Human Service Issue - Social Problem - Self-Harm
By: Jake E. Kohl
By: Jake E. Kohl
Deliberate self-harm (cutting) is just one of many
human service issues that causes social problems. While there are many forms of
self-harm, for time’s sake, this will only include the self-harm act of cutting. In Mark 5:5, Mark writes, “And
always, night and day, he was in the mountains and in the tombs, crying out and
cutting himself with stones” (NKJV). This particular passage give reference to
the issue of deliberate self-harm. The Bible states that the reasoning behind
the man cutting was demon possession (v2),
but is this true with those who cut themselves today?
According
to Martin (2014), self-harm is a difficult issue to treat because little is
known about its causes. In addition, this type of behavior is resistant to
treatment (p. 130). While this behavior is seen mostly by female adolescence in
the human service profession, this behavior is also reported in males and even
in adults – though less. The reason that human services may not see a balance
in gender/age, may be due to the stigma placed on males as being more mentally
strong, or macho. It would seem that
the issue being brought out into the open from a male may also imply a role of
shame and/or embarrassment the male would face if the individual would expose
this issue.
Given the diverse and broad roles and characteristics
of the human service professional, it is likely that human service
professionals will encounter a client who harms him/herself. Human service
professionals additionally may be the first point of contact for the client as
a caseworker, residential staff member, intake interviewer, child advocate, or
as another front-line position (Craigen, 2008, Martin, 2014). Nonetheless,
self-harm is a real and serious issue that needs addressed by both genders and
by all ages.
The possible
causes for this social problem are reported within the realms of internal and
external factors. Martin (2014), says that self-injury can relate to internal
expressions such as, rage, anger, frustration, despair, and loneness. The internal
expressions are generally an expression towards the self-harmer. These feelings are not just your average emotions, but
are a deep passionate rage, anger, frustration, etc. Other reasons include
feelings of intense shame, especially those who have been sexually abused
(Martin, 2014). Self-harm is generally associated around internal factors but
there are a few external factors that need addressed as well.
External factors can include relationship
stress, parental divorce/separation, and even bullying to name several.
According to Beinart, Kennedy, & Llewelyn (2009), they say regarding Mark
Williams’ ‘Cry of Pain’ model; external factors such as the ones listed
postulates that self-harm occurs when individuals feel defeated by external
factors (p. 75). External factors such as bullying can create self-esteem issues,
as well as feelings of hopelessness and defeat. These factors in turn,
transform into internal factors that result in self-harm behavior.
Being able
to control impulse and regulate emotions are important in a successful treatment
plan (Martin, 2014, p. 131). 1 Thessalonians 4:4 tells us “that
each of you should learn to control your own body in a way that is holy and
honorable” (NIV). So in this reference, did the man in the mountains and in the
tombs learn to control his own body so it was honoring to God? In this particular
instance, no, he did not. So what about today? Are people who self-injure,
demon possessed?
After looking at different references
within the Bible and references within the scope of human services and mental
health; because someone who may self-harm, does not necessarily mean that they
are demon possessed and some form of exorcism is needed. It however, means that
we can have demonic influence and/or nature. Nature being defined as, being
characteristic of – influence being defined as, the power to produce effects, or
being in a position to indirectly sway or affect. Self-injury is not God-given,
and very well could be a tipping influence of demonic reality.
References
Beinart,
H., Kennedy, P., & Llewelyn, S. P. (2009). Clinical psychology in
practice. Chichester, UK: BPS Blackwell.
Craigen,
L. (2008). Working with self-injury: Ten guidelines for human service
professionals. Human Service Education,
27(1), 132-142.
Martin,
M. (2014). Introduction to Human Services: Through the eyes
of practice settings. 3rd. Edition. Upper Saddle River, NJ:
Pearson.
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