: David N. Miller, Stephen E. Brock
: Identifying, Assessing, and Treating Self-Injury at School
: Springer-Verlag
: 9781441960924
: 1
: CHF 72,20
:
: Angewandte Psychologie
: English
: 138
: Wasserzeichen/DRM
: PC/MAC/eReader/Tablet
: PDF

Nonsuicidal self-injury (NSSI) among young people-most notably in the form of forearm- or wrist-cutting-occurs across cultural groups, social strata, and developmental stages, puzzling and repelling adults. Youth engaging in NSSI behaviors are at a higher risk for suicidality as well as other mental health and academic problems. And because NSSI is often first noticed in the school setting (as is the case with many children's disorders), school professionals are being encouraged to take a more proactive role in intervention.

The first book specifically geared toward education personnel,Identifying, Assessing, and Treating Self-Injury at School clearly defines NSSI, differentiating it from suicidal, borderline, and other behaviors and analyzing the psychological contexts in which it occurs. This school-based perspective gives readers a practical framework for earlier, more accurate diagnosis; relevant consulting with parents, teachers, and colleagues; and effective, science-based treatment.

Included in the coverage: an overview of causes of self-injury, current findings on prevalence and associated conditions, early screening guidelines, including risk factors and warning signs, the latest information on assessment issues and diagnostic methods, a separate chapter on psychoeducational assessment and up-to-date research on interventions for NSSI.

Identifying, Assessing, and Treating Self-Injury at School offers a solid foundation for school psychologists and allied educational professionals to understand students with NSSI and address their complex needs.



David N. Miller, Ph.D, is an Assistant Professor in the Department of Educational and Counseling Psychology at the University at Albany, State University of New York. He received his Ph.D. in school psychology from Lehigh University. A certified school psychologist, he has extensive experience working with students with emotional and behavioral problems in both public and alternative school settings, including serving as the Director of the Predoctoral Internship in Professional Psychology at Centennial School of Lehigh University. He has more than 30 professional publications and book chapters and has conducted more than 40 national and state presentations on various topics, including self-injury and suicidal behavior in children and youth. He was also co-chair of the Suicide Prevention/Intervention Workgroup of the National Association of School Psychologists School Crisis Prevention and Intervention Task Force. Dr. Miller currently serves on the editorial advisory board of School Psychology Review, Psychology in the Schools, School Psychology Forum, and the Division 16 (School Psychology) Book Series.

Stephen E. Brock, Ph.D., NCSP, is an Associate Professor at California State University Sacramento. Previously, he worked for 18 years as a school psychologist with the Lodi Unified School District (the last six of which included assignments as Lead Psychologist). His professional preparation includes a Ph.D. at the University of California, Davis. Dr. Brock currently serves on the editorial boards of both state and national school psychology association newsletters and is an Associate Editor of The California School Psychologist (a peer-reviewed journal with the second largest distribution of school psychology journals in the United States). He is Past-President of the California Association of School Psychologists and a member of the National Association of School Psychologists' Delegate Assembly and its Executive Council. Dr. Brock has authored more than 150 publications (including four books) and has made more than 80 refereed or invited state/national conference presentations. His academic work has included the study of school crisis response, suicide prevention, ADHD, autism, behavioral interventions, violence prevention, threat assessment, child development, and reading comprehension.

Acknowledgments6
Contents8
About the Author9
1 Introduction10
Why School Professionals Should Read This Book11
Self-Injury Defined13
Self-Injury, Special Education Eligibility, and Educational Support Services15
Purpose and Plan of This Book17
2 Causes (with Richard Lieberman) 18
Explanatory Models for NSSI in Youth18
The Behavioral/Environmental Model18
The Affect Regulation Model19
The Physiological/Biological Model19
The Suicide Model19
The Interpersonal/Systemic Model20
The Depersonalization Model20
The Sexual/Sadomasochism Model20
A Functional Model of NSSI21
Automatic-Negative Reinforcement22
Automatic-Positive Reinforcement23
Social-Positive Reinforcement23
Social-Negative Reinforcement23
A Biopsychosocial Model of NSSI24
Environmental Dimension24
Family Historical Elements24
Individual Historical Elements25
Current Environmental Elements27
Biological Dimension27
Cognitive Dimension28
Affective Dimension29
Behavioral Dimension29
Integration of the Five Dimensions30
Concluding Comments30
3 Prevalence and Associated Conditions31
Prevalence Rates of NSSI in Youth: Issues and Challenges31
Definitional Issues31
Measurement Issues32
Setting Issues32
Sample Selection Issues33
Demographic Issues33
Age of Onset33
Geographic, Cultural, and Ethnic Issues33
Clinic-Based and Community-Based Prevalence Rates34
Gender Issues34
Is the Prevalence of NSSI in Youth Increasing?35
Implications for School-Based Practitioners35
Associated Conditions36
NSSI and Associated Psychiatric Disorders37
Suicide37
Mood and Anxiety Disorders38
Substance-Related Disorders39
Hostility/Anger39
Eating Disorders40
Dissociative Disorders40
Borderline Personality Disorder41
Concluding Comments42
4 Case Finding, Screening, and Referral43
Roles and Responsibilities of School-Based Mental Health Professionals43
Risk Factors44
Demographics45
Child Abuse45
Self-Harm History46
Family Dynamics46
Peer Modeling46
Psychiatric Disturbance46
Psychological Factors47
Self-Injury Warning Signs48
Behavioral Warning Signs49
Physical Warning Signs49
Case Finding49
Initial Referral and Screening51
Suicide Risk Assessment52
Evaluation of Physical Injury54
Mental Health Screening56
Concluding Comments56
5 Diagnostic Assessment58
The School-Based Assessment of NSSI: The Initial Response58
The Issue of Contracts60
Suggestions and Guidelines When First Responding to NSSI60
Avoid the Use of Suicide Terminology61
Use the Student's Own Descriptive Language Strategically61
Gently Challenge Minimizing or Idiosyncratic Language61
Convey Respect and Curiosity62
Be Nonjudgmental and Compassionate62
Physical Assessment of Self-Injury62
Diagnostic Assessment: Assets and Limitations63
Favazzas Diagnostic System64
Stereotypic Self-Injury65
Major Self-Injury65
Compulsive Self-Injury66
Impulsive Self-Injury66
Walshs Classification Scheme for Direct and Indirect Self-Harm67
Direct Self-Harm67
Indirect Self-Harm68
Differentiating Self-Injury from Suicidal Behavior69
Intent70
Level of Physical Damage and Potential Lethality70
Frequency of the Behavior71
Multiple Methods71<