National Survey of the Extent and Nature of Psychological Services in Police Departments

This study identifies the current use, perceived need, & anticipated future use of psychological services by police agencies, based on a national survey of municipal & State police departments in 1987. A principle finding in the study is the substantial growth in the current use of psychological services in police departments. Areas of projected change […]

Phenomena Changing Suicidal Intent

The author reports on a study designed to answer the question, what are the phenomena which change a person’s perspective from chronic suicidal intent to the absence of suicidal intent? The theoretical framework was change theory described by Watzlawick et al (1974). A phenomenological approach using a convenience sample was employed. The change in perspective […]

Psychotherapy for Suicidal Clients (IN: Treatment of Suicidal People, ed. by A. A. Leenaars)

Lester states that there are various issues that psychotherapists who treat suicidal clients need to consider. 2 of these issues are: 1) whether all of the systems of psychotherapy may be used safely with suicidal clients; & 2) is the therapeutic issue the client’s suicidal preoccupation or the problems underlying it. Lester reviews various types […]

Case Consultation: Inpatient Treatment Planning

The inpatient treatment plan is the essential guide to coordinate the nursing & adjunctive therapeutic staff’s approach to the multiple needs of hospitalized patients. The written plan articulates the link between the patient’s presenting problems & the services available to alleviate them. The case of Steve, a 44-year-old Vietnam veteran, experiencing flashbacks, delusions, & suicidal […]

Utilizing a Brief EAP-Based Intervention as an Agent for Change in the Treatment of Depression

This study examines the impact of treatment for nonorganic, unipolar, reactive depression. The depression scores of a treatment group of 116 employess are analyzed against the pre- & post-test BDI scores of a comparison group of 83 employees. Significant differences were found on overall pre- & post-test scores between groups. There were significant differences between […]

Off Centre. Annual Review 1990/91

This is the annual review of a young people’s counselling service in London, England. Articles for this review were written by both clients & counsellors at the centre. Articles on counselling activities related to sexual abuse, homosexuality, suicide, & mental health services are included, as are financial statements.

The Listening Healer in the History of Psychological Healing

The author assessed the aspect of the healer’s listening in the history of caring & curing, with particular attention to its place in psychological healing. An extensive range of philosophical, religious & medical sources were reviewed. Results show that looking rather than listening has been emphasized in healing endeavours. This finding leads Jackson to conclude […]

Approaches to Patient and Family Education With Affective Disorders

An overview of prevalency, types, effects & treatment of affective disorders, with particular emphasis on educational & psychoeducational interventions, is provided. Several models of psychoeducation are reviewed. Outcome data from several studies are also presented evidencing the positive impact of these interventions on patients & families. Special issues pertaining to affective disorders are discussed, including […]

Did His Doctor Love him to Death?

This article explores the relationship between a doctor & his patient. In particular, it documents the story of a patient who committed suicide and his family claiming that his therapist had driven him to his death by seducing and brainwashing him. The processes of transference and counter-transference are mentioned briefly. Also, the article presents some […]

The Life Line (IN: The Counselor and Suicidal Crisis: Diagnosis and Intervention)

This chapter discusses the life line for suicidal people of counsellor, friends, family, & activities. The life line offers someone or something to hold on to in the face of suicidal impulses. The authors describe the importance of the constancy of a client-therapist relationship to suicidal patients – who are often isolated & withdrawn. They […]

Creative Ritual: Bridge Between Mastery and Meaning

Some Experience in Psychotherapy With Suicidal Patients (Appendix II)

The author comments on 3 essential prerequisites for psychodynamic psychotherapy of suicidal patients: a psychodynamic understanding, a psychotherapeutic attitude & a psychotherapeutic method. The importance of identifying a therapist’s countertransference reactions is emphasized, as is the need for full, honest & direct communication about suicidal intentions & risks. Post mortem work after a successful suicide […]

Evaluating Suicide Attempter Self-Help Groups

This study attempts to illustrate the differences between mutual aid self-help groups and therapy groups. An example is Life Reach, a mutual aid self-help group for people who have seriously considered or attempted suicide or who are chronically suicidal. On the basis of a limited study of Life Reach, it can be assumed that mutual […]

Intervention (IN: Suicide, Assessment and Intervention, ed. by C L Hatton and S M Valente)

Guidelines are presented on when, where & how to intervene in the suicidal behavior of a client. These are followed by the ways to establish the essential element of trust & to build a relationship. Crisis intervention is described thoroughly for acute problems, with more comprehensive approaches given for chronic, alcoholic or multiproblem clients. Clinical […]

Use of Alternate Therapist During Pregnancy Leave

Women therapists involved in the long-term treatment of severely disturbed patients can be faced with interruptions due to childbearing. In the cases discussed, use of an alternate therapist during pregnancy-related leaves of absence was helpful in bridging the therapeutic pause and allowed the patients to make significant gains.

Psychotherapy and Suicide (IN: Suicide in America, ed. by Herbert Hendin)

The author uses case examples to illustrate that the psychotherapist’s best chance for helping suicidal clients lies in understanding & helping them with the problems that are making them suicidal, particularly the way in which they use the threat of death. Emergency measures thought to be necessary to prevent suicide & to make therapy possible […]

A Suicidal Attempt by an Adolescent Twin

This article presents a detailed recounting of the real life and therapeutic events preceding a suicide attempt by an adolescent schizophrenic identical twin. Some of the meanings of the attempt, which were learned during the patient’s subsequent psychoanalytic therapy, are commonly reported. The attempt was the result of strong, ambivalent dependence on an archaic, sadistic […]

Three Days to Resolve a Crisis

This article describes an alternative to psychiatric hospital admission for those in crisis who are suicidal risks. The Emergency Treatment Unit of the Connecticut Mental Health Centre, run jointly by the State & Yale University, offers a short-term program limited to 3 days for crisis-ridden patients who are sufficiently disturbed to require emergency care away […]

The Telephone Call – Conversation or Therapy

This article discusses differences in social & therapeutic relationships in telephone calls. It is proposed that staff who work on the telephone be trained to differentiate these relationships & be trained for involvement in the latter. Possible patient expectations which occur as results of participation in a conversational call by caller & telephone therapist are […]

Narcissistic Collusion in the Treatment of Adolescent Conduct Disorders Who Present With Parasuicide

This article deals with the prevention & treatment of conduct disorders & attempted suicide in children & adolescents. The author has found that narcissistic collusion is a useful approach in initial contact as this type of patient is usually so alienated from societal values that he cannot establish a bond with anyone who insists on […]

Suicide Prevention by Longterm Contact

This study tested variations of the hypothesis that an isolated, depressed person would respond favorably to regular, long-term contact with a concerned other & that such contact would exert a suicide prevention influence on this type of person. 2661 patients admitted to psychiatric facilities because of depressive or suicidal states were divided into treatment & […]

The Narcissistic Core: The Nice Therapist and the Suicidal Patient

This article describes 3 cases of suicide among the author’s clients who all possessed a strong narcissistic preoccupation. These cases are briefly described in the context of the author’s unsuccessful pathogenic ‘red cross nursing niceness’ stance and his shift to a new more successful and tougher approach known as ‘creative or therapeutic aggression’. No suicides […]

Self-Help Groups

This is a brief article about the growing popularity of self-help groups. “Other Passages” is a self-help group for suicide attempters which provides social support for its members. This group increases individual coping skills through the provision of information & sharing of experiences. (NBB)