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You Won't Believe What's Hiding in Plain Sight: A New Perspective on Self-Injury!

You Won\'t Believe What\'s Hiding in Plain Sight: A New Perspective on Self-Injury!

Understanding Nonsuicidal Self-Injury by Proxy: A New Clinical Perspective

In the realm of mental health, practitioners are continuously seeking ways to better understand and treat behaviors that impact their clients' well-being. One such behavior is nonsuicidal self-injury (NSSI), which involves the deliberate destruction of one's own body tissue without suicidal intent. However, recent research has introduced a novel perspective that could transform how we approach this issue: NSSI by proxy.

What is NSSI by Proxy?

According to the research article "Hiding in the open: Consideration of nonsuicidal self-injury by proxy as a clinically meaningful construct" by Mann et al. (2022), NSSI by proxy is defined as the intentional destruction of one's own body tissue through the elicitation of another being's actions. This means that the individual is not directly inflicting harm on themselves but is instead orchestrating situations where harm is done to them by others, whether human or animal.

Why is This Important?

The concept of NSSI by proxy expands our understanding of self-injurious behaviors and highlights the need for clinicians to recognize these actions as a distinct and clinically relevant form of NSSI. By identifying and understanding NSSI by proxy, practitioners can better assess and treat individuals who may not fit the traditional profile of self-injury.

Implications for Practitioners

For mental health professionals, incorporating the concept of NSSI by proxy into their practice can have several benefits:

Future Directions

The research by Mann et al. (2022) also suggests several areas for future investigation. These include exploring the prevalence of NSSI by proxy, examining its relationship with other mental health disorders, and developing specific therapeutic approaches to address this behavior. As practitioners, staying informed about these developments can enhance your ability to support clients effectively.

Encouraging Further Research

As a practitioner, you can play a vital role in advancing the understanding of NSSI by proxy by engaging in further research and sharing your findings with the broader mental health community. Collaborating with researchers and participating in studies can contribute to the development of evidence-based practices that improve client outcomes.

To read the original research paper, please follow this link: Hiding in the open: Consideration of nonsuicidal self-injury by proxy as a clinically meaningful construct.


Citation: Mann, A. J. D., Tull, M. T., & Gratz, K. L. (2022). Hiding in the open: Consideration of nonsuicidal self-injury by proxy as a clinically meaningful construct. Suicide and Life-Threatening Behavior, 52, 1024–1036. https://doi.org/10.1111/sltb.12899
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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