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Self‐injury recovery: A person‐centered framework
Journal of Clinical Psychology ( IF 2.5 ) Pub Date : 2020-12-09 , DOI: 10.1002/jclp.23094
Stephen P Lewis 1 , Penelope A Hasking 2
Affiliation  

Growing interest has been paid to the concept of non‐suicidal self‐injury (NSSI) recovery. In research, and sometimes clinical practice, the focus has been on NSSI cessation, with recovery operationalised with reference to the time since someone last self‐injured. Yet, perspectives from people with lived experience of NSSI indicate that recovery is much more complex. Drawing on recent empirical work, and the voices of people with lived experience of NSSI, we outline a new framework for conceptualizing NSSI recovery. We argue that recovery is nonlinear and multifaceted, comprising: Realistic Expectations and Setbacks; Normalizing Thoughts and Urges; Fostering Self‐efficacy; Identifying Strengths; Finding Alternatives; Addressing Underlying Adversities; Addressing and Accepting Scarring; Navigating Disclosures; and Self‐acceptance. In presenting research and clinical implications of this new framework, we propose that this framing offers a more complete understanding of NSSI recovery—one conducive to optimizing wellbeing and promoting resilience among individuals with lived experience.

中文翻译:

自伤康复:一个以人为中心的框架

非自杀性自伤 (NSSI) 康复的概念越来越受到关注。在研究中,有时在临床实践中,重点是停止 NSSI,根据自上次自伤以来的时间进行恢复。然而,有过 NSSI 生活经验的人的观点表明,康复要复杂得多。借鉴最近的实证工作,以及有 NSSI 生活经验的人的声音,我们勾勒出一个概念化 NSSI 恢复的新框架。我们认为恢复是非线性和多方面的,包括:现实的期望和挫折;使想法和冲动正常化;培养自我效能感;识别优势;寻找替代品;解决潜在的逆境;处理和接受疤痕;导航披露;和自我接纳。在介绍这个新框架的研究和临床意义时,我们建议这个框架提供了对 NSSI 恢复的更完整的理解——有利于优化幸福感和提高有生活经验的个体的适应能力。
更新日期:2020-12-09
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