2. Introduction
Self Injurious Behavior (SIB) includes:
Self-harm
Cutting
Self-poisoning
Substance abuse
defined
as the intentional, direct injuring
of body tissue most often done without
suicidal intentions
3. Understanding SIB
Way
of coping with problems
May help express feelings that can’t
be put into words
Sadness, self-loathing, emptiness,
guilt, rage.
Does not solve the underlying issue.
It’s only a temporary solution
4. Background of Self-Injurers
The
person seeking treatment is usually
from a middle class to upper class
background, of average to high
intelligence, and has low self-esteem
Nearly 50% report physical and/or sexual
abuse during his or her childhood.
As high as 90% report that they were
discouraged from expressing emotions,
particularly anger and sadness.
More common in females than in males.
5. Examples of SIB
Drugs
and Alcohol
EBD
Depression/Anxiety
Schizophrenia
Abuse
ADD/ADHD
Stress
6. Reasons for Behaviors
Self-injurers
commonly report they feel:
Empty inside
Over or under stimulated
Unable to express their feelings
Lonely
Not understood by others
Fearful of intimate relationships and adult
responsibilities.
7. Signs and Symptoms
If you see students with:
Unexplained wounds or scars
Blood stains
Covering up (long sleeves/pants in hot
weather)
Isolation or Irritability
Low self-esteem
Difficulty handling feelings
Poor functioning at school
8. How to deal with a student who
is self-harming
Establish
a close relationship with them so they feel
comfortable
Give them an alternate way to express themselves
(painting, journals, music)
Offer support and communication
If problem is severe, seek medical help (therapist,
psychologist)
9. INTRO TO SPECIAL ED SIB
Common forms of SIB include…
Head-hitting
Head-banging
Excessive
scratching
Wrist / Hand-biting
In the most severe cases, SIB can result in…
Retinal detachment
Blindness
Broken bones
Bleeding
Death
11. Causes
Physiological
Social
Frustration
Communication
Social
attention
To obtain
tangibles
Data Collection
Important
to record
Data should include:
Physical
/ social
environment
Lighting / sound
Who is interacting with
child
Time day / day of
week / how often
12. CPI
Crisis Prevention Institute
MUST BE TRAINED!
How to properly restrain a child
Video on CPI
13. Intervention
Behavior
chart – reward with music,
video, games, reading, toyssomething they like. (up to the
discretion of the teacher and
parents)
CPI
Positive reinforcement.
Differential Reinforcement Alternative
Behavior (DRA)
Music Therapy, Massage Techniques,
and Sensory Stimulation
Remain calm
14. Conclusion
What
is SIB?
What are some examples of SIB?
How can educators help students who
demonstrate signs of SIB?
15. Who would have thought love could cost so much
Every mark on a body shows the lust
As every word said is full of trust
Who would have thought a love could cause such pain
To leave a heart with nothing to gain
Who would have thought that the passion inside
Would drive her crazy
To the point she would want to die
Who would have thought a girl would want so much
Every word from your mouth
And even your touch
A touch from your hands
A sweet kiss from your lips
A hand to hold
And a heart she can give
Who would have thought a love could cost so much
For her to hide the pain in all her cuts
Who would have thought her scars were real
Her escape route is how she deals
To hide the sorrow
And what runs through her mind
She cuts to feel alive.
- Self Abuser (http://www.ibuzzle.com/articles/a-body-of-scars-poem.html)
