Derma-abuse with cutting in young adolescents
In. Maharajh, Hari D. ; Merrick, Joav. Social and cultural psychiatry experience from the Caribbean Region. New York, Nova Science Publishers Inc, 2010. p.165-181, tab, ilus. (Health and human development).
Monography
em En
| MedCarib
| ID: med-17520
Biblioteca responsável:
TT5
Localização: TT5; WM 30.6, S6781 2010
ABSTRACT
Derma abuse or self-inflicted epidermal damage is introduced here for the first time to describe a number of blood-letting behaviours, it is associated with low lethality and the absence of suicidal attempts. Derma-abuse encompasses a number of behaviours replete with synonyms and acronyms. Researchers for the most part have described a medley of behaviours that have been categorized as life threatening and equated with suicidal intent. The purpose of this study is two-fold First, to present and discuss vignettes of four young adolescents and second to study the dynamics and characteristics of six derma abusers who have attended Dual Group Therapy (DGT) concurrently with their parents for a six month period with an emphasis on the dynamics of behaviour and treatment. Our findings suggest that patients involved in derma-abuse are generally non suicidal but engage in comfort cutting for the psychological release of pain, tension reduction and anger management. There is a preponderance of females (80%) with an over representation of mixed origin and borderline cultural states. In this small group, males amounted to 20% and were more bizarre, gruesome and brutal in their self-abuse. Of the total sample 10% were of African origin, 60% were of Indian descent and 30% were of mixed ancestry. Psychodynamic factors explored in Dual Group Therapy (DGT) are the emphasis on non-suicidal intent, association with tension reduction, reclaiming power and mastery over self and others, life and death instincts, the significance of bloodletting in a socio-cultural context, trans-generational, dysfunctional family dynamics frequently with parental separation and sexual abuse and early sexual induction. A novel form of DGT is introduced for the treatment of these patients. The changing attitudes of adolescents in today's culture as they freely engage in risky behaviors present a major mental health crisis to service providers both in developing and developed countries.
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Suicídio
/
Tentativa de Suicídio
/
Trinidad e Tobago
/
Região do Caribe
Limite:
Adolescent
/
Humans
País/Região como assunto:
Caribe ingles
/
Trinidad y tobago
Idioma:
En
Revista:
Health and human development
Ano de publicação:
2010
Tipo de documento:
Monography
País de publicação:
Estados Unidos