Self harm as a therapeutic tool

Turkey | Mythic Inconceivable!
 
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I'm going to preface this by saying I have never experienced clinical depression or the need for self harm. However, my sister has bipolar disorder and I grew up with her attempting suicide multiple times and using cutting as a tool to cope.

So, many depressed individuals use self harm as a way of taking control of pain they feel is uncontrollable and insurmountable; it's not a means of failed suicide, it's a form of coping. Do you think someday controlled methods of self harm will be utilized for victims of depression? I'm talking about using doctor-recommended (not necessarily prescribed), safe methods of self-harm to control symptoms. Cutting itself is a non-lethal methods that could potentially be used.

It sounds ridiculous, but I've recently been looking at it from a new light. In my adolescence I suffered from chronic migraines: almost every day during middle school I'd come home and lay in a dark, quiet place waiting for my daily migraine to pass. A technique my neurologist taught me was to pinch a nerve between my thumb and pointer finger, in the webbing of your hand, to dull the pain since your body only registers one significant pain at a time. I still use that technique today, and I don't really see how it's at all different from some other forms of self harm, except that a doctor told me it was okay. (Not to conflate migraines with depression; I'm merely talking about the function of each action.)

Share your thoughts on this. I apologize for typos; I did this all on mobile without proofreading.
Last Edit: October 12, 2015, 12:06:54 AM by HurtfulTurkey


eggsalad | Heroic Unstoppable!
 
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There are many pains that are strangely addicting with how they drive energy through your body, like calf cramps or those prank pens.


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A technique my neurologist taught me was to pinch a nerve between my thumb and pointer finger, in the webbing of your hand, to dull the pain since your body only registers one significant pain at a time. I still use that technique today, and I don't really see how it's at all different from some other forms of self harm, except that a doctor told me it was okay.
Oh shit I developed a similar technique of my own, I pinch really hard on my ear lobes, because I theorized it would flood my nervous system with meaningless information so that pain signals wouldn't be detected, but I feared it was just a placebo.

The difference in my eyes is that there really isn't any harm, there's no damage at all, whereas as actual self harm is by definition something that damages your body. I figure the best way to treat someone with a mental illness is to encourage them to living more like a normal person, than to encourage "unique" actions like self harm.


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Do you think someday controlled methods of self harm will be utilized for victims of depression? I'm talking about using doctor-recommended (not necessarily prescribed), safe methods of self-harm to control symptoms. Cutting itself is a non-lethal methods that could potentially be used.

The problem with cutting is that, even though it's not usually life-threatening, it's damaging to the self harmer in other ways. I've spoken to a number of people that have done it on a daily basis, and it's clear to see that it's really unhealthy psychologically. It warps their sense of what they need to do to become healthier. Now, I know you're offering the notion of a clinically controlled manner of self harm, and sure I guess some degree of relief could be found to the patient, but ultimately the secondary result would be the same as if the person were to normally self harm. That is, they'd continue to seek self harm in order to release agony and emotional pain. I've cut myself a few times before, and I can honestly say that every time afterwards I wished I had dealt with my pain in a more constructive way. There's some awesome therapy out there these days, what's known as DBT in particular, that's proven to be very effective in bringing people from the brink and easing them into leading productive lives.

And, I think if a practice were to be implemented, it has the potential to infringe upon modern medical ethics. Regardless, this is kind of an interesting idea.


 
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Self harm doesn't have a root, singular cause. Like depression, it comes for different reasons. For some people, it's a psychological self hate that manifests itself. Usually, when somebody has an abusive parent, especially a father, a child will grow up to hate their father.

But, in their sub-conscious, because of the parental bond that every single child has with their parents, they hate themselves, for hating their parent, because it's practically programmed into them not to feel that way against their guardians.

Another aspect, of course, appears in trans-genderism. Feeling like you exist in the wrong kind of body will do that to you over time.

Another one is rape victims. Some of them loathe themselves, because rape is all about power. Particularily in men, who have testosterone and that natural sort of domineering nature. They loathe themselves and feel guilty about being put into such a position beyond their power to stop.

So, with such a broad area as to why it can occur, it makes the root of self harm incredibly difficult to pin down in individual people. And I'd have no doubt that theraputic self harm won't come round for a long time. Mainly because there are so many different shades to psychology.


 
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When you put it in that light, it seems reasonable.

I suppose, if it comforts the individual, then I don't see an issue. Given that it has it's limitations and doesn't amount to serious harm, obviously.


 
 
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<.<
I think it's unlikely to be coming out as a NICE approved treatment anytime soon, at least not whilst we still have other forms of treatment that do work.

I can see how it would be beneficial in the form of a distraction for migraines, the trouble with it being recommended for a psychological trouble is that you would be inducing a destructive coping mechanism which brings reasonably obvious issues up <.<

Even when conventional treatments/combined approach doesn't work (Meds + CBT) there are still other therapies that are the (hopefully) trump cards to play. ECT and DBT as noodles mentioned are some of those and despite the um, stigma within a stigma I guess of that sort of treatment they do really help some people <.<

I guess if it was a complete last resort, every other treatment having failed and the person repeatedly attempting suicide and the like, it could be trialled under the supervision of a medic/psych combo but egh it's really not likely to be something we'd ever see. The outcry over it would damage the profession massively which subsequently does a lot more harm to society at large when people are again terrified of the shrink's office and the stigma that goes with it.

An interesting idea to chew over though <.<


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To say, 'nothing is true', is to realize that the foundations of society are fragile, and that we must be the shepherds of our own civilization. To say, 'everything is permitted', is to understand that we are the architects of our actions, and that we must live with their consequences, whether glorious or tragic.
This is one of those things that I don't have any personal experience with, but from talking to and living with people that did, I can't think cutting is something that's a great choice in the long run. When talking to a friend that suffered from depression at the time they told me it really helped them cope with the pain by letting it out. Yet over the years since I can't recall them ever recalling it in a positive way.

For my sister, it sure as hell never seemed to help her, or if it did it was so momentary that it seems negligible to mention. Doesn't help that half of the time she seemed to use it as a method to try to guilt others for her own inabilities and problems.

So, assuming it has no other connotations and is only for releasing pent-up emotions and psychological pain, still no. I don't believe there's a realistic scenario where a better alternative is not available.


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As long as there's some research from the medical community suggesting ways of doing it safely, and assuming that the people perform it safely, I can't say I wouldn't support something like this. I have a lot of experience with depressed people, but very few who actually ever self-harmed.