There is growing awareness in the popular media and in clinical reports of the increasing prevalence of self-injury, especially among adolescents. Self-injury affects the entire family and is, in turn, affected by the family system. Thus, family therapy is an important component when working with adolescents who are still dependent on their families. However, available treatments, for the most part, do not address the relational-systemic aspects of self-harm, and treat only the individual. This article situates self-harm within the relational framework of adolescent attachment theory and presents a case study demonstrating the treatment of adolescent self-injury with attachment-based family therapy.
KEYWORDS adolescents, attachment, attachment-based family therapy, case study, self-injuryOver the last several decades, self-injury, particularly inflicted by adolescents, has received growing attention by popular media, as well as in research and clinical work. Despite this increase in awareness and attention, available treatments are scarce and are typically not adolescent specific. Most studies on the functions of self-injury conceptualize it as an affect-regulation strategy. As attachment relationship is an important way of learning affect regulation, it is reasonable to explain self-injury within the framework of attachment theory and as possibly resulting from attachment ruptures. As current evidence suggests that attachment ruptures can be repaired