Respuesta :
i think it is penance visible expressions of something internal
Answer: Visible expressions of something internal.
In this excerpt, we find out that the character has been beating himself and carving his skin. This indicates that he suffers from some internal illness, or feels extremely conflicted about something. These internal issues cause him to create a visible expression of them. This is what the word "manifestations" refers to: the visible expressions of an internal phenomenon.