Content warning: This post discusses self-harm, mental illness and institutional indifference to trauma.
That the Library of Congress Subject Headings (LCSH) are a biased, offensive and wholly outdated set of controlled terms is not a new concept in cataloguing. Plenty has been written on the innumerable ways LCSH describes people, places and concepts in ways that do not belong in a modern library catalogue. I hope plenty has also been written on the trauma this can cause library users (though I confess at the moment I can’t find much). But today I need to talk about a couple of terms in particular, terms that hit a little too close to home, and which I never want to see in a catalogue ever again. I need to talk about the trauma this causes me, a cataloguer. I need to talk. LCSH needs to listen.
Today on my cataloguing pile, there appeared a book on dealing with depression and mental illness. I won’t identify the book or its author, but it was a wonderfully helpful book that encouraged its reader to write in it and make it their own. This being a library copy, our readers naturally can’t do that, but I guess they could photocopy parts of the book if they needed. The author clearly had lived experience of these issues and sought to write a book that might help someone who is struggling, as they had once done.
One section of the book discusses what to do if the reader feels a need to self-harm. It includes things like ‘glue your fingers together and pick at that instead’, ‘count from 100 backwards and start again if you lose track’ and ‘make a list of people you can talk to, and don’t feel bad about talking to them’. To another cataloguer, it might have seemed like a minor portion of a book that is substantially about other things. To me, this topic is so important, and the advice so genuinely helpful, that I decided it needed surfacing in the catalogue record. In particular, I decided it merited its own subject heading.
Looking up ‘Self-harm’ in LCSH brought me to these terms:
Self-harm, Deliberate
USE Parasuicide
Self-harm, Non-fatal
USE Parasuicide
Self-harm (Self-mutilation)
USE Self-mutilation
The entry for ‘Parasuicide’ reads:
Parasuicide (May Subd Geog)
Here are entered works on deliberate acts of selfharm in which there is no intent to die. Works on attempted suicide are entered under Suicidal behavior.
UF Deliberate self-harm
Harm, Deliberate self
Non-fatal self-harm
Parasuicidal behavior
Self-harm, Deliberate
Self-harm, Non-fatal
BT Self-destructive behavior
RT Suicidal behavior
The entry for ‘Self-mutilation’ reads:
Self-mutilation (May Subd Geog)
Here are entered works on behaviors by which individuals intentionally cause damage to their bodies. Works on stereotyped behaviors by which individuals unintentionally cause damage to their bodies are entered under Self-injurious behavior. Works on nonstereotyped behaviors and cognitions by which individuals directly or indirectly cause harm to themselves are entered under Self-destructive behavior.
UF Automutilation
Self-harm (Self-mutilation)
Self-injurious behavior (Self-mutilation)
Self-injury (Self-mutilation)
BT Malingering
Mutilation
Self-destructive behavior
NT Cutting (Self-mutilation)
Self-torture
I hit the roof.
I read these and said, out loud, to an empty office: ‘You’ve got to be fucking kidding me.’ I skipped right past the dubious non-preferred terms (UFs), the distant and unfeeling scope notes, the questionable broader terms (‘Malingering’? Really?!). I zeroed in on the terms that someone, somewhere, in another place and another time, had decided were the right words to use to describe someone harming themselves.
Describing these acts as ‘Parasuicide’ is not helpful. I say this both as a cataloguer and as someone with lived experience of the acts in question. This is not good enough. This term needs to go.
People searching for works on this topic almost certainly be using the keyword ‘Self-harm’ or a close variation. If they’re using keyword search instead of subject search (and they will be, because nobody uses subject search anymore except librarians), these works will not appear in search results. They would have to know the particular term used by LCSH, thereby negating the point of having non-preferred terms in the first place, and be willing to overlook the inappropriateness of this term. I doubt anyone with an information need on this topic would be willing to overlook this. Certainly I’m not.
The scope notes for ‘Parasuicide’ are almost exclusively drawn from medical reference sources, suggesting the term is used in a medical context. Yet the term does not appear in the Medical Subject Headings (MeSH), used by most medical and health libraries. MeSH instead groups the concepts expressed by the LCSH terms ‘Parasuicide’ and ‘Self-mutilation’ together under ‘Self-injurious behavior‘, with a much more cogent hierarchy and set of non-preferred terms. MeSH restricts the term ‘Self-mutilation‘ to ‘the act of injuring one’s own body to the extent of cutting off or permanently destroying a limb or other essential part of a body’, with the implication that this is deliberate.
Because my library catalogues for a general audience, using LCSH and not MeSH, I would argue it is inappropriate to base a term on medical sources. We should instead be using general ones, using terms ordinary people would use. In an LCSH library, who is most likely to need information on this topic? How do they need it described? I would think the likeliest people are those experiencing ideations of self-harm, or people who know someone in this situation. Why does LCSH draw a distinction between ‘self-harm caused by mental illness’ and ‘self-harm caused for other reasons, including supposedly for attention’, and, from an information retrieval perspective, does this distinction matter? Would works intended for a general audience be more likely to use one term over another? What harm might this cause?
This book is primarily about helping sufferers help themselves. I would like to index it $a Self-harm $x Prevention $v Popular works (leaving aside for now the issues of having a specific form heading for ‘books for ordinary people’). Instead I will almost certainly have to use the heading $a Parasuicide $x Prevention $v Popular works, or perhaps I’ll go one step higher and use the broader term to both these headings, $a Self-destructive behavior. Even though that doesn’t really cover it, and doesn’t bring out the specific issue that I wanted the heading to address.
When I tweeted the other day that ‘Cataloguing is power’, this is what I meant! We have the power to guide users to the materials they’re looking for, via the words and phrases we use. Cataloguers have a responsibility to use terms that are meaningful to their users, especially when their userbase is the general public, and to take a stand against terms in their controlled vocabulary that are no longer appropriate.
I have a greater ability than most people to advocate for change in subject headings. I would like to see the heading ‘Parasuicide’ changed to one of its non-preferred terms that includes the phrase ‘Self-harm’. Ideally this term and ‘Self-mutilation’ would be combined, akin to the MeSH term ‘Self-injurious behavior’, with the accompanying taxonomy. But this won’t happen overnight. It certainly won’t happen in time for me to finish cataloguing this book. My workplace is very strict on adherence to standards and my options for deviation are limited. I might include some key phrases in a summary field, so that a keyword search would pick them up and bring this book to the people who need it most.
This post is a direct result of my emotional response to these headings. It is informed by my own lived experience of mental illness. It is the trauma of cataloguing, just as it is cataloguing that trauma. It is a traumatic response. I had this response at 5.30pm when the office was virtually empty, so everyone I might have talked to had already left for the day. Perhaps that was for the best. Instead I’ve been able to direct my energy into researching these headings and formulating options for change. I also bought myself some chocolate, which definitely helped.
I needed to talk. You, the reader, have generously listened. Now LCSH needs to listen, and reflect, and change.