Targeting emotion dysregulation in the treatment of self‐injury
Abstract
Clinically useful definitions of emotion regulation with respect to deliberate self‐harm (referred to here as self‐injury) focus on adaptive ways of responding to emotional distress rather than on the control of emotions or dampening of emotional arousal. According to one such definition, emotion regulation is a multifaceted construct involving a) the awareness, understanding, and acceptance of emotions; b) ability to engage in goal‐directed behaviors, and inhibit impulsive behaviors, when experiencing negative emotions; c) the flexible use of situationally appropriate strategies to modulate the intensity and/or duration of emotional responses rather than to eliminate emotions entirely; and d) willingness to experience negative emotions as part of pursuing meaningful activities in life (Gratz & Roemer, 2004). This article addresses the role of emotion dysregulation in self‐injury and discusses two treatments for self‐injury that explicitly focus on increasing emotion regulation. These treatments are based on the premise that the reduction of emotion dysregulation will decrease the need for maladaptive behaviors that function to regulate emotions, such as self‐injury. A case illustration describing how one of these treatments (an acceptance‐based, emotion regulation group therapy) is used to treat self‐injury is provided. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 1091–1103, 2007.
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People who self-injure have difficulty expressing their emotions verbally and tend to be less aware of their emotional states.
“Alexithymia is common in people who self-injure [16]: these individuals not only have difficulty expressing their emotions verbally [17], a key aspect of alexithymia, but tend to be less aware of their emotional states [18, 19].”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [17]
Alexithymia is commonly present in clinical populations who self-injure.
“given its common presence in clinical populations who self-injure [16–20]”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [17]
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- Authors
- Gratz, K. L.
- Affiliations
- University of Maryland, College Park (US)
- Corresponding author
- Gratz, Kim L.
- ORCID
- Gratz, Kim L.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2007-10-11
- Volume
- 63
- Issue
- 11
- Pages
- 1091-1103
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2013067422
- Cited by
- 232
- References
- 23
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 13 · 2023: 12 · 2022: 7 · 2021: 20 · 2020: 12 · 2019: 11 · 2018: 12 · 2017: 16 · 2016: 19 · 2015: 11 · 2014: 17 · 2013: 9 · 2012: 21
- FWCI
- 8.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- self-harm, emotional dysregulation, emotion regulation, acceptance-based therapy, group therapy, maladaptive coping, emotional awareness, negative emotions
- MeSH terms
- Adult, Affective Symptoms, Borderline Personality Disorder, Emotions, Female, Humans, Models, Psychological, Terminology as Topic, Prognosis, Psychology, Clinical, Psychotherapy, Psychotherapy, Group, Stress, Psychological, Psychotherapeutic Processes, Self-Injurious Behavior, Treatment Outcome, Dysthymic Disorder
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