- Hardcover: 320 pages
- Publisher: W. W. Norton & Co. (27 Mar 2002)
- Language English
- ISBN-10: 0393703355
- ISBN-13: 978-0393703351
- Product Dimensions: 24.5 x 16.3 x 2.2 cm
- Average Customer Review: 5.0 out of 5 stars See all reviews (1 customer review)
- Amazon Bestsellers Rank: 438,577 in Books (See Top 100 in Books)
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Product Description
Product Description
This text aims to provide therapists with a practice-orientated guidebook for working with self-harming adolescents, a growing and challenging treatment population. It presents a flexible client-informed solution-brief family therapy model for self-harming adolescents that integrates the best elements of solution-focused, narrative, postmodern, strategic, cognitive and expressive therapy approaches with Native American healing methods and rituals. Numerous connection-building therapeutic experiments and rituals are presented for helping to foster closer and more meaningful relationships between parents and adolescents. Many of the therapeutic techniques and strategies presented in this volume are empirically supported by research on adolescent development, protective factors of resilient children and adolsecents and treatment outcome studies. The book contains case examples and interview transcripts of culturally diverse clients. The text also demonstrates how to do one-person family therapy with adolescents where conjoint family work proved to be futile due to serious parental or marital difficulties, a lack of family support or to better meet the developmental needs of the adolescents. "Living on the Razor's Edge" presents a practical and comprehensive multi-systemic family assessment framework to guide therapists in determining at what systems levels to target interventions. Another feature of this work is Selekman's "Stress-Busters' Leadership" group. This eight-session, skill-building psycho-educational group was specifically designed to meet the unique needs of self-harming adolescents and can be implemented in any school or treatment setting.
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First Sentence
RHIANNON'S POWERFUL WORDS graphically capture some of the reasons why adolescents have turned to self-harming behavior as a coping strategy. Read the first page
Front Cover | Copyright | Table of Contents | Excerpt | Index | Back Cover
RHIANNON'S POWERFUL WORDS graphically capture some of the reasons why adolescents have turned to self-harming behavior as a coping strategy. Read the first page
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Front Cover | Copyright | Table of Contents | Excerpt | Index | Back Cover
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Customer Reviews
Most Helpful Customer Reviews
Format:Hardcover
As a qualified Counsellor and Social Worker I have used this book many times over several years. It is invaluable in helping professionals and non-professionals alike understand self harming behaviour particularly in relation to children and young people in a new and refreshing light. It will challenge some of your assumptions and opinions. For the very open and creative practicioners it will really add something to your skill and knowledge base. If you are a parent,relative, friend, sibling,etc to a young person who is self harming, it will go some way to help you understand what is going on for the young person who is self harming.
Be preparred to learn something new and creative about working with self harm. By the way Matthew Selekmen's other books are also very good. He is also a very good public speaker on the subject of children and families.
Be preparred to learn something new and creative about working with self harm. By the way Matthew Selekmen's other books are also very good. He is also a very good public speaker on the subject of children and families.
Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com:
2 reviews
5 of 6 people found the following review helpful
Clarification re. Personality Disorders in Teens
20 Nov 2004
Format:Hardcover
This note is being written in defense of this book, which I and other fellow peers who work with adolescents in crisis found to be quite insightful and useful. I agree with the author that it is not appropriate to give a Borderline Personality Disorder (BPD) diagnosis to a teen. At the most, I would give "traits of BPD", but at this developmental stage it is truly impossible to say with certainty that a client is personality disordered.
As per DSM-IV-TR, Fourth Edition (APA), pg. 687 of Personality Disorders under Specific Culture, Age and Gender Features reads: "Personality Disorder categories may be applied to children or adolescents in those relatively unusual instances in which the individual's particular maladaptive personality traits appear to be pervasive, persistent, and unlikely to be limited to a particular developmental stage or an epiosde of an Axis I disorder. It should be recognized that the traits of a Personality Disorder that appear in childhood will often not persist unchanged into adult life. To diagnose a Personality Disorder in an individual under 18 years, the features must have been present for at least 1 year."
As per DSM-IV-TR, Fourth Edition (APA), pg. 687 of Personality Disorders under Specific Culture, Age and Gender Features reads: "Personality Disorder categories may be applied to children or adolescents in those relatively unusual instances in which the individual's particular maladaptive personality traits appear to be pervasive, persistent, and unlikely to be limited to a particular developmental stage or an epiosde of an Axis I disorder. It should be recognized that the traits of a Personality Disorder that appear in childhood will often not persist unchanged into adult life. To diagnose a Personality Disorder in an individual under 18 years, the features must have been present for at least 1 year."
7 of 28 people found the following review helpful
Dangerous Arrogance
24 Nov 2003
Format:Hardcover
This book continues the unscientific and simplistic family systems theory that claims that all psychological problems are the fault of the family and never the individual, and as usual, simply dismiss psychiatric disorders. Self-mutilation is most closely associated with borderline personality disorder. The author claims the DSM-IV does not allow diagnosis of personality disorders under 18 (not true). It is true that many adolescent females "copycat" the cutting of other adolescents, but the one they are copying likely has a borderline personality disorder (and consequently a great deal of skill at manipulating others). The person with the personality disorder needs far more than brief family therapy, and the copycat should not have their family blamed but instead be kept away from the borderline they are copying. And it is critical to separate the two phenomenon. The author provides no research data to back up his claims, only a few carefully chosen cases. Family systems has much to offer as an adjunctive therapy, and sometimes as a primary therapy, but like chiropractors, they need to stop claiming to be able to explain and cure everything because in the process they discredit themselves and do damage to many of the people they try to uniformly apply their theory and therapy to. This book continues that unfortuante legacy.
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