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pt. I. Cutting and self-harm : what are they and how do they occur?
1. Cutting and self-harm : definitions, history, and basic characteristics
Self-harm
Self-injury
Nonsuicidal self-injury
Trichotillomania
Excoriation
Direct versus indirect self-harm
Body modification
Stereotypic movement disorder
Moderate versus major self-injury
History of self-injury
Religion and self-injury
Self-injury as a rite of passage
Conventional self-injury
Basic characteristics
Age and self-injury
Gender and self-injury
Socioeconomic status and self-injury
Culture and self-injury
Rates of self-injury
2. Factors contributing to self-injury
Biological and psychological factors
Neurotransmitters and mood stabilization
Depression and anxiety
The brain
The cerebrum
The cerebellum
Brain stem
The limbic system
Environmental factors
Insecure attachment
What does self-injury accomplish?
Consequences of self-injury
3. Self-injury and other conditions
Self-injury and trauma
Self-injury and suicidal ideation
Self-injury and eating disorders
Self-injury and substance abuse/misuse
4. Responding to self-injury
Respond as concerned individual
Respond as a friend
Respond as a teacher or school professional
Respond as a therapist
Respond as a family member
Managing one's own feelings
Who needs to change?
Being genuine and supportive
Next step
Common difficulties in responding to self-injury
5. Treatment and prevention of self-injury
Assessment
Environmental
Biological
Cognitive, emotional, and behavioral
Establishing a therapeutic relationship
Replacing behaviors
Cognitive treatment
Family therapy.

pt. II. 6. Controversial issues
6. Self-injury in school settings
School personnel and treating self-injury
Ethical and legal considerations
7. Self-injury and relationships
Connected culture
Genuine contact
Making connections
Mindfulness
8. Self-injury and group counseling
Therapeutic factors
Instillation of hope
Universality
Imparting information
Altruism
Development of socializing techniques
Imitative behavior
Catharsis
Corrective recapitulation of the primary family group
Existential factors
Group cohesiveness
Interpersonal learning
Potentially healing
Confidentiality
Environment of change
Universality
Potentially harmful
Online group formats
9. Psychopharmacological treatment of self-injury
Purpose of medication in treating self-injury
Serotonin
Dopamine
Opiate
combining medication and therapy
pt. III. Resources
Important documents
Glossary
Timeline.

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