Childhood origins of self-destructive behavior.

摘要: OBJECTIVE: Clinical reports suggest that many adults who engage in self-destructive behavior have childhood histories of trauma and disrupted parental care. This study explored the relations between trauma, attachment, self-destruction, using both historical prospective data. METHOD: Seventy-four subjects with personality disorders or bipolar II disorder were followed for an average 4 years monitored such as suicide attempts, self-injury, eating disorders. These behaviors then correlated independently obtained self-reports disruptions care, dissociative phenomena. RESULTS: Histories sexual physical abuse highly significant predictors self-cutting attempts. During follow-up, most severe separation neglect those past continued being self-destructive. The nature subjects' age at time affected character severity behavior. Cutting was also specifically related to dissociation. CONCLUSIONS: Childhood contributes initiation behavior, but lack secure attachments helps maintain it. Patients repetitively attempt chronic are prone react current stresses a return neglect, abandonment. Experiences interpersonal safety, anger, emotional needs may precipitate episodes Language: en