Torem M S
J Holist Nurs. 1995 Mar;13(1):37-53. doi: 10.1177/089801019501300106.
After a brief review of the literature on self-inflicted violence, a practical approach to the treatment of patients who show self-injurious behavior and self-mutilation is developed. The treatment model uses therapeutic interventions based on a biopsychosocial understanding of the person and applies knowledge from the biological, psychological-behavioral, and social fields. Interventions discussed include ego strengthening, planning for substitute behaviors, therapeutic imagery, ego-state therapy, reframing, cognitive syllogism, behavioral reinforcement and extinction, and use of behavioral contracts. The case examples presented illustrate the importance of the therapist/patient relationship, which is based on trust, respect, and caring but also on patient responsibility for change.
在对关于自我伤害暴力的文献进行简要回顾之后，开发了一种针对表现出自伤行为和自残行为患者的实用治疗方法。该治疗模式采用基于对人的生物心理社会理解的治疗干预措施，并应用来自生物学、心理行为学和社会领域的知识。所讨论的干预措施包括增强自我、规划替代行为、治疗性意象、自我状态疗法、重新构建、认知三段论、行为强化与消退以及使用行为契约。所呈现的案例说明了治疗师与患者关系的重要性，这种关系基于信任、尊重和关怀，同时也基于患者对改变的责任。
