Search results for "self-injurious"

Countertransference in Factitious Disorder

1994

In the treatment of patients with factitious disorder it is important to realize that at various levels of their experience these patients are more intimate with death than with life. This requires a particular awareness of resistance mechanisms to countertransference as well as of the importance of clinical procedures, in particular with regard to superego analysis. A requirement for establishing a psychotherapeutic alliance with patients suffering from factitious disorder is a high degree of 'therapeutic eros', hope and trust in one's own capabilities. The emphasis on a 'biophile attitude' does, however, involve the danger that the destructive potential, fantasies of death or killing, but…

Educational styles, peers’ approval and adolescent self-injurious behaviours

2010

The present research aims at understanding how the same body may became object of aggression and destruction by adolescents' self-injurious behaviours. Particularly, self-injurious behaviours are those finalised to destruction or deliberate alteration of one's body, even if without a conscious suicidal intention. The research aims at studying the relationship between educational styles, self-injurious behaviours and the social representation of the phenomenon in a group of adolescents aged between 15 and 19 years. Research has shown that on the basis of self-injurious behaviours there are the perception of an authoritarian educational style and approval by peers and brothers. (C) 2010 Elsev…

Early-onset tobacco use and suicide-related behavior – A prospective study from adolescence to young adulthood

2018

Abstract Background Developmental relationships between tobacco use and suicide-related behaviors (SRB) remain unclear. Our objective was to investigate the longitudinal associations of tobacco use in adolescence and SRB in adulthood. Methods Using a prospective design, we examined whether tobacco use in adolescence is associated with SRB (intentional self-injury, suicide ideation) in young adulthood in a population-based sample of 1330 twins (626 males, 704 females). The baseline and follow-up data were collected by professionally administered semi-structured poly-diagnostic interviews at ages 14 and 22, respectively. Results After adjusting for multiple potential confounders, those who re…

Factitious disorders and pathological self-harm in a hospital population: an interdisciplinary challenge.

2002

Factitious disorder, Munchausen's Syndrome, and deliberate self-harm have recently been conceptualized as different facets of self-destructive behavior. A descriptive typological classification has been presented by Willenberg et al., but has not yet been tested with a clinical sample. The instrument distinguishes between direct self-harm (e.g., self-inflicted wounds), self-induced disease (e.g., factitious fever), and indirect self-harm delegated to medical staff (e.g., repeated operations occasioned by feigned symptoms). All patients referred to the psychosomatic-psychotherapeutic liaison-consultation service or to the outpatients' department within 14 months (n = 995) and all patients di…

Predective relation between educational styles and adolescent self-injurious behaviors

2009

Self-inflicted long bone fractures for insurance fraud.

2018

Self-inflicted fractures simulating traffic accident represent a new social fraud opportunity for criminality. Recognising scams through an increase of awareness of existence of self-inflicted arm fractures for insurance fraud could help community health workers to report these injuries to the competent authorities. In this article, authors have recognised an unusual but consistent pattern of upper and lower limb fractures whose incidence does not coincide in numerical terms with what is reported in literature. The aim of the present study is to describe fracture patterns observed over the past 2 years. Further, authors describe clinical presentations of these fractures and attempt to defin…

The treatment of severe self-injurious behavior through sensory stimulation: A case report

2016

Self-injurious behavior of an institutionalized man with profound intellectual disability was treated with a daily 15-min sensory stimulation program, which consisted of moving the arms and hands of the participant, swinging his body, and massage. The frequency of self-injurious behavior was measured in 10-min sessions. Using a reversal design, it was shown that sensory stimulation decreased the participant’s self-hitting behavior significantly, both in intensity and in frequency. Sensory stimulation is recommended for use in those cases in which functional analysis has shown that self-injury may be reinforced by its sensory consequences.

Self-injurious behavior : assessment and treatment

2016

This research explored the conceptualisation of self-injurious behavior (SIB) in terms of similarities and differences amongst the two types of this behavior. It further explored the efficacy of a brief psychological intervention for SIB as well as the effect of a brief training in the assessment and treatment of SIB on the attitudes psychiatric personnel hold towards people who engage in SIB. The participants in two of the three studies reported here were individuals who following a self-injury episode approached the accident and emergency unit at the Central Finland Community General Hospital. The participants in the third study were psychiatric personnel from the North Karelia Health Dis…