Behandling vid icke-suicidalt självskadebeteende kräver tydlig struktur

Författare

Lars-Gunnar Lundh

Summary, in English

Self-harm, particularly in the form of non-suicidal self-injury, has been identified as an increasing problem among adolescents and young

adults. Treatment effects on self-harm have been studied in a number

of RCTs, although only some treatments show consistently positive

effects. Dialectical Behaviour Therapy (DBT) is the most empirically

studied treatment so far. A comparison with other treatments (including mentalization-based treatment, schema-focused therapy, and

some others) suggest the following common factors as being probably

important for the efficient treatment of self-harm: 1) a clear treatment structure; 2) an empathically-validating therapeutic relationship; 3) a methodological focus on increased emotional awareness and improved emotion regulation; and 4) explicit strategies to decrease the risk for iatrogenic effects of treatment, which for several reasons seem to be especially pronounced with this group of patients.

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