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Cognitive-behavioral therapy for deliberate self-harm.

Nadja Slee1, Ella Arensman, Nadia Garnefski

  • 1Department of Clinical, Health, and Neuropsychology, Leiden University, The Netherlands. nadja.slee@fsw.leidenuniv.nl

Crisis
|February 13, 2008
PubMed
Summary
This summary is machine-generated.

Understanding deliberate self-harm (DSH) requires flexible treatments. Reviewing cognitive-behavioral theories identifies key elements like emotion regulation and cognitive restructuring for effective DSH interventions.

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Last Updated: Jul 7, 2026

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Published on: September 26, 2025

Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychiatry

Background:

  • Deliberate self-harm (DSH) presents a diverse patient population.
  • Current psychotherapeutic interventions for DSH often lack the flexibility needed for individualized treatment plans.

Purpose of the Study:

  • To review three distinct cognitive-behavioral theories of DSH.
  • To identify essential therapeutic components for treating DSH by comparing these theories.
  • To provide an overview of techniques addressing cognitive, emotional, behavioral, and interpersonal issues in DSH.

Main Methods:

  • Comparative review of three cognitive-behavioral theories of DSH: Linehan (1993a), Berk et al. (2004), and Rudd et al. (2001).
  • Analysis of essential treatment ingredients across the reviewed theoretical frameworks.

Main Results:

  • Key treatment components identified include: a strong patient-therapist alliance, developing emotion regulation skills, cognitive restructuring, and disrupting maladaptive behavioral patterns.
  • The review facilitates a comparison of different approaches to these core DSH treatment elements.

Conclusions:

  • A flexible, tailored approach to psychotherapeutic interventions is crucial for addressing the heterogeneity of patients with DSH.
  • Integrating core components such as emotion regulation, cognitive restructuring, and behavioral change strategies is vital for effective DSH treatment.