scholarly journals The Dynamics of Pain During Nonsuicidal Self-Injury

2018 ◽  
Vol 7 (2) ◽  
pp. 302-320 ◽  
Author(s):  
Edward A. Selby ◽  
Amy Kranzler ◽  
Janne Lindqvist ◽  
Kara B. Fehling ◽  
Julia Brillante ◽  
...  

The experience of pain during nonsuicidal self-injury (NSSI) remains enigmatic. Ultimately, there is a dearth of evidence regarding whether pain is actually experienced during NSSI behavior and, if it is, to what extent that pain offsets following cessation of the NSSI episode. Using a smartphone app to collect information on self-injury episodes reported by adolescents and young adults in their daily lives, we found that across 143 NSSI episodes comprising 442 NSSI behaviors, most participants reported feeling significant and substantial pain onset during most NSSI episodes. A small effect was established for pain offset, with pain diminishing somewhat for most at NSSI completion. Furthermore, those who had higher negative emotion at the start of NSSI episodes but experienced less pain onset reported more NSSI behaviors during such episodes. The evidence supports a dynamic experience of pain during self-injury that can vary between people and episodes.

2012 ◽  
Vol 26 (4) ◽  
pp. 283-286 ◽  
Author(s):  
Margaret S. Andover

This issue of the Journal of Cognitive Psychotherapy is devoted to recent advances in the conceptualization of treatment of nonsuicidal self-injury (NSSI). This harmful behavior is highly prevalent in both clinical and nonclinical samples and especially common in adolescents and young adults. The articles in this special issue highlight recent advances in the treatment of NSSI, including the integration of advances in NSSI research into the conceptualization and treatment of the behavior. Articles are both theoretical and empirical, and several include case examples to illustrate important principles. Each article discusses applications for the conceptualization and/or treatment of NSSI.


2016 ◽  
Vol 25 (11) ◽  
pp. 3403-3416 ◽  
Author(s):  
Lauren Kelada ◽  
Janis Whitlock ◽  
Penelope Hasking ◽  
Glenn Melvin

2018 ◽  
Vol 2 (2) ◽  
pp. e23 ◽  
Author(s):  
Abbey Elsbernd ◽  
Maiken Hjerming ◽  
Camilla Visler ◽  
Lisa Lyngsie Hjalgrim ◽  
Carsten Utoft Niemann ◽  
...  

2022 ◽  
pp. 275275302110687
Author(s):  
Kimberly A. Pyke-Grimm ◽  
Linda S. Franck ◽  
Bonnie Halpern-Felsher ◽  
Robert E. Goldsby ◽  
Roberta S. Rehm

Background: Adolescents and young adults (AYAs) with cancer must negotiate the transition between childhood and adulthood while dealing with a life-threatening illness. AYA involvement in decision making varies depending on the type of decision and when decisions occur during treatment, and evidence suggests that AYAs want to be involved in decision making. Objective: To explore involvement of AYAs with cancer in day-to-day decisions affected by their cancer and treatment. Methods: This qualitative study used interpretive focused ethnography within the sociologic tradition, informed by symbolic interactionism. Semi-structured interviews and informal participant observation took place at two quaternary pediatric oncology programs. Results: Thirty-one interviews were conducted with 16 AYAs ages 15 to 20 years. Major day to day decision-making categories identified included: (1) mental mindset, (2) self-care practices, (3) self-advocacy, and (4) negotiating relationships. Participants described how they came to grips with their illness early on and decided to fight their cancer. They described decisions they made to protect their health, how they advocated for themselves and decisions they made about relationships with family and friends. Conclusions: Through day-to-day decisions, participants managed the impact of cancer and its treatment on their daily lives. Research should focus on developing and implementing interventions to empower AYAs to participate in day-to-day decisions that will affect how they manage their cancer, its treatment and ultimately their outcomes. Implications for Practice: Healthcare providers can facilitate AYA's participation in day-to-day decision making through encouraging autonomy and self-efficacy by providing support and through effective communication.


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