Family Therapy with Elderly Suicidal Patients: Communication and Crisis Aspects

2002 ◽  
Vol 44 (4) ◽  
pp. 361-370 ◽  
Author(s):  
Joseph Richman
Keyword(s):  
Family Therapy ◽  
Case Examples ◽  
The Family ◽  
Suicidal Person ◽  
Death Wishes ◽  
Experienced Therapist ◽  
Suicidal Patients ◽  
Suicidal Crisis

This article discusses the role of the family in the origins of a suicidal state, and its role in resolving the suicidal crisis, especially when family therapy is available. Death wishes, homicidal ideation, and suicide pact-and-suicide-murder ideation, are present far more frequently than is commonly realized. They all contain a constructive potential in the presence of a competent and experienced therapist. Success in therapy includes a knowledge of how to deal with the communication of suicidal impulses by the suicidal person, the family's communication of feeling burdened and fed up, and the venting of rage. Treatment is based upon the understanding that suicide is a process that is frequently handed down from one generation to the next, and includes several generations at one time. These considerations are illustrated by case examples, mostly from the experiences of the writer, demonstrating how destructive interactions can be transformed into life affirming ones.

Families and pain

2013 ◽  
pp. 111-118
Author(s):  
Kathryn A. Birnie ◽  
Katelynn E. Boerner ◽  
Christine T. Chambers
Keyword(s):  
Critical Role ◽  
Theoretical Models ◽  
Future Research ◽  
Illustrative Case ◽  
Comprehensive Review ◽  
Case Examples ◽  
Research Themes ◽  
The Family ◽  
Pain Experiences

The family has long been acknowledged as an important social context where children learn about and receive support for their pain. When a child is in pain, it is the family who is responsible for the initial pain assessment and seeking appropriate evaluation and care. Families may inadvertently encourage the expression of pain and play a critical role in influencing their children’s ability to cope with pain, both positively and negatively. Having a child in pain can also pose significant personal, familial, and economic strains. Therefore, consideration of the family is absolutely critical in the understanding of factors involved in children’s acute and chronic pain experiences (McGrath, 2008). A concentration of research has continued since the last comprehensive review on the topic was published (Chambers, 2003). This chapter considers relevant theoretical models and summarizes current major research themes regarding the role of the family in both acute and chronic paediatric pain. Two illustrative case examples are provided and key areas for future research are identified.

scholarly journals Virginia Satir’s Transformational Systemic Therapy: A Transpersonal Approach to Family Therapy

2020 ◽  
Vol 14 (14) ◽  
pp. 64-88
Author(s):  
Kelly Kilrea ◽  
Stéphanie Larrue
Keyword(s):  
Family Therapy ◽  
Transpersonal Psychology ◽  
Family System ◽  
Family Therapist ◽  
The Self ◽  
Use Of Self ◽  
Virginia Satir ◽  
Transpersonal Psychotherapy ◽  
The Family

The work of Virginia Satir, a pioneer family therapist, is examined as a transpersonal approach to family therapy. Ways in which transpersonal perspectives may be applied in family therapy are explored in Satir’s notions of grounding and centering, the evolving and transcending concept of congruence using the Self/I AM concept in the Satir iceberg model, as well as the Satir conceptualization of the therapist’s use of self. Aspects of transpersonal psychotherapy relevant to the practice of family therapy are examined, including the creation of a transpersonal space of trust in order to strengthen the therapeutic alliance, going beyond meaning in working with the family system to apply transpersonal (e.g. nondual psychotherapeutic) approaches to the therapist’s use of self in therapy. A discussion of intersubjectivity and the role of the beingness of the family therapist in promoting transcendence, awareness, and healing for the family is included. Satir family therapy is consistent with transpersonal psychotherapeutic perspectives and is therefore recommended as a prospective family therapy modality for the transpersonally-oriented psychotherapist. KEYWORDS Satir, Family Therapy, Transpersonal Psychology, Transpersonal Psychotherapy, Transcendence, Consciousness, Transformation, Intersubjectivity, Nondual Psychotherapy.

Single session family therapy for beginners: what difference does it make to psychiatry registrars to participate in family sessions in front of and behind the screen?

2021 ◽  
pp. 103985622110512
Author(s):  
Danny Cheah ◽  
Liza Hopkins ◽  
Richard Whitehead
Keyword(s):  
Family Therapy ◽  
Online Survey ◽  
Age Groups ◽  
Learning By Doing ◽  
Single Session ◽  
Family Work ◽  
Powerful Learning ◽  
The Family ◽  
Positive Effect

Objective Current competencies required for fellowship of the RANZCP require psychiatry registrars to have experience in working with clients across all age groups, as well as working with families and the client’s wider network, however gaining this experience is not always easy for trainees. This paper reports on the experience of participating in Single Session Family Therapy (SSFT) during registrar training as a different modality for learning. Method: An online survey was conducted with fourteen registrars who had participated in SSFT during their child and adolescent rotation. Qualitative and simple quantitative data were collected and analysed. Results: Participating in SSFT during training was initially daunting, but had a positive effect on trainees, including influencing some towards focussing their future sub-specialisation in the child and youth area. Experience came through learning by doing, and seeing change. Registrars learnt about: understanding the role of the family; teamwork; technical skills; and gained confidence. Conclusions: Opportunities for trainees to participate in SSFT enables powerful learning beyond what can be taught in the classroom. Such opportunities may enhance registrars’ perceptions of family work, and may positively influence decision about future sub-specialisation.

Family Firms, Plural Forms of Governance, and the Evolving Role of Trust

2001 ◽  
Vol 14 (4) ◽  
pp. 353-367 ◽  
Author(s):  
Lloyd Steier
Keyword(s):  
Transaction Costs ◽  
Competitive Advantage ◽  
Family Relationships ◽  
Family Firms ◽  
Family Firm ◽  
Governance Mechanism ◽  
Case Examples ◽  
The Family ◽  
Changing Role

Trust plays an important role in the governance of most organizations. For the family firm, trust represents a particularly important source of strategic advantage. For example, in the early stages of firm development, the trust indigenous in most family relationships allows firms to reduce transaction costs substantially. As family firms evolve, so does the optimal role of trust as a governance mechanism. Ironically, in some cases, what was once a very resilient trust is replaced by an atmosphere of fragile trust or even distrust and an important source of strategic advantage is lost. As family firms naturally evolve, a major transitional task for them is optimizing the changing role of trust in firm governance. Using research-based case examples, this paper seeks to further the understanding of the dynamics of trust as a governance mechanism and source of competitive advantage within family firms.

Cybersuicide: The Role of Interactive Suicide Notes on the Internet

Crisis ◽  
1997 ◽  
Vol 18 (2) ◽  
pp. 73-79 ◽  
Author(s):  
Pierre Baume ◽  
Christopher H Cantor ◽  
Andrew Rolfe
Keyword(s):  
Suicidal Ideation ◽  
Young People ◽  
The Internet ◽  
Potential Influence ◽  
Case Examples ◽  
Internet Resources ◽  
Suicide Notes ◽  
Death Wishes ◽  
New Form

As we approach the new millennium a new dimension in interactive communications has arrived. The internet is one such medium, and while it remains a relatively new form of information sharing, it has not escaped the attention of vulnerable young people. This paper discusses the internet resources on suicide and the issue of interactive suicide notes. Case examples of interactive notes followed by suicide fatalities are used to illustrate the potential influence of the internet on those who wish to share their suicidal ideation with others. Issues to do with modeling, ambivalence, group death wishes, research, and ethics are discussed. Finally, some recommendations are made for further studies.

Session 1: Getting Started in Family Treatment

2016 ◽  
pp. 1-9
Author(s):  
Tara S. Peris ◽  
John Piacentini
Keyword(s):  
Family Therapy ◽  
Family Functioning ◽  
Home Environment ◽  
Treatment Success ◽  
Skills Training ◽  
Family Treatment ◽  
Treatment Goals ◽  
Collaborative Environment ◽  
The Family

This chapter provides an overview of the first family therapy session. It describes how to introduce families to the PFIT program and to develop a collaborative environment for establishing treatment goals. It describes psychoeducation about the role of the family in child OCD treatment, including family responses and expectations that may undermine success. It places particular emphasis on helping families to understand patterns of symptom accommodation that may be a barrier to treatment success, and it describes broader family dynamics that may interfere with efforts to change accommodation. The chapter also outlines steps for assessing current family functioning, including strengths and weakness, and for evaluating the family’s current strategies for managing OCD. Initial skills training begins with exercises designed to promote positivity in the home environment.

scholarly journals Crucial resources to strengthen the desire to live

2014 ◽  
Vol 23 (3) ◽  
pp. 294-307 ◽  
Author(s):  
May Vatne ◽  
Dagfinn Nåden
Keyword(s):  
Research Question ◽  
Professional Relationships ◽  
Structured Interviews ◽  
Psychological Pain ◽  
Design Data ◽  
Psychiatric Units ◽  
Suicidal Person ◽  
Will To Live ◽  
Suicidal Patients ◽  
Suicidal Crisis

Background: Suicidality is a life-and-death struggle in deep loneliness and psychological pain. There is a lack of knowledge about what could help the suicidal patients’ struggle for continued life. The aim of this study was to develop a deeper understanding of suicidal patients in the aftermath of suicidal attempts. The research question was ‘What resources in the person himself or herself and his or her surroundings are crucial in a suicidal crisis to maintaining the will to live and hope for life’? Methodology: The study has a hermeneutic approach and an explorative design. Data were collected using semi-structured interviews with 10 participants: men and women 21–52 years of age. The context was two emergency psychiatric units and one crisis resolution team. Ethical considerations: The participants signed an informed consent before the interviews were conducted. Findings: This article presents three themes: (a) becoming aware of the desire to live, (b) an experience of connectedness and (c) someone who cares. Discussion: The suicidal person’s awareness of wishes, dreams, hopes and will, but also of their feelings in the aftermath of the suicide attempt, seemed to play a crucial role in a suicidal crisis. Experiences of connectedness remind the person of the responsibility in his or her own life and in the lives of others and seemed to strengthen the urge to go on. Private and professional relationships seem to be crucial in stimulating the desire and hope to go on living. Conclusion: Becoming aware of the desire to live, being connected to others and experiencing someone who cares is necessary for life. Both private and professional networks seemed to be important resources that could remind the suicidal person of his or her own dignity as part of being human.

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