There’s an online quiz titled “Are you a real cutter or do you cut for fun?” full of statements to be agreed or disagreed with: I don’t know what it really feels like inside when you have problems, I just love to be the center of attention. Gradations grow finer inside the taboo: some cut from pain, others for show. Hating on cutters—or at least these cutter-performers—tries to draw a boundary between authentic and fabricated pain, as if we weren’t all some complicated mix of wounds we can’t let go of and wounds we can’t help; as if choice itself weren’t always some blend of character and agency. How much do we choose to feel anything? The answer, I think, is nothing satisfying—we do, and we don’t. But hating on cutters insists desperately upon our capacity for choice. People want to believe in self-improvement—it’s an American ethos, pulling oneself up by one’s bootstraps—and here we have the equivalent of affective downward mobility: cutting as a failure to feel better, as deliberately going on a kind of sympathetic welfare—taking some shortcut to the street cred of pain without actually feeling it.

These girls aren’t wounded so much as post-wounded, and I see their sisters everywhere. They’re over it. I am not a melodramatic person. God help the woman who is. What I’ll call “post-wounded” isn’t a shift in deep feeling (we understand these women still hurt) but a shift away from wounded affect—these women are aware that “woundedness” is overdone and overrated. They are wary of melodrama so they stay numb or clever instead. Post-wounded women make jokes about being wounded or get impatient with women who hurt too much. The post-wounded woman conducts herself as if preempting certain accusations: don’t cry too loud, don’t play victim, don’t act the old role all over again. Don’t ask for pain meds you don’t need; don’t give those doctors another reason to doubt the other women on their examination tables. Post-wounded women fuck men who don’t love them and then they feel mildly sad about it, or just blasé about it, more than anything they refuse to care about it, refuse to hurt about it—or else they are endlessly self-aware about the posture they have adopted if they allow themselves this hurting.

The post-wounded posture is claustrophobic. It’s full of jadedness, aching gone implicit, sarcasm quick-on-the-heels of anything that might look like self-pity. I see it in female writers and their female narrators, troves of stories about vaguely dissatisfied women who no longer fully own their feelings. Pain is everywhere and nowhere. Post-wounded women know that postures of pain play into limited and outmoded conceptions of womanhood. Their hurt has a new native language spoken in several dialects: sarcastic, apathetic, opaque; cool and clever. They guard against those moments when melodrama or self-pity might split their careful seams of intellect. I should rather call it a seam. We have sewn ourselves up. We bring everything to the grindstone.

The woman Tom describes, “wallowing” in self-pity and unable to decide what the world should do about it, is exactly the woman I grew up afraid of becoming. I knew better—we all, it seems, knew better—than to become one of those women who plays victim, lurks around the sickbed, hands her pain out like a business card. What I’m trying to say is, I don’t think this was just me. An entire generation, the next wave, grew up doing everything we could to avoid this identity: we take refuge in self-awareness, self-deprecation, jadedness, sarcasm. The Girl Who Cried Pain: she doesn’t need meds; she needs a sedative.

And now we find ourselves torn. We don’t want anyone to feel sorry for us, but we miss the sympathy when it doesn’t come. Feeling sorry for ourselves has become a secret crime—a kind of shameful masturbation—that would chase away the sympathy of others if we ever let it show. “Because I had grown up denying myself any feeling that even hinted at self-pity,” Grealy writes, “I now had to find a way to reshape it.”

Reshape it into what? Into faith, sexual promiscuity, intellectual ambition. At the pinnacle: into art. Grealy offers this last alchemy, pain-to-art, as possibility but not redemption. It seems likely that for all her wound has given her—perspective, the grit of survival, an insightful meditation on beauty—Grealy would still trade back these wound boons for a pretty face. This confession of willingness is her greatest gift of honesty, not arguing that beauty was more important than profundity, just admitting that she might have chosen it—that beauty was more difficult to live without.