Resource Tag: COUNTERTRANSFERENCE (PSYCHOLOGY)

This chapter discusses the importance of having general practitioners familiar with the relationship between suicide & depression in Japan. The chapter also reviews studies on how to detect highly suicidal depressed patients, especially from clinical aspects. The chapter also examines pitfalls in evaluating suicide risk. The chapter includes a table of suicide risk factors for […]

This aricle examines countertransference in therapists treating women with posttraumatic stress disorder or addictions. Vicarious traumatization, unconscious affects about addiction, & pressures within the treatment pull the therapist away from the patient at critical points & toward abandonment or collusive indulgence. Support in the form of process supervision can assist the therapist to acknowledge, identify, […]

This proceeding describes the case of a young male who attempted suicide. Risk factors for suicide, biographical information, & an account of his suicide attempt are included. A description of the treatment he received after his attempt is presented. (SC)

Data on adolescent suicide is provided in this introductory chapter to underline the magnitude of the problem. The difficulties, frustrations, experiences, & challenges facing clinicians engaged in treatment of suicidal adolescents are examined. Thoughts on what constitutes successful treatment are suggested. Some individuals & families do make impressive & enduring progress. Knowing this helps mental […]

This chapter briefly reviews psychodynamic theoretical perspectives & relevant research themes. It discusses psychodynamic clinical interventions with suicidal teenagers & notes the importance of the interactive & ongoing interplay between assessment & treatment. Pitfalls are discussed. Beyond crisis management, a psychodynamic approach holds the promise of treating (& resolving) the underlying causes of suicidality within […]

This article presents a clinical theory of suicide & discusses the essential concepts of lethality & perturbation. Intrapsychic aspects (unbearable psychological pain, cognitive constriction, indirect expressions, inability to adjust, & ego), & interpersonal aspects (interpersonal relations, rejection-aggression, & identification-egression) are outlined to aid in assessment. Transference & countertransference issues in assessment are noted. A case […]

Intractably suicidal patients require much time & great energy from clinicians. Much of the anxiety they arouse comes from questions of admitting them to, or releasing them from, the hospital. The increasingly litigious climate in the USA makes the treatment of these patients difficult. This paper reviews the literature on the care of these patients, […]

Case detailed in the article: an aggressive 29-year-old woman, who suffered from a bipolar disorder & was bitter, angry & alone at the time of suicide. Case comments examine her predisposition to suicide & interventions that helped. When patients can identify problems but see no solutions, those with chronic disorders are most vulnerable. When patient […]

Basic procedures of the assessment interview, monitoring of depression & response to the therapeutic process are detailed in this chapter. It outlines a 7-phase psychotherapeutic process, summarizes 9 commonalities in treatment of the suicidal elderly, emphasizes a multi-determined approach, & includes case examples. Negative therapeutic reaction, the patient/therapist relationship, transference, countertransference, & ageism are discussed. […]

This article examines the aftermath of patient suicide & patient assault on psychiatric hospital staff. The reactions of staff members following patient assault & suicide are compared & contrasted. Administrative & co-worker reactions to these occurrences are documented. Issues of transference & countertransference as exacerbating factor in staff reactions are also discussed. (19 refs.)

The symposium took place in Odense, Denmark in 1992. The proceedings were published in 1994.

This article discusses suicide from a Freudian point of view. Suicidal acts are an effort to solve psychic conflicts, conscious or unconscious. Fantasies may suggest a conflict at an early developmental level, while guilt may signify an Oedipal conflict. There are also adaptive & communicative aspects to suicidal behavior. Factors that affect a suicidal patient’s […]

Kernberg argues that acute & chronic suicidal behaviours require different psychotherapeutic approaches. The psychotherapist needs to be know the epidemiological, dynamic factors as well as the sources of external support that patient can count upon. The transformation of suicidal behaviour into reenactment of the aggression within the relationship to the therapist is the main goal. […]

This chapter examines the role of the therapist in suicide prevention, addresses possible techniques for treatment, notes the impact of suicide on the therapist, describes potential errors that might inhibit positive contributions, & looks at transference and countertransference issues. The initial interview & dealing with symptomatology are also discussed. (30 Refs.)

The purpose of this chapter is to explore the psychodynamic approach to suicide. This approach requires an understanding of the common fantasies, wishes, fears and conflicts found in suicidal patients, as well as the psychodynamics of the suicidal act itself. This understanding both contributes to the clinical management of suicidal patients and elucidates the special […]

In this chapter the author discusses educational and environmental intervention with suicidal adolescents. The author concludes by claiming that the intervention strategies that appear to have the greatest impact on youth suicide are the limitation of the availability of firearms, an awareness of specific risk factors and treatment issues, and effective psychological intervention. (33 refs.)

Leenaars presents a 5-step model for crisis intervention with suicidal individuals. The steps in the model are: 1) establish rapport; 2) explore; 3) focus; 4) develop options & a plan of action; 5) terminate. Each of these steps is discussed in greater detail. A case history is used as illustration of the model. This chapter […]

The author argues that many issues are involved in the decision to hospitalize a suicidal patient. He reviews these issues: diagnosis, available support systems, past suicidality, & current stressors. Considerations relating to the therapist are discussed, i.e. experience, expertise & countertransference. Finally, interactions between the patient & the therapist are discussed including the use of […]

This article describes a psychotherapy program for post-traumatic stress disorder. The program described is unique because it is only a 12-session once-a-week, outpatient treatment comprising 50-minute sessions. The aim is to help the patient who has been derailed from a normal psychological recovery process to return to an adaptive working through during and after the […]

The transference resistance of patients with intense, unacknowledged suicidal & homicidal wishes inevitably generates similar countertransference feelings in therapists. The author describes her experiences with these resistances while treating a psychotic somatizing female patient. Frankfeldt felt challenged because she perceived that her mother & the patient shared significant personality traits & dynamics. However, she was […]

The case of a depressed, suicidal middle-aged woman with a borderline level of ego organization illustrates how sexual encounters with a therapist can lead to a patient’s suicide. From clinical, ethical, & legal standpoints, sexual activity with a patient can not be justified as a deterrent to suicide. There is no situation in which therapist-patient […]