The Co-occurrence of Self-Harm and Aggression: A Cognitive-Emotional Model of Dual-Harm

There is growing evidence that some individuals engage in both self-harm and aggression during the course of their lifetime. The co-occurrence of self-harm and aggression is termed dual-harm. Individuals who engage in dual-harm may represent a high-risk group with unique characteristics and pattern...

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Main Authors: Matina Shafti, Peter James Taylor, Andrew Forrester, Daniel Pratt
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-02-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.586135/full
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author Matina Shafti
Peter James Taylor
Andrew Forrester
Daniel Pratt
author_facet Matina Shafti
Peter James Taylor
Andrew Forrester
Daniel Pratt
author_sort Matina Shafti
collection DOAJ
description There is growing evidence that some individuals engage in both self-harm and aggression during the course of their lifetime. The co-occurrence of self-harm and aggression is termed dual-harm. Individuals who engage in dual-harm may represent a high-risk group with unique characteristics and pattern of harmful behaviours. Nevertheless, there is an absence of clinical guidelines for the treatment and prevention of dual-harm and a lack of agreed theoretical framework that accounts for why people may engage in this behaviour. The present work aimed to address this gap in the literature by providing a narrative review of previous research of self-harm, aggression and dual-harm, and through doing so, presenting an evidence-based theory of dual-harm – the cognitive-emotional model of dual-harm. This model draws from previous studies and theories, including the General Aggression Model, diathesis-stress models and emotional dysregulation theories. The cognitive-emotional model highlights the potential distal, proximal and feedback processes of dual-harm, the role of personality style and the possible emotional regulation and interpersonal functions of this behaviour. In line with our theory, various clinical and research implications for dual-harm are suggested, including hypotheses to be tested by future studies.
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spelling doaj.art-0644d9c045204a17891b5cfd7a0ad3062022-12-21T22:53:34ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-02-011210.3389/fpsyg.2021.586135586135The Co-occurrence of Self-Harm and Aggression: A Cognitive-Emotional Model of Dual-HarmMatina Shafti0Peter James Taylor1Andrew Forrester2Daniel Pratt3Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United KingdomDivision of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United KingdomDivision of Psychological Medicine and Clinical Neuroscienecs, School of Medicine, Cardiff University, Cardiff, United KingdomDivision of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United KingdomThere is growing evidence that some individuals engage in both self-harm and aggression during the course of their lifetime. The co-occurrence of self-harm and aggression is termed dual-harm. Individuals who engage in dual-harm may represent a high-risk group with unique characteristics and pattern of harmful behaviours. Nevertheless, there is an absence of clinical guidelines for the treatment and prevention of dual-harm and a lack of agreed theoretical framework that accounts for why people may engage in this behaviour. The present work aimed to address this gap in the literature by providing a narrative review of previous research of self-harm, aggression and dual-harm, and through doing so, presenting an evidence-based theory of dual-harm – the cognitive-emotional model of dual-harm. This model draws from previous studies and theories, including the General Aggression Model, diathesis-stress models and emotional dysregulation theories. The cognitive-emotional model highlights the potential distal, proximal and feedback processes of dual-harm, the role of personality style and the possible emotional regulation and interpersonal functions of this behaviour. In line with our theory, various clinical and research implications for dual-harm are suggested, including hypotheses to be tested by future studies.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.586135/fulldual-harmco-occurrenceSuicideself-injuryself-harmassault
spellingShingle Matina Shafti
Peter James Taylor
Andrew Forrester
Daniel Pratt
The Co-occurrence of Self-Harm and Aggression: A Cognitive-Emotional Model of Dual-Harm
Frontiers in Psychology
dual-harm
co-occurrence
Suicide
self-injury
self-harm
assault
title The Co-occurrence of Self-Harm and Aggression: A Cognitive-Emotional Model of Dual-Harm
title_full The Co-occurrence of Self-Harm and Aggression: A Cognitive-Emotional Model of Dual-Harm
title_fullStr The Co-occurrence of Self-Harm and Aggression: A Cognitive-Emotional Model of Dual-Harm
title_full_unstemmed The Co-occurrence of Self-Harm and Aggression: A Cognitive-Emotional Model of Dual-Harm
title_short The Co-occurrence of Self-Harm and Aggression: A Cognitive-Emotional Model of Dual-Harm
title_sort co occurrence of self harm and aggression a cognitive emotional model of dual harm
topic dual-harm
co-occurrence
Suicide
self-injury
self-harm
assault
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.586135/full
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