Abstract
There is no single cause of NSSI in youth that reliably determines whether a child or adolescent will ultimately engage in these behaviors. Psychiatric problems and disorders often result from complex interactions of genetic predispositions, environmental events/stressors, and individual vulnerabilities, and the causes of NSSI are no different. This chapter begins with a review of several explanatory models for NSSI in youth, with a particular emphasis on the environmental/functional model, as this approach has the most support in the professional literature. Following this discussion, a comprehensive biopsychosocial framework developed by Walsh (2006) for understanding the causal variables contributing to the development of NSSI will be described. This framework leads directly to many of the recommended assessment and treatment techniques described in subsequent chapters.
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References
Alderman, T. (1997). Scarred soul: Understanding and ending self-inflicted violence. Oakland, CA: New Harbinger.
Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for suicide attempts and non-suicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111, 198–202.
D’Onofrio, A. A. (2007). Adolescent self injury: A comprehensive guide for counselors and health care professionals. New York: Springer.
Farber, S. K. (2000). When the body is the target: Self-harm, pain, and traumatic attachments. Northvale, NJ: Jason Aronson.
Favazza, A. (1996). Bodies under siege: Self-mutilation and body modification in culture and psychiatry (2nd ed.). Baltimore, MD: Johns Hopkins University Press.
Favazza, A. (1998). The coming of age of self-mutilation. The Journal of Nervous and Mental Disease, 186, 259–268.
Firestone, R. W., & Seiden, R. H. (1990). Suicide and the continuum of self-destructive behavior. Journal of American College Health, 38, 207–213.
Gratz, K. L. (2006). Risk factors for deliberate self-harm among female college students: The role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/ reactivity. American Journal of Orthopsychiatry, 76, 238–250.
Hartman, D. (1996). Cutting among young people in adolescent units. Therapeutic Communities, 17, 5–17.
Iwata, B. A., Pace, G. M., Dorsey, M. F., Zarcone, J. R., Vollmer, T. R., Smith, R. G., et al. (1994). The functions of self-injurious behavior: An experimental-epidemiological analysis. Journal of Applied Behavior Analysis, 27, 215–240.
Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27, 226–239.
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Lloyd-Richardson, E. E., Nock, M. K., & Prinstein, M. J. (2009). Functions of adolescent nonsuicidal self-injury. In M. K. Nixon & N. L. Heath (Eds.), Self-injury in youth: The essential guide to assessment and intervention (pp. 29–41). New York: Routledge.
Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37, 1183–1192.
Nixon, M. K., Cloutier, P. F., & Aggarwal, S. (2002). Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 1333–1341.
Osuch, E. A., & Payne, G. W. (2009). Neurobiological perspectives on non-suicidal self-injury. In M. K. Nixon & N. L. Heath (Eds.), Self-injury in youth: The essential guide to assessment and intervention (pp. 79–110). London, UK: Routledge.
Skinner, B. F. (1938). The behavior of organisms: An experimental analysis. New York: Appleton-Century.
Suyemoto, K. L. (1998). The functions of self-mutilation. Clinical Psychology Review, 18, 531–554.
Van der Kolk, B. A. (2005). Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 35, 401–408.
Walsh, B. W. (2006). Treating self-injury: A practical guide. New York: Guilford Press.
Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117, 1939–1948.
Yates, T. M. (2004). The developmental psychopathology of self-injurious behavior: Compensatory regulation in posttraumatic adaptation. Clinical Psychology Review, 24, 35–74.
Messer, J. M., & Fremouw, W. J. (2008). A critical review of explanatory models for self-mutilating behaviors in adolescents. Clinical Psychology Review, 28, 162–178.
Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72, 885–890.
Nock, M. K., & Prinstein, M. J. (2005). Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology, 114, 140–146.
Klonsky, E. D., & Muehlenkamp, J. J. (2007). Self injury: A research review for the practitioner. Journal of Clinical Psychology: In Session, 63, 1045–1056.
Haines, J., Williams, C. L., Brain, K. L., & Wilson, G. V. (1995). The psychophysiology of self-mutilation. Journal of Abnormal Psychology, 104, 471–489.
Stanley, B., Winchel, R., Molcho, A., Simeon, D., & Stanley, M. (1992). Suicide and the self-harm continuum: Phenomenological and biochemical evidence. International Review of Psychiatry, 4, 149–155.
Winchel, R. M., & Stanley, M. (1991). Self-injurious behavior: A review of the behavior and biology of self-mutilation. American Journal of Psychiatry, 148, 306–317.
Jacobson, C. M., & Gould, M. (2007). The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: A critical review of the literature. Archives of Suicide Research, 11, 129–147.
Suyemoto, K. L., & MacDonald, M. L. (1995). Self-cutting in female adolescents. Psychotherapy, 32, 162–171.
Crouch, W., & Wright, J. (2004). Deliberate self-harm in an adolescent unit: A qualitative investigation. Clinical Child Psychology & Psychiatry, 9, 185–204.
Miller, F., & Bashkin, E. A. (1974). Depersonalization and self-mutilation. Psychoanalytic Quarterly, 43, 638–649.
Zila, L. M., & Kiselica, M. S. (2001). Understanding and counseling self-mutilation in female adolescents and young adults. Journal of Counseling and Development, 79, 46–52.
Skinner, B. F. (1953). Science and human behavior. New York: Free Press.
Rodham, K., Hawton, K., & Evans, E. (2004). Reasons for deliberate self-harm: Comparison of self-poisoners and self-cutters in a community sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 80–87.
Noll, J. G., Horowitz, L. A., Bonanno, G. A., Trickett, P. K., & Putnam, F. W. (2003). Revictimization and self-harm in females who experienced childhood sexual abuse. Journal of Interpersonal Violence, 18, 1452–1471.
Paivio, S. C., & McCulloch, C. R. (2004). Alexithymia as a mediator between childhood trauma and self-injurious behaviors. Child Abuse and Neglect, 28, 339–354.
Cicchetti, D., & Toth, S. L. (2005). Child maltreatment. Annual Review of Clinical Psychology, 1, 409–438.
Klonsky, E. D., & Moyer, A. (2008). Childhood sexual abuse and non-suicidal self-injury: A meta-analysis. British Journal of Psychiatry, 192, 166–170.
Whitlock, J. L., Powers, J. L., & Eckenrode, J. (2006). The virtual cutting edge: The Internet and adolescent self-injury. Developmental Psychology, 42, 407–417.
Whitlock, J., Lader, W., & Conterio, K. (2007). The Internet and self-injury: What psychotherapists should know. Journal of Clinical Psychology: In Session, 63, 1135–1143.
Lieberman, R., & Poland, S. (2006). Self-mutilation. In G. G. Bear & K. M. Minke (Eds.), Children’s needs III: Development, prevention, and intervention (pp. 965–976). Bethesda, MD: National Association of School Psychologists.
Grossman, R., & Siever, L. (2001). Impulsive self-injurious behaviors: Neurobiology and psychopharmacology. In D. Simeon & E. Hollander (Eds.), Self-injurious behaviors: Assessment and treatment (pp. 117–148). Washington, DC: American Psychiatric Publishing.
Conterio, K., & Lader, W. (1998). Bodily harm: The breakthrough healing program for self injurers. New York: Hyperion Press.
Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect regulation, mentalization, and the development of self. New York: Other Press.
Gratz, K. L, & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.
Briere, J., & Gil, E. (1998). Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. American Journal of Orthopsychiatry, 64, 609–620.
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Miller, D.N., Brock, S.E. (2010). Causes (with Richard Lieberman) . In: Identifying, Assessing, and Treating Self-Injury at School. Developmental Psychopathology at School. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-6092-4_2
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