Effective Interventions for Treating Superficial Self Mutilators

Self-cutting is the most common form of self-mutilation in adolescents but there is insufficient knowledge as to which treatment methods to reduce self-mutilation are most effective. This exploration into the causes of self-cutting and the treatment interventions, such as Dialectical Behavior Therapy (DBT), compares adolescents who had DBT treatment with those who have used other treatment methods. Research findings indicate that the average age of adolescents in treatment was 15 years old and had been in treatment at least one time prior. Adolescents in DBT treatment showed signs in reducing/stopping self-cutting behavior along with improving communication skills with caregivers. Implications of this study show the need for further research to help educate professionals about the effective treatment for treating adolescent self-cutters

Self mutilation by institutionalized delinquent adolescent girls

Thesis (M.S.)--Boston Universit

Cutting: what school counselors should know about students who self-injure

Includes bibliographical references

Playground of gender : cross-dressing and self-mutilation as negation of gender identity in Tanja Duckers’s Spielzone (1999)

Although it is an outstanding example of writing life as negotiation of gender roles as well as exploration of the body as site of identity constructs, Tanja Dückers’s novel Spielzone, published in 1999, has not yet received the critical attention it deserves. The novel displays an interesting aesthetic technique of representing the milieu of two Berlin districts and their inhabitants, whose identity conflicts can be shown to reflect the state of construction of the urban space before its homogenization through gentrification. Especially with regard to gender identities, Dückers portrays the search for a different lifestyle, which is expressed through a striking focus on aesthetic differentiation and cross-dressing. The protagonists stage masculinity and femininity through a theatrical masquerade, which reveals the construct of gender identities and advocates a postmodern transgender existence. The negotiation of a new identity without binary gender attributions ranges from the negation of traditional role assignments to self-mutilation. In the following paper, Dückers’s text will be analysed as uncanny playground of gender between masquerade and brutal gender embodiment, which nevertheless, with all its negations of conventional values, eventually moves near to a return to traditional patterns.peer-reviewe

Autocastration and Autoamputation of the Penis in a Patient with Delusions of Sexual Guilt

Genital self-mutilation (GSM) is a rare event that is commonly associated with psychotic disorders; we report an occurrence in the context of psychosis and drug use. We also review the etiologies of this phenomenon and how these etiologies differ across gender

Do I Dare Disturb the Universe?

This memoir investigates the roots of my core anxiety, the incessant but impossible ability to achieve perfection. It is framed by my experience getting a second tattoo, which is a line from T.S. Eliot\u27s modernist poem, The Love Song of J. Alfred Prufrock, and ties together both my internal struggle and my affinity for physical pain. This memoir draws a line between the past and the present, seeking to find a connection between struggling with anxiety and engaging in self-mutilation as a source of relief

Clinical Associations of Deliberate Self-Injury and Its Impact on the Outcome of Community-Based and Long-Term Inpatient Treatment for Personality Disorder

Background: Deliberate self-injury (DSI) is significantly associated with personality disorder (PD). There are gaps in our knowledge of DSI as an indicator of severity of psychopathology, as moderator of outcome and with regard to its response to different treatment programs and settings. Methods: We compare 2 samples of PD with (n = 59) and without (n = 64) DSI in terms of clinical presentation, response to psychosocial treatment and relative outcome when treated with specialist long-term residential and community-based programs. We test the assumption that DSI is an appropriate indicator for long-term inpatient care by contrasting the outcomes (symptom severity and DSI recidivism) of the 2 DSI sub-groups treated in the 2 different approaches. Results: PD with DSI had greater severity of presentation on a number of variables (early maternal separation, sexual abuse, axis-I comorbidities, suicidality and inpatient episodes) than PD without DSI. With regard to treatment response, we found a significant 3-way interaction between DSI, treatment model and outcome at 24-month follow-up. PD with DSI treated in a community-based program have significantly greater chances of improving on symptom severity and recidivism of self-injurious behaviour compared to PD with DSI treated in a long-term residential program. Conclusions: Although limitations in the study design invite caution in interpreting the results, the poor outcome of the inpatient DSI group suggests that explicit protocols for the management of DSI in inpatient settings may be beneficial and that the clinical indications for long-term inpatient treatment for severe and non-severe PD may require updating. Copyright (C) 2010 S. Karger AG, Base

The risk-taking and self-harm inventory for adolescents: Development and psychometric evaluation

In this study, we report on the development and psychometric evaluation of the Risk-Taking (RT) and Self-Harm (SH) Inventory for Adolescents (RTSHIA), a self-report measure designed to assess adolescent RT and SH in community and clinical settings. 651 young people from secondary schools in England ranging in age from 11.6 years to 18.7 years and 71 young people referred to mental health services for SH behavior in London between the ages of 11.9 years and 17.5 years completed the RTSHIA along with standardized measures of adolescent psychopathology. Two factors emerged from the principal axis factoring, and RT and SH were further validated by a confirmatory factor analysis as related, but different, constructs, rather than elements of a single continuum. Inter-item and test–retest reliabilities were high for both components (Cronbach's α = .85, rtt = .90; Cronbach's α .93, rtt = .87), and considerable evidence emerged in support of the measure's convergent, concurrent, and divergent validity. The findings are discussed with regard to potential usefulness of the RTSHIA for research and clinical purposes with adolescents

Self-Mutilation in a Male Adolescent Inpatient Population

Although self-mutilation (SM) among adolescents has recently received increased scientific and public attention, most of this research has been conducted on females and community populations. The current study explored SM in a group of male adolescent psychiatric inpatients by comparing 42 13-to-18 year-old males hospitalized for SM to 42 clinical controls who were not hospitalized for SM. Using archival assessment data, annual rates of SM, age and ethnic characteristics and associations with family status, psychosocial functioning, diagnoses and stressful life events were examined. Results indicate the rates of male SM increased between 2000 and 2005. Most teens engaging in SM were 15-to-16 years old and Caucasian and were given a variety of psychiatric diagnoses. Compared to clinical controls, males endorsing SM reported less interpersonal conflict but fewer friends; were less likely to be diagnosed with conduct disorder but more likely to have major-depressive disorder. Across both groups, most adolescents did not live with their two-biological parents and experienced similar number of stressful life events 12-months prior to hospitalization. Findings, limitations and implications of the study are discussed