Word: behaviorism
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...psychological phenomenon - what they believed was a new form of self-injury among teens and adolescents. Eleven out of 505 patients whom the team had treated in more than a decade had inserted objects - from chunks of crayons to unfolded paper clips - under their skin in a behavior the Nationwide team labeled "self-embedding...
...trend, Shiels and his colleagues analyzed the patients' medical records, finding consistent histories of self-injury and mental-health problems. There are numerous psychological and emotional factors that drive people to self-harm, but according to Harvard psychology professor Matthew Nock, who specializes in the study of self-injurious behavior and edited a book on the subject, Understanding Non-Suicidal Self-Injury (due March 2009), many do it for two broad reasons: to regulate their emotions and to communicate with others. "Self-injurers experience greater physiological arousal in response to stress, show poor ability to tolerate distress, and have greater...
...girls had deliberately inserted pencils into their skin and broken off the tips - lending credence to the possibility that self-embedding was a growing trend, albeit off the radar. "We know it's elsewhere," says Shiels, who is creating a protected database for medical professionals worldwide to track the behavior. "It just hasn't been discussed and it hasn't been studied...
...disorder rather than a symptom of one may miss the mark, says Dr. John Campo, chief of child and adolescent psychiatry at Nationwide Children's and one of the specialists consulted by Shiels. "Young people with a variety of different psychiatric diagnoses may engage in this behavior," says Campo, and proclaiming it as its own condition may deter comprehensive mental-health care to identify the true nature of the problem. (See TIME's top 10 medical breathroughs...
...other major concern among mental-health specialists is that publicizing the behavior could exacerbate the problem. In a study of self-injury among adolescents conducted earlier this year, Nock found that 38% of teens who injured themselves learned of the practice from friends, while 13% first heard about it through the media. It's a bit of a catch-22, says Nock. "On the one hand, it's very helpful and useful for health professionals to communicate with each other and learn how to proceed when they see [these cases]," he says, "but we know that media coverage of self...