The mediating roles of psychological pain and dream anxiety in the relationship between sleep disturbance and suicide

Suicide is a significant public health problem worldwide, and sleep disturbances have negative effects on mental health and suicidality. Several psychological concepts may mediate the relationship between sleep disturbances and suicide. We aimed to investigate the mediating roles of psychological pain and dream anxiety in this relationship. This cross-sectional study included 150 depressive patients with […]

Attacks on Life: Suicidality and Self-Harm in Young People(IN: Relating to Self-Harm and Suicide. Psychoanalytic Perspectives on Practice, Theory and Prevention, ed. by S Briggs, A Lemma and W Crouch)

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Repetitive and Frightening Dreams and Suicidal Behavior in Patients With Major Depression

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Psychodynamic Conceptualization and Treatment of Suicidal Patients

This paper discusses psychodynamic perspectives of the conceptualization & treatment of suicidal patients. A review of psychoanalytic & psychodynamic perspectives is provided, along with representative case examples of these phenomena. Empirical studies are also reviewed, noting how recent research provides some meaningful insight into the object relations of suicidal patients. Finally, treatment issues are discussed. […]

In Conscience’s Talons: the Suicide of a Vietnam Veteran. Case Consultation

This article offers 2 comments on the case study of Tony Marco, a Vietnam veteran who committed suicide at the age of 34, after a 12 year struggle with guilt & despair. He suffered from posttraumatic stress disorder.

Cognitive Therapy: From Conceptualization to Intervention (IN: Cognitive Therapy of Suicidal Behavior: a Manual for Treatment, by A Freeman & M A Reinecke)

A case conceptualization approach which leads to a range of strategies & techniques that can be used in cognitive therapy is discussed. The assessment & testing of dysfunctional thinking is reviewed. 20 cognitive techniques that are useful in developing adaptive responses to dysfunctional thinking are described. Some of these techniques include: understanding of idiosyncratic meaning; […]

Immobilization Response to Suicidal Behavior (IN: The Psychology of Suicide: a Clinician’s Guide to Evaluation and Treatment, edited by E S Shneidman, N L Farberow, & R E Litman)

This chapter discusses how a suicidal communication can be recognized by a potential rescuer but conscious acknowledgement of the significance of the communication is avoided, denied, or repressed. 4 cases are presented as illustration.

Processing Dreams of Survivors of Suicide

The processing of dreams has become an integral part of each member’s grief work in a Survivors of Suicide Support Group in New Orleans, Louisiana. The group provides a safe arena for the discussion of symbolic dreams which often reflect the stage of grief the individual was experiencing. Almost every participant in the group experienced […]

Transforming Depression: Egocide, Symbolic Death, and New Life. A Jungian Approach Using the Creative Arts

This book offers deep exploration of inner life as an approach to healing. Egocide (when the false self symbolically dies) is an antidote to suicide. Research on bridge-jump survivor experiences led to developing this approach. The book (illustrated with paintings) profiles 4 people who opted for the path of egocide. Their experiences with dream analysis, […]

Dreams and Suicide

The dreams of suicidal patients are contrasted to those of nonsuicidal, depressed patients. The dreams of suicidal patients often reveal wishes for revenge, punishment, reunion, fusion, & rebirth. Confusions between the patient’s body, & that of others are suggested by the dreams of some suicidal patients. Dreams in suicidal individuals may portray disintegration of the […]

Suicide, Audio-Visual Culture and Primitive art: A Parallel Study of Graphic Features in Contemporary Suicide Notes and Primitive art and Craft

This paper is a parallel study of graphic features in contemporary suicide notes and primitive art and craft. The article concludes by claiming that in our materialistic world, there is still a fundamental need for dreams. The author argues that we have to recapture the sense of wonder. This is the lesson that we can […]

Borderline States. Incest and Adolescence

Explores the impact of sexual abuse on development with reference to the adolescent life stage. Focus on psychoanalytic intervention for borderline functioning. Conclusion: the persistence of an incestuous relationship through critical years in childhood maintain the conditions for the consolidation of a borderline personality structure; & the patient used the environment outside the distorted relationships […]

Hallucinations and Music

Musical hallucinations, whether arising as release phenomena or focal irritation, are basically similar. Focally triggered hallucinations are more liable to appear in external space in the first instance until the individual gains insight into their nature. In other circumstances, musical hallucinations seem to come from the ears or head. The music often appears pleasurable at […]

Transitional Dreams: A Kleinian Approach

Discusses the use of dreams as instruments to monitor progress in psychoanalysis according to Klein’s model of paranoid-schizoid & depressive positions. Uses case histories to illustrate dreams in which good & bad objects start to become integrated. 15 refs. (LH)

Suicides: What Do They have in Mind? (IN: Suicide: Understanding and Responding: Harvard Medical School Perspectives, ed. by D Jacobs and H N Brown)

Discusses suicide as being resultant of regression to the deepest level of adaptational disintegration or as a choice of death rather than suffering disintegration. Includes information about presuicidal syndromes; suicide prediction; motives, goals & intentions; Freud on suicide; & dreams as evidence of suicide risk. Case examples & treatment implications are given. 19 refs. (LH)

Dreams and Depression: the Case of a 65-Year-Old Man

Describes the successful dream therapy of a 65 yr old man complaining of chronic anhedonia and suicidal ideation. 3 refs.

A Comparison of the Manifest Content in Dreams of Suicidal, Depressed and Violent Patients

The manifest dream content of psychiatric in-patients who had been admitted because of suicidal attempts was compared with 3 in-patient control groups, patients who had been admitted for (A). depression & suicidal ideation (no attempts) (B). Depression with no suicidal ideation (C). commission of a violent attempt without suicidality. Dream content, tests, The BDS, & […]

Suicide and Dreams

The function of dreams & their relationship to self destructive behavior is explored in this article from the October 1984 issue of Other Passages. Guidelines for understanding & working with dreams are outlined.(NBB)

Dreams, Depression and Suicide

Recognizing that suicides have different purposes & motives, we search for evidence to help us understand the meaning of each suicide. Consistently, the dreams of persons at high risk for suicide present images of being trapped & helpless, or images of impending dissolution of the self, or images of attaining freedom through merging with representations […]

The Thirteenth Nerve: A Right to Love and a Right to Die

This article describes the case of a woman in her 40’s whose suicide attempt by firearm caused damage of the parietal & temporal lobes of the right cerebral hemisphere. The suicide attempt ended her depression & mystical denial, & led instead to a hypomanic state.

An Exploratory Study of Reunion Fantasies

This pilot study utilized structured interviews, sentence completion, ‘TATlike cards’ & clinical evaluation with 10 hospitalized depressive patients & 7 physically ill patients to elicit the following hypotheses: (1) some depressed people, disappointed in others, turn to dead objects, either in fantasy or by suicide attempt, to re-establish interpersonal relations; (2) some depressed people, unable […]

Voyeurism: Some Clinical and Theoretical Considerations

This paper deals with the subject of voyeurism in an attempt to add to the dynamic & genetic understanding of this problem through the presentation of clinical material gathered in the treatment of a patient in intensive, psychoanalytically oriented psychotherapy over a 40 month period. 16 Ref.

Suicide and Abnormalities of Consciousness

This paper postulates that abnormalities of consciousness can play an important role in the psychopathology of suicide & also as major factors leading to self destruction. 5 cases, chosen both from the literature & from personal clinical experience, are presented to illustrate how consciousness disturbances can lead to suicide.