Uniquely practical and comprehensive, this timely guide addresses a problem that is on the rise, particularly among adolescents and young adults. Practitioners gain a wealth of knowledge about the variety and causes of self-injurious behavior and how to recognize it in people at risk, ranging from those who do not have psychiatric diagnoses to those with eating or mood disorders, PTSD, personality disorders, or psychoses. Presented are clear guidelines for assessing clients and conducting evidence-based interventions using replacement skills training, cognitive-behavioral therapy, exposure treatment, psychopharmacology, and family - and school-based strategies. Detailed case examples are featured throughout, and appendices offer essential clinical resources and tools.
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'Finally there is a book that integrates the most current research in the field of self-injury with useful clinical approaches. Walsh's expertise as a researcher and clinician shines in his sensible approach to an often misunderstood and difficult topic. Through the use of case examples, research, and practical exercises, this book provides professionals with a thorough understanding of self-injury and its treatment.' - Tracy Alderman, PhD, adjunct instructor, Chapman University - San Diego; author of The Scarred Soul: Understanding and Ending Self-Inflicted Violence
'Comprehensive and highly readable, this book provides what has long been needed - a thorough, compassionate, and practical guide to understanding, evaluating, and treating the complex and multifaceted behavior that is self-injury. Walsh's book is sure to become an invaluable and indispensable resource, required reading for anyone working with those who self-injure.' - Caroline Kettlewell, author of Skin Game: A Memoir
About the Author
Barent W. Walsh, PhD, The Bridge of Central Massachusetts, Inc., Worcester, MA
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Most Helpful Customer Reviews
8 of 8 people found the following review helpful
By Jan Sutton
Format:Hardcover
In the first part of this accessible and comprehensive work, Barent does a sterling job of distinguishing the difference between self-injury and body alterations (tattoos, piercing, brands, etc.) and self-injury and suicide. Echoing my own view, he also presents a strong case for steering clear of suicidal language when referring to self-injury, for example, terms such as "attempted suicide," "suicidal gesture," and "parasuicide."
The main thrust of the book is on assessment and treatment of self-injury, for which Barent proposes an inspiring bio-cognitive-behavioural approach. Topics addressed in Part Two include contingency management, replacements skills training, cognitive treatment, body image work, exposure treatment and resolution of trauma, family treatment, psychopharmacological treatment, and managing the reactions of therapists and other caregivers to self-injury.
Later chapters deal with specific issues such as self-injury contagion, managing self-injury in school settings, and treating major self-injury.
Overall, Barent has done a masterful job of blending facts, theories, case examples, and practical exercises to create an engaging and thorough guide to understanding, assessment, and treatment of self-injury. This excellent resource deserves a well-earned place on the bookshelves of mental health practitioners, researchers, and anyone else interested in this challenging and complex behaviour.
Jan Sutton
Author of Healing the Hurt Within: Understand Self-Injury and Self-Harm, and Heal the Emotional Wounds
Format:Hardcover
This book is essential reading for ALL healthcare professionals coming into contact with people who self-injure.
Drawing from his own vast experience of working with people who self-injure over more than 30 years, and extensive research into literature about self-injury, Walsh provides a comprehensive resource for professionals who come into contact with self-injury. Walsh takes into account the variety of reasons behind self-injury, and offers a guide to treatment which is suitable for everyone.
I cannot praise this book highly enough. Walsh includes general information about self-injury as well as much needed practical information for professionals, I have not previously come across such a useful tool contained in one book.
This is essential reading for every mental health professional and therapist, but it will also be of use to GPs, those working in educational setting, people with an interest in self-injury, and also for those who injure themselves if they are interested in academically based information on self-injury!
Drawing from his own vast experience of working with people who self-injure over more than 30 years, and extensive research into literature about self-injury, Walsh provides a comprehensive resource for professionals who come into contact with self-injury. Walsh takes into account the variety of reasons behind self-injury, and offers a guide to treatment which is suitable for everyone.
I cannot praise this book highly enough. Walsh includes general information about self-injury as well as much needed practical information for professionals, I have not previously come across such a useful tool contained in one book.
This is essential reading for every mental health professional and therapist, but it will also be of use to GPs, those working in educational setting, people with an interest in self-injury, and also for those who injure themselves if they are interested in academically based information on self-injury!
Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com:
4.8 out of 5 stars
6 reviews
18 of 18 people found the following review helpful
5.0 out of 5 stars
Valuable resource for understanding and treating self-injury
24 Jan 2006
By Jan Sutton
- Published on Amazon.com
Format:Hardcover
In the first part of this accessible and comprehensive work, Barent does a sterling job of distinguishing the difference between self-injury and body alterations (tattoos, piercing, brands, etc.) and self-injury and suicide. Echoing my own view, he also presents a strong case for steering clear of suicidal language when referring to self-injury, for example, terms such as "attempted suicide," "suicidal gesture," and "parasuicide."
The main thrust of the book is on assessment and treatment of self-injury, for which Barent proposes an inspiring bio-cognitive-behavioural approach. Topics addressed in Part Two include contingency management, replacement skills training, cognitive treatment, body image work, exposure treatment and resolution of trauma, family treatment, psychopharmacological treatment, and managing the reactions of therapists and other caregivers to self-injury.
Later chapters deal with specific issues such as self-injury contagion, managing self-injury in school settings, and treating major self-injury.
Overall, Barent has done a masterful job of blending facts, theories, case examples, and practical exercises to create an engaging and thorough guide to understanding, assessment, and treatment of self-injury. This excellent resource deserves a well-earned place on the bookshelves of mental health practitioners, researchers, and anyone else interested in this challenging and complex behaviour.
Jan Sutton
Author of Healing the Hurt Within: Understand Self-Injury and Self-Harm, and Heal the Emotional Wounds
The main thrust of the book is on assessment and treatment of self-injury, for which Barent proposes an inspiring bio-cognitive-behavioural approach. Topics addressed in Part Two include contingency management, replacement skills training, cognitive treatment, body image work, exposure treatment and resolution of trauma, family treatment, psychopharmacological treatment, and managing the reactions of therapists and other caregivers to self-injury.
Later chapters deal with specific issues such as self-injury contagion, managing self-injury in school settings, and treating major self-injury.
Overall, Barent has done a masterful job of blending facts, theories, case examples, and practical exercises to create an engaging and thorough guide to understanding, assessment, and treatment of self-injury. This excellent resource deserves a well-earned place on the bookshelves of mental health practitioners, researchers, and anyone else interested in this challenging and complex behaviour.
Jan Sutton
Author of Healing the Hurt Within: Understand Self-Injury and Self-Harm, and Heal the Emotional Wounds
16 of 17 people found the following review helpful
5.0 out of 5 stars
An Excellent Text For Therapists and Those Seeking Help
29 Dec 2005
By C. Hutton
- Published on Amazon.com
Format:Hardcover
There are many self-help paperbacks already published on self-injury that are readable, helpful and under $15. "Treating Self-Injury" is written like a textbook but it is the most organized and comprehensive of all that I have seen. I would recommend it especially for school personnel or therapists who have little experience with "cutters" or those who cope through other forms of self-injury. The text would aid senior clinicians in intergrating various models into a coherent approach for treatment. The author wrote one of the first books that brought self-injury out of the medical closet, "Self-Mutilation: Theory, Research and Treatment" (1988).
Too many times, self-injury is confused with suicidal ideation and this book helps to dispell a lot of old myths. Mr. Walsh has done considerable research in synthesizing what has already has been written and wrote a "bill of rights for people who self-harm" against those myths. This is not a book that will be read in one sitting but one that the reader can consult and review. A more readable approach, though more narrow and less comprehensive, is "Cutting" (1999) by Steve Levonkron (as a matter of full disclosure, I once did a conference with Mr. Levenkron years ago). "A Bright Red Scream" (1998) by Marlee Strong remains the classic in this field.
Too many times, self-injury is confused with suicidal ideation and this book helps to dispell a lot of old myths. Mr. Walsh has done considerable research in synthesizing what has already has been written and wrote a "bill of rights for people who self-harm" against those myths. This is not a book that will be read in one sitting but one that the reader can consult and review. A more readable approach, though more narrow and less comprehensive, is "Cutting" (1999) by Steve Levonkron (as a matter of full disclosure, I once did a conference with Mr. Levenkron years ago). "A Bright Red Scream" (1998) by Marlee Strong remains the classic in this field.
6 of 6 people found the following review helpful
5.0 out of 5 stars
Excellent resource for Self Injury-a bit pricey, but worth it!
14 Dec 2007
By lin squire
- Published on Amazon.com
Format:Hardcover|Amazon Verified Purchase
This book by Barent Walsh is an excellent resource for understanding the many facets of Self Injury (SI), and for being able to move beyond SI as a means of coping. It contains case studies--real life situations with a variety/diversity of ages, genders and backgrounds. Walsh writes for the clinician, but this book is a gem for those who struggle with SI and for those who want to help/treat/support those who struggle with SI. It is a mature and compassionate book. While the price may present as prohibitive (a bit pricey), it's worth every penny. The book is up-to-date, practical and proves insightful into seemingly confusing behaviors. I highly recommend this book, along with Robin Collins, Dusty Miller, et al...
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4.8 out of 5 stars
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