Healing the Hurt Within: Understand Self-injury and Self-harm, and Heal the Emotional Wounds

513 Pages·2008·2.08 MB·English

by  Jan Sutton

Healing the hurt within
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VISED ANDU
E P
R D
T. AET
HIRDEDITI O.ND
Healing the hurt within
UNDERSTAND SELF-INJURY AND SELF-HARM,
AND HEAL THE EMOTIONAL WOUNDS
Jan Sutton
Foreword by TRACY ALDERMAN,
author of The Scarred Soul
howtobooks
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All rights reserved. No part of this work may be
reproduced or stored in an information retrieval system
(other than for purposes of review) without the express
permission of the Publisher given in writing.
The right of Jan Sutton to be identified as author of this
work has been asserted by her in accordance with the
Copyright, Designs and Patents Act 1988.
© 2007 Jan Sutton
First edition 1999
Second edition 2005
Third edition 2007
First published in electronic form 2007

British Library Cataloguing in Publication Data
A catalogue record for this book is available from the
British Library

ISBN 978 1 84803 230 9

Cover design by Baseline Arts Ltd, Oxford
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NOTE: The material contained in this book is set out in
good faith for general guidance and no liability can be
accepted for loss or expense incurred as a result of
relying in particular circumstances on statements
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Contents
Illustrations, interviews, case studies and charts vii
Acknowledgements and credits xi
Foreword xv
Preface xvii
Cautions, disclaimer, and notes xxv
1. Exploring self-injury and self-harm 1
2. Looking beyond the myths 35
3. Further insights into self-injury 63
4. Media assertions and attitudes to self-injury, the magnitude
of the problem and controversies 92
5. Two research studies examined 124
6. Childhood trauma, negative core beliefs, perfectionism
and self-injury 139
7. The cycle of self-injury and the eight Cs of self-injury 186
8. Dissociation and self-injury 211
9. Hurting and healing: true stories 240
10. Heal thyself 264
11. Guidance for family, friends, and teens considering
self-injury 303
12. Guidelines for those working with self-injury and
related issues 321
13. Creative works by contributors 363
vi HEALING THE HURT WITHIN
Appendix 1 405
Table of acronyms and colloquialisms
Appendix 2 407
DSM-IV-TR criteria for Posttraumatic Stress Disorder (PTSD)
DSM-IV-TR criteria for Depersonalisation Disorder (DP)
DSM-IV-TR criteria Borderline Personality disorder (BPD)
Disorders of Extreme Stress Not Otherwise Specified
(DESNOS) Proposed Criteria
Appendix 3 413
Questionnaires
Appendix 4 428
Self-injury monitoring charts
Appendix 5 435
CIS’ters: Member Code of Contact
Appendix 6 439
Case studies: training resource
References 446
Resources 456
Further reading 469
Index 473
Illustrations, interviews,
case studies and charts
Illustrations
Chapter 1
1.1: Direct self-injury (DSI) 8
1.2: Non-direct self-harm (NDSH) 12
1.3: Highlighting the differences between self-poisoning and
self-injury and illustrating how the two behaviours are grouped
together by some researchers under the broad terms self-harm
or deliberate self-harm 15
1.4: Body modifi cation: potential links to self-injury 21
Chapter 2
2.1: Age self-injury started 40
2.2: Internet respondents: diagnoses received 53
Chapter 3
3.1: Methods used to self-injure compared across three studies 66
3.2: Internet respondents: implements used to self-injure 75
3.3: Internet respondents: reported areas of the body self-injured 77
3.4: Internet respondents: reported duration of self-injury 82
3.5: Internet respondents: considered self-injury addictive 85
Chapter 4
4.1: Prevalence estimates for self-harm (self-poisoning and
self-injury) 98
4.2: The wide variety of terms used to describe the act of
hurting oneself 107
4.3: Classifying self-injurious behaviours 110
viii HEALING THE HURT WITHIN
Chapter 5
5.1: Part I: About the respondents’self-harm 129
5.2: Part II: Signifi cant events 131
Chapter 6
6.1: Crown Prosecution Service defi nition of rape 141
6.2: Examples of emotional abuse 143
6.3: NSPCC defi nition of neglect 144
6.4: Examples of physical abuse and the range of severity 145
6.5: ChildLine defi nition of sexual abuse 147
6.6 Child abuse: Potential adverse long-term effects 148
6.7: The legacy of child sexual abuse by Sian 149
6.8: Child/Woman by Sheelah 150
6.9: Picture by Erin 152
6.10: Lifting the secrecy cloud by Sheelah 154
Chapter 7
7.1: The cycle of self-injury 187
7.2: The eight Cs of self-injury 202
Chapter 8
8.1: The fi ve dissociative disorder listed in DSM-IV-TR 212
8.2: Two common pathways to self-injury 223
8.3: Untitled by Sheelah 225
8.4: S.elves Portrait by Sheelah 225
8.5: Depersonalisation experiences by Sheelah 228
8.6: Dangerously Unconnec_ted by Erin 229
Chapter 9
9.1: Summary of Juliet’s story 243
9.2: Summary of Caroline’s story 246
9.3: Summary of Paige’s story 247
9.4: Summary of Amy’s story 251
9.5: Summary of Emma’s story 253
9.6: Summary of Julian’s story 256
9.7: Summary of Morven’s story 259
9.8: Summary of Kate’s story 261
ILLUSTRATIONS, INTERVIEWS, CASE STUDIES AND CHARTS ix
Chapter 10
10.1: Example 1. Self-injury trigger and alternatives monitoring chart 270
10.2: Example 2. Self-injury trigger and alternatives monitoring chart 271
Chapter 12
12.1: Internet respondents’ views on stopping self-injury 331
12.2: Internet respondents’ identifi ed losses of stopping self-injury 332
Chapter 13
13.1: Dignity by Sheelah 363
13.2: ‘What I see’ by Rachel J. 364
13.3: Untitled by Sheelah 364
13.4: Untitled by Sheelah 365
13.5: Fragmented by Erin 382
13.6: A storm in the eye by Linelle 386
Appendix 1
Table of acronyms and colloquialisms 405
Interviews
Chapter 6: An interview with Sharon 167
Chapter 8: Extract from an interview with Erin 230
Case studies
Chapter 6
6.1: J ill (1) 157
6.2: J ill (2) 159
6.3: L inda 164
6.4: P rincess Diana 178
6.5: T acita 181
Chapter 8
8.1: S tephanie 227
Chapter 9
9.1: J uliet 240
9.2: C aroline 243
9.3: P aige 247
9.4: A my 248