Nonsuicidal Self-Injury

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.

Inhalt

TABLE OF CONTENTS

1. Description
   1.1 Terminology
   1.2 Definition
   Conceptually distinct behaviors . A Behavior or a Diagnosis?
   1.3 Epidemiology
   Rates . Sex Differences . Ethnicity . Summary
   1.4 Course and Prognosis
   Longitudinal Studies . Cross-sectional Studies . Summary
   1.5 Differential Diagnosis
   Suicidality . Borderline Personality Disorder . Other behaviors and diagnoses
   1.6 Comorbidities
   Borderline Personality Disorder . Psychiatric Illness . Concomitant Personality Factors . [...]
   1.7 Assessment
   Assessor's Demeanor . Domains of Interest . Assessment Instruments
2. Theories and Models of the Disorder
   2.1 Psychological
   Emotion Dysregulation . Self-Derogation
   2.2 Social
   Social Deficits . Social Transmission . Social Functions
   2.3 Biological
   Endogenous Opioids . Serotonin . Other Biological Factors
   2.4 Psychodynamic
3. Diagnosis and Treatment Implications
   3.1 Differentiating experimental NSSI from clinically severe NSSI
   3.2 Level of Treatment
   3.3 Target of Treatment
4. Treatment
   4.1 Research Review
   4.2 Methods of Treatment
   Functional Assessment . Motivational Interviewing . Emotion Regulation . Problem Solving . [...]
   4.3 Mechanisms of Action
   4.4 Efficacy and Prognosis
   4.5 Variations and Combinations of Methods
   Combining Methods . Group Treatment
   4.6 Problems in Carrying Out Treatment
   Managing Therapist Reactions to NSSI . Rapport and Trust Around a Sensitive Behavior . [...]
   4.7 Multicultural Issues
5. Case Vignettes
   5.1 Case Vignette 1 - Amber
   5.2 Case Vignette 2 - James
6. Further Reading
7. References
8. Appendix: Tools and Resources