Cutting and Self Harm (Deep Dive)(2015 Rerun)
Added 2024-12-31 12:00:06 +0000 UTC[Rerun] Dr. Kirk Honda provides information and treatment guidelines on cutting, self-harm, and nonsuicidal self-injury.
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December 12, 2015
The Psychology In Seattle Podcast ®
Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.
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Comments
I also want to clarify that by “pro-symptom” I do not mean that symptoms aren’t harmful or distressing, but that they make sense in the broader individual and systemic context. I think it can be an important shift in perspective for folks who engage in taboo behavior to not make enemies of their survival/coping strategies.
Andy
2025-01-12 22:43:23 +0000 UTCI find this episode to be understandably a bit dated. I ran into this issue in my undergrad/grad social work and so far my cft training, as someone who formerly engaged in nssi and works with folks who engage in nssi, i.e., folks with complex trauma, bpd, queer/trans folks. Maybe I am a bit biased as a harm reductionist who has a “pro-symptom” approach, but I don’t require folks I work with to admit that nssi, or any other self-directed behavior that is potentially harmful, admits that the behavior is a problem or must be targeted for change, particularly before we do any other work. I’ve found the functional/adaptive approach rather than the symptom/behavior-adversarial approach to be really helpful and meaningful in my own work and in work with clients. I kind of mirror the general mentalization based approach in how I approach it, emphasizing kind of “slowing it down” in an effort to increase reflective functioning and ensuring it is done with greater safety and care. I’ve found that the behavior falls away over time and clients are less drawn to it when they can “slow it down,” engage in safety and self-care, and then over time learn to reach out to safe enough others when they are experiencing heightened emotions, which eventually replaces the behavior through fulfilling the primary need. I understand that might not be true in every instance, but the kind of “this is a problem and it must stop” approach is something I don’t find incredibly helpful, and feels out of line with my personal and professional values. I am happy to share resources along these lines if that would be of interest or help.
Andy
2025-01-12 22:40:56 +0000 UTCI’m sorry to hear that DBT was not effective for you. It’s honestly so exhausting to dive into a program and devote so much energy into it only to then realize it’s a bad fit for you. I’ve done it so many times over the last 15 years. My DBT therapist has told me that “you can’t fail DBT but DBT can fail you”. I have found DBT to be life changing in my experience and it has given me so many skills that help to regulate emotions and managing my reaction to the events of my life. I’ve been really lucky though to have found an amazing therapist. I hope things improve for you. ♥️
Connor Chubbs
2025-01-07 05:42:10 +0000 UTCI was with you until you mentioned CBT/DBT. It's probably the worst option imo. Being taught that you're creating your own problems and that you're "too emotive" and being trained to mask very real trauma reactions is the worst one can do. When I tried behavior modalities, the invalidation alone led me to relapse into burning myself. I had to be put back on benzos. I had been in therapy for 20 years, lost all faith in the mental health system when subjected to these training practices. Sad to see how the field of psychology been going downhill these past years and how pshychotherapists are now replaced with the human equivalent of dog trainers who are not interested of learning about psychology anymore. Addictions are rarely curbed by these harm reduction techniques they give you. Like trying to curb alcoholism by drinking only the mixer. Going to AA/NA meetings helps with self-harm addiction as well as other addictions. Having a community of people who understand and don't judge is crucial for recovery.
Kadita
2025-01-04 20:21:36 +0000 UTC
