Understanding Repeated Self Injury
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Nonsuicidal Self-injury
Practical and expert guidance on how to identify and treat nonsuicidal self-injury - an often misunderstood, but increasingly frequent phenomenon Nonsuicidal self-injury (NSSI) is a baffling, troubling, and hard to treat phenomenon that has increased markedly in recent years. Key issues in diagnosing and treating NSSI adequately include differentiating it from attempted suicide and other mental disorders, as well as understanding the motivations for self-injury and the context in which it occurs. This accessible and practical book provides therapists and students with a clear understanding of these key issues, as well as of suitable assessment techniques. It then goes on to delineate research-informed treatment approaches for NSSI, with an emphasis on functional assessment, emotion regulation, and problem solving, including motivational interviewing, interpersonal skills, CBT, DBT, behavioral management strategies, delay behaviors, exercise, family therapy, risk management, and medication, as well as how to successfully combine methods.
Understanding Repeated Self-Injury
Author: Digby Tantam
language: en
Publisher: Bloomsbury Publishing
Release Date: 2009-03-31
Why do some people repeatedly injure themselves? How common is this form of self-harm? How can professionals offer appropriate intervention and support to those whose lives are troubled by it, either directly or indirectly? This authoritative and systematic book adopts a holistic approach to the problem of repeated self-injury and the difficult emotions and experiences that it gives rise to. Bringing together theory, research and a wealth of case vignettes, Understanding Repeated Self-Injury examines both the psychological and physical aspects of self-injury. The authors explain how deliberate cutting or burning of the skin is used by many as a way to overcome and temporarily escape bad feeling and thus transcend the limits of their identity. In particular, the book - Presents a unifying model for theory and practice, based on the phenomenology of self-injury - Examines the important role of identity and dissociation in perpetuating self-injury - Considers the wider impact of self-injury on family and friends, and on staff - Addresses treatment strategies and self-help resources Each chapter draws on the authors' considerable clinical experience across a range of contexts, and is written with professionals and trainees particularly in mind. This book is an essential introduction and indispensable resource for those working, or considering to work, in counselling, therapeutic and health care settings where they are or might be confronted with the complexities of self-injury.
Self-Injurious Behaviors
Author: Daphne Simeon
language: en
Publisher: American Psychiatric Pub
Release Date: 2008-11-01
Throughout history, people have invented many different ways to inflict direct and deliberate physical injury on themselves -- without an intent to die. Even today, the concept and practice of self-injury is sanctioned by some cultures, although condemned by most. This insightful work fills a gap in the literature on pathologic self-injury. The phenomenon of people physically hurting themselves is heterogeneous in nature, disturbing in its impact on the self and others, frightening in its blatant maladaptiveness, and often indicative of serious developmental disturbances, breaks with reality, or deficits in the regulation of affects, aggressive impulses, or self states. Further complicating our understanding is the large and diverse scope of psychiatric conditions, such as pervasive developmental disorders, Tourette's syndrome, and psychosis, in which these behaviors occur. This volume presents a comprehensive nosology of self-injurious behaviors, classifying them as stereotypic, major, compulsive, and impulsive (with greater emphasis on the last two categories because they are the most commonly seen). The chapter on stereotypic self-injurious behaviors (highly repetitive, monotonous behaviors usually devoid of meaning, such as head-banging) focuses on the neurochemical systems underlying the various forms of stereotypic movement disorders with self-injurious behaviors, typically seen in patients with mental retardation and autism, and discusses their psychopharmacological management. The chapter on psychotic, or major, self-injurious behaviors (severe, life-threatening behaviors, such as castration) presents a multidimensional approach to evaluating and treating patients with psychosis and self-injurious behaviors, including the neuroanatomy and neurobiology of sensory information processing as background for its discussion of neurobiological studies and psychopharmacological treatments. Chapters on the neurobiology of and psychopharmacology and psychotherapies for compulsive self-injurious behaviors (repetitive, ritualistic behaviors, such as trichotillomania [hair-pulling]) offer much-needed biological research and the first empirical treatment studies on compulsive self-injurious behaviors, and argue that a distinction can indeed be made between compulsive and impulsive self-injurious behaviors. Chapters on the neurobiology, psychopharmacology, and dialectic behavior and psychodynamic theory and treatment of impulsive self-injurious behaviors (habitual, chronic behaviors, such as skin picking) supplement the few neurobiological studies measuring impulsivity, aggression, dissociation, and suicide and detail the efficacy of various medications and psychotherapies. An eminently practical guide with exhaustive references to the latest data and research findings, this concise volume contains clinical material and therapeutic interventions that can be used right away by clinicians to better understand and treat patients with these complex and disturbing behaviors.