Naturalistic Recovery From Nonsuicidal Self-Injury: A Phenomenological Inquiry

摘要: Nonsuicidal self-injury (NSSI) refers to the self-inflicted, deliberate, direct damaging of a superficial or moderate amount body tissue without intent die and social sanction (Favazza, 1998). In recent years, researchers have increasingly studied etiology this behavior (Adrian, Zeman, Erdley, Lisa, & Sim, 2011; Heilbron Prinstein, 2010; Weierich Nock, 2008). Less is known about how individuals recover from it (Andover, 2012). A review NSSI prevalence rates suggests that most who self-injure by middle adulthood; are highest among adolescents young adults. For example, Yates, Tracy, Luthar (2008) reported 37.2% (N = 1,036; no mean age was provided) high school setting engaged in during past year. Similarly, study adults (N= 390; 20.3 years) college setting, approximately 40% participants on multiple occasions and/or with methods year (Buser Hackney, By contrast, Briere Gil (1998) only 4% 927; 46 nonclinical performed 6 months. Researchers found majority perform do not seek treatment health care providers (Deliberto 2008; Whitlock, Eckenrode, Silverman, 2006). Therefore, these findings indicate follow naturalistic course recovery (i.e., unaided professionals) over time. However, few investigations explored reduce cease engagement assistance psychotherapy medical intervention. Qualitative alluded processes as part broader exploration (Alexander Clare, 2004; Moyer Nelson, 2007). Nelson (2007) conducted qualitative six (66.7% female; 15.3 years). one major themes pertaining "how they wish be treated" (p. 47), indicated harsh critiques their use sometimes precipitated more behavior, whereas open, nonjudgmental dialogue others helpful reducing behavior. Alexander Clare (2004) investigated experiences 16 lesbian bisexual women (mean 29 history NSSI. Among main participants' experience recovering result improved relationships well professional help. According participants, reduced because concerns affected significant others. Additionally, some recovered failed deliver affect regulation previously associated its use. Shaw (2006) carried out =19.8 other self-injurious behaviors (e.g., suicide attempts, eating disorders). addition noting value help, attributed achievement educational career-related goals. These activities led recognize conflicted long-term plans possibility physical scars could negatively one's employment prospects). Furthermore, decision stop often grounded desire avoid disappointing worrying mixed 94 (78% =17.1 years), Deliberto Nock examined reasons why might like Most self-injured (56%) wanted viewed unhealthy. Seventeen percent described "unwanted attention" …