Sweetmore Andrew
University of Bournemouth, Bournemouth, UK.
Cult Med Psychiatry. 2025 Sep;49(3):921-933. doi: 10.1007/s11013-025-09926-3. Epub 2025 Jul 5.
Self-harm amongst young people has risen significantly in recent years, yet existing models fail to fully explain its underlying mechanisms. This paper applies René Girard's theory of mimetic rivalry and escalation to self-harm, proposing that competition for social status and identity within peer groups and families may contribute to its development. In this framework, self-harm operates as a form of self-punishment, mirroring Girard's concept of scapegoating; a ritualised resolution to the tensions produced by mimetic escalation. The study explores how social media amplifies these dynamics by intensifying social comparison and reinforcing cycles of imitation and rivalry. Current treatments may be limited in their efficacy as they primarily focus on precipitating factors and crisis resolution without addressing the mimetic mechanisms driving self-harm. Integrating mimetic theory into clinical practice could offer a new framework for intervention, helping young people recognise and disengage from destructive social dynamics. Additionally, the paper highlights the potential for systemic and group-based interventions that target mimetic escalation within peer and family relationships. By understanding self-harm as a product of mimetic processes, this perspective offers novel insights for research, clinical practice, and public health strategies aimed at addressing the rise in self-harm amongst adolescents.
近年来,年轻人中的自我伤害行为显著增加,但现有模型未能充分解释其潜在机制。本文将勒内·吉拉尔的模仿竞争与升级理论应用于自我伤害行为,提出同龄人团体和家庭中对社会地位和身份的竞争可能促使其发生。在此框架下,自我伤害是一种自我惩罚形式,反映了吉拉尔的替罪羊概念,即一种对模仿升级所产生紧张关系的仪式化解决方式。该研究探讨了社交媒体如何通过强化社会比较以及加强模仿和竞争循环来放大这些动态变化。当前的治疗方法可能效果有限,因为它们主要关注诱发因素和危机解决,而未涉及驱动自我伤害行为的模仿机制。将模仿理论融入临床实践可为干预提供新框架,帮助年轻人认识并摆脱具有破坏性的社会动态。此外,本文强调了针对同龄人及家庭关系中的模仿升级进行系统性和基于团体干预的潜力。通过将自我伤害行为理解为模仿过程的产物,这一观点为旨在应对青少年自我伤害行为增加的研究、临床实践和公共卫生策略提供了新颖见解。