Self-Injury: A Struggle

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Description In these two professional videos, David Calof, Dusty Miller, Ed.D., and John N. Briere, Ph.D. discuss the causes of self injury with special attention to childhood sexual abuse. Whatever the method of self injury -- burning, cutting, bruising, passive collusion, accidents, eating disorders -- the key factor in successful intervention is to discover the motivations behind these adaptive responses to trauma. The therapists consider how treatment for self injury may raise significant issues for the therapist, including countertransference; suicidality vs. self injury; differentiating psychosis and MPD; dissociation; timing trauma work, and borderline personality disorder. Also discussed are effective interventions, such as alternative behaviors, contracts, hospitalization, defusing shame, trauma "containers," and guided imagery.
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