{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T23:09:11Z","timestamp":1780873751831,"version":"3.54.1"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,1]],"date-time":"2013-10-01T00:00:00Z","timestamp":1380585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec><jats:label\/><jats:p>Theory and existing research suggest that emotion regulation capabilities develop during the formative years. Emotion dysregulation is associated with psychological distress and may contribute towards difficulties such as personality disorder and self\u2010harm. This study aimed to explore the contexts in which individuals' narratives of emotional experience and self\u2010harm developed. Eight participants who cut themselves and were seen by a personality disorder service were recruited. Semi\u2010structured interviews were carried out, and interview transcripts were analysed using a narrative approach.<\/jats:p><jats:p>Five temporal themes were generated: \u2018Seen and not heard\u2019, \u2018A big release \u2026 to get rid of all the pain and hurt\u2019, \u2018A vicious circle\u2019, \u2018A different world\u2019 and \u2018Trying to turn my life around\u2019. The findings highlight how early experiences may have led participants to perceive emotions as unacceptable and subsequently suppress emotion in adulthood. Suppression of emotions appeared to be related to appraisals of emotions and to secondary emotional distress. Furthermore, cutting was linked to suppression of emotions as well as negative self\u2010beliefs formed during childhood and reinforced through subsequent experiences. The study emphasizes the need for therapeutic approaches to focus on emotions when working with individuals who self\u2010cut. Furthermore, the findings indicate the need for compassionate and validating health services that may help service users develop more optimistic future narratives. Copyright \u00a9 2013 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Practitioner Message<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Focusing on emotions in therapy rather than self\u2010harming behaviour <jats:italic>per se<\/jats:italic> may be beneficial for individuals who self\u2010cut.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Encouraging abstinence from cutting, without first helping clients learn emotion regulation skills, may lead to more serious self\u2010cutting.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.1870","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T01:47:48Z","timestamp":1381542468000},"page":"125-132","source":"Crossref","is-referenced-by-count":9,"title":["Emotion and Self\u2010Cutting: Narratives of Service Users Referred to a Personality Disorder 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