Suicide risk in the detachment from reality: Failures in the quest for love that saves

Suicide is among the leading causes of death worldwide, accounting for almost one million annual deaths globally. The author presents an exploration into the suicidal mind using Freud’s cathexis and decathexis theory. This model describes the patient’s withdrawal from reality and the need to gratify libidinal and aggressive drives in the internal world. Theories and […]

Perfectionism, narcissism, and depression in suicidal and nonsuicidal adolescent inpatients.

The aim of this study was to investigate the relationship between 2 psychological profiles: (a) the intrapersonal profile, involving self-critical depression, self-oriented perfectionism, and narcissism, and (b) the interpersonal profile, involving dependent depression and socially prescribed perfectionism, and the association of these 2 profiles with suicidal behavior among adolescent inpatients. Contact us for a copy […]

Personality and Suicidal Behavior in Adolescence

This paper examines personal factors, beyond psychopathology, involved in suicidality. The hypothesis is that there are 3 sets of personality constellations that may underlie suicidality: impulsive & aggressive characteristics combined with an oversensitivity to minor life events; narcissism, perfectionism, & the ability to tolerate failure & imperfection, combined with an underlying schizoid personality structure; & […]

Narcissism in Patients Admitted to Psychiatric Acute Wards: its Relation to Violence, Suicidality and Other Psychopathology

This study examined various aspects of narcissism in 18 Norwegian patients admitted to acute psychiatric wards & compared their level of narcissism to that of an age- & gender-matched sample from the general population. Being male, involuntarily admitted, having a diagnosis of schizophrenia, higher self-esteem, & severe violence were significantly associated with high narcissism, as […]

Narcissistic Personality and Vulnerability to Late-Life Suicidality

Suicidality in DSM IV Cluster B Personality Disorders. An Overview.


Effondrement des instances ideales dans le suicide

The theme of this Conference was “Injuries, Suicide & Violence: Building Knowledge, Policies & Practices to Promote a Safer World”

Narcissistic Disorder and Motivation for Suicide – an Empirical Study

Published in “The Suicidal Process: Challenges for Treatment and Prevention”

The Relationship Among Major Depression, Depressive Symptoms, and Self-Preoccupation

The present study investigates whether highly self-preoccupied people are more likely to experience major depressive episodes than those without such tendencies. Self-preoccupation of 119 young people, aged 18 to 21, was measured by the Self-Preoccupation Scale (SPS). The lowest and highest quarters in the SPS scores formed the low- and high-self-preoccupation (SP) groups. The contributory […]

Assessing Suicidal Youth With Antisocial, Borderline, or Narcissistic Personality Disorder

Based on published research from 1991-2002, this literature review analyzed risk for suicide in youths with antisocial, borderline, or narcissistic personality disorder. Results indicate that patients with antisocial or borderline personality disorder are likely to be at increased risk for suicidal behavior when they experience major depressive episodes, have substance abuse problems, experience recent negative […]

Differentiating Between Borderline and Narcissistic Personalities

This article presents the psychodynamic & developmental theories & processes underlying borderline & narcissistc personalities. Several theories are discussed & differential diagnosis of the many pathologies is stressed. A number of treatment techniques are reviewed, as are the roles of transference & countertransference in work with patients. To illustrate both borderline & narcissistic traits, the […]

Grandiose Fury: Letter Across the Pacific

Narcissistic Disorder and Motivation for Suicide

The authors discussed their study in which they administered the Narcissmus Inventory (Denecke & Hilgenstock, 1989) to 100 patients who had attempted suicide. Results from the Inventory, supplemented by evaluations from clinical interviews, were found to correlate with motivations for the subjects suicide attempts.

Pathological Narcissism and Sudden Suicide-Related Collapse

This article presents the cases of 3 nondepressed young men each of whom had attempted suicide. Defects in affect-regulatory functions & evidences of pathological narcissism were identified & explored. Each patient denied intent to kill himself, none acknowledged experiencing depression or a wish to die, & each one denied his suicidal behaviour involved significant risks. […]

Clinical Characteristics of Hospitalized Military Patients With Narcissistic Personality Disorder

Clinical characteristics of 21 psychiatric military inpatients suffering from narcissistic personality disorder were compared to 42 inpatients with other personality disorders. Narcissistic patients tended to sexually abuse children, especially stepchildren, & they were more likely to be undergoing a separation, divorce or rejection (which usually led to hospital admission because of a suicide attempt or […]

Living and Dying for the Ideal: a Study of Willy Loman’s Narcissism

The author works from the premise that, although the American dream has a destructive effect on Willy Loman, the primary cause of his failure & suicide is his ego-ideal, which is pathologically narcissistic. The narcissist believes the ego-ideal to be more powerful & more real than the external world, thus the ego-ideal overwhelms the ego […]

The Narcissism & Death of Yukio Mishima From the Object Relational Point of View

In this article, the author discusses the life & work of Yukio Mishima from the object relational point of view. Describes his life history, pointing out the four big identity crisis in his life. He then suggests that Mishima had been in a state of part object relationship throughout his life. The important role of […]

Long-Term Crisis Management by Furthering Group Dependence as a Narcissistic Reinforcement of Drug & Alcohol Dependents

The author discusses his observations with long-term group psychotherapy involving severely affected alcohol & drug dependents. There is a marked tendency for participants to fuse with other group members in an attempt to compensate for their narcissistic deficiency. This group dependence is not negative as it allows participants to remain free of alcohol & drugs, […]

Characteristics of Suicides and Attitudes Toward Suicide in Japan (IN: Suicide in Different Cultures, ed. by N L Farberow)

This chapter describes patterns of suicide in Japan including methods & motivation; analyzes the suicide of Yukio Mishima, a Nobel Prize candidate for literature; & discusses Japanese attitudes toward suicide & suicidal victims. The independent variables thought to influence high suicide rates in Japan are authoritarianism & culture conflict. (47 refs.) (LH)

A Personal Myth–Yukio Mishima: The Samurai Narcissus

This article provides a psychoanalytic interpretation of Yukio MishimaÕs suicide & personal myth. A biography of this writer is presented. His writings are discussed in the context of the psychological state & message of the writer. Several explanations for the writer’s suicide are included, emphasizing his personal myth. The article describes MishimaÕs belief that his […]

Some Forms of Narcissism in Adolescents and Young Adults

Self-love, Self-control, & Alexithymia: Narcissistic Features of Two Bulimic Adolescents

The authors discuss 2 bulimic adolescent girls who also met the criteria for narcissistic personality disorder. The literature for both disorders is reviewed & 3 areas of common dynamics are elucidated. Bulimia appears to be part of a constellation of symptoms. 16 refs.

The Experience of Emptiness in Narcissistic and Borderline States: II. The Struggle for a Sense of Self and the Potential for Suicide

Feelings of emptiness are a central problem for patients suffering from narcissistic disorders and/or borderline personality dusturbances. In an attempt to avoid this feeling, these patients employ defences to preserve their fragmentary selves. Detachment, exhibitionism, excessive self-concern, self-isolation, negation of other’s humaneness, assumption of a false self & acting out are some common defenses. Feelings […]