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I have a few tattoos, no piercings. I'd say there's some relation between getting a tattoo and overcoming a difficult experience. Some sort of "I've survived" memento.
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Tattooing and piercing is most certainly self-mutilation. Look to those who go to extremes and you will see the motivations. They are signaling the fact that they are willing to harm themselves. There are many who look for that in a partner. Sad but true.
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