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Self-mutilation: culture, contexts and nursing responses

L Clarke1, M Whittaker

  • 1University of Brighton, Falmer, Brighton, UK.

Journal of Clinical Nursing
|May 16, 1998
PubMed
Summary

This study shifts the focus from clinical views to a user perspective on self-mutilation. It encourages healthcare professionals to adopt collaborative care and reconsider negative responses to this behavior.

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Area of Science:

  • Psychiatry
  • Sociology
  • Nursing

Background:

  • Limited research exists on deliberate self-mutilation outside clinical contexts.
  • Existing responses often lack a user-centered or cultural understanding.

Purpose of the Study:

  • To advocate for a user-perspective in understanding self-mutilation.
  • To broaden the discourse on self-mutilation beyond medical and nursing interventions.
  • To encourage a shift in healthcare professionals' attitudes and approaches.

Main Methods:

  • Literature review and critical analysis of existing perspectives.
  • Framing self-mutilation within a cultural context.
  • Advocacy for a paradigm shift in care delivery.

Main Results:

  • A user-perspective offers a more holistic understanding of self-mutilation.
  • Cultural factors significantly influence the occurrence and perception of self-mutilation.
  • Current nursing responses are often inadequate and judgmental.

Conclusions:

  • Nurses should move away from purely clinical responses towards collaborative care models.
  • A critical review of moral and emotional responses to self-mutilation is essential for improved patient care.
  • Integrating cultural understanding can transform how self-mutilation is addressed in healthcare settings.

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