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Healing the Hurt within
Foreword
Exploring Self-Injury And Self-H
Looking Beyond The Myths
Further Insights Into Self-Injur
Media Assertions And Attitudes T
Two Research Studies Examined
Childhood Trauma, Negative Core
The Cycle Of Self-Injury And The
Dissociation And Self-Injury
Hurting And Healing: True Storie
Heal Thyself
Guidance For Family, Friends, An
Guidelines For Those Working Wit
Creative Works By Contributors
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Healing the Hurt within
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Foreword
Aims Of The Book
New Material
Reworked And Expanded Sections
An Overview Of The Differences Between Editions 2 And 3
Information Removed And Relocated
Who Will Benefit From Reading This Book?
Notes
Cautions
Disclaimer
Contributors’ Personal Testimonies, Poems, Stories And Artwork
Exploring Self-Injury And Self-Harm
Beyond Reason
Too Familiar
Choice Of Terminology
Why The Term Self-Injury?
What Characterises Self-Injury?
What Behaviours Does Self-Injury Encompass?
What Behaviours Are Not Being Discussed?
What Distinguishes Dsi From Ndsh?
Grey Areas Examined
Summary
Defining Self-Injury
Compulsive Self-Injury
Impulsive Self-Injury
Self-Injury Rituals
Symmetry, Symbols And Dates
Putting Self-Injury Into Context With Other Self-Harming Behaviours
Discussion
Key Points
Looking Beyond The Myths
Who Encounters Self-Injury?
Myth 1: Self-Injury Is About Getting Attention
Myth 2: Self-Injury Is A Teenage Phenomenon
Myth 3: Self-Injury Is A Female Phenomenon
Myth 4: Self-Injury Is Contagious
Myth 5: People That Self-Injure Are Mentally Ill
Myth 6: Those Who Self-Injure Suffer From Borderline Personality Disorder
Myth 7: Those Who Self-Injure Are A Danger To Others
Myth 8: Self-Injury Is A Response To Child Abuse
Myth 9: If The Wounds Are Minor The Problem’s Not Major
Myth 10: Those Who Self-Injure Are A Burden On Society
Key Points:
Further Insights Into Self-Injury
What Methods Do People Use To Self-Injure?
Cutting Is Rarely The Only Form Of Self-Injury Used
Do Cutting And Burning Serve Different Purposes?
Summary
Why The Need To See Blood?
Alexithymia And Self-Injury: Is There A Link?
What Implements Do People Use To Self-Injure?
Where Do People Self-Injure?
Is There Significance To The Areas Chosen?
How Long Does Self-Injury Last?
What Do People Think Of Their Scars?
Is Self-Injury Addictive?
Do Endorphins Play A Role In Self-Injury?
Recap
Post-Traumatic Stress Symptoms And Brain Functioning
Key Points
Useful Resources
Suggested Further Reading
Media Assertions And Attitudes To Self-Injury, The Magnitude Of The Problem And Controversies
Media Hype
Recap
Self-Injury Upstaging Self-Poisoning
The Terminology Controversy
Why Don’t Researchers Agree On A Single Term?
Overdosing Vs. Self-Injury
Recap
Is The Terminology Controversy Much Ado About Nothing?
Is Self-Injury Always Deliberate?
Discussion
‘safe Self Harm – Is It Possible?’
Key Points
Two Research Studies Examined
Penumbra Research With Young People Who Self-Harm
Testimonies From The Young People
Self-Harm: An Examination Of Antecedent And Maintenance Factors
Summary Of The Findings
Antecedents
Key Points
Childhood Trauma, Negative Core Beliefs, Perfectionism And Self-Injury
Defining Trauma
Child Abuse And Self-Injury
Defining Rape
Defining Emotional Abuse
Defining Physical Abuse
Defining Sexual Abuse
The Controversial Debate Over Recovered Abuse Memories
An Interview With Sharon
The Dilemma Of Suspecting Yet Not Knowing
Additional Support
Not All People That Self-Injure Have Been Abused
Negative Core Beliefs And Self-Injury
Negative Self-Beliefs And Perfectionism
Changing Negative Core Beliefs And Building Self-Worth
Key Points
The Cycle Of Self-Injury And The Eight Cs Of Self-Injury
Point A: Mental Anguish
Point B: Emotional Engulfment
Point C: Panic Stations
Point D: Action Stations
Point E: Feel Better/Different
Point F: The Grief Reaction
Breaking The Cycle Of Self-Injury
The Eight Cs Of Self-Injury
1. Coping And Crisis Intervention
2. Calming And Comforting
3. Control
4. Cleansing
5. Confirmation Of Existence
6. Creating Comfortable Numbness
7. Chastisement
8. Communication
Key Points
Dissociation And Self-Injury
What Exactly Are Dissociative Disorders?
Dissociation In Relation To Self-Injury
Self-Injury: An Effective Tool To Cope With Dissociation
Two Common Pathways To Self-Injury
Dissociative Identity Disorder (Did)
Dissociative Identity Disorder And Self-Injury
A Picture Paints A Thousand Words
Statistics On Dissociation And Self-Injury
Dissociation: A Psychological Safety Device
Case Study 8.1: Stephanie
Dissociation And What It Achieves
Dangerously Unconnect_Ed
‘truancy Of The Mind’
Working With Dissociative Clients
Training In Dissociation
Dissociation Screening And Diagnostic Tools
Key Points
Further Useful Resources
Hurting And Healing: True Stories
Hurting Stories
Case Study 9.2: Caroline
Healing Stories
Case Study 9.5: Emma
Case Study 9.6: Julian
Case Study 9.7: Morven
Case Study 9.8: Kate
Key Points
Heal Thyself
Healing Hint 1
Healing Hint 2
Healing Hint 3
Summary
Healing Hint 4
Healing Hint 5
Healing Hint 6
Healing Hint 7
Healing Hint 8: Kate
Healing Hint 9: A Collection Of Self-Help Tips
Healing Hint 10
Healing Hint 11: Cis’ters
A Final Word Of Caution
Key Points
References
Guidance For Family, Friends, And Teens Considering Self-Injury
Guidance For Family Members
Things To Avoid
Just Listen
Read On
Helping A Friend Who Self-Injures
The Value Of True Friendship
Thoughts Of Self-Injury: Guidance For Teenagers
Some Parting Words Of Wisdom
Key Points
Useful Resources
Guidelines For Those Working With Self-Injury And Related Issues
Helpful Responses To Self-Injury
Working With Self-Injuring Clients
What Is Helpful?
What Is Not Helpful?
Defining Vicarious Traumatisation (Vt)
There’s No Blueprint For Working With People That Self-Injure
Case Study 12.1: Jill (1)
An Overview Of Five Therapeutic Approaches Used To Treat Clients That Self-Injure
Case Study 12.2: Linelle
Observations From Linelle’s Case Study
The Trauma Model
Helpful Aspects Of Therapy
Summary
Dissociation
Therapeutic Precautions To Help Prevent False Memory Allegations
Key Points
About The Contributors
Useful Resources
Creative Works By Contributors
Messages For Staff Working In Accident And Emergency
Saviour In Disguise
Controlling Emotions
Childhood Betrayed
Traumatic Memories
Toxic Shame
Dissociation And Depersonalisation
Invalidation And Crimson Tears
The Hurt Child Speaks
Therapy: Contrasting Views
A Message For Helpers
And Finally, A Message For Everyone
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