Murder: A psychotherapeutic investigation

This paper suggests that it is theoretically necessary and clinically useful to make a distinction between two types of psychic encapsulation within the broader literature. The proposed distinction, as it relates to these psychic structural manifestations, is illustrated here as applied to anorexia. The author suggests that psychic encapsulation is commonly encountered in work with anorexics, and that each type seems to imply a somewhat different therapeutic course. The distinction is made between anorexic patients who appear to display evidence of autistic/autistoid encapsulation as opposed to those who seem to manifest non-autistoid/later traumatic encapsulation – termed secondary adjunctive encapsulation in this paper. Defensive encapsulations are associated with pathological organisations of the personality – both within and beyond these structures, they exert an organising power over central mental processes. Psychic encapsulation and pathological organisations are defensive structural developments – the result of psychic trauma. Clinical material from three cases is presented to illustrate the arguments.     

Suicide survivors seeking mental health services: a preliminary examination of the role of an active postvention model

Archival data from suicide survivors presenting for treatment from 1999-2005 at the Baton Rouge Crisis Intervention Center (BRCIC) were used to examine differences in those who received an active model of postvention (APM; n=150) compared to those who received a traditional passive postvention (PP, n=206). APM presented sooner for treatment (48 days) than PP (97 days). APM survivors were more likely to have been the survivor of a violent suicide. APM were more likely than PP to attend survivor support group meetings and APM attended more groups. To better understand the efficacy of APM in helping survivors, a prospective evaluation is needed.     

Suicide in France: some hypotheses.

The relatively high suicide rate in France is investigated and a number of influences are hypothesized as causative. These include, on a societal and demographic level, a history of high immigration, low emigration, a high proportion of old people, high urbanization, extraordinarily high alcoholism, and the extreme gap in income between upper and lower classes. The rigid bureaucracy of the state can leave the individual feeling infuriated and defeated. The legal system produces many injustices, such as long imprisonment without charges. The Church is liberal and supplies little prophylaxis against suicide. Overall, social integration must be judged to be low. Culturally, French values include an underlying pessimism, no strong fear of death, strong pressures to behave correctly and much malice toward neighbors. The modal personality structure contains defensive, constricted elements producing a vulnerable pseudo-autonomy. French child-rearing practices are effective in producing such personalities.     

The Wisdom Group: a psychotherapeutic model for elderly persons.

This article describes the "Wisdom Group," a therapy devised for the psychotherapeutic treatment of elderly persons. Preliminary work was done with five men of advanced age who were psychiatric in-patients with diagnoses of organicity and depression. The approach was effective in eliciting interaction during the meetings with each other and the group leader. The potential use of this intervention with a greater variety of elderly persons is discussed.     

Ambiguity: Spiritual and psychotherapeutic aspects

Ambiguity is treated here as one of the interfaces between spirituality and psychotherapy. The multiplicity of spiritualities and the characteristics of spiritual leaders are discussed, the latter contrasted with the tenets of traditional psychotherapy. Similar and integrative aspects of spiritual and psychotherapeutic sojourners are examined.     

Internal-external expectancy, maladjustment and psychotherapeutic intervention.

This paper reviewed research on the relationship between internal-external expectancy, maladjustment and psychotherapeutic intervention. The implications drawn from the studies reviewed were: (a) externality is related to poor psychological adjustment and (b) psychotherapy can be effectively utilized to modify expectancy.     

Suicide and blacks: a conceptual framework.

Suicide among black Americans has risen sharply in this decade. The suicide pattern differs from that of white Americans in that black suicide is mainly a youth phenomenon and the rates between black females and black males are relatively equal. The lack of research into these phenomena is highlighted along with an exploration of current explanations. A specific conceptual framework is proposed that includes extragroup pressure, intragroup pressure, and value orientation. The framework is extended into the area of mental health planning, as well as behavioral science practice.     

Suicide in nurses.

The worldwide English language literature on suicide in nurses is reviewed in this article. There is evidence from several countries that female nurses are at increased risk of suicide. Very little information is available about the specific causes. Increased risk in nurses has been statistically associated with smoking and negatively related to extent of caffeine consumption. Unlike some other high-risk occupational groups, it is unclear to what extent access to means for suicide contributes to nurses' risk. The methodological issues and specific needs of research concerning suicide in nurses are discussed.     

The psychotherapeutic utility of the five-factor model of personality: a clinician's experience.

This article summarizes experience using the five-factor model of personality, operationalized by the NEO Personality Inventory (NEO-PI), to facilitate psychotherapy treatment with 119 private-practice, outpatient, psychotherapy patients and their family members over a period of 2 years. Trait theories such as the five-factor model implicitly challenge the premises of much clinical theory, yet they can be useful to clinicians, as they provide a detailed, accurate portrait of the client's needs, feelings, proximate motives, and interpersonal style. I suggest that: Neuroticism (N) influences the intensity and duration of the patient's distress, Extraversion (E) influences the patient's enthusiasm for treatment, Openness (O) influences the patient's reactions to the therapist's interventions, Agreeableness (A) influences the patient's reaction to the person of the therapist, and Conscientiousness (C) influences the patient's willingness to do the work of psychotherapy. Fundamental questions raised by the five-factor model about the nature of psychopathology and psychotherapy are discussed.     

Common principles of psychotherapeutic change: patterns of use

ABSTRACT

Many authors have proposed the existence of common principles of counselling and psychotherapeutic change. However, little is known about how practitioners use these change principles. A sample of 373 Czech psychotherapists and counsellors participated in an online survey and rated their use of 10 psychotherapy change principles in their practice over the previous year. The frequency of the use of the 10 change principles is reported. Furthermore, three principal components of the change principles were identified: exploration, acceptance, and understanding of clients’ experience; attending to clients’ own resources; and furnishing clients with new skills and advice. The use of these components was mainly associated with the practitioner's theoretical orientation. The implications of the component structure for psychotherapist and counsellor training and practice are discussed.     

Suicide in pregnancy: the Hedda Gabler syndrome.

A review of forty-seven suicides in women of child-bearing age revealed that two women were pregnant, two were within the first year post-partum and two falsely believed themselves pregnant. The search revealed two additional pregnancy-associated suicides which had not been reported as suicide. Previous studies asserting that pregnancy protects against suicide would seem to be challenged by these data. Pregnancy-related suicides are similar to each other and to the literary suicide of Hedda Gabler and fit into a continuum of pregnancy-related disorders.     

Different levels of psychotherapeutic competence

In this article, I argue for a both – and position in regard to manuals. I suggest that manuals are appropriate when describing therapeutic strategizing and technical competence. However, I also argue that they are an inappropriate tool for understanding the contribution of the client's family in family therapy. This argument fuels a further view that manuals cannot capture the dance that occurs between therapist and family. For this type of knowledge, a relational type of competence needs to be developed. We encourage you to listen to the JFT Editor, Mark Rivett, as he interviews the author on Manuals in the Practice and Research of Family Therapy. Available at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-6427/homepage/jft_podcast_series.htm .     

Suicide attributed to work.

Workers' compensation laws provide death benefits for the survivors of those who commit suicide as a result of a work-incurred physical or psychological injury. A study of claims resulting from suicidal acts reveals that included in the indicted work conditions were sudden changes in organization, conflict of loyalties resulting from work change, reactions to pain and suffering following a physical work injury, and the economic and status deprivation resulting from disability and unemployment. Those treating subjects whose jobs were the sources of stress failed to recognize their patients' desperation and urged them to stay at their jobs.     

A psychotherapeutic computer application: Modification of technological competence

The increasing sophistication of computer technology, combined with increased specification of therapeutic interventions, has facilitated development of computer programs that have achieved marked success in the psychotherapeutic treatment of circumscribed populations. This paper briefly reviews the history of computerized psychotherapy and examines several successful therapeutic computer applications in depth. These applications have attempted to replace the therapist with a computer. Another possible, as yet unexplored, application is the use of the computer as a vehicle for modification of an individual’s perceived competence to effectively operate on his or her environment. Using a computer to successfully manipulate one’s environment can provide a personal mastery experience that has the potential to contribute significantly to an increase in perceived self-competence, an essential component of positive therapeutic change. A study that would provide empirical support for this type of computer application is proposed.