Half in Love with Death : Managing the Chronically Suicidal Patient

by Paris, Joel

• ISBN13: 9780805860818
• ISBN10: 0805860819
• Edition: 1st
• Format: Paperback
• Copyright: 2006-06-21
• Publisher: Lawrence Erlbau

Summary

Half in Love With Death presents a new way for therapists to manage chronically suicidal patients, an incredibly challenging task for clinicians and one where an insufficient amount of literature exists to guide professionals. Author Joel Paris suggests an approach that defies conventional wisdoms about whether suicide can be predicted or prevented. He asserts that managing chronically suicidal patients begins with tolerating suicidality, understanding the inner world of patients, avoiding repeated hospitalizations, and focusing on life situations that maintain suicidal ideas and behaviors. Each chapter in the book develops a theoretical perspective based on empirical data, and many are illustrated by clinical examples. Topics addressed throughout the text include: *distinctions among various types of suicidality; *the inner world of the chronically suicidal patient, with a particular focus on pain, emptiness, and hopelessness; *the relationship between chronic suicidality and personality disorders, especially the category of borderline personality; *the effectiveness of psychotherapy and pharmacotherapy for chronically suicidal patients; and *the risks of litigation in managing this patient population. This volume is a crucially important resource for clinicians who treat chronically suicidal patients, as it fills a gap in existing literature and provides enlightened guidelines that stem from a large body of research in the field.

Table of Contents

Preface	p. ix
Introduction	p. xiii
Suicidality and Suicide	p. 1
The Inner World of the Chronically Suicidal Patient	p. 18
Suicidality in Childhood and Adolescence	p. 32
Chronic Suicidality and Personality Disorders	p. 55
Myths of Suicide Prevention	p. 78
Psychotherapy Research and Chronic Suicidality	p. 103
Pharmacotherapy and Chronic Suicidality	p. 117
Tolerating Chronic Suicidality	p. 130
Managing Chronic Suicidality	p. 147
Suicidality and Litigation	p. 176
Summary: Guidelines for Therapists	p. 187
References	p. 191
Author Index	p. 215
Subject Index	p. 223
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