Mark J. Goldblatt, Alison C. Phillips, Elsa Ronningstam, Mark Schechter, Benjamin Herbstman
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引用次数: 0
Abstract
People who seriously consider killing themselves over a protracted period of time, usually years, represent great treatment challenges. Chronic suicidal ideation represents a communication of conscious and unconscious wishes that may be clarified through psychotherapy leading to various outcomes. For one group of patients, this focus will eventually change as they move gradually, over long periods of time, towards more life-affirming goals; a second group will continue to think intensely about suicide for many years, despite various psychotherapeutic interventions, without resorting to self-destructive action; and a third group will go on to attempt suicide which may or may not end in death. In this paper, we present two case studies describing the treatment of patients struggling with chronic suicidality who engaged in psychotherapy but with different outcomes. We discuss the possible outcomes and consider influential factors and suggestions for therapeutic interventions.
期刊介绍：
The British Journal of Psychotherapy is a journal for psychoanalytic and Jungian-analytic thinkers, with a focus on both innovatory and everyday work on the unconscious in individual, group and institutional practice. As an analytic journal, it has long occupied a unique place in the field of psychotherapy journals with an Editorial Board drawn from a wide range of psychoanalytic, psychoanalytic psychotherapy, psychodynamic, and analytical psychology training organizations. As such, its psychoanalytic frame of reference is wide-ranging and includes all schools of analytic practice. Conscious that many clinicians do not work only in the consulting room, the Journal encourages dialogue between private practice and institutionally based practice. Recognizing that structures and dynamics in each environment differ, the Journal provides a forum for an exploration of their differing potentials and constraints. Mindful of significant change in the wider contemporary context for psychotherapy, and within a changing regulatory framework, the Journal seeks to represent current debate about this context.
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