Habilitationsschrift, 2008
70 Seiten, Note: A
Psychologie - Klinische Psychologie, Psychopathologie, Prävention
CHAPTER I INTRODUCTION
Statement of the Problem
Purpose of the Study
Significance of the Study
Scope of the Study
Definition of Terms
CHAPTER II METHODOLOGY
Search Strategy
Procedures
CHAPTER III REVIEW OF LITERATURE
Historical perspective
Epidemiology
Risk Factors
Neurobiological Theories
Childhood maltreatment
Methods for SIV
Motivations for and Functions of SIV
Emotion regulation/tension reduction
Control/punishment
Communication/expression
Concomitant Factors
Cultural Considerations
Suicide versus SIV
Treatment Approaches
Psychodynamic Perspective
Cognitive Behavioral Perspective
Feminist Theory Perspective
Pharmacotherapy
Assessment Measurements
Summary
CHAPTER IV CONCLUSION AND DISCUSSION
Implications for Practice
This critical review aims to synthesize existing empirical and theoretical literature on self-inflicted violence (SIV) to enhance understanding, prevention, and treatment strategies. It seeks to clarify the functional distinctions between SIV and suicidal behavior, investigate the impact of trauma (specifically childhood maltreatment) on SIV, and evaluate current therapeutic modalities, with a focus on integrating multidimensional perspectives.
Communication/expression
Some people may use SIV as a way to express overwhelming feelings such as shame, guilt, and rage for which they cannot find language; to communicate about the trauma, to find a way to tell others what happened is a powerful function of SIV (Brown & Bryan, in press; Herman, 1992). For example, Brown recalled a conversation with a woman who engaged in SIV:
When people see my blood and the wounds they start to have some idea—not the whole idea, but at least some idea—of how bloody and wounded it feels inside of me. I don’t know if they can believe how much I hurt inside if they don’t see how hurt I am outside. (p. 9)
In addition, because trauma is generally stored in nonverbal modes such as sensations and visual images (Bremner, 2005; Herman; van der Kolk, 1994), SIV behavior may function to unconsciously act out the traumatic event on the survivor’s body.
CHAPTER I INTRODUCTION: Provides an overview of the research scope, defines key terms, and establishes the prevalence and clinical challenge of trauma-related self-inflicted violence.
CHAPTER II METHODOLOGY: Outlines the strategy for gathering and analyzing literature from diverse databases and sources to ensure a comprehensive critical review.
CHAPTER III REVIEW OF LITERATURE: Details the historical development of theories, epidemiological data, neurobiological underpinnings, motivations, and common treatment modalities associated with SIV.
CHAPTER IV CONCLUSION AND DISCUSSION: Synthesizes the main findings, discusses the clinical significance for mental health practice, and offers recommendations for future research and societal reform.
Self-inflicted violence, SIV, trauma, childhood maltreatment, emotion regulation, suicide, neurobiology, amygdala, feminist therapy, CBT, psychological trauma, dissociation, coping mechanisms, mental health, borderline personality disorder.
The work provides a critical review of trauma-related self-inflicted violence (SIV), aiming to synthesize theoretical and empirical data to improve clinical understanding, prevention, and treatment efficacy.
The study covers the neurobiological basis of SIV, the link to childhood trauma, functional motivations (e.g., tension reduction), and a critical look at how different therapeutic models address the behavior.
The study aims to determine if SIV is universally defined, if existing research accounts for diverse demographic variables, and whether current interventions effectively treat and prevent the behavior.
The author performs an integrative research review, analyzing published reports, seminal books, and empirical studies through a hermeneutic lens, while acknowledging the author's own biases.
The body covers historical perspectives, epidemiology, specific risk factors (biological and environmental), methods of SIV, and an in-depth evaluation of psychodynamic, cognitive-behavioral, and feminist therapeutic approaches.
Key terms include self-inflicted violence, trauma, childhood maltreatment, emotion regulation, dissociation, and feminist therapy, among others.
The author emphasizes that while they may co-exist, they have very different end-functions; SIV is often an adaptive coping mechanism to manage internal pain and remain alive, whereas suicide is the intentional taking of one's life.
The author argues that feminist therapy provides a safe, empowering environment that addresses larger social constructs, power dynamics, and gender socialization, which are often overlooked in pathologizing or deficit-based models.
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