Live Help

Forum Jump
Post New Thread  Reply
Old 08-07-2012, 12:25 AM   #1
feeling like a failure...
BoundNoMore's Avatar
Join Date: Jun 2007
Location: in my own little world...
I am currently:
Non-suicidal self injury

May 2013 is just around the corner (well, sort of) and with that comes the publication of the DSM-5. According to the American Psychiatric Association will be releasing the Diagnostic and Statistical Manual - 5 during their 2013 annual meeting in San Francisco, CA.

Of particular interest are two disorders not currently listed in DSM-IV that are being proposed for inclusion in the DSM-5: Non-Suicidal Self Injury and Non-Suicidal Self Injury, Not Otherwise Specified.

According to these diagnoses are potentially being defined utilizing the following criteria:

"Non-Suicidal Self Injury
A. In the last year, the individual has, on 5 or more days, engaged in intentional self-inflicted damage to the surface of his or her body, of a sort likely to induce bleeding or bruising or pain (e.g., cutting, burning, stabbing, hitting, excessive rubbing), for purposes not socially sanctioned (e.g., body piercing, tattooing, etc.), but performed with the expectation that the injury will lead to only minor or moderate physical harm. The absence of suicidal intent is either reported by the patient or can be inferred by frequent use of methods that the patient knows, by experience, not to have lethal potential. (When uncertain, code with NOS 2.) The behavior is not of a common and trivial nature, such as picking at a wound or nail biting.

B. The intentional injury is associated with at least 2 of the following:
1. Negative feelings or thoughts, such as depression, anxiety, tension, anger, generalized distress, or self-criticism, occurring in the period immediately prior to the self-injurious act.
2. Prior to engaging in the act, a period of preoccupation with the intended behavior that is difficult to resist.
3. The urge to engage in self-injury occurs frequently, although it might not be acted upon.
4. The activity is engaged in with a purpose; this might be relief from a negative feeling/cognitive state or interpersonal difficulty or induction of a positive feeling state. The patient anticipates these will occur either during or immediately following the self-injury.

C. The behavior and its consequences cause clinically significant distress or impairment in interpersonal, academic, or other important areas of functioning.

D. The behavior does not occur exclusively during states of psychosis, delirium, or intoxication. In individuals with a developmental disorder, the behavior is not part of a pattern of repetitive stereotopies. The behavior cannot be accounted for by another mental or medical disorder (i.e., psychotic disorder, pervasive developmental disorder, mental retardation, Lesch-Nyhan Syndrome).

Potential NOS Categories if DSM-5 adopts subtyping NOS categories:

Non-Suicidal Self-Injury Disorder, Not Otherwise Specified (NOS), Type 1, Subthreshold: The patient meets all criteria for NSSI disorder, but has injured himself or herself fewer than 5 times in the past 12 months. This can include individuals who, despite a low frequency of behavior, frequently think about performing the act.

Non-Suicidal Self-Injury Disorder, Not Otherwise Specified (NOS), Type 2, Intent Uncertain: The patient meets criteria for NSSI but insists that in addition to thoughts expressed in B4 also intended to commit suicide."

The implications for creating and including an independent diagnostic category for self-injury are immense. I'll address some of these implications next time.

Taken from:

We're all in the same game;
Just different levels.
Dealing with the same hell;
Just different demons.

BoundNoMore is offline   Reply With Quote
Old 08-07-2012, 02:17 AM   #2
Chat Mod
talaiporia's Avatar
Join Date: Aug 2009
Location: W. London
I am currently:

Sounds interesting, though seems a little odd seeing it so 'clinical'.
Also curious about people who only slip up a few times a year being diagnosed NOS. It just seems quite odd defining something like this.

But I'm sure it'll be helpful.

It doesn't matter where you come from; it matters where you go.
No-one gets remembered for the things they didn't do.
We won't all be here this time next year,
so while you can take a picture of us.
We're definitely going to hell,
but we'll have all the best stories to tell.

talaiporia is offline   Reply With Quote
Old 08-07-2012, 08:13 AM   #3
silent_scars11's Avatar
Join Date: Aug 2011
Location: USA
I am currently:

Thanks for the link! This is indeed interesting...(though as talaiporia said, it seems a bit odd to see it defined this way)

"It's not a dream anymore. It's worth fighting for."

"Well, if it's not real you can't hold it in your hands
You can't feel it with your heart
And I won't believe it.
But if it's true
You can see it with your eyes
Oh, even in the dark
And that's where I want to be, yeah" - Paramore

silent_scars11 is offline   Reply With Quote
Old 08-07-2012, 08:38 AM   #4
Stellata's Avatar
Join Date: Sep 2005
Location: London area

Oh great, I'm NOS, again!
Mind you, not having harmed for the past 6 months, I probably don't meet the criteria this year so far!

Stellata is offline   Reply With Quote
Old 08-07-2012, 12:33 PM   #5
The One Who
The One Who's Avatar
Join Date: Dec 2007
Location: Somewhere
I am currently:

I don't really see how they can be making self-harm into an illness in its own right. For most people it will often be a symptom of a illness, and it would be better to focus attentions on the underlying causes.

The One Who is offline   Reply With Quote
Old 08-07-2012, 10:05 PM   #6
my invisible cat thinks you're weird...
musicmad123's Avatar
Join Date: May 2008
Location: Torbay,UK
I am currently:

C. The behavior and its consequences cause clinically significant distress or impairment in interpersonal, academic, or other important areas of functioning.
I'm a bit puzzled by this one...for me self injury reduces distress and impairment in these areas, that's why I do it.

Let the Force be with you
I'm not short, I'm space efficient

musicmad123 is offline   Reply With Quote
Old 08-07-2012, 10:18 PM   #7
Stellata's Avatar
Join Date: Sep 2005
Location: London area

Thing is, I know for myself, when I've been focused on self harming in a distorted attempt to manage/control overwhelming feelings, there's been no space in me to truly relate to others. It all hurts too much. And I've found that, after the initial endorphin 'buzz' it actually has intensified feelings of rawness. The emotional for a while has a physical 'mirror' which was a comfort, but becomes an additional burden.

Stellata is offline   Reply With Quote

Currently Active Members Viewing This Thread: 1 (0 members and 1 guests)
Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

vB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Censor is ON
Forum Jump

All times are GMT +1. The time now is 03:14 PM.

Back to top