Sexual Acting Out and the Desire for Revenge

This article provides a selective overview of the psychoanalytic literature on sexual acting out & erotic transference. The authors present 3 cases in which sexual acting out occurred at a key time in the treatment, & discuss the nature of acting out. The central role of the patient’s desire for revenge on the analyst, in […]

Brief Psychotherapy with Suicidal Persons

The article deals with brief psychotherapy of suicidal persons in crisis. Acute psychological regression-decompensation disorders with suicidal behavior, suicidal risk assessment, and key issues relating to support of suicidal persons are discussed.

Interdisciplinary Suicide-Prevention Teaching Program

Interviewed 64 students before and after they participated in an interdisciplinary suicide prevention teaching program at a German university. 87% wished to improved their knowledge, whereas 76% were interested in pragmatic rules of behavior toward attempted suicides. 57% wanted to improve their understanding of their own suicidality. 11 recommendations for the use of didactic role […]

Projective Identification: An Alternative Hypothesis

The author claims that projective identification can be best understood as a compromise involving identification with an aggressor & the reversal of previous passive actions. He illustrates his theory in the case history of a young female who could no longer cope with repressed feelings of aggression & became obsessed with suicidal thoughts. 11 Ref. […]

Psychotherapy With the Younger Adolescent Girl: More Than an Intellectual Exercise for the Therapist

The author discusses the inappropriateness of insight therapy with interpretive interventions in the treatment of young adolescent girls. Lamb claims: They need help with strengthening their internal controls & in gaining a feeling of competence to deal with life’s problems. Two case examples of adolescent girls helped by this approach are discussed. 6 Refs. (NBB)

The Suicide of a Friend (IN: Stress Response Syndromes, by M J Horowitz)

The author describes a response to suicide that was treated successfully with psychotherapy. A 31-year old male had experienced anxiety, insomnia, & hallucinogenic episodes following the death by suicide of a male friend. Through therapy it was revealed that the friend was very much like the father of the subject, & evoked memories of neglect […]

Counter-Transference Reactions Contributing to Completed Suicide

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.

Attempted Suicide: The Patient’s Family, Social Network and Therapy

The Therapeutic Interview and the Healing Relationship (IN: Family Therapy for Suicidal People, by J Richman)

Narcotic Addiction and Family Process: Death Wish or Countertransference

Disguised Countertransference in Institutions

The methodology of identifying & examining countertransference responses in psychiatric institutions is discussed. Aspects of an institutional analysis is presented. It is suggested that what is needed is a shared intrastaff interpretative stance, criteria for which include protection of personal privacy, sustainment of the treatment task as a primary focus, development of both a treatment […]

Treatment of the Suicidal Patient (IN: Psychiatric Treatment Crisis/Clinic/Consultation, ed. by C P Rosenbaum and J E Beebe)

Presents a detailed discussion of the complexities involved in treating suicidal patients. The therapist must be actively & vitally involved with the patient & should include members of the patient’s ecological group in the treatment process. The importance of the initial interview is emphasized, & the decision to hospitalize is explored. Therapeutic strategies include drug […]

Countertransference in Working With Suicidal Patient

Countertransference is described by Anita Mozgai as a total emotional response to a client by a therapist, based on past, present, & future events. She presents 18 manifestations of countertransference, examining the psychodynamics of client-therapist interactions precipitating such reactions. She further states that countertransference always occurs, & the key to coping with this phenomenon is […]

Psychotherapy With Suicidal Patients

Dr. Scneidman defines suicide from a bio-socio-psychologico-existential standpoint. Perturbation (how upset the individual is) & lethality are considered keystones to understanding suicidal behavior. It is suggested that the way to decrease lethality is by dramatically decreasing the felt pertubation. A distinction is made among 4 psychologically different kinds of encounters; conversation, hierarchical exchange, psychotherapy of […]

The Use of Consultation in the Treatment of Suicidal Patients

Consultation is a deviation from the therapeutic framework, & there are potential dangers. A case example is used to illustrate the phases of the consultation process; from the decision to consult, the way it is arranged, the type of consultation, & the result on the patient-therapist relationship. A brief examination of the intrapsychic & interpersonal […]

Consultation in a Suicidal Impasse

When an impasse develops in the treatment of a suicidal patient a consultation can sometimes clear away obstacles & may be lifesaving. It may also be of educational value for the therapist. If wrongly carried out, however, it may turn a dangerous situation into a tragic one. This paper discusses the indications for such consultations, […]

The Therapist Facing Client Suicide

The author examines phenomenological philosophy in the context of psychotherapy. The therapist’s response to the suicidal client is investigated concurrently with the consciousness of the client. (NBB)

A Psychiatrist’s Response to a Life-Threatening Illness

The author informs others, in a subjective way about the psychological processes that take place in a person who has a life threatening disease. Initial bitter disappointment & a feeling of being maliciously cheated gave way to apprehension & remorse, as the reality of Leukemia surfaced in physical symptoms.

Supervising the Trainee Who Treats the Chronically Suicidal Outpatient: Theoretical Perspectives and Practice Approaches

The authors describe the problems that occur when a novice therapist works with chronically suicidal patients, many of whom are borderline personalities. Initial idealizations by both the patient & the novice therapist eventually break down. The patient feels the familiar pain of abandonment, & at this point, suicide may again become an option. The authors […]

Ericksonian Hypnosis And Art Therapy

This article comments on Milton EriksonÕs use of psychoanalytic hypnosis as therapy for patients who are depressed & considering suicide. EriksonÕs therapeutic approach is compared to art therapy. The author argues that the esthetic experience of creating art is an altered state of consciousness, similar to that experienced during hypnosis. A discussion of the conscious […]

The Body as Transitional Object: a Psychoanalytic Study of a Self-Mutilating Patient

This study explores the theory that self mutilation patients may regard their bodies as transitional objects. (In defining this term, the author draws an analogy to the blanket belonging to Linus, of comic strip fame.) The case history of a female college student is discussed in this context. Transference & countertransference of the patient’s ambivalent, […]

The Ego-Self Debate

A theoretical discussion of the factors involved in the development of a negative self image & how the individual with low self esteem may be treated effectively in therapy. The case history of a 42-year-old female referred for therapy as a result of serious depression & threats of suicide is presented. Conflicts stemming from early […]