1. What self injurers say SI do for them
~ Escape from emptiness, depression and feelings of unreality

~ To ease tension

~ Relief: when intense feelings build,self-injurers are                               overwhelmed and unable to cope.  By causing pain, they reduce the level of emotional and physiological arousal to an unbearable one

~ Expression of emotional pain

~ Escaping numbness: many of those who self-injure say they do it in order to feel something
something , to know that they are still alive

~ Obtaining a feeling of euphoria

~ Continuing abusive patterns: self-injurers tend to be abused as children.  Sometimes self-mutilation is a way of punishing oneself for being 'bad'

~ Relief of anger: many self-injurers have an enormous amounts of rage within.  Afraid to express it outwardly, they injure themselves as a way of venting these feelings

~ Biochemical relief: there is some thought that who were repeatedly traumatized as children have a hard time returning to 'notmal' baseline level of arousal and in some sense, addicted to crisis behaviour

~ Obtaining or maintaining influence over the behaviour of others

~ Exerting a sense of control over one's body

~ Grounding in reality, as a way of dealing with feelings of depersonalization and dissociation

~ Maintaining a sense of  security or feeling of uniqueness

~ Expressing or repressing sexuality

~ Expressing or coping with feeling of alienisation
2. Types of self-injurous behaviours
Cutting: 72%
Burning: 35%
Self hitting: 30%
Interference with wound healing: 22%
Hair pulling:10%
Bone breaking: 8%
Multiple methods: 78%
3. Psychological characteristics common in self-injurers
~ stronly dislike/invalidate themselves
~ are hypersensitive to rejection
~ are chronically angry, usually at themselves
~ tend to suppress their anger
~ have high levels of agressive feelings, which they disapprove of strongly and often supress or direct inward
~ are more impulsive and more lacking in impulse control
~ tend to act in accordance with their mood of the moment
~ tend not to plan for the future
~ are depressed and suicidal/self-destructive
~ suffer chronic anxiety
~ tend towards irritabilty
~ do not see themselves as skilled at coping
~ do not have a flexible repertoire of coping skills
~ do not think they have much control over how/whether they cope with life
~ tend to be avoidant
~ do not see themselves as empowered
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