Increasing Your Competency in Evidence-Based and Innovative Treatment Approaches to Self-Injury

PsycCRITIQUES ◽  
2008 ◽  
Vol 53 (7) ◽  
Author(s):  
Barry A. Schneider ◽  
Kara B. Sheridan ◽  
Angela Kuemmel
Author(s):  
Adam Bryant Miller ◽  
Maya Massing-Schaffer ◽  
Sarah Owens ◽  
Mitchell J. Prinstein

Nonsuicidal self-injury (NSSI) is direct, intentional harm to one’s own body performed without the intent to die. NSSI has a marked developmental onset reaching peak prevalence in adolescence. NSSI is present in the context of multiple psychological disorders and stands alone as a separate phenomenon. Research has accumulated over the past several decades regarding the course of NSSI. While great advances have been made, there remains a distinct need for basic and applied research in the area of NSSI. This chapter reviews prevalence rates, correlates and risk factors, and leading theories of NSSI. Further, it reviews assessment techniques and provides recommendations. Then, it presents the latest evidence-based treatment recommendations and provides a case example. Finally, cutting edge research and the next frontier of research in this area are outlined.


Author(s):  
Romuald Brunner ◽  
Kathrin Mikan ◽  
Maximilian Niebler ◽  
Stephanie Kandsperger

Non-suicidal self-injury (NSSI) is a clinically relevant symptom with high prevalence in teenagers and young adults worldwide. NSSI is associated with a variety of psychiatric disorders, is known to cause serious harm and acts as predictive factor for suicidal ideation and suicide attempts. Social and biological risk factors play an important role in the onset and maintenance of NSSI. Various terms are used in the world-literature for the study of self-injurious behaviour (SIB). These inconsistencies have to be taken into account in the assessment of recent and current international data. Along with further clarifying the different terms of SIBs, there is yet an urgent need to further examine contributing neurobiological factors, develop innovative international valid methods of risk-assessments, and to develop new evidence-based treatment approaches, as well as prevention strategies that consider neurobiological findings.


Sexual Abuse ◽  
2019 ◽  
Vol 32 (6) ◽  
pp. 679-705
Author(s):  
Adam Deming ◽  
Jerry L. Jennings

Despite a continued evolution of the field of sexual abuser treatment toward a distinct professional discipline with clinicians using an increasing variety of treatment approaches, there is no consensus regarding the strength of our various clinical interventions as evidence-based practices (EBPs). This article provides a brief history of the development and goals of EBPs in medicine and mental health, and a review of the earnest efforts of researchers within the field to establish treatment approaches with sexual abusers as evidence-based. An appraisal of the current status of EBP’s with sexual abusers is provided. Although there have been improvements in the methodological quality of treatment outcome research with sexual abusers, divergent opinions about treatment effectiveness remain, and the field has not yet agreed on a system or set of criteria for what constitutes “evidence.” We contend that clinical practice has been influenced as much, or more, by new paradigms that are intuitively meaningful and perceived as needed than it has by what has been determined to be scientifically efficacious. This trend and other processes in our field that seem to be slowing the development of EBPs with sexual abusers are discussed. Recommendations for conducting evidence-based reviews and moving the field of sexual abuser treatment toward the use of a true EBP model are provided.


2017 ◽  
Vol 39 (4) ◽  
pp. 289-304
Author(s):  
Jack De Stefano ◽  
Shawna Atkins

Given its prevalence, nonsuicidal self-injury (NSSI) is increasingly becoming the focus of mental health counselors and other clinicians. Even when these individuals are knowledgeable about NSSI, the best treatment approaches remain uncertain. While several therapeutic treatments have been evaluated for their effectiveness, results are inconclusive. As the search for best practice continues, the authors propose attachment theory and interpersonal neurobiology as relevant to NSSI, especially considering their potential to facilitate emotion regulation. A case example is provided.


1987 ◽  
Vol 11 (3) ◽  
pp. 373-388 ◽  
Author(s):  
William G. Johnson ◽  
Sheila A. Corrigan ◽  
Laurel Lee Mayo

This thoroughly revised fourth edition of the Oxford Textbook of Rheumatology reflects the changing face of the specialty and the many recent advances in the science, treatment, and understanding of rheumatic diseases. This resource investigates the presentation and management of rheumatic conditions at all ages. Where relevant, treatment approaches are evidence-based and cross-referenced to national and international guidelines. Each clinical chapter provides up-to-date treatment advice illustrated with clinical vignettes as appropriate, and the authors consistently emphasize the overlap of rheumatology with other disciplines.


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