theside of face and scratch. At least won't end up in E.R. Please don't knock your self, to me a little sin is still a sin. We just have hardtime working thru our emotions, because of past. Take care