Haswell D E, Graham M
Department of Family Medicine, University of Western Ontario, London.
Can Fam Physician. 1996 Sep;42:1756-8, 1761-4.
Self-inflicted injuries and other serious self-destructive behaviours are common and difficult to recognize, prevent, and manage. Although they have previously been understood as repeated, failed attempts at suicide, they are better understood as maladaptive coping strategies.
Women who present repeatedly with self-inflicted injuries need help to control this self-destructive behaviour and substitute more positive coping strategies. Physicians also need help in working with patients who respond to problems in this way.
The program is made up of two broad sections. The first section involves understanding the problem and its origins in post-traumatic stress disorders. The second section offers a practical approach to helping patients presenting with injuries inflict upon themselves.
A deeper understanding of the etiology and management of repeated self-inflicted injuries will enable physicians to help patients with this difficult problem while minimizing their own anxiety and frustration.
自我伤害及其他严重的自我毁灭行为很常见，且难以识别、预防和处理。尽管它们以前被理解为反复的、失败的自杀企图，但现在更好地被理解为适应不良的应对策略。
反复出现自我伤害行为的女性需要帮助来控制这种自我毁灭行为，并采用更积极的应对策略。医生在治疗以这种方式应对问题的患者时也需要帮助。
该项目由两个主要部分组成。第一部分涉及了解问题及其在创伤后应激障碍中的根源。第二部分提供了一种切实可行的方法来帮助那些有自我伤害行为的患者。
对反复自我伤害行为的病因和处理方法有更深入的理解，将使医生能够帮助患者解决这一难题，同时将自身的焦虑和挫败感降至最低。
