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by Dr Alexandra Pitman and
Professor Patricia Casey
Last updated: February 2020
module accompanies the preceding module, Psychosocial management of self-harm:
Part 1, in which the evidence for
interventions to reduce the repetition of self-harm is
The following two clinical
vignettes introduce us to two patients presenting with a
history of self-harm and their entrance into psychosocial therapies
to reduce the repetition of these behaviours.
We follow them into the early stages of
therapy, accompanying the vignettes with self-test questions, to
illustrate the approaches taken in manual-assisted
cognitive-behavioural therapy (MACT) and dialectical behaviour
These clinical vignettes complement the
theoretical framework and evidence base outlined in
Psychosocial management of
self-harm: Part 1 and illustrate the use of
psychosocial interventions in practice.
Start the module
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Download take-home notes to print and