The Tip of the Iceberg: Understanding and Responding to Self-Injury
Mental health professionals have struggled to understand self-injury for decades, with varying degrees of success and varying degrees of compassion. Hanna Nowicki puts it that plainly, and adds the part that is harder to say: clinical responses have often been only moderately helpful, and in some cases distinctly harmful. Anyone who has felt out of their depth with a client who self-injures will recognise the assessment.
The behaviour is confusing to professionals and more confusing to the teachers, parents and partners who encounter it without any training at all. The instinct in all of them is the same, which is to get it to stop. Her argument is that this is the wrong first move, and that the behaviour is doing something for the person, which has to be understood before anything can replace it.
Five hours working through those functions one at a time: dissociation, communication, the euphoric feeling that follows, self-nurturing, self-punishment, re-enacting previous abuse, and establishing control. She separates self-injury from suicidal behaviour carefully, since conflating them changes the response and often makes it worse. Recovery is treated as a process with its own pace rather than a demand to stop, and the course includes activities, techniques and homework resources written in client-centred language, ready to adapt.
You’ll walk away with
- A clear distinction between self-injurious and suicidal behaviour, and why conflating them produces the wrong response
- The functions self-injury serves, worked through individually rather than listed
- Dissociation, communication and the euphoric feeling, and what each tells you about the client
- Self-nurturing and self-punishment as distinct purposes with different implications
- Re-enacting previous abuse, and establishing control
- The physiology of self-injury, and why understanding it changes how you talk about it
- Models of self-harm, and what each offers clinically
- Techniques to build a client’s own awareness of what the behaviour is doing for them
- Strategies for reducing or stopping, paced to the person rather than to your discomfort
- Psychoeducation for clients, and for the parents and teachers around them
- Activities, techniques and homework resources in client-centred language, ready to use
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CPD Information For Mental Health Professionals
Enjoy complete flexibility with 100% self-paced learning you can access anytime, anywhere, and on any device. This course is included with your Tatra Training membership, along with every other course in the library.
Course Duration: 5 learning hours
Certificate and CPD hours: On completion you’ll receive a Certificate of Completion to support your CPD records. Your certificates are yours to keep.
Assessment: Complete a short quiz at the end (80% pass mark), which you can resit as many times as needed.
Revisit Anytime: Come back to the course as often as you like while your membership is active, whenever you want a refresher for practice.
CPD Eligibility: This program may be suitable for CPD for professionals such as:
- Psychologists
- Counsellors and Psychotherapists
- Social Workers
- Community Workers
- Mental Health Nurses
- General Practitioners (GPs)
- Occupational Therapists
CPD requirements vary between professional bodies, so please check with your association or credentialing body to confirm you can claim CPD hours/OPD points for this program and what evidence they require.
Course Content
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This course includes:
- Lessons 10
- Topics 0
- Duration 5 hours
- Quizzes 1
- Language English