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A Practical Approach in the Treatment of Self-Inflicted Violence

Akron General Medical Center

After a brief review of the literature on self-inflicted violence, a practical approach to the treatment of patients who show self-injurious behavior and self-mutilation is developed. The treatment model uses therapeutic interventions based on a biopsychosocial understanding of the person and applies knowledge from the biological, psychological-behavioral, and social fields. Interventions discussed include ego strengthening, planning for substitute behaviors, therapeutic imagery, ego-state therapy, refraining, cognitive syllogism, behavioral reinforcement and extinction, and use of behavioral contracts. The case examples presented illustrate the importance of the therapist/patient relationship, which is based on trust, respect, and caring but also on patient responsibility for change.

Journal of Holistic Nursing, Vol. 13, No. 1, 37-53 (1995)
DOI: 10.1177/089801019501300106


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