Distress mediates the association between personality predispositions and suicidality: A preliminary study in a Portugese community sample.

The present study examined whether distress mediates the relationship between suicidality and the personality predispositions of Self-Criticism, Dependency/Neediness, and Efficacy. A community sample of Portuguese young adults (N = 105) completed, in a counterbalanced order, a sociodemographic questionnaire, the Depressive Experiences Questionnaire (DEQ), the Brief Symptom Inventory (BSI), and reports of any suicide attempts and/or […]

Dependency and Self-Criticism as Predictors of Suicidal Behavior

Individuals have been theorized to develop anaclitic & introjective depression to the extent that they may be characterized as dependent & self-critical, respectively (e.g., Blatt, 1990). Blatt’s theory was applied to suicidal behavior to determine if it could also be reliably broken down into two distinctive types, with respect to a number of parameters. Self-critical […]

A Comparison of Dependent and Self-Critically Depressed Hospitalized Adolescents

Dependency and Suicidality in Psychiatric Inpatients

152 psychiatric inpatients completed objective & projective measures of interpersonal dependency. Scores were compared to 2 indices of suicidality, number of past suicide attempts & physician judgments of suicidality at admission, derived from patients’ charts. High objective dependency scores were associated with high suicidality scores in women & men, even when level of depression was […]

Emotional First-Aid Manual: a Practical Guide for Volunteers and Para-Professionals

This book is a manual for all caregivers, volunteers & paraprofessionals regarding front line intervention (emotional first aid). The book provides step-by-step procedures for dealing with the emotional emergencies of others & special situations such as suicide intervention. Frontline intervention issues of helping people under emotional duress & building relationships with people in crisis are […]

Covert and Overt Dependence in Suicidal Women and Their Male Partners

This study explores the covert mental representations & the interactional context of dependence in suicidal women & their male nonsuicidal partners. On the basis of theory, the authors hypothesized that suicidal women & and their partners would have similar covert dependent needs, but opposite styles of dealing with these needs. Contrary to prediction, most suicidal […]

Suicide Following Attempted Suicide: a Study of an Unsuccessful Intervention

This article presents a case study of 55-year-old housewife who committed suicide after psychiatric inpatient treatment following a previous severe suicide attempt. The social & psychological situation of the patient is described, with special emphasis on her relationships with her husband, the therapist, & the other staff members on the ward. The conclusions that were […]

Japanese Adolescent Suicide and Social Structure (IN: Essays in Self-Destruction, ed. by E S Shneidman)

The author describes the personality type of suicide-attempting youths in Kamakura & illustrates the interaction of dependency, self-inflation, & insecurity in the development of suicidal behaviors. The structure of families producing suicide attempters is also examined. The similarity between the “ideal” personality type of Japanese youths & that of suicidal Japanese youths is discussed. (NBB)

Emotional First Aid

The history of the concept of emotional first aid is reviewed & its integration is discussed. The different degrees of first aid provided by staff at various levels of professional competence is indicated , as are the commoner signs & precipitants of emotional crisis. The case history of a 45 year old female attempter is […]

Suicide in Ibsen’s Plays

The suicides & homicides in Ibsen’s plays are examined in relation to Hendin’s hypotheses about Scandinavian suicide. In general, the suicides had dependency loss characteristics; the victim-precipitated homicides had characteristics of guilt over transgression, as expected. However, elements of suicide as a vehicle for preserving or restoring an ideal self-image were also present in many […]

Setting Limits: The Management of the Manipulative Patient

Presented are case studies to show manipulative behavior in patients. Early recognition of the manipulation can make management of such a patient easier. The principle & technique of setting limits is discussed at length. Dealing with both direct & indirect requests is also illustrated. Caution is urged with expression of suicidal thoughts or intentions, but […]

A Psychotherapist’s Reaction to His Patient’s Death

A case history of a patient who died during the course of psychotherapy is presented. 3 therapeutic points (1 related to the therapist’s awareness of his anger toward the patient) are focused on in regard to working with the dependent, suicidal patient. The emotions and psychodynamic factors in the author & other psychotherapists in response […]

Strength of Adult Ego Following Childhood Bereavement

This comparison study of 256 hospitalized adults who had experienced parental loss in childhood & 65 matched subjects from the general population revealed certain factors that minimize the traumatic effects of such loss: an intact home & network of family &/or community resources; a satisfactory prior relationship with the deceased parents; a strong surviving parent […]

Why Patients Decide to Discontinue Renal Dialysis

Renal dialysis patients decide to discontinue treatment for a variety of reasons & only when the physician understands the specific problem can the appropriate treatment be selected. Main reasons cited by the author are: a wish to manipulate others; conflicts about dependency; a wish to commit suicide; a rejection of the lifestyle that involves the […]

The Proportional Distribution of Suicide Among Mental Hospital Deaths and Persons in the General Population

This study describes a 100 month follow up study of former psychiatric patients, conducted to compare the distribution of death by suicide & other causes in psychiatric & general population, & to investigate causative factors in the psychiatric population. Data revealed distinct differences in suicide rates in age groups 15-24 & those 55+. Social isolation, […]

Indirect Self-Destructive Behavior in Diabetic Patients

This controlled study suggests that certain diabetics are uncooperative, passive-aggressive, & antisocial, to their own detriment.

Renal Disease and the Social Worker: A Review

This paper reviews the literature related to social work with patients suffering from end-stage renal disease. It discusses the history of kidney dialysis and transplantation, the stages of adaptation to treatment, & suggested social work approaches. Special attention is given to children & families, home dialysis, & staff problems.

Care-Eliciting Behavior in Man

The concept of care-eliciting behavior is proposed as an essential part of the phenomenon of attachment. The origins of this behavior in man are examined in terms of both ontogenesis & phylogenesis. The revelance of the behavior for species advantage is considered. Finally, it is suggested that morbid manifestations of care-eliciting constitute a number of […]

Temperament Characteristics of Suicide Attempters

In a preliminary study of a single group of suicide attempters, male and female subjects did not differ in temperament characteristics. Data from both sexes indicated that suicide-prone individuals have unpleasant, arousable & submissive temperaments, with arousability a strong discriminator of suicide attempters relative to the general population. Temperament attributes identified for suicide attempters are […]

Dyadic Deaths & Double Phenomena

Double suicides & murder-suicides account for approximately 400 deaths annually in the U.S. The author explores the extreme dependency characteristics of these relationships.

A Rank-Order Classification of Suicidal Types

The author presents a model of self-destructive behavior in which the priniple of mutuality is predominant. Mutualizing ability is defined as what enables a person to balance his cooperative & competitive needs in an interpersonal encounter so as to benefit himself & others (p. 86).

Interpersonal Relations in Suicidal Attempts: Some Psychodynamic Considerations and Implications for Treatment

What Does the MMPI Dependency Scale Really Measure?