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  • Psychodynamic profiles of non-suicidal self-injury in adolescence: From the intra-psychic to the interpersonal dimension
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  • Issue 286
  • Psychodynamic profiles of non-suicidal self-injury in adolescence: From the intra-psychic to the interpersonal dimension

Psychodynamic profiles of non-suicidal self-injury in adolescence: From the intra-psychic to the interpersonal dimension

Anna Gargiulo, Pasquale Dolce, Giorgia Margherita

Accepted December 30, 2019

First published December 30, 2019

https://doi.org/10.26387/bpa.286.1

Abstract

Nonsuicidal self-injury (NSSI), considered deliberate and self-inflicted destruction of one’s own body tissue without suicidal intent, is particularly widespread among adolescents. The literature has attempted to classify NSSI, focusing primarily on syndromal features. Many studies have addressed the functions of NSSI but very few have investigated using these functions as criteria to assess nonsuicidal self-injury behaviours. This study aimed to identify profiles for nonsuicidal self-injury behaviours, matching the manifest syndromal aspects (e.g., frequency, variety of the
methods) with the latent functional ones like psychic functions, especially emotion regulation, and body investment. A sample of 108 adolescents with a history of nonsuicidal self-injury (M = 14.6, SD = .9; 34 males and 74 females)
participated in the study. Cluster analysis of syndromal aspects have shown two types of NSSI, Repetitive and Episodic, which were matched to latent features. NSSI functions distribution led to the emergence of two main profiles: Serious
nonsuicidal self-injury and Moderate nonsuicidal self-injury. Some reflections on the use of functions as diagnostic criteria for NSSI are discussed.
Keywords: Nonsuicidal self-injury, Profiles, Adolescence, Psychic function

Psychodynamic profiles of non-suicidal self-injury in adolescence: From the intra-psychic to the interpersonal dimension

References

  • ADRIAN, M., ZEMAN, J., ERDLEY, C., LISA, L. & SIM, L. (2011).Emotional dysregulation and interpersonal difficulties as riskfactors for nonsuicidal self-injury in adolescent girls. Journal ofAbnormal Child Psychology, 39, 389-400.

  • AMERICAN PSYCHIATRIC ASSOCIATION (2013). DSM-5.Diagnostic and statistical manual of mental disorders (5th ed.).Arlington, VA: American Psychiatric Publishing.

  • BERGER, E., HASKING, P. & REUPERT, A. (2014). Responseand training needs of school staff towards student self-injury.Teaching and Teacher Education, 44, 25-34.

    doi.org/10.1016/j.tate.2014.07.013

  • BLOS, P. (1967). The second individuation process of adolescence.The Psychoanalytic Study of the Child, 22, 162.

  • BRESIN, K. & SCHOENLEBER, M. (2015). Gender differences in theprevalence of nonsuicidal self-injury: A meta-analysis. ClinicalPsychology Review, 38, 55-64.

  • BRIGGS, S., LEMMA, A. & CROUCH, W. (2008). Relating to self-harm and suicide: Psychoanalytic perspectives on practice, theoryand prevention. London: Routledge.

  • BROWN, R.C. & PLENER, P.L. (2017). Non-suicidal self-injury inadolescence. Current Psychiatry Reports, 19, 20. doi.org/https:/

    doi.org/10.1007/s11920-017-0767-9

  • BRUNNER, R., PARZER, P., HAFFNER, J., STEEN, R., ROOS, J. &KLETT, M.F.R., (2007). Prevalence and psychological correlatesof occasional and repetitive deliberate self-harm in adolescents.Arch Pediatr Adolescent Med, 161, 641-649.

  • CERUTTI, R., MANCA, M. & PRESAGHI, F. (2010). Bodyinvestment and deliberate self-harm in Italian university studentsample. Minerva Psichiatrica, 51, 3.

  • CERUTTI, R., MANCA, M., PRESAGHI, F. & GRATZ, K.L. (2011).Prevalenceandclinicalcorrelatesofdeliberateself-harmamongacommunity sample of Italian adolescents. Journal of Adolescence,34, 337-347.

  • CERUTTI, R., MANCA, M., PRESAGHI, F. & GRATZ, K.L. (2012).Deliberate self-harm behaviour among Italian young adults:Correlations with clinical and non clinical dimensions ofpersonality. Am Journal of Orthopsychiatry, 82, 298-308.

  • CIPRIANO, A., CELLA, S. & COTRUFO, P. (2017). Nonsuicidal self-injury: A systematic review. Frontiers in Psychology, 8 (8), 46-59.

    doi.org/10.3389/fpsyg.2017.01946

  • CROUCH, W. & WRIGHT, J. (2004). Deliberate self-harm in anadolescent unit: A qualitative investigation. Clinical ChildPsychology and Psychiatry, 9 (2), 185-204.

  • DICÉ, F., MAIELLO, A., DOLCE, P. & FREDA, M.F. (2017). Letrasformazioni dialogiche delle preoccupazioni in pediatria difamiglia: Un’indagine empirica. Psicologia della Salute, 3, 74-96.

    doi.org/10.3280/PDS2017-003004

  • DI PIERRO, R., SARNO, I., GALLUCCI, M. & MADEDDU, F.(2014). Nonsuicidal self-injury as an affect-regulation strategyand the moderating role of impulsivity. Child and AdolescentMental Health, 9 (4), 259-264.

    doi.org/10.1111%2Fcamh.12063

  • DOLCE, P., MAROCCO, D., MALDONATO, M.N. & SPERANDEO,R. (2020). Towards a machine learning predictive-orientedapproach to complement explanatory modeling. An applicationfor evaluating psychopathological traits based on affectiveneurosciences and phenomenology. Frontiers in Psychology,11, 446.

  • FORTUNE, S., SINCLAIR, J. & HAWTON, K. (2008). Adolescents’views on preventing self-harm: A large community study. SocialPsychiatry and Psychiatric Epidemiology, 43 (2), 96-104.

  • FREDA, M.F., SAVARESE, L., DOLCE, P. & PICIONE, R.L. (2019).Caregivers sensemaking of children’s hereditary angioedema: Asemiotic narrative analysis of the sense of grip on the disease.Frontiers in Psychology, 10, 2609.

  • GARGIULO, A. (2020). Narratives of self-harm at school: Identifyingtrajectories to develop psychological interventions in educationalcontexts. Europe’s Journal of Psychology, 16 (1), 95-111.

    doi.org/10.5964/ejop.v16i1.1883

  • GARGIULO, A. & MARGHERITA, G. (2014). Autolesività nonsuicidariaegenere:Rassegnateoricaeriflessionipsicodinamiche.Infanzia e Adolescenza, 13 (2), 119-128.

    doi.org/10.1710/1624.17656

  • GARGIULO, A. & MARGHERITA, G. (2019). Narratives of self-harm: The experience of young women through the qualitativeanalysis of blogs. Mediterranean Journal of Clinical Psychology, 7(1), 1-19.

    doi.org/10.6092/2282-1619/2019.7.2055

  • GARGIULO, A., TESSITORE, F., LE GROTTAGLIE, F. &MARGHERITA, G. (2020). Self-harming behaviours of asylumseekersandrefugeesinEurope:Asystematicreview.InternationalJournal of Psychology.

    doi.org/10.1002/ijop.12697

  • GRATZ, K.L. (2007). Targeting emotion dysregulation in thetreatment of self-injury. Journal of Clinical Psychology. Session, 63(11), 1091-1103.

  • GRATZ, K.L. & ROEMER, L. (2004). Multidimensional assessmentof emotion regulation and dysregulation: Development,factor structure, and initial validation of the difficulties inemotion regulation scale. Journal of Psychopathology andBehavioral Assessment, 26, 41.

    doi.org/10.1023/B:JOBA.0000007455.08539.94

  • HAZA, M. & KELLER, P.H. (2005). Scarifications chez l’adolescentsuicidaire. Une tentative pour penser? Adolescence, 3, 733-742.

  • KLONSKY, E.D. (2007). The function of deliberate self-injury. Areview of evidence. Clinical Psychology Review, 27, 226-239.

  • KLONSKY, E.D. (2009). The functions of self-injury in young adultswho cut themselves: Clarifying the evidence for affect-regulation.Psychiatry Research, 166, 260-268.

  • KLONSKY, E.D. & GLENN, C.R. (2009). Assessing the functionsof non-suicidal self-injury: Psychometric properties of theInventory of Statements About Self-injury (ISAS). J PsychopatholBehav Assessment, 31, 215-219.

  • KLONSKY, E.D., GLENN, C.R., STYER, D.M., OLINO, T.M. &WASHBURN, J.J. (2015). The functions of nonsuicidal self-injury: Converging evidence for a two-factor structure. ChildAdolesc Psychiatry Ment Health, 9, 44.

    doi.org/10.1186/s13034-015-0073-4

  • LAYE-GINDHU, A. & SCHONERT-REICHL, K.A. (2005).Nonsuicidal self-harm among community adolescents:Understanding the “Whats” and “Whys” of self-harm. Journal ofYouth and Adolescence, 34, 447-457.

  • LEMMA, A. (2010). Under the skin. A Psychoanalytic study of thebody modification. London: Routledge.

  • LEWIS, S.P. & HEATH, N.L. (2015). Nonsuicidal self-injuryamong youth. J Pediatr, 166 (3), 526-530.

    doi.org/10.1016/j.jpeds.2014.11.062.

  • LEWIS, S.P. & SANTOR, D.A. (2010). Self-harm reasons, goalachievement, and prediction of future self-harm intent. J NervMent Dis, 198, 362-369.

  • LINGIARDI, V. & McWILLIAMS, N. (2017). Manuale diagnosticopsicodinamico. Seconda edizione. PDM-2. Raffaello CortinaEditore.

  • MADGE, N., HEWITT, A., HAWTON, K., WILDE, E.J.D.,CORCORAN, P., FEKETE, S., HEERINGEN, K., DE LEO, D.& YSTGAARD, M. (2008). Deliberate self-harm within aninternational community sample of young people: Comparativefindings from the Child & Adolescent Self-harm in Europe(CASE) Study. Journal of Child Psychology and Psychiatryand Allied Disciplines, 49 (6), 667-677.

    doi.org/10.1111/j.1469-7610.2008.01879.x

  • MADJAR, N., ZALSMANB, G., MORDECHAIA, T.R.B. &SHOVALB, G. (2017). Repetitive vs occasional non-suicidalself-injury and school-related factors among Israeli high schoolstudents. Psychiatry Research, 257, 358-360.

  • MANCA, M., CERUTTI, R. & PRESAGHI, F. (2005). Sviluppo evalidazione di un questionario per la rilevazione della sindromeda autolesionismo ripetitivo. Atti del VI Congresso Nazionaledella Associazione Italiana di Psicologia (AIP) – Sezione diPsicologia Clinica.

  • MANCA, M., PRESAGHI, F. & CERUTTI, R. (2014). Clinicalspecificity of acute versus chronic self-injury: Measurementand evaluation of repetitive non-suicidal self-injury. PsychiatryResearch, 215, 111-119.

  • MARGHERITA, G. & GARGIULO, A. (2018). A comparisonbetween pro-anorexia and non-suicidal self-injury blogs: Fromsymptom-based identity to sharing of emotions. PsychodynamicPractice, 24 (4), 346-363.

    doi.org/10.1080/14753634.2018.1535326

  • MARTINO, M.L., GARGIULO, A., LEMMO, D., DOLCE, P.,BARBERIO, D., ABATE, V., AVINO, F. & TORTORIELLO,R. (2019). Longitudinal effect of emotional processing onpsychological symptoms in women under 50 with breast cancer.Health Psychology Open, 1-9.

    doi.org/10.1177/2055102919844501

  • MILLER, F. & BASHKIN, E.A. (1974). Depersonalization and self-mutilation. Psychoanalytic Quarterly, 43, 638-649.

  • MOYER, M. & NELSON, K. (2007). Investigating and understandingself mutilation: The student voice. Professional School Counseling,11 (1), 42-48.

  • MUEHLENKAMP, J. (2012). Body regard in nonsuicidal self-injury.Journal of Cognitive Psychotherapy, 26 (4).

  • MUEHLENKAMP, J.J., BAGGE, C.L., TULL, M.T. & GRATZ, K.L.(2013). Body regard as a moderator of the relation betweenemotion dysregulation and nonsuicidal self-injury. Suicide LifeThreat Behav, 43 (5), 479-493.

  • MUEHLENKAMP, J.J., SWANSON, J.D. & BRAUSCH, A.M. (2005).Self-objectification, risk taking, and self-harm in college women.Psychol Women Q, 29, 24-32.

  • MULAY, A.L., WEST, M.L., WALLNER SAMSTAG, L. & DIAMOND,E. (2017). Negative body attitudes as a risk factor for non-suicidalself-injury among college students. Suicidology Online, 8 (2),11-19.

  • NOCK, M.K. (2010). Self-Injury. Annual Review of ClinicalPsychology, 6, 339-363.

  • NOCK, M.K., JOINER, T.E., GORDON, K.H., LLOYD-RICHARDSON, E. & PRINSTEIN, M.J. (2006). Non-suicidalself-injury among adolescents: Diagnostic correlates and relationto suicide attempts. Psychiatry Res, 144, 65-72.

  • NOCK, M.K. & PRINSTEIN, M.J. (2004). A functional approach tothe assessment of self-mutilative behavior. J Consult Clin Psychol,72, 885-890

  • NOCK, M.K. & PRINSTEIN, M.J. (2005). Contextual features andbehavioral functions of self mutilation among adoltescens.Journal of Abnormal Psychology, 114, 140-146.

  • ORBACH, I. (1996). The role of body experience in self-destruction.Clin Psychol Psychiatry, 1 (4), 607-619.

  • ORBACH, I. & MIKULINCER, M. (1998). The body investmentscale: Construction and validation of a body experience scale.Psychological Assessment, 10, 415-425.

  • PLENER, P.L. & FEGERT, J.M. (2015). Nonsuicidal self-injury: Acondition for further study. Child and Adolescent Psychiatry andMental Health, 9, 30.

    doi.org/10.1186/s13034-015-0067-2

  • PLENER,P.L.,SCHUMACHER,T.S.,MUNZ,L.M.&GROSCHWITZ,R.C. (2015). The longitudinal course of non-suicidal self-injuryand deliberate self-harm: A systematic review of the literature.Borderline Personality Disorder and Emotion Dysregulation, 2 (1),2.

    doi.org/10.1186/s40479-014-0024-3

  • R CORE TEAM (2018). R: A language and environment for statisticalcomputing. R Foundation for statistical computing. Wien.Retrieved from https://www.R-project.org/

  • ROSSI MONTI, M. & D’AGOSTINO, A. (2018). Diagnosisor diagnosing? From symptoms to a phenomenological-psychoanalytic stance on the patient’s world. PsychoanalyticReview, 105 (2), 209-222.

    doi.org/10.1521/prev.2018.105.2.209

  • ROSSOUW, T.I. & FONAGY, P. (2012). Mentalization-basedtreatment for self-harm in adolescents: A randomized controlledtrial. Journal of the American Academy of Child and AdolescentPsychiatry, 51 (12).

    doi.org/10.1016/j.jaac.2012.09.018

  • SARNO, I., MADEDDU, F. & GRATZ, K.L. (2010). Self-injury,psychiatric symptoms, and defense mechanisms: Findings in anItalian nonclinical sample. European Psychiatry, 25, 136-145.

  • SIGHINOLFI, C., NORCINI PALA, A., CHIRI, L.R., MARCHETTI,I. & SICA, C. (2010). Difficulties in Emotion Regulation Scale(DERS): Traduzione e adattamento italiano. PsicoterapiaCognitiva e Comportamentale, 16, 141-170.

  • SIMPSON, C.A. & PORTER, G.L. (1981). Self-mutilation in childrenand adolescents. Bulletin of the Menninger Clinic, 45 (5), 428-438.

  • SWANNELL, S.V., MARTIN, G.E., PAGE, A., HASKING, P. &ST JOHN, N.J. (2014). Prevalence of nonsuicidal self-injuryin nonclinical samples: Systematic review, meta-analysis andmeta-regression. Suicide Life Threat Behav, 44 (3):273-303.

    doi.org/10.1111/sltb.12070

  • SUYEMOTO, K. (1998). The functions of self mutilation. ClinicalPsychology Review, 18, 531-554.

  • TURP, M. (2007). Self-harm by omission: A question of skincontainment. Psychodynamic Practice, 13 (3), 229-244. doi.org/https:/

    doi.org/10.1080/14753630701455812

  • VALENCIA-AGUNDO, F., CORBET BURCHER, G., EZPELETA,L. & KRAMER, T. (2018). Nonsuicidal self-injury incommunity adolescents: A systematic review of prospectivepredictors, mediators and moderators. Journal of Adolescence,65, 25-38.

  • WHITLOCK, J.L. & RODHAM, K. (2013). Understandingnonsuicidal self-injury in youth. School Psychology Forum:Research in Practice, 7 (4), 1-18.

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Issue:

Issue 286

Keywords:

Adolescence

Nonsuicidal self-injury

Profiles

Psychic function

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Author Surname Author Initial. Title. Publication Title. Year Published;Volume number(Issue number):Pages Used. doi:DOI Number.


Gargiulo Anna . Dolce Pasquale . Margherita Giorgia . Psychodynamic profiles of non-suicidal self-injury in adolescence: From the intra-psychic to the interpersonal dimension. BPA Applied Psychology Bulletin. 2019;286(1):2-16. doi:10.26387/bpa.286.1.
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Author Surname Author Initial. Title. Publication Title. Year Published;Volume number(Issue number):Pages Used. doi:DOI Number.


Gargiulo Anna . Dolce Pasquale . Margherita Giorgia . Psychodynamic profiles of non-suicidal self-injury in adolescence: From the intra-psychic to the interpersonal dimension. BPA Applied Psychology Bulletin. 2019;286(1):2-16. doi:10.26387/bpa.286.1.