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Original Article

Persistence and Cessation of Nonsuicidal Self-Injury Under Psychotherapy

Published Online:December 19, 2023https://doi.org/10.1027/1192-5604/a000171

Abstract

Abstract: This study examines factors associated with recovery from nonsuicidal self-injury, comparing the characteristics of nonsuicidal self-injury behavior, clinical history, and psychological features of one group of patients who recovered from nonsuicidal self-injury within 12 months of psychotherapy and one group of patients who did not. Both groups received three components of treatment: feedback on psychological assessment results, psychoeducation on stress and emotional control, and acquisition of stress-coping skills. The Rorschach Comprehensive System was used for the measurement of participants’ psychological characteristics. Results indicated that the nonrecovery group (N = 14) remembered significantly fewer self-harm episodes than the recovery group (N = 16). The Rorschach showed differences in variables indicative of thinking and cognitive problems: PTI positivity and X-% were significantly higher in the nonrecovery group, while X+%, XA%, and WDA% were significantly lower in the nonrecovery group. Results suggest that the recovery group interrupted self-injury behaviors in a relatively short period by acquiring self-understanding and coping skills. Additional treatment for thinking, cognitive deficits, and dissociation may be necessary for the nonrecovery group.

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