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理解自我伤害康复:来自有过亲身经历者的观点。

Understanding self-injury recovery: Views from individuals with lived experience.

机构信息

Department of Psychology, University of Guelph, Guelph, Ontario, Canada.

出版信息

J Clin Psychol. 2019 Dec;75(12):2119-2139. doi: 10.1002/jclp.22834. Epub 2019 Jul 23.

Abstract

OBJECTIVE

Nonsuicidal self-injury (NSSI) recovery has typically been conceptualized through the lens of formal frameworks or as the cessation of NSSI. These understandings, however, have been developed largely devoid of views from those with lived NSSI experience, who may offer novel and critical insights. To advance the conception of NSSI recovery, the current study elicited such views.

METHODS

Two hundred and thirty-three emerging adults with a history of NSSI (77% female, mean age = 18.9 years), responded to open-ended questions regarding recovery. Results were thematically analyzed using an inductive approach.

RESULTS

Responses yielded seven themes: (a) recovery is complete NSSI cessation; (b) recovery is more than cessation; (c) recovery involves lingering NSSI features; (d) recovery involves developing resilience; (e) recovery is a process; (f) evolution in understanding recovery; and (g) recovery is a subjective experience.

CONCLUSION

Recovery seems to be multifarious, nonlinear, and subjective. Conceptual and clinical implications are discussed.

摘要

目的

非自杀性自我伤害(NSSI)的康复通常是通过正式框架或 NSSI 的停止来概念化的。然而,这些理解在很大程度上没有来自有过 NSSI 经历的人的观点,他们可能提供新颖和关键的见解。为了推进 NSSI 康复的概念,本研究征集了这些观点。

方法

233 名有 NSSI 病史的年轻成年人(77%为女性,平均年龄为 18.9 岁),对有关康复的开放式问题做出了回应。使用归纳法对结果进行了主题分析。

结果

回答产生了七个主题:(a)康复是完全停止 NSSI;(b)康复不仅仅是停止;(c)康复涉及到持续存在的 NSSI 特征;(d)康复涉及到发展韧性;(e)康复是一个过程;(f)对康复的理解不断演变;以及(g)康复是一种主观体验。

结论

康复似乎是多样的、非线性的和主观的。讨论了概念和临床意义。

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