People who directly injure their bodies are increasingly seeking help from psychotherapists. Coming out of the closet of shame, they are turning to professionals for understanding, compassion, and healing. Because of the potent nature of self-injury and the variety of issues it touches, clinical responses to it have often been only moderately beneficial and, in too many cases, distinctly harmful. In this perceptive work, Dr. Robin Connors offers helpful guidelines to clinicians that will improve their capacity to respond in a direct, effective, and respectful way to people who self-injure. Key to this work is understanding the function of self-inflicted violence and its relationship to unresolved traumas and losses, including the role of trauma in disrupting the formation of the self-boundary. Dr. Connors identifies fundamental therapeutic tasks, gives clear examples of interventions, and offers concrete recommendations for interacting with patients about their self-injury. A range of related issues are addressed as well, from repairing inadequate self-boundaries to using adjunct therapies. Finally, the task of determining right action in light of strong countertransferential responses is explored, including situations where self-injury occurs in the therapist's presence. In this exceptional book, Dr. Connors gives us the words to describe the pain beneath self-injuring behavior, and a blueprint for providing the compassionate understanding that is a prerequisite for healing.
Inhaltsverzeichnis
Part 1 Preface Part 2 I. Understanding Self-Injury as the Tip of the Iceberg Chapter 3 1. What is Self-Injury? Chapter 4 2. Understanding Self-Injury Chapter 5 3. Trauma, Wounding, and Healing Chapter 6 4. The Incomplete Self-Boundary Part 7 II. Responding to People Who Self-Injure Chapter 8 5. Therapeutic Goals and the Role of Compassionate Presence Chapter 9 6. A Therapeutic Posture to Support the Healing Process Chapter 10 7. Helping Clients Address Their Self-Injury Chapter 11 8. Repairing and Completing the Self-Boundary Chapter 12 9. Working with Core Issues and Other Interventions Part 13 III. Managing Our Own Responses to Self-Injury Chapter 14 10. What Happens to Good Clinicians? Chapter 15 11. Finding the Right Action Chapter 16 12. Nourishing and Sustaining the Self of the Therapist