Interpersonal processes and self-injury : a qualitative study using Bricolage

Rayner, GC and Warne, AR 2016, 'Interpersonal processes and self-injury : a qualitative study using Bricolage' , Journal of Psychiatric and Mental Health Nursing, 23 (1) , pp. 54-65.

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Introduction: Literature on self-injury has recognized the impact on the relationship between clients and staff. Rationale: There is an absence of a detailed account of interpersonal processes surrounding self-injury. Aim: A Bricolage qualitative research approach was carried out in the United Kingdom that explored the interpersonal processes surrounding self-injury. Method: Three pairs of clients and staff were interviewed about an incident of self-injury. The interviews were thematically analysed and then synthesized producing a deeper exploration of the relationship between the client and staff. Findings: An interpersonal trigger followed by anger and shame, resulted in self-injury to ‘numb’ these experiences. Discussion: Self-injury is conceptualized as a safety behaviour to avoid shame and anger and then as a maintenance cycle that traps the client in a reinforcing and rejecting relationship. Staff interviewed were able to reflect with the clients and help them reframe these experiences. Implications for practice: Mental Health Nurses can work with clients to understand their own interpersonal cycles of self-injury. They can then reflect on their own roles in this process and avoid reinforcing the clients’ negative beliefs. - What the study adds to international evidence: This is the first international paper to explore the interconnection between the client and a professional helper in their lived experiences of self-injury.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy
Journal or Publication Title: Journal of Psychiatric and Mental Health Nursing
Publisher: Wiley-Blackwell
ISSN: 1351-0126
Related URLs:
Funders: Non funded research
Depositing User: Dr Gillian Rayner
Date Deposited: 06 Apr 2016 09:17
Last Modified: 10 Aug 2017 04:10

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