#automutilação: a expressão simbólica da autolesão não suicida

Felipe Moreira Borges Nascimento Fabbrini; Ivelise Fortim

Authors

Felipe Moreira Borges Nascimento Fabbrini Pontifícia Universidade Católica de São Paulo
Ivelise Fortim Pontifícia Universidade Católica de São Paulo

Keywords:

non-suicidal self-injury, self-harm, NSSI, social media, analytical psychology

Abstract

Non-suicidal self-injury (NSSI) is a phenomenon of increasing relevance, with high prevalence rates in adolescents and young adults. NSSI is one of the main risk factors for future. The method of virtual ethnography was carried out in a self-injury community on Facebook in order to broaden the understanding of the symbolic aspects related to the practice. In February 2021, 133 publications were collected and divided into three categories of analysis: self-injury, suffering and religion. Self-injury was understood as a compulsive behavior through which practitioners seek an experience of transcendence at the expense of pain. It resembles an addict behavior. The suffering described refers to depressive processes and is characterized by loneliness, difficulty in expressing feelings and the need to maintain a functional persona in everyday life. Therefore, the group emerges as a means of expressing aspects relegated to the shadows in the offline world.

Author Biographies

Felipe Moreira Borges Nascimento Fabbrini, Pontifícia Universidade Católica de São Paulo

Clinical Psychologist (PUC/SP). Studying at the Ana Maria Poppovic Clinic.

Ivelise Fortim, Pontifícia Universidade Católica de São Paulo

PhD in Clinical Psychology (PUC/SP). Professor at the Faculty of Psychology PUC-SP.

References

AMERICAN PSYCHIATRIC ASSOCIATION – APA. Diagnostic and statistical manual of the American Psychiatric Associa- tion. 5. ed. Washington, 2013

AMMERMAN, B. A. et al. Quantifying the importance of lifetime frequency versus number of methods in con- ceptualizing nonsuicidal self-injury severity. Psychology of Violence, Detroit, v. 10, n. 4, p. 442-51, set. 2020. https://doi.org/10.1037/vio0000263

ANDOVER, M. S. et al. An intervention for nonsuicidal self-injury in young adults: A pilot randomized con- trolled trial. Journal of Consulting and Clinical Psychol- ogy, Washington, v. 85, n. 6, p. 620-31, jun. 2017. https://doi.org/10.1037/ccp0000206

ARCOVERDE, R. L. Autolesão e produção de identidade. 2013. Tese (Doutorado em Psicologia Clínica) — Universi- dade Católica de Pernambuco, Recife, PE, Brasil, 2013.

BRASIL. Ministério da Saúde. Mortalidade por suicídio e notificações de lesões autoprovocadas no Brasil. Boletim Epidemiológico, Brasília, v. 52, n. 33, p. 1-10, set. 2021.

FARO, A. et al. Non-suicidal self-injury and suicid- al behavior during the Covid-19 pandemic in Brazil. Death Studies, London, v. 46 n.10, p. 2498-506, 2021. https://doi.org/10.1080/07481187.2021.1978116

FITZGERALD, J.; CURTIS, C. Non-suicidal self-injury in a New Zealand student population: demographic and self-harm characteristics. New Zealand Journal of Psychology, Wellington, v. 46, n. 3, p. 156-63, 2017.

FONSECA, P. H. N. et al. Autolesão sem intenção suicida entre adolescentes. Arquivos Brasileiros de Psicologia, Rio de Janeiro v. 70, n. 3, p. 246-58, set./dez. 2018.

GANDHI, A. et al. Age of onset of non-suicidal self-injury in Dutch-speakingadolescents and emerging adults: An event history analysis of pooled data. Comprehensive Psychiatry, Amsterdam, v. 80, p. 170-8, jan. 2018. https://doi.org/10.1016/j.comppsych.2017.10.007

HOLLIS, J. Os pantanais da alma: nova vida em lugares sombrios. São Paulo: Paulus, 1998.

JENSEN, L. X. et al. Digital ethnography in higher edu- cation teaching and learning—a methodological review. Higher Education, Ontario, v. 84, p. 1143-62, mar. 2022. https://doi.org/10.1007/s10734-022-00838-4

JUNG, C. G. Mysterium coniunctionis. Petrópolis: Vozes, 1990. (Obras completas de C. G. Jung v. 14, n. 2).

KLONSKY, E. D.; SAFFER, B. Y., VICTOR, S. E. Nonsuicidal self-injury: what we know, and what we need to know. Canadian Journal of Psychiatry, Thousand Oaks, v. 59, n. 11, p. 565-8, nov. 2014. https://doi.org/10.1177/070674371405901101

OLIVEIRA, E. C. B. Os aspectos psicopatológicose fenom- enológicos do transtorno de escoriação. 2018. Tese (Doutorado em Psiquiatria) — Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, 2018.

OLIVEIRA, M. P. M. T. Dependências: o homem à procura de si mesmo. São Paulo: Icone, 2004.

PIMENTEL, F. S. Modificações corporais extremas e transfor- mações simbólicas: o corpo como expressão psíquica. São Paulo: Sociedade Brasileira de Psicologia Analitica, 2019

PLENER, P. L. et al. Non-suicidal self-injury in adolescents. Deutsches Arzteblatt International, Berlin, v. 115, n. 3, p. 23-30, jan. 2018. https://doi.org/10.3238/arztebl.2018.0023

RAMOS, D. G. A psique do corpo: a dimensão simbólica da doença. São Paulo: Summus, 2006.

ROTHENBERG, R. A jóia na ferida: o corpo expressa as necessidades da psique e oferece um caminho para a trans- formação. São Paulo: Paulus, 2004.

SILVA, A. C.; BOTTI, N. C. L. Uma investigação sobre automutilação em um grupo da rede social virtual Facebook. SMAD Revista Eletrônica Saúde Mental Álcool e Drogas, Riberão Preto, v. 14, n. 4, p. 203-10, out./dez. 2018. https://doi.org/10.11606/issn.1806-6976. smad.2018.000355

STERNUDD, H. T. The discourse of cutting: a study of visual representations of self-injury on the internet. In: FERNAN- DEZ, J. (Ed.). Making sense of pain: critical and interdiscipli- nary perspectives. Leiden: Brill, 2010. p. 237-48.