The impact of ambivalence on recovery from non-suicidal self-injury: considerations for health professionals

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Nicole Gray, P. Hasking, M. Boyes
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引用次数: 11

Abstract

Purpose Non-suicidal self-injury (NSSI) is a growing public health concern. Continued NSSI is often associated with negative outcomes, yet the behaviour usually serves a purpose for individuals who self-injure (e.g. emotional relief). As such, individuals who self-injure often experience ambivalence about the behaviour. The purpose of this paper is to highlight the importance of recognising ambivalence as a natural and expected part of the recovery process. Design/methodology/approach This paper draws on literature regarding NSSI recovery, ambivalence towards stopping the behaviour and challenges for both clients and health professionals. Findings This paper argues that ambivalence towards self-injury can be challenging for both clients and health professionals. Clients may feel shame and sense of failure if they experience a setback; health professionals may experience frustration towards clients who continue to self-injure despite treatment. Originality/value Validation of the clients’ experience can have significant positive outcomes in treatment and help-seeking behaviours. Acknowledgement of client ambivalence during the recovery process will serve to validate clients’ experience and facilitate rapport. Health professionals who accept ambivalence as a natural part of the recovery process may experience less frustration with clients who continue to self-injure.
矛盾心理对非自杀性自伤康复的影响:对卫生专业人员的考虑
非自杀性自伤(NSSI)是一个日益受到关注的公共卫生问题。持续的自伤通常与负面结果有关,然而这种行为通常是为自伤者服务的(例如情绪缓解)。因此,自残的人通常会对这种行为产生矛盾心理。本文的目的是强调认识到矛盾心理是恢复过程中自然和预期的一部分的重要性。设计/方法/方法本文借鉴了有关自伤康复的文献,对停止行为的矛盾心理以及客户和卫生专业人员面临的挑战。研究结果本文认为,对自我伤害的矛盾心理对客户和健康专业人员来说都是具有挑战性的。如果客户遇到挫折,他们可能会感到羞耻和失败感;健康专业人员可能会对那些尽管接受了治疗但仍继续自残的客户感到沮丧。原创性/价值性对来访者体验的验证对治疗和求助行为有显著的积极影响。在恢复过程中,承认客户的矛盾心理将有助于验证客户的经验并促进融洽关系。接受矛盾心理作为恢复过程的自然组成部分的健康专业人员可能不会对继续自残的客户感到沮丧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Public Mental Health
Journal of Public Mental Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.40
自引率
7.10%
发文量
32
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