
Flüxy <Buffy_Pregnant>
"Alone in the dark!"
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| Self-Injury | 723 Tage her | ||
Self-injury (SI) or self-harm (SH) is deliberate injury inflicted by a person upon his or her own body without suicidal intent.A common belief regarding self-injury is that it is an attention-seeking behavior; however, in most cases, this is untrue. Most self-injurers are very self-conscious of both their wounds and scars, and go to great lengths to conceal their behavior from others. They may offer alternative explanations for their injuries, or conceal their scars with clothing. Self-injury in such individuals is not associated with suicidal or para-suicidal behavior. The person who self-injures is not usually seeking to end his or her own life; it has been suggested instead that he or she is using self-injury as a coping mechanism to relieve emotional pain or discomfort. However, studies of individuals with developmental disabilities (such as mental retardation) have shown self-injury being dependent on environmental factors such as obtaining attention or escape from demands. A common form of self-injury involves making cuts in the skin of the arms, legs, abdomen, inner thighs, etc. This is colloquially referred to as "cutting"; a person who routinely does this may be colloquially called a "cutter". Examples of self-injury other than cutting include: Punching, hitting and scratching Choking, constricting of the airway Self-biting of hands, limbs, tongue, lips, or arms Picking at or re-opening wounds (dermatillomania), ulceration, or sutures Hair-pulling (trichotillomania) Burning, including cigarette burns, and self-incendiarism (as well as eraser burns, chemical burns [example; salt and ice burns]) Stabbing self with wire, pins, needles, nails, staples, pens, or hair accessories Pinching or clamping, as with clothes pins, paper clips, etc. Ingesting corrosive chemicals, batteries, or pins Self-poisoning; for example by over-dosing on medication and/or alcohol, without suicidal intent Self-injury among individuals with developmental disabilities often involves relatively simple actions, such as banging one's head against a hard surface, punching hard surfaces, biting oneself (usually hands or arms), or picking wounds. It may also include pica, the swallowing of nonfood items, which can be extremely dangerous and sometimes fatal. Alternatively self-injury may be a means of feeling something, even if the sensation is unpleasant and painful. Those who self-injure sometimes describe feelings of emptiness or numbness (anhedonia), and physical pain may be a relief from these feelings. "A person may be detached from himself or herself, detached from life, numb and unfeeling. They may then recognise the need to function more, or have a desire to feel real again, and a decision is made to create sensation and ‘wake up’." Even though there is the possibility that a self-inflicted injury may result in life-threatening damage, self injury is not suicidal behavior. Although the person may not recognize the connection, Self Injury (SI) usually occurs when facing what seems like overwhelming or distressing feelings. The reasons self-injurers give for this behavior vary: Self-injury temporarily relieves intense feelings, pressure or anxiety. Self-injury provides a sense of being real, being alive – of feeling something. Injuring oneself is a way to externalize emotional internal pain – to feel pain on the outside instead of the inside. Self-injury is a way to control and manage pain – unlike the pain experienced through physical or sexual abuse. Self-injury is a way to break emotional numbness (the self-anesthesia that allows someone to cut without feeling pain). Self-abuse is self-soothing behavior for someone who does not have other means to calm intense emotions. Self-loathing – some self-injurers are punishing themselves for having strong feelings (which they were usually not allowed to express as children), or for a sense that somehow they are bad and undeserving(an outgrowth of abuse and a belief that it was deserved). Self-injury followed by tending to wounds is a way to express self-care, to be self-nurturing, for someone who never learned how to do that in a more direct way. Harming oneself can be a way to draw attention to the need for help, to ask for assistance in an indirect way. Sometimes self-injury is an attempt to affect others – to manipulate them, make them feel guilty or bad, make them care, or make them go away. Intense pain can lead to the release of endorphins and therefore become a means of seeking pleasure. There is considerable uncertainty about which forms of psychosocial and physical treatments of patients who harm themselves are most effective and as such further clinical studies are required. Psychiatric and personality disorders are common in individuals who self-harm and as a result self-injury may be an indicator of depression and/or other psychological problems. Many people who self-harm suffer from moderate or severe clinical depression and therefore treatment with antidepressent drugs may often be indicated for these patients. Cognitive Behavioral Therapy may also be used (where the resources are available) to assist those with axis 1 diagnoses, such as depression, schizophrenia, and bipolar disorder. DBT, or Dialectical behavioral therapy can be very successful for those individuals exhibiting a personality disorder, and could potentially be used for those with other mental illnesses who exhibit self-injurious behavior. Diagnosis and treatment of the causes of self harm is thought by many to be the best approach to self-injury; but in some cases, particularly in clients with a personality disorder, this is not very effective, which is why more clinicians are starting to take a DBT approach in order to reduce the behavior itself. A person who is injuring themselves may be advised to use coping skills, such as journaling or taking a walk, when they have the urge to harm themselves. They may also be told to avoid having the objects they use to harm themselves within easy reach. People who rely on habitual self-injury are sometimes psychiatrically hospitalised, based on their stability, and their ability and especially their willingness to get help. In individuals with developmental disabilities, occurrence of self-injury is often demonstrated to be related to its effects on the environment, such as obtaining attention or desired materials or escaping demands. As developmentally disabled individuals often have communication or social deficits, self-injury may be their way of obtaining these things which they are otherwise unable to obtain in a socially appropriate way (such as by asking). One approach for treating self-injury thus is to teach an alternative, appropriate response which obtains the same result as the self-injury | |||
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1 Kommentar:
| Mish hat gesagt... | 698 Tage her | ||
hmmm well after reading this i know alot more people who want to be alive like the reopening woumds thing explains half of the ex boyfriend i have had man......... | |||
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