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Self-Injurious Behaviors ,[object Object],[object Object],[object Object],[object Object],[object Object]

Objectives ,[object Object],[object Object],[object Object],[object Object]

Self-Injurious Behavior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Self-Injurious Behaviors ,[object Object],[object Object],[object Object]

Types of Self-Mutilation ,[object Object],[object Object],[object Object],Favassa A, Rosenthal, Repetitive Self Mutilation, Psychiatric Annals. 1992; 22:2,

Favazza, A. R. (1996). Bodies Under Siege: Self-Mutilation and Body Modification in Culture and Psychiatry, 2nd ed. Baltimore: The Johns Hopkins University Press. S.I.B. Culturally Sanctioned Pathological Ritual Practices Suicidality Self-Mutilation Major Stereotypic Superficial/Moderate Compulsive (OCD spectrum) Impulsive (Impulse Control D/O) Episodic Repetitive

Impulse Control Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Compulsive vs. Impulsive ,[object Object],[object Object],[object Object]

Etiology of S.I.B. ,[object Object],[object Object],[object Object],[object Object]

Etiology of S.I.B. ,[object Object],[object Object],[object Object],Thompson, T., Hackerberg, T., Cerulti, D., Baker, D., Axtell, S. (1994), Opioid Antagonist Effects on Self-Injury in Adults with Mental Retardation. American Journal on Mental Retardation, 49: 85-102.

Etiology of S.I.B. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology of Self-Mutilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nock and Prinstein. A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology 2004; 72: 885-890.

Etiology of Self-Mutilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epidemiology of S.I.B. ,[object Object],[object Object],Favazza, A. R. & Conterio, K. (1988). The plight of chronic self-mutilators. Community Mental Health Journal, 24, 22-30

Epidemiology of S.I.B. ,[object Object],[object Object],[object Object]

Treatment of S.I.B. ,[object Object],[object Object],Coccaro, E. F., Kavoussi, R. J., & Hauger, R. L. (1997b). Serotonin function and antiaggressive response to fluoxetine: a pilot study. Biological Psychiatry, 42(7), 546-552

Treatment of S.I.B. ,[object Object],[object Object],[object Object],[object Object],Buzan, R. D., Thomas, M., Dubovsky, S. L., & Treadway, J. (1995). The use of opiate antagonists for recurrent self-injurious behavior. Journal of Neuropsychiatry and Clinical Neurosciences, 7(4), 437-444

Treatment of S.I.B. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment of S.I.B. ,[object Object],[object Object],[object Object],[object Object],Jones, A.B. (2001). Self-injurious behavior in children and adolescents, Part II: Now what? The treatment of SIB, KidsPeace Healing Magazine

Treatment of S.I.B. ,[object Object],[object Object],[object Object],[object Object]

Gender Issues with S.I.B. ,[object Object],[object Object],[object Object]

Gender Issues with S.I.B. ,[object Object],Alao, O Adekola: Female Genital Mutilation. Psychiatric Services 50:971 1999

Gender Issues with S.I.B. ,[object Object],Skegg, Karen: Sexual Orientation and Self Harm in Men and Women. Am J Psychiatry 160:541-546, March 2003

Cultural Issues with S.I.B ,[object Object],[object Object],[object Object]

Cultural Issues with S.I.B. Culturally sanctioned forms of SIB can be seen as rituals for country festivals, as government protests, and religious customs.

Cultural Issues with S.I.B. There is a recent rise in SIB in today’s society. Media exposure through musicians such Marilyn Manson, movies such as Girl Interrupted, and admissions of SIB from celebrities such as Johnny Depp and Angelina Jolie has increased social acceptance and awareness. In addition, the phenomenon of “Cutter Clubs” has further supported the concept of social remodeling.

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