Investigating the Effective Factors in the Formation of Deliberate Self-harm in Adolescence: Mental Health Professionals’ Viewpoints

IF 1.2 Q3 PSYCHOLOGY, CLINICAL Clinical Practice in Pediatric Psychology Pub Date : 2023-04-01 DOI:10.32598/jpcp.11.2.839.1

M. Yekta, Mohammad Naghy Farahani, H. Khanipour, M. Shahgholian

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Abstract

Objective: This study aims to investigate the issues related to the formation and persistence of deliberate self-harm behavior in adolescents from Iranian mental health professionals’ viewpoints. Methods: The present qualitative study used semi-structured interviews to record the experiences of 9 mental health professionals with work experience in deliberate self-harm behavior in adolescence. The participants were selected via the purposive sampling method. The Sterling content analysis method was used to analyze the transcription of the interviews. Results: The semantic units of the interview were classified into 32 initial codes. The extracted sub-themes were as follows: A rejection of new identities, repression, the disintegration of social identity, materialism, economic poverty, unresolved parental conflicts, the lack of authority, the ambivalency between boundaries and freedom, shame, and guilt, blame, fear of harm, liberation, self-care, escape mechanism, and replacement, affect regulation, coping with self-disintegration and self-esteem, relationship conflicts with adults and peers, identity creation, identity disorder, boundless mental structure, lack of self-confidence, and distorted self-perception. The following four themes were categorized as subcategories of transformational injuries: Traumatic society, vulnerable family, interpersonal impact, and interpersonal effectiveness. Conclusion: Mental health specialists considered deliberate self-harm traumatic; however, they deem it for eliminating negative emotions and controlling the internal and external world of adolescents. Furthermore, they consider this behavior a reaction to cultural conflicts, cultural materialism, and the disintegration of identity and role during adolescence in families not being capable to facilitate low-risk transformation for adolescents because of economic and psychological factors.

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青少年故意自残形成的有效因素调查:心理健康专家的观点

目的:本研究旨在从伊朗心理健康专业人员的角度探讨青少年故意自残行为的形成和持续的相关问题。方法:采用半结构化访谈法，对9名有工作经验的心理健康专业人员在青少年故意自残行为中的经历进行定性研究。研究对象采用目的抽样法进行选择。采用Sterling内容分析法对访谈笔录进行分析。结果:访谈的语义单元被划分为32个初始码。摘录的分主题如下:对新身份的拒绝，压抑，社会身份的解体，物质主义，经济贫困，未解决的父母冲突，缺乏权威，边界与自由之间的矛盾，羞耻与内疚，责备，害怕伤害，解放，自我照顾，逃避机制和替代，影响调节，应对自我解体和自尊，与成年人和同龄人的关系冲突，身份创造，身份障碍，无边的心理结构，缺乏自信，扭曲了自我认知。以下四个主题被归类为转化性伤害的子类别:创伤性社会、脆弱家庭、人际影响和人际有效性。结论:心理健康专家认为故意自残是创伤性的;然而，他们认为这是为了消除负面情绪，控制青少年的内部和外部世界。此外，他们认为这种行为是对文化冲突、文化唯物主义以及青春期家庭身份和角色解体的反应，由于经济和心理因素，家庭无法为青少年提供低风险的转变。

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.