Full Description
Mental health professionals working with patients at risk for suicide must recognize a fundamental conflict at the heart of good clinical practice: while they are experts in the assessment of disorders of mental health, when it comes to the patient's story, the patient is the expert. Any successful intervention with a suicidal patient must therefore be based on an empathic understanding of suicidal thoughts and behavior that honors the patient's very personal perspective.
This exceptional volume addresses a wide range of issues, from the principles and method of establishing a working alliance, to patient-oriented therapeutic models, to practical clinical matters such as the therapeutic alliance within specific treatments across theoretical orientations. Most importantly, this book provides essential guidance for clinical suicide risk reduction that may help save lives.
Contents
Contributors
Foreword
Marsha M. Linehan
Introduction
Konrad Michel
I. The Therapeutic Alliance: Basic Considerations
General Aspects of Therapeutic Alliance
Konrad Michel
Empathy and the Historical Context, or How We Learned to Listen to Patients
John T. Maltsberger
II. The Therapeutic Alliance and the Suicidal Patient
The Therapist and the Suicidal Patient
David A. Jobes and Elizabeth Ballard
The Narrative Interview With the Suicidal Patient
Konrad Michel and Ladislav Valach
Mentalizing Suicidal States
Jon G. Allen
Psychodynamic Therapy and the Therapeutic Alliance: Validation, Empathy, and Genuine Relatedness
Mark A. Schechter and Mark J. Goldblatt
III. Patient-Oriented Concepts of Suicidality
Taking an Inside View: Stories of Pain
Israel Orbach
Understanding Suicide as an Action
Ladislav Valach, Richard A. Young, and Konrad Michel
Attachment Theory and the Suicidal Patient
Jeremy Holmes
A Cognitive Theory of Suicide: Building Hope in Treatment and Strengthening the Therapeutic Relationship
M. David Rudd and Gregory K. Brown
Neurobiology and Patient-Oriented Models of Suicide-A Contradiction?
Konrad Michel
IV. The Therapeutic Alliance in Specific Therapies for Suicidal Patients
Suicidal Patients, the Therapeutic Alliance, and the Collaborative Assessment and Management of Suicidality
David A. Jobes
Psychotherapy With Suicidal People: Some Common Implications for Response
Antoon A. Leenaars
The Therapeutic Relationship in Dialectical Behavior Therapy for Suicidal Individuals
Shireen L. Rizvi
Cognitive Therapy for Suicidal Patients
Gregory K. Brown, Amy Wenzel, and M. David Rudd
Vicissitudes of the Therapeutic Alliance With Suicidal Patients: A Psychoanalytic Perspective
Igor Weinberg, Elsa Ronningstam, Mark J. Goldblatt, and John T. Maltsberger
Clinical Reality: The Case of Ms. AV
Israel Orbach, Jeremy Holmes, John T. Maltsberger, Mark J. Goldblatt, M. David Rudd, J. Michael Bostwick, and Konrad Michel
V. The Therapeutic Alliance With Suicidal Patients in Specific Treatment Settings
The Therapeutic Alliance With Hospitalized Patients
Timothy W. Lineberry
Pharmacotherapy and Therapeutic Alliance in the Treatment of Suicidality
J. Michael Bostwick
VI: Conclusion
Summary, Next Steps, and Conclusion
David A. Jobes
Index
About the Editors
