This trusted practitioner resource is acclaimed for its clear, compassionate, and hopeful approach to working with clients who self-injure. Barent Walsh provides current, evidence-based knowledge about the variety and causes of self-injurious behavior, its relationship to suicidality, and how to assess and treat it effectively. Illustrated with detailed case examples, chapters review a wide range of cognitive-behavioral interventions. Essential guidance is provided on tailoring the intensity of intervention to each client’s unique needs. Walsh is joined by several colleagues who have contributed chapters in their respective areas of expertise. Reproducible assessment tools and handouts can be downloaded and printed in a convenient 8 ½” x 11” size.
New to This Edition
Incorporates up-to-date research and clinical advances.
Now uses a stepped-care framework to match interventions to client needs.
Chapters on the relationship between suicide and self-injury, formal assessment, family therapy, and residential treatment for adolescents.
Special-topic chapters on the “choking game,” foreign body ingestion, multiple self-harm behaviors, and self-injury in correctional settings.
Nonsuicidal self-injury (NSSI) is the deliberate damaging of one’s own body tissue in the absence of any intent to die. Although reports of this behavior span centuries, reported instances of NSSI have increased dramatically over the last 20 years. Until now, there has been no authoritative book on the topic that evaluates why this behavior occurs and what evidence-based assessment and treatments are available.
Editor Matthew K. Nock has compiled the first comprehensive overview of NSSI written by leading theorists, researchers, and clinicians in the field. Drawing upon the historical, biological, cognitive, behavioral, and interpersonal literature, the contributors help to provide answers to some key questions: How prevalent is NSSI? What is its history? Does it occur more frequently among youth? Among females? What influences its occurrence? And, most importantly, how can mental health professionals help those who self-injure? The book’s contributors have created a monumental and accessible study of NSSI.
A detailed treatment protocol for working with self-harming adolescents and young adults. Self-harming behavior in young adults and adolescents is one of the most intimidating and challenging presenting problems therapists and healthcare and school professionals face in their practice settings, yet the literature on this behavior remains scant. This workbook, a companion to Selekman’s Working with Self-Harming Adolescents, provides a detailed treatment protocol for working with this challenging population. It is a user-friendly resource book for conducting individual, couple, family, and group therapy with young adult and adolescent self-harming clients. In addition, it presents a plethora of highly effective therapeutic strategies and interventions and practice guidelines. This manual will help both highly seasoned and beginning therapists feel more confident and competent working with young adult and adolescent self-harming clients.
Book Title: The Adolescent & Young Adult Self-Harming Treatment Manual: A Collaborative Strengths-Based Brief Therapy Approach
Author: Matthew D. Selekman
This edited volume features evidence-based reviews and practical approaches for the professional in the hospital, clinic, community and school, with case examples throughout. Divided into five major sections, the book offers background historical and cultural information, discussion of self-injury etiology, assessment and intervention/prevention issues, and relevant resources for those working with youths who self-injure.
Uniquely practical and comprehensive, this timely guide addresses a problem that is on the rise, particularly among adolescents and young adults. Practitioners gain a wealth of knowledge about the variety and causes of self-injurious behavior and how to recognize it in people at risk, ranging from those who do not have psychiatric diagnoses to those with eating or mood disorders, PTSD, personality disorders, or psychoses. Illustrated with detailed case examples, clear guidelines are presented for assessing clients and conducting evidence-based interventions using replacement skills training, cognitive-behavioral therapy, exposure treatment, psychopharmacology, and family- and school-based strategies. Several reproducible forms are included, and appendices offer essential clinical resources and tools.
Cutting, burning, drug and alcohol abuse, excessive risk taking, eating disorders-self-harm is an all-too-common and distressing part of teenage lives. Matthew D. Selekman sorts myth from fact and helps professionals intervene in a way that builds the inner strength of teens rather than turning them away. Rich in case examples and clear clinical direction, this book is an invaluable practical resource.
Book Title: Working with Self-Harming Adolescents: A Collaborative, Strengths-Based Therapy Approach (Norton Professional Books)
Author: Matthew D. Selekman
This book provides a collection of strategies and activities to help children and adolescents who deliberately self-injure. A variety of hands-on creative arts approaches are featured that can be used in private practice and school settings. When working with youth who self-injure it is helpful to have a variety of creative approached at your fingertips. The approaches and activities in this book can be used with individuals or with a small group. The activities help children/adolescents to express their feelings, understand why they self-injure, engage in a healing process, explore new methods of coping and prevention, and find new meaning and purpose in their lives.
This book provides a description of self-mutilation in young people and its underlying causes. Then, an overview of therapeutic approaches is presented along with suggestions for the professional counselor/social worker/psychologist, teachers and parents. Sample assessment questions and activities are included. The following 15 strategies with activities are reproducibles are featured:
- Crucial Communication Skills
- Personal Strength Coaching
- Visual Arts
- Sand Tray
- Story Telling
- Creative Dramatics
- Prayer Power
- Creative Journaling
- Relaxation/Guided Imagery
- Tactile Diversion
- Animals and Nature
With the rise of self-injury in the adolescent population, counselors, psychologists, nurses, and administrators in schools and on college campuses have been challenged to make sense of this often misunderstood and disturbing behavior and to respond appropriately. Having the school and college frontline professional in mind, this book presents a compassionate and comprehensive overview of the latest theory, research, and practice regarding self-injury. It offers practical guidelines on how best to engage and assess self-injuring individuals, and provides concrete strategies for creating effective pathways to further care. Dr. D’Onofrio discusses the socio-cultural, developmental, and psychological factors that may set the stage for the emergence of self-injury, explores the relationship of acute and complex trauma to self-injury, and provides a detailed protocol for assessing self-injuring individuals in educational settings. He also makes recommendations for effectively engaging the families, peers, teachers, and others who may have influence in the care of the self-injuring student, and proposes guidelines for developing institutional response policies and protocols.
A practice-oriented guidebook for working with self-harming adolescents. Matthew Selekman breaks new ground by providing therapists with an innovative and flexible client-informed model for working with self-harming adolescents. This model integrates the best elements of Solution-Focused Narrative Postmodern Strategic Cognitive and Expressive Therapy with Native American healing methods and rituals. The book is packed with case examples and interview transcripts of culturally diverse clients.
The case studies revolve around examples of low-level self-cutting, self-hitting, eating distress and ‘self-harm by omission,’ including unconsciously invited accidents and failures to ‘take care’ and to seek appropriate medical care. As well as examining self-harming symptoms, the author highlights the importance of identifying and building on the self-caring tendency that brings the client to psychotherapy.
In this comprehensive and insightful work, Dr. Sharon K. Farber provides an invaluable resource for the mental health professional who is struggling to understand self-harm and its origins. Using attachment theory to explain how addictive connections to pain and suffering develop, she discusses various kinds and functions of self-harm behavior.
From eating disorders to body modifications such as tattooing, Dr. Farber explores the language of self-harm, and the translation of that language and its psychic functions in the therapeutic setting. She tells us, “When the body weeps tears of blood, we need to wonder what terrible sorrows cannot be spoken.” Brilliantly illustrated with rich clinical material, this book offers a practical approach to the diagnosis, assessment, and treatment of the increasing number of patients whose emotions are expressed through bodily harm. The challenges of working with patients who tend to view the world of relationships in terms of predator and prey are clearly explicated and the stormy counter transference responses that threaten to destroy the treatment are given a full hearing. Finally, she shows how the attachment relationship formed in treatment can repair the traumatic attachment in mind, body, psyche, and soul, and can serve as the cornerstone of therapeutic change.
Examines the effect of art therapy interventions with clients who harm their bodies. Argues that using art as intervention supports the self-mutilating person’s preference for ritualized symbolic action and their need to create transitional objects.
Offers guidelines for working with people who directly injure their bodies. Explains the function of self-inflicted violence and its relationship to unresolved traumas and losses, and focuses on the role of trauma in disrupting the formation of the self-boundary. Identifies therapeutic tasks, gives examples of interventions, and offers concrete recommendations for interaction with patients about self- injury. Explores countertransference responses, and addresses adjunct therapies. Connors is a clinician and consultant in private practice.
Welcome to self-injury.net. We are a support community for self-harmers and also provide information on self-harm, creative works, media lists, lists of resources (helplines, textlines, mental health apps, therapists, etc.), etc. We focus on self-injury but a number of other mental health issues are included.