Self-Injurious Behavior Treatment Strategies Literature Review

Pages: 5 (1367 words)  ·  Bibliography Sources: 3  ·  File: .docx  ·  Level: Master's  ·  Topic: Health - Public Health Issues  ·  Written: August 5, 2019

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The subject was adamant in his insistence about the source of his injuries, but was unable to explain why his dead friend was not visible by others. A major incident followed when the subject was asleep and awakened his family with shrieks of pain. His family members discovered that is right eye had been injured and he was bleeding from other wounds as well. The subject subsequently lost sight in the injured eye and again claimed it was his dead friend who had attacked him during his sleep.

After the subject developed a cataract in his left eye, he was referred for evaluation to determine whether there was a danger of the subject harming this eye following surgery to repair it. A multidisciplinary treatment team evaluated the subject and recommended a pharmacological intervention consisting of 2 mg risperidone initially, but which was subsequently increased to 4 mg; the subject did not exhibit any discernible side effects from this treatment regimen during his hospitalization or following his discharge.

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The treatment team also recommended delaying the cataract surgery until the subject’s behavior could be evaluated again every 2 months and it was at this point the case study concluded. Following the subject’s discharge, Sood and Agrawal (2011) report that, “It was agreed upon by the treating teams to keep him under close joint follow-up and supervision, to assess his mental status on subsequent follow-ups, and take decision about performing cataract surgery” (p. 159). Based on their findings, the authors conclude that self-injurious behavior cases require close collaboration between clinicians, rapid responses and treatment for any injuries, and most especially the treatment of any underlying psychopathological disorders that may exacerbate the tendency to engage in self-injurious behaviors.

Study #3: “College counseling for self-injurious behavior: A case study” by Aizenman (2009)

Literature Review on Self-Injurious Behavior Treatment Strategies Assignment

Finally, the purpose of this case study was to report the results of using antidepressant medication and behavior modification that was based on attachment theory and object relations counseling strategy to treat a young female college student who sought assistance from the university counseling center for a number of psychological problems, including depression and self-injurious behaviors (i.e., mostly cutting her arms using razor blades). The author emphasizes that these types of cases are becoming increasingly commonplace due in large part of the inability of young students to cope with the rigors and demands of university life. These stressors may tend to aggravate any predisposition towards self-injurious behaviors which may manifest in young people with no prior history of psychological problems (Aizenman, 2009).

Citing a need for additional research to identify the etiology and various motivational variables that may result in self-injurious behaviors, Aizenman (2009) notes that many patients report engaging in self-injurious behaviors because of the immediate relief from stress it provides them, which encourages further repetitions of such behaviors. Based on her empirical observations, the author stresses the need for a therapeutic relationship in order to treat these conditions effectively. In this regard, Aizenman points out that, “Although self-injury may be challenging to treat, studies have indicated that these patterns can be altered by forming a consistent, secure relationship with a caring person, such as a college counseling professional” (p. 184).

The next step in treating self-injurious behaviors with a counseling approach is the need to identify the antecedents of depression and distress in young people’s lives besides their educational demands, including issues such as childhood neglect, mistreatment or loneliness (Aizenman, 2009). Based on careful assessments of these young learners, counselors can then formulate optimal counseling strategies that address their unique needs. In this case, the combination of pharmacological and counseling strategies proved effective in helping this patient respond to stress in healthier ways and eliminate the need to resort to self-injurious behaviors in the process.

References
  1. Aizenman, M. B. (2009, Fall). College counseling for self-injurious behavior: A case study. Journal of College Counseling, 12(2), 182-185.
  2. Mohapatra, S. & Sahoo, A. (2016, September-October). Self-injurious behavior in a young child with… [END OF PREVIEW] . . . READ MORE

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