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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.
|Publisher:||Guilford Publications, Inc.|
|Edition description:||First Edition|
|Product dimensions:||6.00(w) x 9.00(h) x (d)|
About the Author
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
I. Definition and Contexts
1. Definition, Differentiation from Suicide, and Classification
2. An Overview of Direct and Indirect Self-Harm
3. Major Groups in Which Self-Injury Occurs
4. Body Piercing, Tattooing, Branding, Scarification, and Other Forms of Body Modification
II. Assessment and Treatment
5. A Biopsychosocial Model for Self-Injury
6. Initial Therapeutic Responses
7. Cognitive-Behavioral Assessment
8. Contingency Management
9. Replacement Skills Training
10. Cognitive Treatment
11. Body Image Work
12. Exposure Treatment and Resolution of Trauma
13. Family Treatment
14. Psychopharmacological Treatment, Gordon Harper
15. Managing the Reactions of Therapists and Other Caregivers to Self-Injury
III. Specialized Topics
16. Contagion and Self-Injury
17. A Protocol for Managing Self-Injury in School Settings
18. Treating Major Self-Injury
Appendix A. Breathing Manual
Appendix B. Body Attitudes Scale
Appendix C. Websites Related to Self-Injury
Appendix D. Bill of Rights for People Who Self-Harm
Mental health practitioners working with adolescents and adults, including clinical psychologists, social workers, psychiatrists, family therapists, nurses, and school psychologists and counselors. May serve as a supplementary text in graduate-level courses in psychotherapy, clinical practice with adolescents, crisis intervention, and related topics.