Why do People Hurt Themselves? New Insights Into the Nature and Functions of Self-Injury.

Why do People Hurt Themselves? New Insights Into the Nature and Functions of Self-Injury.
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DOI:
10.1111/j.1467-8721.2009.01613.x
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发表时间:
2009-04-01
影响因子:
7.2
通讯作者:
Nock MK
Nock MK
中科院分区:
心理学1区
文献类型:
--
作者:
Nock MK

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非自杀性自伤(NSSI)是一种普遍但令人困惑的行为问题,其中人们故意伤害自己而没有致命的意图。研究表明,NSSI通常在青春期早期发病;最常见的是切割或雕刻皮肤;并且在性别,种族和社会经济地位中同样普遍。人们对为什么人们参与NSSI知之甚少。本文提出了一个开发和维护NSSI的理论模型。而不是精神障碍的症状,NSSI被概念化为一种有害的行为,可以服务于几个内在的(例如,影响调节)和人际(例如,求助)功能。NSSI的风险会因影响调节或人际沟通问题的一般因素而增加(例如,儿童虐待)以及影响使用NSSI而不是其他一些行为来服务这些功能的决定的特定因素(例如,社会建模)。该模型综合了几个不同领域的文献研究,并指出了进一步推进人们为什么会伤害自己的理解所需的几条研究路线。
Nonsuicidal self-injury (NSSI) is a prevalent but perplexing behavior problem in which people deliberately harm themselves without lethal intent. Research reveals that NSSI typically has its onset during early adolescence; most often involves cutting or carving the skin; and appears equally prevalent across sexes, ethnicities, and socioeconomic statuses. Less is known about why people engage in NSSI. This article presents a theoretical model of the development and maintenance of NSSI. Rather than a symptom of mental disorder, NSSI is conceptualized as a harmful behavior that can serve several intrapersonal (e.g., affect regulation) and interpersonal (e.g., help-seeking) functions. Risk of NSSI is increased by general factors that contribute to problems with affect regulation or interpersonal communication (e.g., childhood abuse) and by specific factors that influence the decision to use NSSI rather than some other behavior to serve these functions (e.g., social modeling). This model synthesizes research from several different areas of the literature and points toward several lines of research needed to further advance the understanding of why people hurt themselves.
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