Treating Self-Injury, First Edition A Practical Guide

by Walsh, Barent W.

• ISBN13: 9781593852160
• ISBN10: 1593852169
• Edition: 1st
• Format: Hardcover
• Copyright: 2005-10-24
• Publisher: The Guilford Press

Summary

Uniquely practical and comprehensive, this timely guide addresses a problem that is on the rise, particularly among adolescents and young adults. Practitioners gain a wealth of knowledge about the variety and causes of self-injurious behavior and how to recognize it in people at risk, ranging from those who do not have psychiatric diagnoses to those with eating or mood disorders, posttraumatic stress disorder, personality disorders, or psychoses. Illustrated with detailed case examples, clear guidelines are presented for assessing clients and conducting evidence-based interventions using replacement skills training, cognitive-behavioral therapy, exposure treatment, psychopharmacology, and family- and school-based strategies. Reproducible clinical materials are included.

Author Biography

Barent W. Walsh, PhD, has worked with self-injuring persons since the late 1970s. He is currently Executive Director of The Bridge of Central Massachusetts, headquartered in Worcester, Massachusetts, which comprises over 30 programs that serve emotionally disturbed, mentally ill, or developmentally delayed children, adolescents, or adults. These programs include special education; residential treatment; wraparound services; supported housing services; a drop-in center for gay, lesbian, bisexual, and transgender teens; and a program for homeless people. Dr. Walsh has conducted research, written extensively, and presented internationally on self-injury. He has also consulted on this topic at numerous schools, outpatient clinics, group homes, special education programs, psychiatric hospitals, and correctional facilities.

Table of Contents

PART I. DEFINITION AND CONTEXTS
Definition, Differentiation from Suicide, and Classification	3	(18)
An Overview of Direct and Indirect Self-Harm	21	(11)
Major Groups in Which Self-Injury Occurs	32	(16)
Body Piercing, Tattooing, Branding, Scarification, and Other Forms of Body Modification	48	(9)
PART II. ASSESSMENT AND TREATMENT
A Biopsychosocial Model for Self-Injury	57	(14)
Initial Therapeutic Responses	71	(9)
Cognitive-Behavioral Assessment	80	(36)
Contingency Management	116	(9)
Replacement Skills Training	125	(25)
Cognitive Treatment	150	(17)
Body Image Work	167	(19)
Exposure Treatment and Resolution of Trauma	186	(15)
Family Treatment	201	(11)
Psychopharmacological Treatment	212	(9)
Gordon Harper
Managing the Reactions of Therapists and Other Caregivers to Self-Injury	221	(10)
PART III. SPECIALIZED TOPICS
Contagion and Self-Injury	231	(13)
A Protocol for Managing Self-Injury in School Settings	244	(11)
Treating Major Self-Injury	255	(16)
Conclusion	271	(2)
Afterword	273	(2)
Appendix A. Breathing Manual	275	(8)
Appendix B. Body Attitudes Scale	283	(2)
Appendix C. Websites Related to Self-Injury	285	(4)
Appendix D. Bill of Rights for People Who Self-Harm	289	(4)
References	293	(12)
Index	305