Treating Self-Injury, First Edition A Practical Guide

by Walsh, Barent W.

• ISBN13: 9781593859817
• ISBN10: 1593859813
• Edition: 1st
• Format: Paperback
• Copyright: 2008-06-19
• 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 the long-time Executive Director of The Bridge of Central Massachusetts, headquartered in Worcester, Massachusetts. The Bridge consists of over 35 programs serving emotionally disturbed, mentally ill, or developmentally delayed children, adolescents, or adults. These programs emphasize the implementation of evidence-based practice models, including dialectical behavior therapy, illness management and recovery, assertive community treatment, integrated dual disorder treatment, and wraparound services in public sector settings. Dr. Walsh has conducted research, written extensively, and presented internationally on self-injury. He has consulted on this topic at numerous schools, universities, outpatient clinics, group homes, special education programs, psychiatric hospitals, and correctional facilities. He previously taught in the Graduate School of Social Work at both Simmons College and Boston College.

Table of Contents

Definition and Contexts
Definition, Differentiation from Suicide, and Classification	p. 3
An Overview of Direct and Indirect Self-Harm	p. 21
Major Groups in Which Self-Injury Occurs	p. 32
Body Piercing, Tattooing, Branding, Scarification, and Other Forms of Body Modification	p. 48
Assessment and Treatment
A Biopsychosocial Model for Self-Injury	p. 57
Initial Therapeutic Responses	p. 71
Cognitive-Behavioral Assessment	p. 80
Contingency Management	p. 116
Replacement Skills Training	p. 125
Cognitive Treatment	p. 150
Body Image Work	p. 167
Exposure Treatment and Resolution of Trauma	p. 186
Family Treatment	p. 201
Psychopharmacological Treatment	p. 212
Managing the Reactions of Therapists and Other Caregivers to Self-Injury	p. 221
Specialized Topics
Contagion and Self-Injury	p. 231
A Protocol for Managing Self-Injury in School Settings	p. 244
Treating Major Self-Injury	p. 255
Conclusion	p. 271
Afterword	p. 273
Breathing Manual	p. 275
Body Attitudes Scale	p. 283
Websites Related to Self-Injury	p. 285
Bill of Rights for People Who Self-Harm	p. 289
References	p. 293
Index	p. 305
Table of Contents provided by Ingram. All Rights Reserved.