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Nervenheilkunde 2009; 28(04): 227-231
DOI: 10.1055/s-0038-1628611
Übersichtsarbeit
Schattauer GmbH

Verhaltensdiagnostik selbstverletzenden Verhaltens

Behavioural analysis of self-injurious behaviour
D. Nitkowski
1   Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
,
F. Petermann
1   Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
› Author Affiliations
Further Information

Publication History

eingegangen am: 21 July 2008

angenommen am: 30 September 2008

Publication Date:
24 January 2018 (online)

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Zusammenfassung

Selbstverletzendes Verhalten kann als Strategie zur Bewältigung von Belastungen aufgefasst werden, die aus Symptomen psychischer Störungen oder aus dem Erleben widriger sozialer Umstände resultieren. An-hand von kognitiv-verhaltenspsychologischen Konzepten wird ein Vulnerabilitäts-Stress-Modell formuliert, das den Zusammenhang zwischen vorausgehenden und auslösenden Bedingungen sowie der Selbstverletzung als Stressreaktion verdeutlicht. Für die klinische Praxis wird eine Checkliste zur Verhaltensdiagnostik von selbstverletzendem Verhalten vorgestellt, die auf diesem Modell fußt.

Summary

Self-injurious behaviour can be understood as a strategy to cope with distress resulting from psychiatric disorders or adverse social conditions. By means of cognitive-behavioural terms, a vulnerability-stress model is formulated that illustrates the relationship between antecedents, triggers and the self-injury as a stress reaction. A checklist for self-injurious behaviour will be introduced derived from this model.

Schlüsselwörter

Selbstverletzendes Verhalten - Selbstverstüm-melung - Verhaltensdiagnostik - Bewältigungs-strategie

Keywords

Self-injurious behaviour - self-mutilation - behavioural analysis - coping strategy
 

  • Literatur

  • 1 Briere J, Gil E. Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. Am J Orthopsychiatry 1998; 68: 609-620.
    CrossrefPubMedGoogle Scholar
  • 2 Brunner R. et al. Prevalence and psychological correlates of occasional and repetitive deliberate self harm in adolescents. Arch Pediatr Adolesc Med 2007; 161: 641-649.
    CrossrefPubMedGoogle Scholar
  • 3 Chapman AL, Gratz KL, Brown MZ. Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behav Res Ther 2006; 44: 371-394.
    CrossrefPubMedGoogle Scholar
  • 4 Crowell SE. et al. Parent-child interactions, peripheral serotonin, and self-inflicted injury in adolescents. J Consult Clin Psychol 2008; 76: 15-21.
    CrossrefPubMedGoogle Scholar
  • 5 Cicchetti D, Toth SL. A development psychopathology perspective on child abuse and neglect. J Am Acad Child Adolesc Psychiatry 1995; 34: 541-565.
    CrossrefPubMedGoogle Scholar
  • 6 Favazza AR. The coming of age of self-mutilation. J Nerv Ment Dis 1998; 186: 259-268.
    CrossrefPubMedGoogle Scholar
  • 7 Fliege H. et al. Three assessment tools for deliberate self-harm and suicide behavior: Evaluation and psychopathological correlates. J Psychosom Res 2006; 61: 113-121.
    CrossrefPubMedGoogle Scholar
  • 8 Gratz KL. Risk factors for deliberate self-harm among female college students: The role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/reactivity. Am J Orthopsychiatry 2006; 76: 238-250.
    CrossrefPubMedGoogle Scholar
  • 9 Gratz KL, Chapman AL. The role of emotional responding and childhood maltreatment in the development and maintenance of deliberate self-harm among male undergraduates. Psychol Men Masculin 2007; 08: 1-14.
    Google Scholar
  • 10 Haines J, Williams CL. Coping and problem solving of self-mutilators. J Clin Psychol 1997; 53: 177-186.
    CrossrefPubMedGoogle Scholar
  • 11 Herpertz S. Self-injurious behavior: Psychopathological and nosological characteristics of subtypes of self-injurers. Acta Psychiatr Scand 1995; 91: 57-68.
    CrossrefPubMedGoogle Scholar
  • 12 Herpertz S, Saß H, Favazza AR. Impulsivity in self-mutilative behavior: Psychometric and biological findings. J Psychiatr Res 1997; 31: 451-465.
    CrossrefPubMedGoogle Scholar
  • 13 Herpertz S. et al. Experimenteller Nachweis mangelnder Affektregulation bei Patientinnen mit selbstschädigendem Verhalten. Nervenarzt 1998; 69: 410-418.
    CrossrefPubMedGoogle Scholar
  • 14 Kamphuis JH, Ruyling SB, Reijntjes AH. Testing the emotion regulation hypothesis among self-injuring females – Evidence for differences across mood states. J Nerv Ment Dis 2007; 195: 912-918.
    CrossrefPubMedGoogle Scholar
  • 15 Klonsky The functions of deliberate self-injury: A review of the evidence. Clin Psychol Rev 2007; 27: 226-239.
    CrossrefPubMedGoogle Scholar
  • 16 Klonsky ED, Oltmanns TF, Turkheimer E. Deliberate self-harm in a nonclinical population: Prevalence and psychological correlates. Am J Psychiatry 2003; 160: 1501-1508.
    CrossrefPubMedGoogle Scholar
  • 17 Koglin U, Petermann F. Psychopathie im Kindesalter. Kindheit Entwicklung 2007; 16: 260-266.
    CrossrefGoogle Scholar
  • 18 Laye-Gindhu A, Schonert-Reichl KA. Nonsuicidal self-harm among adolescents: Understanding the “Whats” and “Whys” of self-harm. J Youth Adolesc 2005; 34: 447-457.
    CrossrefGoogle Scholar
  • 19 Lloyd-Richardson EE. et al. Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychol Med 2007; 37: 1183-1192.
    CrossrefPubMedGoogle Scholar
  • 20 Muehlenkamp JJ. Self-injurious behavior as a separate clinical syndrome. Am J Orthopsychiatry 2005; 75: 324-333.
    CrossrefPubMedGoogle Scholar
  • 21 Murray CD, Warm A, Fox J. An internet survey of adolescent self-injurers. Aust e-J Adv Ment Health. 2005 04. www.auseinet.com/journal/vol4iss1/mur ray.pdf [March 28th, 2008].
    Google Scholar
  • 22 Nixon MK, Cloutier PF, Aggarwal S. Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents. J Am Acad Child Adolesc Psychiatry 2002; 41: 1333-1341.
    CrossrefPubMedGoogle Scholar
  • 23 Nock MK, Mendes WB. Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers. J Consult Clin Psychol 2008; 76: 28-38.
    CrossrefPubMedGoogle Scholar
  • 24 Nock MK. et al. Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Res 2006; 144: 65-72.
    CrossrefPubMedGoogle Scholar
  • 25 Petermann F, Nitkowski D. Selbstverletzendes Verhalten: Erscheinungsformen, Risikofaktoren und Verlauf. Nervenarzt 2008; 79: 1017-1022.
    CrossrefPubMedGoogle Scholar
  • 26 Petermann F, Winkel S. Selbstverletzendes Verhalten. Göttingen: Hogrefe; 2005
    Google Scholar
  • 27 Petermann F, Winkel S. Selbstverletzendes Verhalten. Diagnostik und psychotherapeutische An-sätze. Z Psychiatr Psychol Psychother 2007; 55: 123-132.
    Google Scholar
  • 28 Petermann F, Winkel S. Selbstverletzendes Verhalten. Kennzeichen, mögliche Ursachen und Konsequenzen für die Praxis. Nervenheilkunde 2007; 26: 805-809.
    Article in Thieme ConnectGoogle Scholar
  • 29 Ross S, Heath N. A study of the frequency of self-mutilation in a community sample of adolescents. J Youth Adolesc 2002; 31: 67-77.
    CrossrefGoogle Scholar
  • 30 Salbach-Andrae H. et al. Selbstverletzendes Ver-halten bei weiblichen Jugendlichen. Z Psychiatr Psychol Psychother 2007; 55: 185-193.
    Google Scholar
  • 31 Teegen F, Wiem S. Selbstverletzendes Verhalten als dysfunktionale Bewältigungsstrategie – Eine Befra-gung Betroffener im Internet. Z Klin Psychol Psychiatr Psychother 1999; 47: 386-398.
    Google Scholar
  • 32 Tice DM, Bratslavsky E, Baumeister RF. Emotional distress regulation takes precedence over impulse control: If you feel bad, do it!. J Pers Soc Psychol 2001; 80: 53-67.
    CrossrefPubMedGoogle Scholar
  • 33 Walsh BW. Clinical assessment of self-injury: A practical guide. J Clin Psychol 2007; 63: 1057-1068.
    CrossrefPubMedGoogle Scholar
  • 34 Wedig MM, Nock MK. Parental expressed emotion and adolescent self-injury. J Am Acad Child Adolesc Psychiatry 2007; 46: 1171-1178.
    CrossrefPubMedGoogle Scholar
  • 35 Whitlock J, Eckenrode J, Silverman D. Self injurious behaviors in a college population. Pediatrics 2006; 117: 1939-1948.
    CrossrefPubMedGoogle Scholar