@article{ref1,
title="Defining and refining self-harm: a historical perspective on nonsuicidal self-injury",
journal="Journal of nervous and mental disease",
year="2015",
author="Angelotta, Cara",
volume="203",
number="2",
pages="75-80",
abstract="Nonsuicidal self-injury (NSSI) is a newly proposed diagnostic category in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Some contemporary historiography dismisses NSSI as a fiction of modern psychiatry. Although the exact definition and psychological meaning attributed to self-harm has not been static over history, there is a clear thread that connects Western asylum psychiatrists' thinking about self-harm to the current stand-alone diagnostic category of NSSI. Nineteenth-century psychiatrists identified a clinically meaningful difference between self-harm with and without the intent to die, between self-injurers who were psychotic and those who were not, and between self-injurers who made a single, serious mutilation and those who repetitively self-injured without causing permanent bodily damage. These same distinctions are apparent in the definition of NSSI. Thus, NSSI is a formalization of long-held observations about a category of people who repetitively self-injure without suicidal intent.<p /> <p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0000000000000243",
url="http://dx.doi.org/10.1097/NMD.0000000000000243"
}