Problems in psychotherapy with suicidal patients

Páginas: 4 (834 palavras) Publicado: 27 de junho de 2011
Article

Problems in Psychotherapy With Suicidal Patients
Herbert Hendin, M.D. Ann Pollinger Haas, Ph.D. John T. Maltsberger, M.D. Bethany Koestner, B.S. Katalin Szanto, M.D.
Objective: Theauthors studied recurrent problems in psychotherapy with suicidal patients by examining the cases of patients who died by suicide while receiving openended psychotherapy and medication. Method: Therapistsfor 36 patients who died by suicide while in treatment filled out clinical, medication, and psychological questionnaires and wrote detailed case narratives. They then presented their cases at anall-day workshop, and critical problems were identified in the cases. Results: Six recurrent problem areas were identified: poor communication with another therapist involved in the case, permittingpatients or relatives to control the therapy, avoidance of issues related to sexuality, ineffective or coercive actions resulting from the therapist’s anxieties about a patient’s potential suicide, notrecognizing the meaning of the patient’s communications, and untreated or undertreated symptoms. Conclusions: The se cas es illumin ate common problems therapists face in working with suicidal patientsand highlight an unmet need for education of psychiatrists and other mental health professionals who work with this population. (Am J Psychiatry 2006; 163:67–72)

onsiderable evidence points to thecomplexity of the psychotherapeutic treatment of suicidal patients (1–4). A number of structured protocols have been developed to treat suicidality, including cognitive behavior problemsolving therapy(5–8), dialectical behavior therapy (1, 9, 10), time-limited interpersonal psychotherapy (11), and brief psychodynamic psychotherapy (12). Although some evidence exists for the efficacy of suchprotocols for selected patient groups, in our experience of supervising, consulting with, and studying clinicians who treat suicidal patients, we have found that most clinicians employ a relatively...
Ler documento completo

Por favor, assinar para o acesso.

Estes textos também podem ser interessantes

  • síntese The role of legal coercion in the treatment off offenders with alcohol and heroin problems
  • Checklist consort 2010 para estudos randomizados do artigo “inspiratory muscle training in patients with heart failure and...
  • Historical-relational therapeutic approach of a patient with hyperactivity disorder
  • O artigo denominado Patient Involving in Health Care Decision Making
  • Problem
  • Choosing among 3 ankle-foot orthoses for a patient with stage ii posterior tibial tendon dysfunction
  • With
  • Peep-zeep technique: cardiorespiratory repercussions in mechanically ventilated patients submitted to a coronary...

Seja um membro do Trabalhos Feitos

CADASTRE-SE AGORA!