Countertransference in the treatment of suicidal patients

2021 ◽  
pp. 467-472
Author(s):  
Mark J. Goldblatt ◽  
John T. Maltsberger
Keyword(s):  
The Other ◽  
Suicidal Patient ◽  
Case Examples ◽  
Other Hand ◽  
Suicidal Patients

Countertransference is an inescapable component of all psychotherapy. Intense countertransference reactions often occur during the treatment of suicidal patients. Lack of awareness of countertransference reactions of malice and aversion may be suicide-inviting. On the other hand, awareness of these reactions may enhance the treatment by alerting therapists that the suicidal patient is fomenting issues he is unable or unwilling to articulate. Problems that arise in the course of psychotherapy of suicidal patients may be understood in relation to the therapist’s countertransference reactions. In this chapter, we review case examples of countertransference manifestations and their effects on the treatment of the suicidal patient.

Doctor Takes me Along to the Paradise

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
B. Chawki
Keyword(s):  
Depressed Patient ◽  
The Other ◽  
Spiritual Life ◽  
Suicidal Patient ◽  
Spiritual Dimension ◽  
Other Hand ◽  
Form Part ◽  
Other World ◽  
The One ◽  
Therapeutic Contract

It is well-known that the depression is a disorder which is with the crossroads of biological and the psychic one, of social of cultural and the spiritual one. Our reflexion today, will try to throw the light, through our characteristic lived of looking after, on the aspect certainly, most occult, but which remains nevertheless in our humble opinion, more determining in the success of the project of care between the therapeutist and his suicidal patient, in other words: the cultural and spiritual dimension of this meeting. It Would not be not convenient, even advantageous, that the therapeutist takes the risk to explore of advantage the quotient of religiosity of his patient, with the detriment or not of his own convictions, in order to better help it in his spiritual storm; in other world. Can the spiritual accompaniment" it form part of the therapeutic contract? It is on its same interrogations, that will try to focus our reflexion, today. This naturally leads us to wonder the following questions: That of the bond which can exist between faith and psychic imbalance on the one hand. As of the interest which can draw looking after it, by integrating the spiritual life of its depressed patient, in his psychotherapy intention, on the other hand.

THERAPEUTIC AND NONTHERAPEUTIC REACTIONS IN A GROUP OF NURSES AND DOCTORS IN TURKEY TO PATIENTS WHO HAVE ATTEMPTED SUICIDE

2006 ◽  
Vol 34 (8) ◽  
pp. 891-906 ◽  
Author(s):  
Fatma Demirkiran ◽  
Mehmet Eskin
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Independent Predictor ◽  
The Other ◽  
Suicidal Patient ◽  
Small City ◽  
Other Hand ◽  
Care System

In this study a questionnaire was used to investigate the predictors of therapeutic versus nontherapeutic reactions to patients hospitalized for attempting suicide in a group of doctors (n = 158) and in a group of nurses (n = 206) working in the health care system of a small city in the Western part of Turkey. Doctors said that they would react therapeutically towards patients hospitalized for attempting suicide to a greater extent than did nurses, while nurses said that they would engage in nontherapeutic reactions to a greater extent than doctors did. Believing that suicidal problems should be communicated, feeling sympathy for a suicidal patient and not feeling anxiety/fear for a suicidal patient were found to be the independent predictors of therapeutic reactions, while feeling anger about a suicidal patient emerged as an independent predictor of nontherapeutic reactions in both doctors and nurses. The attitudes of nurses towards suicide were more traditional than the attitudes of doctors. Nurses believed to a greater extent than doctors that suicidal people would be punished after death and that suicide in one's family was to be hidden. Doctors, on the other hand, believed to a greater extent than nurses that suicide attempts resulted from illness/biological reasons. Men were found to be more prejudiced about suicide and suicidal individuals than were women.

Emotional Response

2017 ◽  
Author(s):  
Igor Galynker
Keyword(s):  
Emotional Response ◽  
Emotional Responses ◽  
Clinical Work ◽  
Suicidal Patient ◽  
Self Assessment ◽  
Emotion Differentiation ◽  
Case Examples ◽  
Suicidal Patients ◽  
Psychological Defenses ◽  
Imminent Risk

Clinicians’ emotional responses to suicidal patients are important factors in the assessment of imminent suicide risk and in treatment outcome. This chapter provides a comprehensive review of the role that emotional responses to suicidal patients play in clinical work and provides a framework for factoring them into the imminent risk assessment. The chapter discusses emotion differentiation and mindfulness, followed by a description of common psychological responses to suicidal individuals—“countertransference love” and “countertransference hate.” Common psychological defenses, including reaction formation, repression, turning against self, projection, denial, and rationalization, are described. This chapter also provides a framework for a self-assessment of one’s emotional response to a suicidal patient. The chapter concludes with case examples describing emotional responses and psychological defenses elicited when working with imminently suicidal individuals.

Industrial Views to Microbe-Metal Interactions in Sub-Arctic Conditions

2015 ◽  
Vol 1130 ◽  
pp. 114-117
Author(s):  
Päivi Kinnunen ◽  
Malin Bomberg ◽  
Pauliina Rajala ◽  
Leena Carpén
Keyword(s):  
Nuclear Waste ◽  
The Other ◽  
Cold Climates ◽  
Microbial Activities ◽  
Case Examples ◽  
Metal Interactions ◽  
Other Hand ◽  
Precipitation Processes ◽  
Arctic Conditions ◽  
Waste Repositories

This paper covers industrial views and challenges related to microbe-metal interactions in the sub-arctic conditions in Finland. The first issue is to operate bioleaching and bio-precipitation processes in cold and rainy environments where microbial activities tend to be low and solutions get diluted. On the other hand, industrial challenges in cold climates are related to the need to hinder the activity of microbe-metal interactions in certain applications, such as closed mines and nuclear waste repositories. Our case examples show the potential of industrial bioprocess utilization in cold climates, but also emphasize their special characteristics and challenges.

scholarly journals Zu den Bedeutungen der Verben „kopulieren”, „kaufen” und „verändern” in siebenbürgischen urkundlichen Quellen und im Siebenbürgisch- Sächsischen

2019 ◽  
Vol 44 (1) ◽  
pp. 207-223
Author(s):  
Sigrid Haldenwang
Keyword(s):  
The Other ◽  
Middle High German ◽  
Case Examples ◽  
Documentary Sources ◽  
Other Hand ◽  
The Given ◽  
Legal Marriage

Abstract This article covers the verbs kopulieren (copulate) and kaufen (buy) with the meaning of, religious and legal marriage’ followed by the verb verändern (change) with the meaning of ,marry’, ,getting married’. The case examples show that certain meanings of a verb which have been retained in Transylvanian documentary sources and the Transylvanian-Saxon vernacular are indeed mentioned in High German, however, they are marked ,archaic’ (see the given meanings of the verbs kopulieren, originating from Latin and the given meanings of the verb verändern originating from Middle High German). On the other hand, when a certain meaning of a verb is not documented in High German any longer, Transylvanian document sources and the Transylvanian-Saxon vernacular can serve as documentation (see the verb kaufen which has retained the Middle High German meaning). The case examples are taken from the Transylvanian-Saxon Dictionary and the North-Transylvanian-Saxon Dictionary.

A study of cometary eruptions through OH radio-lines

1999 ◽  
Vol 173 ◽  
pp. 249-254
Author(s):  
A.M. Silva ◽  
R.D. Miró
Keyword(s):  
Short Duration ◽  
Growth Curves ◽  
The Other ◽  
Initial Mass ◽  
Radio Lines ◽  
Other Hand ◽  
Sudden Rise

AbstractWe have developed a model for theH2OandOHevolution in a comet outburst, assuming that together with the gas, a distribution of icy grains is ejected. With an initial mass of icy grains of 108kg released, theH2OandOHproductions are increased up to a factor two, and the growth curves change drastically in the first two days. The model is applied to eruptions detected in theOHradio monitorings and fits well with the slow variations in the flux. On the other hand, several events of short duration appear, consisting of a sudden rise ofOHflux, followed by a sudden decay on the second day. These apparent short bursts are frequently found as precursors of a more durable eruption. We suggest that both of them are part of a unique eruption, and that the sudden decay is due to collisions that de-excite theOHmaser, when it reaches the Cometopause region located at 1.35 × 105kmfrom the nucleus.

Closing the GAP—A 5Å Scanning Microscope

1969 ◽  
Vol 27 ◽  
pp. 6-7
Author(s):  
A. V. Crewe
Keyword(s):  
Normal Form ◽  
The Other ◽  
Resolving Power ◽  
Scanning Microscope ◽  
Conventional Microscope ◽  
Other Hand ◽  
Closing The Gap ◽  
Thermal Sources ◽  
Better Than ◽  
Transmission Microscope

We have become accustomed to differentiating between the scanning microscope and the conventional transmission microscope according to the resolving power which the two instruments offer. The conventional microscope is capable of a point resolution of a few angstroms and line resolutions of periodic objects of about 1Å. On the other hand, the scanning microscope, in its normal form, is not ordinarily capable of a point resolution better than 100Å. Upon examining reasons for the 100Å limitation, it becomes clear that this is based more on tradition than reason, and in particular, it is a condition imposed upon the microscope by adherence to thermal sources of electrons.

Life Beyond 1MeV

1980 ◽  
Vol 38 ◽  
pp. 30-33
Author(s):  
K.H. Westmacott
Keyword(s):  
Electron Microscopy ◽  
Past Experience ◽  
The Other ◽  
Good Case ◽  
Other Hand ◽  
The U.S

Life beyond 1MeV – like life after 40 – is not too different unless one takes advantage of past experience and is receptive to new opportunities. At first glance, the returns on performing electron microscopy at voltages greater than 1MeV diminish rather rapidly as the curves which describe the well-known advantages of HVEM often tend towards saturation. However, in a country with a significant HVEM capability, a good case can be made for investing in instruments with a range of maximum accelerating voltages. In this regard, the 1.5MeV KRATOS HVEM being installed in Berkeley will complement the other 650KeV, 1MeV, and 1.2MeV instruments currently operating in the U.S. One other consideration suggests that 1.5MeV is an optimum voltage machine – Its additional advantages may be purchased for not much more than a 1MeV instrument. On the other hand, the 3MeV HVEM's which seem to be operated at 2MeV maximum, are much more expensive.

Can the Academic Self-Concept be Positive and Realistic?

2005 ◽  
Vol 19 (3) ◽  
pp. 129-132 ◽  
Author(s):  
Reimer Kornmann
Keyword(s):  
Academic Performance ◽  
Opposite Effect ◽  
Self Esteem ◽  
Point Of View ◽  
The Other ◽  
Self Concept ◽  
High Ability ◽  
Self Image ◽  
Other Hand

Summary: My comment is basically restricted to the situation in which less-able students find themselves and refers only to literature in German. From this point of view I am basically able to confirm Marsh's results. It must, however, be said that with less-able pupils the opposite effect can be found: Levels of self-esteem in these pupils are raised, at least temporarily, by separate instruction, academic performance however drops; combined instruction, on the other hand, leads to improved academic performance, while levels of self-esteem drop. Apparently, the positive self-image of less-able pupils who receive separate instruction does not bring about the potential enhancement of academic performance one might expect from high-ability pupils receiving separate instruction. To resolve the dilemma, it is proposed that individual progress in learning be accentuated, and that comparisons with others be dispensed with. This fosters a self-image that can in equal measure be realistic and optimistic.

Facing a Patient Who Seeks Help After a Suicide Attempt

Crisis ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 110-122 ◽  
Author(s):  
Inês Areal Rothes ◽  
Margarida Rangel Henriques ◽  
Joana Barreiros Leal ◽  
Marina Serra Lemos
Keyword(s):  
Health Professionals ◽  
Suicide Attempts ◽  
Self Report ◽  
Suicidal Patient ◽  
Emotional Difficulties ◽  
Specific Training ◽  
Patient Suicide ◽  
Professional Groups ◽  
Professional Characteristics ◽  
Suicidal Patients

Background: Although intervention with suicidal patients is one of the hardest tasks in clinical practice, little is known about health professionals’ perceptions about the difficulties of working with suicidal patients. Aims: The aims of this study were to: (1) describe the difficulties of professionals facing a suicidal patient; (2) analyze the differences in difficulties according to the sociodemographic and professional characteristics of the health professionals; and (3) identify the health professionals’ perceived skills and thoughts on the need for training in suicide. Method: A self-report questionnaire developed for this purpose was filled out by 196 health professionals. Exploratory principal components analyses were used. Results: Four factors were found: technical difficulties; emotional difficulties; relational and communicational difficulties; and family-approaching and logistic difficulties. Differences were found between professionals who had or did not have training in suicide, between professional groups, and between the number of patient suicide attempts. Sixty percent of the participants reported a personal need for training and 85% thought it was fundamental to implement training plans targeted at health professionals. Conclusion: Specific training is fundamental. Experiential and active methodologies should be used and technical, relational, and emotional questions must be included in the training syllabus.

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