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Author: 李淑美
Lee, Su-Mei
Thesis Title: 父母面對青少年子女自我傷害行為之調適歷程之研究
A Study on Adjustment Process of Parents Having Teenage Children with Self-harm Behavior during Adolescence
Advisor: 許維素
Hsu, Wei-Su
Degree: 碩士
Master
Department: 教育心理與輔導學系
Department of Educational Psychology and Counseling
Thesis Publication Year: 2015
Academic Year: 103
Language: 中文
Number of pages: 256
Keywords (in Chinese): 自我傷害青少年調適歷程
Keywords (in English): adolescent, adjustment process, self-harm
Thesis Type: Academic thesis/ dissertation
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  • 本研究旨在探究父母面對青少年子女自傷行為的調適歷程,研究目的包括:(1)瞭解父母面對青少年子女自我傷害行為的個人調適歷程;(2)瞭解父母面對青少年子女自我傷害行為的調適歷程階段之共同現象;以及(3)暸解父母面對青少年子女自我傷害行為的調適歷程之各個時期重要特色。以立意抽樣方式,邀請三位曾經歷子女在青少年時期從事二次以上自我傷害行為且自我評估為調適良好的父母進行訪談,並運用敘說分析方法進行資料分析。本研究結果分三部分:
    一、呈現父母面對青少年子女自我傷害行為的敘說故事:依照時間序描繪每位受訪父母面對青少年子女自我傷害行為的敘說故事。
    二、呈現父母面對青少年子女自我傷害行為的調適經驗:找出各個階段的重要事件、伴隨的影響、受訪父母的因應、因應造成的結果,以及其中的調適因子。
    三、呈現父母面對青少年子女自我傷害行為的調適經驗之分析,分為二個部分:
    (一)受訪父母面對青少年子女自我傷害行為的調適歷程階段之共同現象
    1.青少年子女自我傷害行為未明階段:困惑、訝異、難以理解,試圖遏止青少年子女令人困惑的行為。
    2.青少年子女自我傷害行為確定階段:(1)得知青少年子女自我傷害行為的當下及一段時間內出現複雜情緒;(2)直覺判斷青少年子女自我傷害行為的原因,但理解與接納並不容易;以及(3)制止和忽略因應策略無效,自我傷害行為反覆發生且嚴重程度升高。
    3.青少年子女自我傷害行為未完合併發生其他問題行為階段:(1)自我傷害行為、其他問題行為、外在壓力與生活壓力交互作用,帶來沉重壓力與複雜情緒;(2)面對自傷行為與問題行為時,同時得承受來自外在的壓力;(3)過多心力放在自我傷害青少年子女身上,家中非自我傷害子女易受忽略;以及(4)內外在資源與因應策略無法遏止自我傷行為與問題行為,父母陷入前所未有的危機。
    4.自傷行為與其他問題行為漸緩階段:(1)樂於接受他人的建議、不斷嘗試與調整問題解決方法;(2)情感支持需求與問題解決需求皆需獲得滿足;(3)先生的包容、配合與合作帶來莫大協助;(4)尋求外在資源解決青少年子女困境並緩和父母心理壓力;(5)身為父母的責任使然,不輕言放棄孩子;(6)調整教養態度與期待,減低青少年子女的壓力與緩和父母本身壓力;(7)看見自己已然盡力並賦予自己正向看法;(8)因應策略與調適因子帶來正向協助,亦引發其他困難;以及(9)自傷行為和問題行為初步改善後,仍是得持續面對與處理後續的起伏狀況。
    5.展望現在與未來階段:懷抱著擔憂與希望前行,持續陪伴青少年子女成長。
    (二)父母面對青少年子女自我傷害行的調適歷程各個時期之重要特色
    1.風暴肆虐時期/負面影響湧現:(1)複雜的情緒;(2)混亂的理解與反應;(3)親職角色實踐困難;(4)家庭系統起變化;以及(5)沉重的外在壓力。
    2.風暴消退時期/調適因子現身:(1)覺察壓力困境並積極尋求外在資源或他人建議;(2)尋求能同時提供情感支持與問題解決策略的重要他人;(3)尋求先生的包容、支持與合作;(4)綜合使用問題焦點因應策略與情緒焦點因應策略因應外在壓力;(5)不輕言放棄青少年子女;(6)走進孩子的世界,認識、理解並接納孩子;(7)清楚釐清責任界線並適度承擔教養責任;(8)積極尋求靈性資源並重塑看待世界的信念;(9)學會正向看待自己並欣賞自己;以及(10)積極參與支持團體。
    3.彩虹乍現時期/改變向度發生:(1)青少年子女的自我傷害行為與問題行為獲得改善;(2)父母的沉重壓力得以緩和;(3)親子關係有所進步;以及(4)父母的個人信念願意鬆動。

    最後,研究者依據研究結果與討論,針對自我傷害青少年子女的父母、專業人士,以及未來研究者提出建議。

    The purpose of this study was to explore the adjustment process when parents confronted with the self-harm behavior of their teenage children. The goals of this study were: (1) to understand the individual adjustment process when parents confronted with the self-harm behavior of their teenage children; (2) to understand the common phenomenon during the stages of the adjustment process when parents confronted with the self-harm behavior of their teenage children; and (3) to understand the important characteristics of the three phases of the adjustment process when parents confronted with the self-harm behavior of their teenage children. Three parents whose children had harmed themselves more than twice in their adolescence and the parents who themselves had claimed to have been adjusted well were invited and interviewed by using purposive sampling in this study. The collected data was analyzed by using narrative analysis method. The results and discussions of this study were divided into the following three parts:
    1.The story of how each parent confronted with the self-harm behavior of his/her teenage children was described in the time order.
    2.During different stages of the adjustment process, the major events, the impacts, the coping strategies, the results of the coping and the adjusting factors were described.
    3.The analysis on the adjustment process of parents who confronted with the self-harm behavior of their teenage children was presented in the following parts:
    I.The common phenomena during the stages of the adjustment process when parents confronted with the self-harm behavior of their teenage children were listed below.
    i.The stage when the self-harm behavior of their teenage children was unclear: confusion, astonishment, disbelief, and trying to stop the confusing behavior of their teenage children.
    ii.The stage when the self-harm behavior of their teenage children was clear: (1) The complicated emotional reactions occurred within a period of time and at the moment when the parents learned about the self-harm behavior of their teenage children; (2) Parents tried to make intuitive judgment on the reason of the self-harm behavior of their teenage children, but it was not easy for them to understand and accept; and (3) The coping strategies of stopping and ignoring that parents tried to employ were proved invalid, and the self-harm behavior occurred repeatedly with higher severity.
    iii.The stage when the self-harm behavior of their teenage children had not stopped, but other problem behavior arose: (1) Self-harm behavior, problem behavior, external pressures together with life pressures brought heavy pressures and complicated emotional reactions; (2) The external pressures had to be taken when parents confronted with self-harm behavior and problem behavior; (3) The children who did not have self-harm behavior tended to be ignored at home when their parents paid too much attention to the teenage children with self-harm behavior; and (4) The fact that self-harm behavior and problem behavior could not be stopped through internal and external resources and coping strategies put the parents in crisis.
    iv.The stage when the self-harm behavior and other problem behavior started to reduce: (1) Parents were willing to accept others’ suggestions and kept trying and adjusting methods to solve problems: (2) The needs for emotional support and problem solving both had to be satisfied; (3) The forgiveness, coordination and cooperation from the husband brought great assistance; (4)The external resources were sought to solve the predicaments of the teenage children and to relieve the pressure of the parents;(5) The responsibility of a parent made the parents never give up their children; (6) Adjusting instruction attitude could decrease the pressure of the teenage children and relieve the pressure of their parents; (7) It was important to grant the parents themselves a positive attitude after/for recognizing that they have done their best; (8) The coping strategies and adjusting factors not only brought positive assistance, but also generated other problems; and (9) The repeated problems still needed to be handled after the initial improvement of self-harm behavior and other problem behaviors.
    v.The stage to look at the present and look into the future: Moving forward with worries and hopes, parents should keep accompanying the teenage children to grow up.
    II.The important characteristics of three phases of the adjustment process when parents confronted with the self-harm behavior of their teenage children were listed below.
    i.The phase of raging storm/ Negative impacts: (1) Complicated emotional reactions; (2) Confused understanding and reaction; (3) Finding it hard to play the role as a parent; (4) Changes happened in the family system; and (5) Heavy external pressures.
    ii.The phase of fading storm/ Adjusting factors: (1) Being aware of the pressures they were shouldering and actively seeking external resources or others’ suggestions; (2) Looking for significant other who could provide emotional support and problem-solving strategies; (3) Looking for the forgiveness, support and cooperation of the husband; (4) Coping with the external pressure by synthetically using problem-focused coping strategies and emotion-focused coping strategies; (5) Never giving up on their teenage children; (6) Putting themselves in the shoes of their children and trying to recognize, understand and accept them; (7) Being clear about the responsibilities and moderately shouldering the responsibility of instruction; (8) enthusiastically seeking the spiritual resources and reshaping the belief with which parents treated the world ; (9) Learning to treat oneself positively and to admire oneself ; and (10) Actively joining in supporting groups.
    iii.The phase of glimmering rainbow/ Modification dimension: (1) The improvement of self-harm behavior and other problem behavior of the teenage children; (2) Relieving of heavy pressures of parents; (3) The improvement of parent-child relationship and (4) The willingness of casting off rigidity in one’s belief

    At last, based on the findings of the research, the researcher put forward suggestions for the parents who had teenage children with self-harm behavior, the professionals and the researchers to come.

    致謝辭 i 中文摘要 iii 英文摘要 v 目次 ix 表次 xi 圖次 xii 第一章 緒論 1 第一節 研究動機與目的 1 第二章 文獻探討 9 第一節 青少年自我傷害行為的理論與相關研究 9 第二節 父母面對青少年子女自我傷害行為的調適歷程 20 第三章 研究方法 51 第一節 研究取向與方法 51 第二節 研究參與人員 53 第三節 研究工具 55 第五節 資料分析 61 第六節 研究嚴謹性 77 第一節 受訪父母面對青少年子女自我傷害行為的敘說故事 81 第二節 受訪父母面對青少年子女自我傷害行為的調適歷程 146 第三節 受訪父母面對青少年子女自我傷害行為的調適歷程之分析 185 第五章 結論與建議 227 第一節 研究結論 227 第二節 相關建議 234 參考文獻 241 一、中文部分 241 二、英文部分 244 前導性研究訪談大綱 251 正式研究訪談大綱 253 研究邀請函 255 研究參與同意函 256

    一、中文部分
    丁雪茵、鄭伯壎、任金剛(1996)。質性研究中研究者的角色與主觀性。本土心理學研究,6,354-376。
    王大維(1995)。健康的家庭系統之探討。學生輔導,40,90-101。
    王勇智、鄧明宇(譯)(2003)。敘說分析(原作者:Riessman, C. K.)。台北市:五南。(原著出版年:1993)。
    王美文(2007)。國中生自我傷害行為及相關影響因素之研究(未出版碩士論文)。國立彰化師範大學,彰化縣。
    王愛麗(2007)。自我傷害青少年復原力之研究(未出版碩士論文)。國立高雄師範大學,高雄市。
    王大維(2010)。以家庭為中心的危機介入服務—家庭壓力理論對諮商心理師之啟示。諮商與輔導,291,1-8。
    吳雅玲(2007)緊張因素、社會學習、自我調整與青少年自我傷害行為之相關研究(未出版碩士論文)。國立成功大學,台南市。
    吳沛妤(2008)。家庭暴力經驗、復原力與國中生自我傷害行為之關聯性研究(未出版碩士論文)。國立成功大學,台南市。
    呂孟真(2007)。自我傷害動機、負向情緒、經驗迴避、情緒調節與青少年自我傷害行為之關係探索(未出版碩士論文)。國立政治大學,台北市。
    李佩怡(2000)。失落與悲傷。載於林綺雲(主編),生死學 (311-348頁)。台北市:洪葉文化。
    李佩怡(2000)。悲傷之自我調適與基本助人技術。載於林綺雲(主編),生死學(349-372頁)。台北市:洪葉文化。
    李玉嬋(2003)。悲傷輔導的理論基礎與康復之路。諮商與輔導,212,2-8。
    李美秀(2004)。烙印的概念分析,長庚護理,15(2),85-191。
    李明瑄(2010)。高中、職學生自傷行為與其家庭界限、親子三角關係之相關研究(未出版碩士論文)。臺北市立教育大學,台北市。
    李開敏、林方皓、張玉仕、葛書倫(譯)(2011)。悲傷輔導與悲傷治療:心理衛生實務工作者手冊(原作者:Worden, J. W.)。台北市:心理。(原著出版年:2009)。
    余振民、黃淑清、彭瑞祥、趙祥和、蔡藝華、鄭玄藏(譯)(2002)。諮商與心理治療理論與技術(原作者:Corey, G.)。台北市:雙葉書廊。(原著出版年:2001)。
    林美珠(2000)。敘事研究:從生命故事出發。輔導季刊,36(4),27-34。
    林杏真(2002)。自傷青少年生活壓力、社會支持與自我強度的發展及其關係研究 (未出版碩士論文)。國立臺灣師範大學,台北市。
    洪培忻(2008)。重複自我傷害國中女生自傷情緒經驗之研究(未出版碩士論文)。國立屏東教育大學,屏東縣。
    胡淑媛(1993)。青少年自我傷害行為的探討。輔導季刊,29(5),92-98。
    唐子俊、郭敏慧(譯)(2002)。自我傷害的評估與治療(原作者:Simeon, D., & Hollander, E.)。台北市:五南。
    孫中肯(2009)。悲傷歷程與調適策略之探究。諮商與輔導,287,47-50。
    張靜玉、顏素卿、徐有進、徐彬、黃慧玲、章薇卿 、徐慧娟(譯)(2004)。死亡教育與輔導(原作者:Corr, C. A., Nabe, C. M., & Corr, D. M.)。台北市:洪葉文化。(原著出版年:2003)。
    張英熙(2005)。哀傷理論在特殊兒童家長心理諮商上的應用。特殊教育季刊,95, 21-26。
    張作貞(2008)。精神疾病烙印及抗烙印行動之對話。東吳社會工作學報,18,135-156。
    教育部(1995)。校園自我傷害防治處理手冊。教育部:台北市。
    章薇卿(譯)(2007)。走在失落的幽谷—悲傷因應指引手冊。(原作者:Neimeyer, R. A.)。台北市:心理。(原著出版年:1998)。
    莊榮俊(2002)。國中學生自我概念、生活適應與自我傷害關係之研究(未出版碩士論文)。南華大學,南投縣。
    莊懿楨(2008) 。青少年親子衝突、因應策略、因應效能與自我傷害之相關研究—以高雄市為例(未出版碩士論文)。國立彰化師範大學,彰化縣。
    許文耀、吳英璋、胡淑媛、翁嘉英(1994)。自我傷害行為與身心健康的關係。中華輔導學報,2,160-179。
    許育光(2000)。敘說研究的初步探討—從故事性和互為主體的觀點出發。輔導季刊,36(4),17-26。
    許至揚(2003)。青少年自傷行為發生前後家庭系統運作情形之研究(未出版碩士論文)。國立彰化師範大學,彰化縣。
    陳伯璋(2000)。質性研究方法的理論基礎。載於國立中正大學教育研究所(主編), 質的研究方法(25-49頁)。
    陳毓文(2000)。他們想說什麽?-青少年自傷行爲之初探。社會政策與社會工作學刊,4(2),127-178。
    陳毓文(2001)。青少年自傷行為分析及其因應對策。台北市:行政院青少年輔導委員會。
    陳毓文(2006)。一般在學青少年自殘行為之相關環境因素初探。中華心理衛生學刊,19(2),95-124。
    陳紫瑀(2009)。青少年完美主義、心理分離-個體化與自傷行為之相關研究(未出版碩士論文)。國立高雄師範大學,高雄。
    曾愛迪(2007)。童年情緒無效性、情緒不接納與青少年自我傷害行為之關係(未出版碩士論文)。國立政治大學,台北市。
    湯誼文(2008)。自我傷害青少年所認知生活中具傷害性境遇、自我傷害行為反應內涵及因應策略之分析研究(未出版碩士論文)。國立高雄師範大學,高雄市。
    程國選(2003)。高中資賦優異學生自我傷害行為篩檢與防治之研究(出版博士論文)。國立臺灣師範大學,台北市。
    馮觀富(1992)。壓力・失落的危機處理。台北市:心理。
    黃雅羚(2003)。青少年自傷經驗之分析研究(未出版碩士論文)。國立高雄師範大學,高雄市。
    黃雅羚(2004)。青少年自傷行為的成因探討。諮商與輔導,221,11-14。
    黃馥珍、卓紋君(2009)。敘說研究的探索從三本敘說分析研究的比較說起。輔導季刊,45(3),49-64。
    鈕文英(2006)。教育研究方法與論文寫作。台北市:雙葉書廊。
    鈕文英(2012)。質性研究方法與論文寫作。台北市:雙葉書廊。
    董旭英、譚子文(2011)。臺灣都會區國中生目睹婚姻暴力、受虐經驗與自我傷害行為之關聯性。輔導與諮商學報,33(1),1-21。
    蔡敏玲、余曉雯(譯)(2003)。質性研究中的經驗與故事(原作者:Clandinin, D. J., & Connelly, F. M.)。台北市:心理。(原著出版年:2000)。
    蔡敦浩、劉育忠、王慧蘭(2011)。敘說探究的第一堂課。台北市:鼎茂圖書。
    鄭麗芬(2003)。大學女生自殘經驗之個案分析。臺南女院學報,22(1),83-115。
    鄭丞斌(2004)。國中階段自傷青少年成長歷程、自我概念、自傷經驗之研究(未出版碩士論文)。國立中正大學,嘉義市。
    蘇慧君、劉玲君(1996)。「青少年對自傷行為之看法與態度」調查報告。學生輔導,42,110-120。
    二、英文部分
    Boss, P. (2002). Family stress management : a contextual approach. California: Sage Publication, Inc.
    Briere, J., & Gil, E. (1998). Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68(4), 609-620.
    Byrne, S., Morgan, S., Fitzpatrick, C., Boylan, C., Crowley, S., Gahan, H., . . . Guerin, S. (2008). Deliberate self-harm in children and adolescents: A qualitative study exploring the needs of parents and carers. Clinical Child Psychology and Psychiatry, 13(4), 493-504.
    Conterio, K., Lader, W., & Bloom, J. K. (1998). Bodily Harm: The Breakthrough Healing Program For Self-Injurers. New York: Hyperion Books.
    Fliege, H., Lee, J.-R., Grimm, A., & Klapp, B. F. (2009). Risk factors and correlates of deliberate self-harm behavior:A systematic review. Journal of Psychosomatic Research, 66, 477-493.
    Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: study of emotion and coping during three stages of a college examination. Journal of Peraonality and Social Psychology, 48(1), 150-170.
    Folkman, S., & Lazarus, R. S. (1988). Coping as a Mediator of Emotion. Journal of Personality and Social Psychology, 54(3), 466-475.
    Hawton, K., & Harriss, L. (2008). The changing gender ratio in occurrence of deliberate self-harm across the lifecycle. The Journal of Crisis Intervention and Suicide Prevention, 29(1), 4-10.
    Hawton, K., Kingsbury, S., Steinhardt, K., James, A., & Fagg, J. (1999). Repetition of deliberate self-harm by adolescents: the role of psychological factors. Journal of Adolescence, 22, 369-378.
    Hoffman, R., Hinkle, M. G., & Kress, V. W. (2010). Letter writing as an intervention in family therapy with adolescents who engage in nonsuicidal self-injury. The Family Journal Counseling and Therapy for Couples and Families, 18(1), 24-30.
    Humphrey, G. M., & Zimpfer, D. G. (1996). Counselling for grief and bereavement. London and Thousand Oaks, Calif.: Sage Publications.
    Jacobson, C. M., & Gould, M. (2007). The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: a critical review of the literature. Arch Suicide Res, 11, 129–147.
    Jutengren, G., Kerr, M., & Stattin, H. (2011). Adolescents' deliberate self-harm, interpersonal stress, and the moderating effects of self-regulation: A two-wave longitudinal analysis. Journal of School Psychology, 40, 249-261.
    Khemlani-Patel, S., Neziroglu, F. A., & McVey-Noble, M. E. (2006 ). When your child is cutting: a parent's guide to helping children overcome self-injury. Oakland.CA: New Harbinger Publications, Inc.
    Klonsky, E. D., & Muehlenkamp, J. J. (2007). Self-Injury: a research review for the practitioner. Journal of Clinical Psychology: In Session, 63(11), 1045–1056.
    Klonsky, E. D., Oltmanns, T. F., & Turkheimer, E. (2003). Deliberate self-Harm in a nonclinical population: prevalence and psychological correlates. Am J Psychiatry, 160, 1501-1508.
    Laye-Gindhu, A., & Schonert-Reichl, K. A. (2005). Nonsuicidal self-harm among community adolescents: understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence, 34(5), 447-457.
    Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
    McCubbin, H. I., & Patterson, J. M. (1983). Famili transitions: adaptation to stress. In H. I. McCubbin & C. R. Figley (Eds.), Stress and the family. New York: Brunner/Mazel, inc.
    McDonald, G., O'Brien, L., & Jackson, D. (2007). Guilt and shame:experiences of parents self-harming adolescents. Journal of Child Health Care, 11(4), 298-310.
    McDougall, T., Armstrong, M., & Trainor, G. (2010). Helping children and young people who self-harm: an introduction to self-harming and suicidal behaviors for health professionals. London and New York: Routledge.
    Mojtabai, R., & Olfson, M. (2008). Parental detection of youth's self-harm behavior. Suicide & Life - Threatening Behavior, 38(1), 60-74.
    Morgan, H. G., Coleman, J., Farrar, M., Hill, P., Kerfoot, M., & Williams, R. (1994). Suicide prevention : the challenge confronted : a manual of guidance for purchasers and providers of mental health care. United Kingdom: The Health of The Nation.
    Morgan, S., Rickard, E., Noone, M., Boylan, C., Carthy, A., Crowley, S., . . . Fitzpatrick, C. (2013). Parents of young people with self-harm or suicidal behaviour who seek help – a psychosocial profile. Child and Adolescent Psychiatry and Mental Health, 7(13), 1-10.
    Oldershaw, A., Richards, C., Simic, M., & Schmidt, U. (2008). Parent's perspectives on adolescent self-harm:Quanlitative study. The British Journal of Psychiatry, 193, 140-144.
    Patterson, J. M. (2002). Integrating family resilience and family stress theory. Journal of Marriage and Family, 64, 349-360.
    Polk, E., & Liss, M. (2007). Psychological characteristics of self-injurious behavior, personality and individual differences. Science Direct, 43(3), 567-577.
    Raphael, H., Clarke, G., & Kumar, S. (2006). Exploring parents' responses to their child's deliberate self-harm. Health Education, 106(1), 9-20.
    Rice, F. P. (1996). The adolescent: development, relationships and culture (8th ed.). London: Allyn and Bacon.
    Rissanen, M. L., & Laukkanen, E. R. (2008). Parent conceptions of self-mutilation among Finnish adolescents. Journal of Psychiatric and Mental Health Nursing, 15, 212-218.
    Rissanen, M.-L., Kylma, J., & Laukkanen, E. (2009). Helping adolescents who self-mutilate: parental description. Journal of Clinical Nursing, 18, 1711-1721.
    Ross, & Mckay. (1979). Self-mutilation. Lexington, MA: DC Heath and Company.
    Ross, S., & Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31(1), 67-77.
    Slavin, L. A., Rainer, K. L., McCreary, M. L., & Gowda, K. K. (1991). Toward a multicultural model of the stress process. Journal of Counseling & Development, 70, 156-163.
    Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: rationale and description. Death Studies, 23, 197-224.
    Stroebe, M., & Schut, H. (2010). The dual process model of coping with bereavement: a decade on. Journal of Death and Dying, 61(4), 273-289.
    Suyemoto, K. L. (1998). The functions of self-multilation. Clinical Psychology Review, 18(5), 531-554.
    Trepal, H. C., Trepal, K. L., & MacDonald, C. A. (2006). Self-injury and postvention: Responding to the family in crisis. The Family Journal, 14(4), 342-348.
    Tuls, K. S. (2011). Parent response to adolescent self-injurious behavior: a collective case study. University of South Florida.
    Veiel , H. O. F. Brill , G. Hafner , H. Welz , R. (1988).The social supports of suicide attempters: The different roles of family and friends. (1988). American Journal of Community Psychology, 16(6), 839-861.
    Walsh, B., & Rosen, P. M. (1988). Self-mutilation:theory,reseach,and treatment. NY: Guildford.
    Walsh, F. (2002). A family resilience framework: innovative practice applications. Family Relations, 51(2), 130-137.
    White Kress, V. E., Gibson, D. M., & Reynolds, C. A. (2004). Adolescents who self-injure: Implications and strategies for school counselors. Professinal School Counseling, 7(3), 195-202.
    White Kress, V. E., Costin, A., & Drouhard, N. (2006). Students who self-injure: School counselor ethical and legal considerations. Professional School Counseling, 10, 203-209.
    Whitlock, J., & Knox, K. (2007). The relationship between suicide and self-injury in a young adolescent population. Archives of Pediatrics and Adolescent Medicine, 161 (7), 634-640.
    Whitlock, J. (2010). Self-Injurious Behavior in Adolescents. Retrieved from http://plosmedicine.org/article/10.1371joumal.pmed. 1000240
    Yip, K.-s. (2005). A multi-dimensional perspective of adolescents' self-cutting. Child and Adolescent Mental Health, 10(2), 80-86.
    Yip, K.-s., Ngan, M.-y., & Lam, I. (2003). A qualitative study of parental influence on and response to adolescents' self-cutting in Hong Kong. Families in Society, 84(3), 405-416.
    Zila, L. M., & Kiselica, M. S. (2001). Understanding and counseling self-mutilation in female adolescents and young adults. Journal of Counseling & Development, 79(1), 46-52.

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