Department of Psychology, University of Guelph, Guelph, Ontario, Canada.
School of Psychology, Curtin University Bentley, Perth, Western Australia, UK.
J Clin Psychol. 2021 Apr;77(4):884-895. doi: 10.1002/jclp.23094. Epub 2020 Dec 9.
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.
人们越来越关注非自杀性自我伤害（NSSI）康复的概念。在研究中，有时在临床实践中，重点都放在了停止 NSSI 上，将康复操作定义为某人最后一次自我伤害以来的时间。然而，有过 NSSI 经历的人的观点表明，康复要复杂得多。借鉴最近的实证工作和有过 NSSI 经历的人的声音，我们概述了一个新的框架来理解 NSSI 的康复。我们认为，康复是非线性和多方面的，包括：现实期望和挫折；正常化的想法和冲动；培养自我效能感；识别优势；寻找替代方法；解决潜在的逆境；处理和接受疤痕；处理披露问题；以及自我接受。在提出这一新框架的研究和临床意义时，我们提出，这种框架提供了对 NSSI 康复的更全面理解——有助于优化有过 NSSI 经历的个体的幸福感和促进其韧性。
