但是如果自残者容许伤害自己同时也有心理后果，包括对自己行为感到羞耻以及害怕被社会拒绝。

But there are psychological consequences as well, including feeling shame about the behavior and fearing social rejection if the self-injurers do admit to hurting themselves.

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同时，大多数发达国家的社会契约，包括美国，将会被设想或事件改写。

Meanwhile, the social contracts written by most advanced nations, including the United States, will be rewritten by either design or events.

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贝尔斯登教授研究小组，也同时考虑了包括社会和文化变革在内的其他因素。

Prof Stearns' team controlled for other factors, including social and cultural change.

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