Nonsuicidal Self-Injury (Advances in Psychotherapy; Evidence-Based Practice) [1 ed.] 088937337X, 9780889373372

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-. E David. Klonsky -- Jennifer J. Muehlenkamp oo _ Stephen P. Lewis-Barent Wals

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Advances in Psychotherapy Evidence-Based Practice

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About the Authors E. David Klonsky, PhD, is Assistant Professor of Psychology at the University of British Columbia in Vancouver, Canada, and President of the International Society for the Study of Self-injury (ISSS;

ISSSweb.org). His research examines nonsuicidal self-injury, suicide, and disorders of emotion, and

he has published more than 40 articles and book chapters. His scientific and professional contributions have been recognized by awards from the American Psychological Foundation and the Society of Clinical Psychology (Division 12, American Psychological Association).

Jennifer J. Muehlenkamp, PhD, is Assistant Professor of Psychology at the University of Wisconsin-Eau Claire and licensed clinician specializing in treating suicidal and NSSI behavior. She has published over 40 research articles and book chapters on Nonsuicidal Self-Injury, Suicide, and other related disorders. Her contributions to the field have been recognized by awards from the American Association of Suicidology, and she is a founding member of the International Society for the Study of Self-Injury. Stephen P. Lewis, PhD, is Assistant Professor in Clinical Psychology at the University of Guelph in Ontario, Canada. His research examines the role of the Internet and social media onnonsuicidal self-injury (NSSI), NSSI functions, and ways to promote help-seeking and mental health literacy. In

addition to publishing in scholarly journals, Dr. Lewis’ research has been featured in national and international media outlets, including The New York Times, Time, CNN, USA Today, ABC, CBS, The Globe and Mail, and the BBC.

Barent Walsh, PhD, is Executive Director of The Bridge, a humarf service agency comprised of 40 programs headquartered in Worcester, MA. He has a faculty appointment at Harvard University and has previously taught at Boston College and Simmons College. He is the author of the book, Treating Self-Injury: A Practical Guide. For his contributions to the field of suicidology, he has received several awards, including a “Lifetime Achievement Award” from the Massachusetts Chapter of the National Association of Social Workers.

Advances in Psychotherapy — Evidence-Based Practice Series Editor Danny Wedding, PhD, MPH, Professor of Psychology, California School of Professional Psychology / Alliant International University, San Francisco, CA Associate Editors Larry Beutler, PhD, Professor, Palo Alto University / Pacific Graduate School of Psychology, Palo Alto, CA

Kenneth E. Freedland, PhD, Professor of Psychiatry and Clinical Health Psychology, Washington University School of Medicine, St. Louis, MO Linda C. Sobell, PhD, ABPP, Professor, Center for Psychological Studies, Nova Southeastern University, Ft. Lauderdale, FL David A. Wolfe, PhD, RBC Chair in Children’s Mental Health, Centre for Addiction and Mental Health, University of Toronto, ON

The basic objective of this series is to provide therapists with practical, evidence-based treatment guidance for the most common disorders seen in clinical practice — and to do so ina “reader-friendly” manner. Each book in the series is both a compact “how-to-do” reference on a particular disorder for use by professional clinicians in their daily work, as well as an ideal educational resource for students and for practice-oriented continuing education. The most important feature of the books is that they are practical and “reader-friendly:” All are structured similarly and all provide a compact and easy-to-follow guide to all aspects that are relevant in real-life practice. Tables, boxed clinical “pearls”, marginal notes, and summary boxes assist orientation, while checklists provide tools for use in daily practice.

Nonsuicidal

Self-Injury E. David Klonsky University of British Columbia, Vancouver, BC, Canada

Jennifer J. Muehlenkamp University of Wisconsin — Eau Claire, WI, USA

Stephen P. Lewis University of Guelph, ON, Canada

Barent Walsh The Bridge of Central Massachusetts, Worcester, MA, USA

HOGREFE

Library of Congress Cataloging in Publication

is available via the Library of Congress Marc Database under the Library of Congress Control Number 2011927495

Library and Archives Canada Cataloguing in Publication

Nonsuicidal self-injury / E. David Klonsky ... [et al.]. (Advances in psychotherapy--evidence-based practice) Includes bibliographical references. ISBN 978-0-88937-337-2 1. Self-injurious behavior. 2. Self-mutilation. psychotherapy--evidence-based practice RCS569.5.S48N66 2011

616.8582

I. Klonsky, E. David II. Series: Advances in

C2011-903037-3

© 2011 by Hogrefe Publishing

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ISBN: 978-0-88937-337-2

Table of Contents

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BPIMMUNOLEe eas ae MGI Oty ay exe Yasede es, AIRE ssid DCEMU IONS 2 cian ecictan SMC Sok rhe os ee OME Coencephially: Distinct Behaviors ...,. asia 0 Salina n, A Behavior or aDiagnosis? ... 5. +, (aie tae Ls 2h EpiciiOlotyin aa poenl.nty ue 1 eee eee eal. od FARM contr no Ar AG cassis on AUDA ONY TOMMY Rise has ah ee SIT CLEN CES 2a een ot ga tt 3) an spe: MN ADD

3 6 7 8 9 2 PRECIY tans cae civace cpdoc a tea aeha Sheu tas ee eR ees 12 BO on 0 Li3 SLi hyaaa rete, hey ed aielice | het 13 eata.s Caurse ag Prognosis aii... seen, We 1h demert ae 14 ees Equgitodinal Studies saiit), 4Aamge | sel cde kia

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SSUTININACN We, teas SRN A OP AiR, J west | tee, Sed aloc B 15 Pere AN AS OSES tare i isin Aha NV eo ecinndc oA, A es oe NS 16 UCL Ve ia wee ostrich, nerve sn-oke naa Wee No 16 Bordering Personality. DISOrdens 2. Se. rte een Ve wees ee RE 16 «isa. cee Other Behaviorsand Diagnoses cae IE tos Li PeOMNOt MIE Sytea c Neeat dene tig eh pS ORAS AE Ph ene 17 Borderline Personalitys DISOCHED 2..hMeen Maori edie iW, na Psyenratric: (ness eierie Ahan. 2p MAM etees LE GP Concomitant.Personality-Gaciors ...,200 Beeehiys? BAVA unk 18 GA SNOStICLE @IMORDICIICS 3)... 2.4 tek Oe) ae NON ee on SURMIAGY coh: lates. sanz et! lil rite 4 eh ithel cyte. 8 2 PRSSESSIIOTIE J vice Re Mobs alt SOULS aN Mitta s,derethR eta.) 9)atols 23 IASRESSOLS LeIICanOL mut ena, Leste Se 2 ee I Bal wees Zo AIS: Sis.wake 23 as whats ce es Domains of Interestat Goo 26 A SSeSSIMeI NS IUIMCIUS & ian vate 5520.0. oe ae A SSTUMIALViews cot cc sreyeis Abate ania Ae onc 3 oy ROR Radar RaN nhS 8, 28

Theories and Models of the Disorder ................ 29 | Spor nedPoyoHTere En or eeMR ost On EO wy LOS oe BmonGn Dysteculaony cstch ser tees a phil. Mr eine ys eC EG Pall ON esi Bia SA inMeese tah ovine kisqer iit etica he awe eee ee eee greere ee ORME GATE TAN Seer ee Renee en SSC" |[OC

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ies tS et o> Oe Siett TONOOS ives lS atcirreact i BOCIAEE UNG ONS c.cte fla dorst esteem: osbeemaine oePanes, + biggie irene autatee hx i S9 ERMAL ergIC cil elapielenthe/a 2) xy.2h i dded a OSU Pere CLOVIS OD IOISS icowncasty Machine car Aatlnten [kishore sa H 4 Stepewaye HO) Fe gS eu Ate SCC] TTS 2) gL « ere hues x Senesia pect. t ae) eee tes Pera ae Functional Assessment... ee enone Motivational Interviewiw cac = ese. sauces oie.0 pepe Emotion: Regulation i225 >t eile seen oteraea eos ee Problem Solving. tcc asec acs ons 9 boop eon Re ea oO oe Interpersonal SKS ..3 25 gov ksls soe se ae eee Psychodynamic Therapies Addressing Attachment 7 and Interpersonal Relationships .... .. #aifaies > see ee Self-Derogation and Cognitive Distortions .................. Behavioral Management Strategies sunrise. semieereae e NSSI Delay Behaviors'/ Means. Restrictfon. .....9W2anee. oe TEST CISC ct ange erties Ie hk Cae Ee: Eee Family (Unerapy soc 6.0% sce sir 0% foo oc eee oe ee Risk; Management: