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On the quest to cut open a pumpkin: phrases for self-compassion

Sitting on my counter for the past while has been a beautiful, locally, lovingly, organically grown baking pumpkin. This weekend, it was time to use it, and I opted to make gluten-free pumpkin muffins. One of the first steps, after washing it, was to cut the pumpkin open. Trials with five separate knives later, mission was accomplished.

About one-quarter to one-third of the way through trying to cut the pumpkin open–and likely while I wrestled to pull a stuck knife out of the vegetable–I began to fantasize Read more ›

in Articles,Self-Compassion

Go Slow to Go Fast: My Common Humanity with An Excavating Crew

Let me begin with the introduction of some terms: spool (not the kind for thread), water box, elevation, drop, a “y”, underground services, mains, laterals, hydraulic…. Earlier this month, I faced an emergency of sorts when the sewer drain outside my home became completely clogged and damaged by tree roots.

This was an unexpected and vastly consuming situation, a problem I was unaware of but had clearly been developing for a long time until it reached some tipping point and then, voila! Read more ›

in Articles,Counselling Reflections & Skills,Self-Compassion

References for the Article: Non-Suicidal Self-Injury: A Brief Overview and Diagnostic Considerations by Tracy Riley

References 

Akyuz, G., Sar, V., Kugu, N., & Dogan, O. (2005). Reported childhood trauma, attempted suicide and self-mutilative behavior among
women in the general population. European Psychiatry, 20(3), 268-273

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (Fourth Edition, Text Revision ed.). Washington, DC:American Psychiatric Association. Read more ›

in Articles,Self-Injury

Alternative Considerations and Article Conclusion (from Non-suicidal self-injury: A brief overview and diagnostic considerations)

Alternative Considerations
 

Given the way the DSM-IV-TR is structured, where disorders are grouped based on similar symptoms, there is no other obvious place to locate self-injury as an Axis I disorder. Nevertheless, when thinking about how best to classify self-injury, I believe it is important to enter the larger discussion of whether the current classification of disorders needs to be adjusted to reflect higher order factors involved. Read more ›

in Articles,Self-Injury

Is self-injury an impulse disorder? (from Non-suicidal self-injury: A brief overview and diagnostic considerations)

Is self-injury an impulse disorder?

If self-injury were to become a mental disorder in a future edition of the Diagnostic and Statistical Manual of Mental Disorders [DSM], where should it be included? Advocates for a repetitive self-injury syndrome have suggested it be listed in the class of disorders that are referred to in the DSM-IV-TR as “Impulse-Control Disorders Not Elsewhere Classified”. Read more ›

in Articles,Self-Injury

Should self-injury be classified as a mental disorder? (from Non-suicidal self-injury: A brief overview and diagnostic considerations)

Diagnostic Considerations

To date, there is no specific diagnostic category in the Diagnostic and Statistical Manual of Mental Disorders IV-TR [DSM-IV-TR] that addresses a pattern of repetitive self-injury as a separate syndrome although some have suggested it be included (e.g., Favazza & Rosenthal, 1993; Muehlenkamp, 2005; Pattison & Kahan, 1983). Self-injury is listed as a symptom of a mental disorder in some instances Read more ›

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Functions, Etiology, and Psychological Factors in Non-Suicidal Self-Injury (from Non-suicidal self-injury: A brief overview and diagnostic considerations)

Functions

There are several specific functions self-injury has been reported to serve with an affect regulation function of self-injury receiving the strongest support; that is, where self-injury functions to alleviate acute negative affect or affective arousal (Klonsky, 2007). Strong support has also been found for a self-punishment function of self-injury, where self-injury functions to express anger or derogation towards oneself. Other functions received modest support. Read more ›

in Articles,Self-Injury

Introduction, Classification and Prevalence of Non-Suicidal Self-Injury (from Non-suicidal self-injury: A brief overview and diagnostic considerations)

Introduction

Non-suicidal self-injury (hereafter referred to as self-injury) is the intentional hurting of one’s body by oneself, done in a physical way without conscious suicidal intent but for the general purpose of relief. Acts of self-injury fall outside the realm of what is currently viewed as socially acceptable behaviour (Whitlock, Eckenrode & Silverman, 2006). The purpose of this article is to twofold. First, it is to provide readers with a brief overview of this clinically relevant behaviour. Second, it is to explore diagnostic issues as they relate to self-injury including a consideration of the potential usefulness of utilizing both symptoms of self-injury, as well as underlying processes involved for diagnostic conceptualizations. Read more ›

in Articles,Self-Injury

Abstract (from Non-suicidal self-injury: A brief overview and diagnostic considerations)

Non-suicidal self-injury is the intentional hurting of one’s body by oneself, done in a physical way without conscious suicidal intent but for the general purpose of relief. The present article provides a brief overview of self-injury and considers whether or not self-injury should be designated as a separate mental disorder, as well as how it might best be classified. Read more ›

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