Exploring the Usefulness of the Treatment for Self-Injurious Behaviours (T-SIB) Approach

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Issue Date
2022-05-04
Authors
Stewart, Leslie
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Abstract
The lifetime prevalence rates in community populations for adolescents and young adults who engage in non-suicidal self-injury (NSSI) is between 13%-32%. There is no optimal counselling approach for working with NSSI, and few that are specifically designed for use in non-clinical populations. The Treatment for Self-Injurious Behaviours (T-SIB) is a behaviour-based approach that can be standalone or adjunctive, and combines psychoeducation, motivational interviewing, functional behaviour analysis and skill development. A review of T-SIB in the context of broader NSSI literature suggests its usefulness as a non-pathologizing and flexible methodology. However, its emphasis on behavioural change is limiting and I propose that T-SIB would be more effective as an adjunctive rather than standalone intervention so that nonbehavioural aspects of self-injurious behaviours are not overlooked.
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counselling , interventions , T-SIB
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