Psychoanalytic books: Reviews and discussion (When the body is the target: Self-harm, pain, and traumatic attachments)

2006 ◽  
Author(s):  
Shari Thurer
Keyword(s):  
The Body ◽  
SCIENTIARVM ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. 27-31
Author(s):  
Francis Wendell Jácobo Valdivia ◽  
◽  
Arlett K. Jácobo Valdivia ◽  
María A. Manrique Aguirre ◽  
◽  
...  

The objective of this research was to analyze the experiences and the subjective world of self-injurious behavior called “Cutting” in adolescents from Arequipa. The sample consisted of 6 male and female adolescents between the ages of 14 and 17. The methodology was approached from a qualitative paradigm, working with the Phenomenological method, which allowed to analyze the experiences, emotions, experiences, feelings, and thoughts of adolescents in front of the "Cutting" through participant observation and in-depth interview. The Research is governed from a Cognitive - Behavioral approach. A structured interview and a sociodemographic record were applied to the adolescents to obtain data. The Results showed in detail the subjective world, experiences, characteristics and phenomena associated with Cutting, showing that adolescents self-harm due to family problems and males to manipulate and attract the attention of the family and partner, the beginning of the behavior Self-harm occurs from the age of 13, with a duration of 1 to 3 years, the behaviors found are impulsivity, aggressiveness, showing emotions of regret, depressed mood, anxious features, at the same time feeling relief and tranquility; the consequences they found are social discrimination, marks and scars on the body, low self-esteem, school absenteeism and poor academic performance. Keywords: Self-injury, Cutting Cognitive Behavioral Approach, Adolescence and self-harm


Sexualities ◽  
2018 ◽  
Vol 22 (1-2) ◽  
pp. 48-64 ◽  
Author(s):  
Katrina Roen

This article examines trans youth embodied distress in relation to the workings of normativity. I consider the normative cruelties that structure the embodied and gendered experiences of trans youth, and I locate trans youth embodied distress in relation to a notion of queer failure. Central to this analysis is the way emotion is implicated in normativity. I focus on the idea that happiness norms are implicated in keeping gendered subjects in line, and I consider the specific emotions that are bound up in queer failure and embodied distress, such as shame, hatred, and fear. Trans youth frequently respond to the challenges of embodied distress by embarking on a significant emotional, relational project that can involve reworking the relationship to the body and reworking the relationship to norms. In the context of this emotional, relational project, some trans youth self-harm and/or become suicidal. I work with empirical data from trans and gender questioning youth who write online about their self-harming and suicidal feelings, and I use this analysis to locate self-harm in relation to the ways in which some trans youth are crafting embodied and gendered ways of being that break with norms.


1996 ◽  
Vol 2 (4) ◽  
pp. 463-475 ◽  
Author(s):  
Dawn Collins
Keyword(s):  
The Body ◽  

Author(s):  
David Voon ◽  
Penelope Hasking

Nonsuicidal self-injury (NSSI) refers to intentional damage to the body without fatal intent. While distal factors such as genetic predisposition, emotional sensitivity, emotional reactivity and invalidating childhood environments may serve as risk factors, NSSI is primarily maintained by alleviation of intense negative emotional states, in the absence of alternative emotion regulation strategies. Currently, no specific NSSI intervention for adolescents exists; however, extant self-harm interventions have demonstrated promising, preliminary findings. Of note, the salient role of emotion regulation in the initiation and maintenance of NSSI suggests this may be a viable treatment target. While empirical evidence supports this in adult samples, replication in large-scale, randomized controlled trials with adolescent samples is required to inform best practice in treating NSSI among adolescents.


2017 ◽  
Vol 41 (S1) ◽  
pp. s775-s776
Author(s):  
G. Giacomini ◽  
P. Solano ◽  
M. Amore

Introduction.Suicidal adolescents have a severely damaged body/mind relationship where issues pertaining to adolescence and psychache are tightly intertwined causing dissociation, hallucinations and concreteness. In this conundrum, the suffering mind swings from being identified and split from the body favouring self-harm and bodily together with visual hallucinations.Objectives.Investigating and working through suicidal concreteness together with the role and meaning of hallucinations in adolescents with a story of multiple suicide attempts.Aims.Achieving a first integration and appropriation of the emotional experience with the establishment of the boundaries between mind/body, inside/outside giving up hallucinations.Methods.Prolonged intensive psychodynamic work focusing on self-representation, the working through of persecutory internal objects causing rage, hostility and attacks on the affective links with the environment allowed a gradual process of integration of the self with the decrease of suicidiality.Results.The working through and containment of persecutory internal objects led to the possibility to unconsciously give up hallucinations and integrate the emotional experience in the mind together with the development of first effective boundaries between inside/outside.Conclusions.An intense work of containment and working through of persecution and rage in the early stages of the psychotherapeutic treatment of adolescent multiple attempters can significantly favour the relinquishment of hallucinatory mechanisms and self-harm as a way to cope with intolerable anguish and psychache. This favours the process of in dwelling of the psyche in the soma as described by Winnicott.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
pp. 1-9
Author(s):  
Galit Geulayov ◽  
Deborah Casey ◽  
Elizabeth Bale ◽  
Fiona Brand ◽  
Caroline Clements ◽  
...  

Abstract Background We compared the risk of death by suicide following hospital presentation for self-harm according to site of self-cut/stab. Method We included 54 999 self-harm presentations (involving 31 419 individuals) to hospitals in the Multicentre Study of Self-harm in England (1/1/2004–31/12/2014), with mortality follow-up to 31/12/2019. Information on method of self-harm was obtained through monitoring in hospitals. Information about mortality was obtained through linkage with NHS Digital. We assessed the association of site of self-cut with death by suicide using mixed effect models. Results In total, 10 790 (19.6%) hospital presentations involved self-cutting/stabbing, 7489 of which (69.4%) were due to laceration to the arm/wrist alone, 1846 episodes (17.1%) involved cutting elsewhere on the body, and 1455 (13.5%) were due to laceration to unknown site. Controlling for confounders, presentation to a hospital following self-cut/stab to bodily parts other than wrist/arm was associated with greater chance of subsequent suicide relative to presentation after self-poisoning alone [adjusted odds ratio (aOR) 1.75, 95% confidence interval (CI) 1.03–2.96, p = 0.038]. The likelihood of suicide after presentation for cutting/stabbing the wrist/arm alone was comparable to that of patients who had self-poisoned alone. Presentations after laceration involving the neck were associated with a four-fold greater chance of subsequent suicide relative to self-poisoning (aOR 4.09, 95% CI 1.80–9.30, p = 0.001). Conclusions Patients who attend hospital after self-cutting/stabbing are a heterogeneous group in terms of characteristics, methods of cutting/stabbing and risk of subsequent suicide. Risk of suicide is greater in individuals who self-cut/stab to parts of the body other than the wrist or arm, especially the neck.


2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e37-e38
Author(s):  
Claire Galvin ◽  
Astrid De Souza ◽  
Jim Potts ◽  
Penny Sneddon ◽  
Shubhayan Sanatani ◽  
...  

Abstract Background Dysautonomia of Adolescence (DAOA) results from a dysregulation of the autonomic nervous system during puberty and affects multiple organ systems in the body. Symptoms have a significant impact on quality of life (QoL) with many adolescents reporting a poorer QoL compared to other pediatric chronic illness populations. Furthermore, there is a paucity of research looking at underlying mental health conditions in patients with DAOA that might be contributing to poor QoL. Objectives The aim of this review was to characterize the underlying mental health status of patients with DAOA followed in a tertiary care DAOA Clinic. Design/Methods Single-centre retrospective chart review (January 2017-November 2019) of all current patients followed in a tertiary care DAOA Clinic. Mental health challenges were classified as significant symptoms reported and/or formal diagnosis of anxiety, depression, attention deficit hyperactivity disorder, obsessive compulsive disorder, eating disorders, somatization, mood disorders, suicidal ideation, and self-harm. Frequency tables were generated for all categorical variables. Results Seventy-three patients are currently being followed in the DAOA clinic. Fifty-five of 73 (75%) had some form of mental health challenge including 11 (15%) which had a history of suicidal ideation and/or self-harm, 12 (17%) had no mental health concerns, and 6 (8%) are unknown. Of the 55 patients with a mental health challenge, 27 (49%) were diagnosed with a mental health condition prior to formal DAOA diagnosis and 10 (18%) were diagnosed after DAOA diagnosis. Eighteen (14%) reported symptoms of a mental health challenge but no confirmed mental health diagnosis. A breakdown of mental health symptoms and diagnoses are shown in Table 1. Of the 73 current patients, 41 (56%) accessed psychology services either through the DAOA Clinic or in the community, 9 (12%) have been referred to other health care services, and 8 (11%) did not access services. Psychiatric services were required by 15 patients (21%). Conclusion Three-quarters of DAOA patients report some mental health challenges. This emphasizes the need for psychology to support patients with DAOA. It is unclear as to whether a mental health challenge exacerbates symptoms of DAOA or DAOA symptoms negatively impact their mental health.


2019 ◽  
Vol 7 (12) ◽  
pp. 71-95
Author(s):  
Mario de la Torre-Espinosa

This article uses the concept of autofiction, created by Serge Dubrovsky in the seventies, for interpreting the political implications of the performance Zonas de dolor I, by Diamela Eltit. The author participation in these performances, and the subsequent record and edition of these images in video, reveal a clear intentionality of reflecting her political thinking throughthese aesthetic actions, two dimensions of the art that are inseparable according to the ideas of Jacques Rancière. In these proposals, the body is used as battlefield, and in this sense has to be understood the fact of the self-harm. It will be analyzed the use of the body as political weapon, and putting it in relation with the works The Lips of Thomas, by Marina Abramović,and Anfaegtelse, by Angélica Liddell. In these plays, the blood emanating from the wounds of the body is constituted as a central aesthetic element. This Eltit artistic mechanism will beanalyzed, for letting us to know how it is used for raising awareness and revealing us other dimension of the marginality, whether it is the case of homeless people or brothels.


2020 ◽  
Vol 7 ◽  
Author(s):  
Addison E Paul

In this paper, I examine Gillian Flynn’s novel “Sharp Objects,” along with the HBO miniseries adaptation, and how they raise important questions about representations of trauma and portrayals of self harm in entertainment. I argue that the protagonist’s self harm scars act as ghosts, because both scars and hauntings are physical manifestations of psychological trauma, and both are messengers from the past. Historically and socioculturally, women are associated with self violence and the supernatural, both of which are prevalent themes in the “Sharp Objects” novel and television show. This paper also examines the important distinction between read and watched trauma, as well as the validity of these creative interpretations of self harm in terms of psychological research and personal testimonies. Applying psychological theories and horror constructs to the narratives, I assert that Flynn and director Jean-Marc Vallée present self harm as a haunting to exploit the association of scars and ghosts with the uncanny, and to attract readers and viewers with dramatic content. Ultimately, I prompt readers to consider their own reactions to and emotions surrounding self harm, and ask that consumers of entertainment practice empathy when considering self harm.


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