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Self-harming behaviour: from lay perceptions to clinical practice

Rayner, G and Warner, S 2003, 'Self-harming behaviour: from lay perceptions to clinical practice ' , Counselling Psychology Quarterly, 16 (4) , pp. 305-329.

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    Abstract

    Self-harm is a complex phenomena that occurs in many different settings. Multi-factorial explanations predominate in the literature and accounts of treatment reflect this diversity, ranging through psychobiological and psycho-social theories.This study aims to identify, describe and interpret some of the accounts and understandings of self-harm from a cross section of the general population and then relate this to clinical practice. Q Methodology is used to explore various competing viewpoints of lay people in understanding and treating people who self-harm. Eight different accounts were produced from the Explanation Q-sort. All but the Biological account described self-harm as a coping strategy, utilized in response to feelings of helplessness following social interaction and were therefore psycho-social in nature. There were four treatment/policy viewpoints that were all psycho-social in nature. These were influenced by humanistic and cognitive types of therapy and were united by the importance of empathy, positive regard and empowerment. These viewpoints are fully explored in this study. Common themes and factors connecting the explanations and treatment Q-sorts are discussed. These findings are then discussed in terms

    Item Type: Article
    Uncontrolled Keywords: Self-harm Self-injury Q-sort methodology
    Themes: Subjects / Themes > R Medicine > RT Nursing
    Subjects / Themes > B Philosophy. Psychology. Religion > BF Psychology
    Health and Wellbeing
    Subjects outside of the University Themes
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences
    Journal or Publication Title: Counselling Psychology Quarterly
    Publisher: Taylor & Francis
    Refereed: Yes
    ISSN: 0951-5070
    Depositing User: Dr Gillian Rayner
    Date Deposited: 26 Nov 2009 09:40
    Last Modified: 20 Aug 2013 17:01
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    URI: http://usir.salford.ac.uk/id/eprint/2559

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