Use this URL to cite or link to this record in EThOS:
Title: Rejection and dating-app experiences in those with a history of self-harm
Author: Cawley, R.
ISNI:       0000 0004 7658 5332
Awarding Body: University of Liverpool
Current Institution: University of Liverpool
Date of Award: 2018
Availability of Full Text:
Access from EThOS:
Access from Institution:
The national and international concern about self-harm, both with and without suicidal ideation, has risen in recent times (Daine et al., 2013; Hawton et al., 2012; Muehlenkamp et al., 2012; Perry et al., 2012). Understanding the motivations and mechanisms for self-harm is important to establish clinical implications (Edmondson et al., 2016; Nock et al., 2009; Nock and Prinstein, 2005; Taylor et al., 2017). One aspect of experience less researched in the evidence base is the interpersonal relationships of those who self-harm. Research has indicated that interpersonal relationships are important to offer support and connection (Hilt et al., 2008; Turner et al., 2016), yet interpersonal difficulties can also often influence and contribute to self-harm (Adrian et al., 2011; Heath et al., 2009; Hilt et al., 2008). The interpersonal experience of rejection is associated with other challenging emotions of shame (Gausel et al., 2012; Thomas, 1997), stigma (Adelson et al., 2016; Kantor et al., 2017) and victimisation (Arseneault et al., 2010; Schuster, 2001; Willoughby et al., 2010) which are all associated with increased risk of self-harm (Hay and Meldrum, 2010; King et al., 2008; Schoenleber et al., 2014). To the author's knowledge there is no current systematic review investigating the association between interpersonal rejection and self-harm. To address this gap in the literature, chapter one questions what evidence exists that assesses the relationship between rejection and self-harm in adulthood. Several rejection and self-harm measures were included from both clinical and non-clinical adult population studies. The methodologies across the included studies both directly and indirectly measured this relationship through mediation, moderation or within a model constituting other variables. Eighteen studies were identified and due to diversity in the measures the findings were synthesised narratively. Another form of interpersonal experience is the relatively recent phenomenon of mobile dating-applications (dating-apps) (Ward, 2017). Dating-apps can promote instantaneous and multiple relationships, and critics question the potential they have to create instability in the way relationships are formed (Hobbs et al., 2017; Wu and Ward, 2018). Research into online-dating websites has shown an association between dating website use and increased experiences of rejection (Pizzato et al., 2011; Tom Tong and Walther, 2011). The second chapter therefore seeks to address whether there is an association between dating-app use and self-harm, as well as to explore whether the experience of dating-app use, including potential experiences of rejection and shame are associated with self-harm. The study utilised an online survey design and specified non-suicidal self-injury (NSSI) as it is an experience seen commonly across both clinical and non-clinical populations (Swannell et al., 2014) in the hope of recruiting a widely representative sample. This thesis was developed alongside a wider research trial looking at interpersonal resources in self-harm (the OSIRIS study), resulting in a joint-recruitment strategy alongside one other trainee for the empirical study. Outside of recruitment the conception, design, analysis and write-up of the work remained independent to the author. Appendices are limited to the word count but do include author guidelines for the Journal of Affective Disorders, and this thesis has been formatted in-line with their requirements. The quality assessment tool for the systematic review is included, alongside questionnaire measures used in the empirical study, participant information sheet and consent form, additional data, and University and NHS study approval.
Supervisor: Taylor, Peter ; Pontin, Eleanor Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral