The Scars of the Inner Critic: Perfectionism and Nonsuicidal Self-Injury in Eating Disorders

2011 ◽  
Vol 20 (3) ◽  
pp. 196-202 ◽  
Author(s):  
Laurence Claes ◽  
Bart Soenens ◽  
Maarten Vansteenkiste ◽  
Walter Vandereycken
2017 ◽  
Vol 48 (4) ◽  
pp. 438-448 ◽  
Author(s):  
Dorian R. Dodd ◽  
April R. Smith ◽  
Lauren N. Forrest ◽  
Tracy K. Witte ◽  
Lindsay Bodell ◽  
...  

2020 ◽  
pp. 30-41
Author(s):  
Elizabeth Kukielka

Nonsuicidal self-injury (NSSI) is defined as the direct, deliberate destruction of one’s own body tissue to inflict harm or pain without an underlying suicidal intent. NSSI may include such behaviors as cutting, scratching, biting, hitting, and head banging, and excludes suicidal gestures, accidental injuries, indirect self-harm behaviors (e.g., eating disorders or drug abuse), and socially accepted forms of body modification (e.g., piercing or tattooing). NSSI typically begins in adolescents around 13 or 14 years of age, and lifetime prevalence in the adolescent and young adult population is estimated to be 15% to 20%. Although NSSI does not always progress to or predict future suicidal behaviors, there is believed to be a link between the two, which makes this an important patient safety concern. NSSI has been observed in both the community and the clinical setting, although rates of NSSI are higher within the psychiatric population. NSSI may present as a symptom of numerous psychiatric conditions, including anxiety disorders; mood disorders; substance abuse; eating disorders; and personality disorders, such as borderline personality disorder (BPD).5 Although clinicians once considered NSSI primarily in the context of BPD, NSSI was added as a distinct condition in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) in 2013. In 2019, analysts at the Patient Safety Authority (PSA) conducted and published a study of events submitted to the Pennsylvania Patient Safety Reporting System (PA-PSRS) involving patient self-harm in the nonpsychiatric setting.8 However, an analysis of events in PA-PSRS involving selfharm, and more specifically NSSI, in the psychiatric setting had yet to be undertaken. In this study, we conducted an indepth review and analysis of patient safety events involving NSSI among children and adolescents in the inpatient psychiatric setting that took place in 2019. The purpose of this study was to examine patient-specific factors, such as age and gender, as well as other contributing circumstances, such as interpersonal interactions, that may precipitate NSSI in this patient population.


2019 ◽  
Vol 10 ◽  
Author(s):  
Eran Sagiv ◽  
Gergö Hadlaczky ◽  
Noga Sheetrit ◽  
Eitan Gur ◽  
Netta Horesh ◽  
...  

2015 ◽  
Vol 21 (3) ◽  
pp. 198-207 ◽  
Author(s):  
SHUN’ICHI NOMA ◽  
TERUHISA UWATOKO ◽  
MIKI ONO ◽  
TAKASHI MIYAGI ◽  
TOSHIYA MURAI

2017 ◽  
Vol 257 ◽  
pp. 519-525 ◽  
Author(s):  
Kathryn E. Smith ◽  
Nicole A. Hayes ◽  
Denise M. Styer ◽  
Jason J. Washburn

2019 ◽  
Vol 28 (2) ◽  
pp. 157-170 ◽  
Author(s):  
Natalie M. Perkins ◽  
Shelby N. Ortiz ◽  
April R. Smith

2017 ◽  
Vol 25 (1) ◽  
pp. 173-180 ◽  
Author(s):  
J. H. Marco ◽  
M. Cañabate ◽  
J. García-Alandete ◽  
G. Llorca ◽  
M. Real-López ◽  
...  

Crisis ◽  
2012 ◽  
Vol 33 (2) ◽  
pp. 106-112 ◽  
Author(s):  
Christopher M. Bloom ◽  
Shareen Holly ◽  
Adam M. P. Miller

Background: Historically, the field of self-injury has distinguished between the behaviors exhibited among individuals with a developmental disability (self-injurious behaviors; SIB) and those present within a normative population (nonsuicidal self-injury; NSSI),which typically result as a response to perceived stress. More recently, however, conclusions about NSSI have been drawn from lines of animal research aimed at examining the neurobiological mechanisms of SIB. Despite some functional similarity between SIB and NSSI, no empirical investigation has provided precedent for the application of SIB-targeted animal research as justification for pharmacological interventions in populations demonstrating NSSI. Aims: The present study examined this question directly, by simulating an animal model of SIB in rodents injected with pemoline and systematically manipulating stress conditions in order to monitor rates of self-injury. Methods: Sham controls and experimental animals injected with pemoline (200 mg/kg) were assigned to either a low stress (discriminated positive reinforcement) or high stress (discriminated avoidance) group and compared on the dependent measures of self-inflicted injury prevalence and severity. Results: The manipulation of stress conditions did not impact the rate of self-injury demonstrated by the rats. The results do not support a model of stress-induced SIB in rodents. Conclusions: Current findings provide evidence for caution in the development of pharmacotherapies of NSSI in human populations based on CNS stimulant models. Theoretical implications are discussed with respect to antecedent factors such as preinjury arousal level and environmental stress.


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