This paper reports the findings of a qualitative study that used a hermeneutic phenomenological methodology to develop insights into the experience of parents of young people who engage in self-harming behaviour. Six mothers (and one father who accompanied his wife) participated in the study. Findings reveal that mothers experienced guilt and shame, and that these feelings shaped their reactions and responses. These mothers described experiencing emotional dilemmas, such as the degree to which they could be responsible, uncertainty about how to understand self harm, and the best course of action to take with their child. They also encountered difficulties in combating the negative emotional effects for themselves and other family members. Findings provide insights that can help nurses and family health workers to understand and assist parents with greater effectiveness; by maintaining a non-judgemental stance, acknowledging the difficulties of their experiences, encouraging confidence in their parenting abilities, and promoting effective stress management strategies.
Allison, S., Stacey, K., Dadds, V., Roeger, L., Wood, A. and Martin, G. (2003) `What the Family Brings: Gathering Evidence for Strengths Based Work'Association for Family Therapy and Systemic Practice25(3): 263—84.
2.
Bonomo, Y.A. and Bowes, G. (2001) `Putting Harm Reduction into an Adolescent Context ', Journal of Paediatrics and Child Health37(1): 5—8.
3.
Connors, R. (1996) `Self-injury in Trauma Survivors: Functions and Meanings', American Journal of Orthopsychiatry66(2): 197—206.
4.
De Leo, D. and Heller, T. (2004) `Who Are the Kids Who Self-harm? An Australian Self-report School Survey', Medical Journal of Australia181(3): 140—4.
5.
Ehrmin, J. (1996) `No More Mother-blaming: a Feminist Nursing Perspective on the Mother's Role in Father—Daughter Incest', Archives of Psychiatric Nursing10(4): 252—60.
6.
Ehrmin, J. (2001) `Unresolved Feelings of Guilt and Shame in the Maternal Role with Substance-dependent African American Women', Journal of Nursing Scholarship33(1): 47—52.
7.
Everett, B. and Gallop, R. (2001) The Link between Childhood Trauma and Mental Illness: Effective Interventions for Mental Health Professionals. Thousand Oaks, CA: Sage.
8.
Gladstone, G., Parker, G., Mitchell, P., Malhi, G., Wilhelm, K. and Austin, M. (2004) `Implications of Childhood Trauma for Depressed Women: an Analysis of Pathways from Childhood Sexual Abuse to Deliberate Self-harm and Revictimization', American Journal of Psychiatry161(8): 1417—25.
9.
Hawton, K., Rodham, K., Evans, E. and Weatherall, R. (2002) `Deliberate Self-harm in Adolescents: Self Report Survey in Schools in England', British Medical Journal325(7374): 1207—12.
10.
Heidegger, M. (1962[1927]) Being and Time (trans J. Macquarie and E. Robinson). Oxford: Blackwell .
11.
Herman, J. (1994) Trauma and Recovery: from Domestic Abuse to Political Terror. London: Pandora.
12.
Hurd, K., Wooding, S. and Noller, P. (1999) `Parent—Adolescent Relationships in Families with Depressed and Self-harming Adolescents', Journal of Family Studies5(1): 47—68.
13.
Jackson, D. and Mannix, J. (2004) `Giving Voice to the Burden of Blame: a Feminist Study of Mothers' Experiences of Mother Blaming', International Journal of Nursing Practice10(4): 150—8.
14.
Koch, T. (1995) `Interpretive Approaches in Nursing Research: the Influence of Husserl and Heidegger', Journal of Advanced Nursing21(5): 827—36.
15.
Kvale, S. (1996) Interviews: an Introduction to Qualitative Research Interviewing. Thousand Oaks, CA: Sage.
16.
Lindgren, B., Wilstrand, C., Gilje, F. and Olofsson, B. (2004) `Struggling for Hopefulness: a Qualitative Study of Swedish Women Who Self-harm', Journal of Psychiatric and Mental Health Nursing11(3): 284—91.
17.
Meekings, C. and O'Brien, L. (2004) `Borderline Pathology in Children and Adolescents ', International Journal of Mental Health Nursing13(3): 152—63.
18.
Myles, J. and Willner, P. (1999) `Substance Misuse and Psychiatric Comorbidity in Children and Adolescents', Current Opinion in Psychiatry12(3): 287—90.
19.
Noll, J., Horowitz, L., Bonanno, G., Trickett, P. and Putnam, F. (2003) `Revictimization and Self-harm in Females Who Experienced Childhood Sexual Abuse', Journal of Interpersonal Violence18(12): 1452—71.
20.
O'Brien, L.M. (2001) `The Nature of the Relationship between Community Psychiatric Nurses and Clients with Severe and Persistent Mental Illness: the Client's Experience', Australian and New Zealand Journal of Mental Health Nursing10(3): 176—86.
21.
Rodham, K., Hawton, K. and Evans, E. (2004) `Reasons for Deliberate Self-harm: Comparisons of Self Poisoners and Self Cutters in a Community Sample of Adolescents', Journal of the American Academy of Child and Adolescent Psychiatry43(1): 80—7.
22.
Sansone, R., Sansone, L. and Wiederman, M. (1995) `The Prevalence of Trauma and its Relationship to Borderline Personality Symptoms and Self-destructive Behaviours in a Primary Care Setting', Archives of Family Medicine4(5): 439—42.
23.
Smith, S. (2002) `Perceptions of Service Provision for Clients Who Self-injure in the Absence of Expressed Suicidal Intent', Journal of Psychiatric and Mental Health Nursing9(5): 595—601.
24.
Thorne, S. (2000) `EBN Notebook: Data Analysis in Qualitative Research', Evidence BasedNursing3(3): 68—70.
25.
van Manen, M. (1990) Researching Lived Experience: Human Science for an Action Sensitive Pedagogy. Albany: State University of New York Press.
26.
Weaver, T., Chard, K., Mechanic, M. and Etzel, J. (2004) `Self-injurious Behaviours, PTSD Arousal and General Health Complaints within a Treatment-seeking Sample of Sexually Abused Women ', Journal of Interpersonal Violence19(5): 558—75.
