Treating Self-Injury (eBook)

Barent W. Walsh, PhD, is Executive Director of The Bridge of Central Massachusetts in Worcester and Teaching Associate in Psychiatry at Harvard Medical School. The Bridge specializes in implementing evidence-based practice models according to protocol in public-sector settings. It comprises over 40 programs serving persons with mental health or developmental disability challenges, including special education; residential treatment; wraparound services; supported housing services; a drop-in center for gay, lesbian, bisexual, and transgender teens; and a program for homeless people. A recipient of the Lifetime Achievement Award from the Massachusetts chapter of the National Association of Social Workers, Dr. Walsh has worked with self-injuring persons for over 40 years and has conducted research, written extensively, and presented internationally on self-injury. He has consulted on this topic at numerous schools, outpatient clinics, group homes, psychiatric hospitals, and correctional facilities, and has also served on the clinical and research faculties of the Simmons and Boston College Schools of Social Work.

I. Definition and Contexts for Self-Injury1. Definition and Differentiation from Suicide2. The Relationship between Self-Injury and Suicide3. An Overview of Direct and Indirect Self-Harm4. Major Groups in Which Self-Injury Occurs5. Body Piercings, Tattoos, Brandings, Scarifications, and Other Forms of Body Modification6. A Biopsychosocial Model for Self-InjuryII. Assessment and Treatment: A Stepped-Care ModelTreatment: Step 17. Initial Therapeutic Responses8. Formal Assessment of Self-Injury, Jennifer J. Muehlenkamp9. Cognitive-Behavioral Assessment10. Contingency ManagementTreatment: Step 211. Replacement Skills Training12. Cognitive Treatment13. Family Therapy, Michael Hollander14. Psychopharmacological Treatment, Gordon P. HarperTreatment: Step 315. Body Image Work16. Prolonged Exposure or Cognitive Restructuring for Treating PTSD and Related Self-InjuryTreatment: Step 417. Treating Persons with Multiple Self-Harm Behaviors18. Residential Treatment Targeting Self-Injury and Suicidal Behavior in Adolescents, with Leonard A. Doerfler and Ariana PerryIII. Specialized Topics19. Managing Reactions to Self-Injury: A Guide for Therapists and Other Caregivers20. Social Contagion and Self-Injury21. A Protocol for Managing Self-Injury in School Settings22. Asphyxial Risk Taking (the Choking Game), Amy M. Brausch23. Understanding, Managing, and Treating Foreign-Body Ingestion, with Ariana Perry24. Self-Injury in Correctional Settings, Kenneth L. Appelbaum25. Treating Major Self-InjuryAfterwordAppendix A: Breathing ManualAppendix B: Body Attitudes Scale (BAS)Appendix C: Clinical Scales to Assess Self-InjuryAppendix D: Helpful Websites Related to Self-InjuryAppendix E: Bill of Rights for People Who Self-Harm