Acknowledgements. Part 1. 1. Introduction. Andrew Lovell, University of Chester, UK and Pauline Heslop, University of Bristol, UK. 2. Dimensions of Self-injury. Andrew Lovell and Pauline Heslop. 3. Social Approaches to Understanding Self-injury. Pauline Heslop. 4. Psychoanalytic Approaches to Understanding Self-injury. Pauline Heslop and Richard Curen, Respond, UK. 5. The Voice of Experience: People with Learning Disabilities and their Families Talking About How They Understand Self-injury. Pauline Heslop and Fiona Macauley, Bristol Crisis Service for Women, Bristol, UK. Part 2. 6. Minimising Harm. Helen Duperouzel and Rebecca Fish, Calderstones NHS Trust, UK. 7. What People with Learning Disabilities Say Helps Them. Pauline Heslop and Fiona Macaulay. 8. Family Voices. Andrew Lovell. 9. Psychoanalytical Approaches in Practice I. Valerie Sinason, Clinic for Dissociative Studies, UK. 10. Psychoanalytical Approaches in Practice II. Noelle Blackman, Respond, UK and Richard Curen. 11. Self-injury and Loss of Sense of Self. Phoebe Caldwell, Intensive Interaction practitioner. 12. A Relational Approach to Understanding Our Responses to Self-injury. Gloria Babiker, University of Bath, UK. 13. Conclusion. Pauline Heslop and Andrew Lovell. References. Index.