Exploring the Role of Mental Imagery in the Experience of Self-injury: An Interpretative Phenomenological Analysis

Behav Cogn Psychother. 2016 Jan;44(1):92-103. doi: 10.1017/S1352465814000666. Epub 2015 Jan 19.

Abstract

Background: Research has implicated causal, mediating and meaningful roles for mental imagery in the experience of psychological distress, including self-injury.

Aims: The present study aimed to further the understanding of this relationship through exploring the lived experiences of mental imagery from the perspective of those who self-injure.

Method: This study employed an inductive qualitative design using semi-structured interviews and Interpretative Phenomenological Analysis (IPA). Ten participants were recruited from universities in North West England.

Results: Three main themes were identified from the analysis: (i) The origins and precipitants of self-injurious imagery; (ii) What it is like to experience self-injurious imagery; and (iii) The meaning and interpretation of self-injurious imagery.

Conclusions: The study findings indicate that mental imagery is an important experience for those who self-injure. Clinical and research implications of the findings are discussed.

Keywords: IPA; Imagery; cognition; self-injury.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Case-Control Studies
  • Emotions
  • Female
  • Humans
  • Interview, Psychological / methods
  • Life Change Events
  • Male
  • Qualitative Research
  • Self Concept
  • Self-Injurious Behavior / psychology*
  • Self-Injurious Behavior / therapy*