Self-Injurious Behavior vs. Nonsuicidal Self-Injury

唤醒 心理学 临床心理学 自毁行为 人口 心理干预 伤害预防 规范性 动物模型 毒物控制 兴奋剂 人为因素与人体工程学 发展心理学 医学 精神科 神经科学 内科学 医疗急救 环境卫生 哲学 认识论
作者
Christopher M. Bloom,Shareen Holly,Adam Miller
出处
期刊:Crisis-the Journal of Crisis Intervention and Suicide Prevention [Hogrefe Publishing Group]
卷期号:33 (2): 106-112 被引量:5
标识
DOI:10.1027/0227-5910/a000127
摘要

Historically, the field of self-injury has distinguished between the behaviors exhibited among individuals with a developmental disability (self-injurious behaviors; SIB) and those present within a normative population (nonsuicidal self-injury; NSSI),which typically result as a response to perceived stress. More recently, however, conclusions about NSSI have been drawn from lines of animal research aimed at examining the neurobiological mechanisms of SIB. Despite some functional similarity between SIB and NSSI, no empirical investigation has provided precedent for the application of SIB-targeted animal research as justification for pharmacological interventions in populations demonstrating NSSI.The present study examined this question directly, by simulating an animal model of SIB in rodents injected with pemoline and systematically manipulating stress conditions in order to monitor rates of self-injury.Sham controls and experimental animals injected with pemoline (200 mg/kg) were assigned to either a low stress (discriminated positive reinforcement) or high stress (discriminated avoidance) group and compared on the dependent measures of self-inflicted injury prevalence and severity.The manipulation of stress conditions did not impact the rate of self-injury demonstrated by the rats. The results do not support a model of stress-induced SIB in rodents.Current findings provide evidence for caution in the development of pharmacotherapies of NSSI in human populations based on CNS stimulant models. Theoretical implications are discussed with respect to antecedent factors such as preinjury arousal level and environmental stress.
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