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This practical and accessible book of case studies takes a new look at self-harm, focusing particularly on the under-explored area of `hidden' self-harming behaviour. These behaviours may not be immediately identifiable as self-harm by counsellors, therapists or their clients, but Maggie Turp shows how recognition and understanding of hidden self-harm can improve practice with those affected.The author begins by discussing extracts from infant observation studies that reflect on the role of maternal care in encouraging the tendency towards self-care. A series of detailed case studies follows, including a client who has a serious eating disorder, a client who abuses recreational drugs, works excessively to the detriment of his mental and physical health and sustains a series of unconsciously invited 'accidents', and one caught up in 'self-harm by omission', who fails to 'take care' and delays seeking vital medical care. The clinical accounts highlight the importance of attending to the client as a whole person and of building on the self-caring tendency that has prompted him or her to seek help in the form of counselling or psychotherapy.Written from a psychoanalytic perspective, but using straightforward language, Hidden Self-Harm is a valuable resource for social workers, psychologists, teachers, nurses and lay helpers as well as for counsellors and psychotherapists.
Maggie Turp is a London-based psychoanalytic psychotherapist and supervisor in private practice. She began her career in psychology and social work and has worked extensively in the field of mental health.
1. Introduction. 2. What do we mean by self-harm? 3. The capacity for self-care: Observations of Esther. 4. Bodily integrity and psychic skin: Observations of Esther. 5. Themes and theoretical frameworks. 6. Trauma and dramatic repetition: Working with Lorraine. 7. The skin in question: Working with Ellen May. 8. Acting, feeling and thinking: Working with Tracey. 9. A body in pieces: Working with Peter. 10. Self-harm by omission: Working with Kate. 11. Reflections on the case study material. 12. The self-harming individual and `the system'. References. Index.
This is a book that I imagine will be of interest to a wide audience. For the experienced therapist it proffers a different, broader perspective on self-harm. For those less familiar with such work, it elaborates a useful way of thinking which 'teaches' by means of its generous case descriptions and clear reflections.
