Barstow D G
Renewed Hope Counseling Center, Oklahoma City, OK, USA.
J Psychosoc Nurs Ment Health Serv. 1995 Feb;33(2):19-22. doi: 10.3928/0279-3695-19950201-05.
Self-injury/self-mutilation behaviors often are associated with organic conditions, such as mental retardation, encephalitis, Lesch-Nyhan disease, de Lange syndrome, Tourette's syndrome, acute intoxication, Addison's disease, and various behavioral and personality disorders. Among the many reasons why individuals resort to self-injury/self-mutilation are to reduce tension, the communication of intense or depressive emotions, dissociative experiences, or to gain control of earlier traumatic experiences through reenactment. The treatment of clients who engage in self-injury/self-mutilation must focus on improving communication skills, raising self-esteem, identifying support persons and groups, and eliminating positive and negative reinforcement.
自我伤害/自我 mutilation行为通常与器质性疾病相关，如智力迟钝、脑炎、莱施-尼汉病、德朗热综合征、图雷特综合征、急性中毒、艾迪生病以及各种行为和人格障碍。个体采取自我伤害/自我 mutilation行为的众多原因包括减轻紧张、表达强烈或抑郁情绪、分离体验，或通过重演来控制早期创伤经历。对有自我伤害/自我 mutilation行为的来访者进行治疗必须注重提高沟通技巧、增强自尊、确定支持人员和团体，以及消除正性和负性强化。
