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Test Self-destructive behaviors and coping
Agenda
QUESTION 1: According to the text, why is the role of self-destructive behaviors validated first?
Because they regulate emotion in the short term
Because they are always rational and beneficial
To justify their continued use
To avoid any therapeutic change
2nd QUESTION: What is the purpose of the cost-benefit analysis?
Minimizing the associated shame
Making the behavior feel alien to the individual's values (ego-dystonic)
Breaking family ties
Increasing tolerance to physical pain through self-injury
QUESTION 3: What kind of relief do these behaviors typically provide, according to the text?
Definitive healing of emotional pain
Sustained social benefits
Rapid and effective short-term relief
Permanent increase of self-esteem
4th QUESTION: Why is a written emergency plan necessary?
Because willingness is enough to curb impulses
Because safe alternatives do not require practice
Because in high emotional arousal the will fails and a pre-established plan is needed
Because there are no harm reduction techniques
QUESTION 5: What is an example of a safe alternative mentioned?
Holding ice cubes until they hurt
Consuming alcohol to calm down
Avoidance of any physical sensations
Isolate from all social interaction
QUESTION 6: What is the role of intense sensory stimulation in safe alternatives?
Provoking controlled tissue damage
Competing with the self-destructive impulse without causing harm
Reinforcing the default habit
Substitute professional therapy
7TH QUESTION: What helps to dismantle the overall utility of self-defeating behaviors?
Considering them as incomprehensible follies
Denying that they bring any relief
Validate its function and then weigh its costs against the benefits of tolerating discomfort
Ignoring long-term consequences
8TH QUESTION: What is the purpose of the written cost assessment exercises?
Normalize scarring as insignificant
Increasing momentary emotional pain
Concealing loss of trust from loved ones
Exploring the price of immediate relief and making the cumulative consequences visible
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