Using the Attachment Style Interview to explore Non-Suicidal Self-Injury in men: The representational pathway from childhood trauma to non-suicidal self-injury

Journal title MALTRATTAMENTO E ABUSO ALL’INFANZIA
Author/s Andrea Oskis, Jo Borrill
Publishing Year 2019 Issue 2019/1
Language English Pages 15 P. 23-37 File size 241 KB
DOI 10.3280/MAL2019-001003
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Empirical evidence suggests complex associations between childhood trauma and Non-Suicidal Self-Injury (NSSI), with attachment emphasised as a conceptual link. However, studies exploring the experience of individuals who self-injure are limited, with men high-lighted as an under-researched group. The Attachment Style Interview (ASI) was carried out with four young men, each with histories of adolescent NSSI. The ASIs were scored and categorised, as well as analysed more qualitatively, in the form of illustrative case vi-gnettes, to provide further attachment-related insights into males’ NSSI. None of the young males was securely attached. Going beyond the categories, the vignettes revealed specific issues of rejection, abandonment, loss and anger. The attachment approach also provided linkages with adverse early experiences, including poor care and parentification. Conceptu-ally, these findings reveal specific attachment issues which may be important in the repre-sentational pathway from childhood trauma to NSSI.

Keywords: Attachment Style Interview; ASI; NSSI; Self-Injury; Male; Mental Health.

  1. Abrams, L. S., & Gordon, A. L. (2003). Self-harm narratives of urban and suburban young women. Affilia, 18(4), 429-444. DOI: 10.1177/0886109903257668
  2. Bailey, D., Carson, J., Bagshaw, R., Lewis, R., & Watt, A. (2012). Attachment theory-based approaches to treatment and problem behaviour in a medium secure hospital: effects of staff gender on ratings. The Journal of Mental Health Training, Education and Practice, 7(4), 189-199. DOI: 10.1108/17556221211287208
  3. Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7(2), 147-178. DOI: 10.1177/0265407590072001
  4. Bifulco, A., Figueiredo, B., Guedeney, N., Gorman, L. L., Hayes, S., Muzik, M., etc. & Henshaw, C. A. (2004). Maternal attachment style and depression associated with childbirth: preliminary results from a European and US cross-cultural study. The British Journal of Psychiatry, 184(S46), s31-s37.
  5. Bifulco, A., Kwon, J., Jacobs, C., Moran, P. M., Bunn, A., & Beer, N. (2006). Adult attachment style as mediator between childhood neglect/abuse and adult depression and anxiety. Social Psychiatry and Psychiatric Epidemiology, 41(10), 796-805.
  6. Bifulco, A., Moran, P. M., Ball, C., & Bernazzani, O. (2002). Adult attachment style, I: Its relationship to clinical depression. Social Psychiatry and Psychiatric Epidemiology, 37(2), 50-59.
  7. Bifulco, A., Schimmenti, A., Moran, P., Jacobs, C., Bunn, A., & Rusu, A. C. (2014). Problem parental care and teenage deliberate self-harm in young community adults. Bulletin of the Menninger Clinic, 78(2), 95-114.
  8. Lyons-Ruth, K., & Block, D. (1996). The Disturbed Caregiving System: Relations among Childhood Trauma, Maternal Caregiving, and infant affect and attachment. Infant Mental Health Journal, 17(3), 257-275.
  9. Borrill, J., Fox, P., & Roger, D. (2011). Religion, ethnicity, coping style, and self-reported self-harm in a diverse non-clinical UK population. Mental Health, Religion and Culture, 14(3), 259-269. DOI: 10.1080/13674670903485629
  10. Borrill, J., Lorenz, E., & Abbasnejad, A. (2012). Using qualitative methods to explore non-disclosure: The example of self-injury. International Journal of Qualitative Methods, 11(4), 384-398.
  11. Bracken, P. (2002). Trauma: Culture, meaning and philosophy. London: Whurr.
  12. Briere, J., & Scott, C. (2006). Principles of trauma therapy: A guide to symptoms, evaluation and treatment. London: Sage.
  13. Busfield, J. (1996). Men, Women and Madness. London: Routledge.
  14. Dallos, R. (2003). Using narrative and attachment theory in systemic family therapy with eating disorders. Clinical Child Psychology and Psychiatry, 8(4), 521-535.
  15. Gratz, K. (2001). Measurement of Deliberate Self-Harm: Preliminary Data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment, 23(4), 253-263. DOI: 10.1023/A:1012779403943
  16. Herman, J. L. (2001). Trauma and recovery: From domestic abuse to political terror. London: Pandora.
  17. Hill, K., & Dallos, R. (2012). Young people’s stories of self-harm: A narrative study. Clinical Child Psychology and Psychiatry, 17(3), 459-475.
  18. Hogg, C. (2010). Exploring the issues of men and self injury. Mental Health Practice, 13(9), 16-20.
  19. Howard, R., Karatzias, T., Power, K., & Mahoney, A. (2017). From childhood trauma to self‐harm: An investigation of theoretical pathways among female prisoners. Clinical Psychology & Psychotherapy, 24(4), 942-951.
  20. Jacobvitz, D., Leon, K., & Hazen, N. (2006). Does expectant mothers’ unresolved trauma predict frightened/frightening maternal behavior? Risk and protective factors. Development and Psychopathology, 18(2), 363-379. DOI: 10.1017/S0954579406060196
  21. Jorm, A. F., Kelly, C. M., & Morgan, A. J. (2007). Participant distress in psychiatric research: A systematic review. Psychological Medicine, 37(7), 917-926. DOI: 10.1017/S0033291706009779
  22. Kelly, K., Slade, A., & Grienenberger, J. F. (2005). Maternal reflective functioning, mother–infant affective communication, and infant attachment: Exploring the link between mental states and observed caregiving behavior in the intergenerational transmission of attachment. Attachment and Human Development, 7(3), 299-311. DOI: 10.1080/14616730500245963
  23. Koch, T. (1996). Implementation of a hermeneutic inquiry in nursing: Philosophy, rigour and representation. Journal of Advanced Nursing, 24(1), 174-184.
  24. Kotecha, S. (2014). Self-harm hospital admissions among children “At five-year high” (2014, December 12). -- Retrieved from http://www.bbc.co.uk/news/health-30414589.Accessed 25 February 2015.
  25. Liotti, G. (2004). Trauma, dissociation, and disorganized attachment: Three strands of a single braid. Psychotherapy: Theory, Research, Practice, Training, 41(4), 472-486. DOI: 10.1037/0033-3204.41.4.472
  26. Lomas, T., Edginton, T., Cartwright, T., & Ridge, D. (2014). Men developing emotional intelligence through meditation? Integrating narrative, cognitive and electroencephalography (EEG) evidence. Psychology of Men and Masculinity, 15(2), 213.
  27. Lyons-Ruth, K., Dutra, L., Schuder, M. R., & Bianchi, I. (2006). From Infant Attachment Disorganization to Adult Dissociation: Relational Adaptations or Traumatic Experiences? The Psychiatric Clinics of North America, 29(1), 63–viii.
  28. Machoian, L. (2001). Cutting voices. Self-injury in three adolescent girls. Journal of Psychosocial Nursing and Mental Health Services, 39(11), 22-29. DOI: 10.1037/0033-3204.41.4.472
  29. Main, M., & Hesse, E. (1990). Parent’s unresolved traumatic experiences are related to infant disorganized disoriented attachment status: Is frightened and or frightening parental behavior the linking mechanism? In: Greenberg, M. and Cicchetti, D. & Cummings, E.M. (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 161-182). Chicago: University of Chicago Press.
  30. Marsh (2017). A quarter of young men self-harm to cope with depression, says survey. The Guardian. Wednesday 1st March 2017. -- Retrieved from: https://www.theguardian.com/society/2017/mar/01/quarter-of-young-men-self-harm-cope-depression-poll.
  31. Oskis, A., Clow, A., Hucklebridge, F., Bifulco, A., Jacobs, C., & Loveday, C. (2013). Understanding alexithymia in female adolescents: The role of attachment style. Personality and Individual Differences, 54(1), 97-102.
  32. Oskis, A., Clow, A., Loveday, C., Hucklebridge, F., & Sbarra, D. A. (2014). Biological stress regulation in female adolescents: A key role for confiding. Journal of Youth and Adolescence, 44(5), 1-12.
  33. Russell, G., Moss, D., & Miller, J. (2010). Appalling and appealing: A qualitative study of the character of men’s self-harm. Psychology and Psychotherapy: Theory, Research and Practice, 83(1), 91-109. DOI: 10.1348/147608309X466826
  34. Simpson, A. (2006). Can mainstream health services provide meaningful care for people who self-harm? A critical reflection. Journal of Psychiatric and Mental Health Nursing, 13(4), 429-436.
  35. Sinclair, J., & Green, J. (2005). Understanding resolution of deliberate self harm: qualitative interview study of patients’ experiences. BMJ: British Medical Journal, 330(7500), 1112.
  36. Taylor, B. (2003). Exploring the perspectives of men who self-harm. Learning in Health and Social Care, 2(2), 83-91.
  37. Whitlock, J., Pietrusza, C., & Purington, A. (2013). Young adult respondent experiences of disclosing self-injury, suicide-related behavior, and psychological distress in a web-based survey. Archives of Suicide Research, 17(1), 20-32. DOI: 10.1080/13811118.2013.748405
  38. Yates, T. M. (2009). Developmental pathways from child maltreatment to nonsuicidal self-injury. In M. K. Nock (Ed.), Understanding nonsuicidal self-injury: Origins, assessment, and treatment (pp. 117-137). Washington, DC: American Psychological Association.
  39. Yip, K. S., Ngan, M. Y., & Lam, I. (2003). A qualitative study of parental influence on and response to adolescents’ self-cutting in Hong Kong. Families in Society: The Journal of Contemporary Social Services, 84(3), 405-416. DOI: 10.1606/1044-3894.129
  40. Zlotnick, C., Warshaw, M., Shea, M. T., Allsworth, J., Pearlstein, T., & Keller, M. B. (1999). Chronicity in posttraumatic stress disorder (PTSD) and predictors of course of comorbid PTSD in patients with anxiety disorders. Journal of Traumatic Stress, 12(1), 89-100. DOI: 10.1023/A:1024746316245

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Andrea Oskis, Jo Borrill, Using the Attachment Style Interview to explore Non-Suicidal Self-Injury in men: The representational pathway from childhood trauma to non-suicidal self-injury in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 1/2019, pp 23-37, DOI: 10.3280/MAL2019-001003