Building a Therapeutic Alliance With the Suicidal Patient

429 Pages·2010·3.21 MB·English

by  Konrad Michel

Building a
Therapeutic Alliance
With the Suicidal Patient
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Building a
Therapeutic Alliance
With the Suicidal Patient
Edited by
Konrad Michel and David A. Jobes
American Psychological Association • Washington, DC
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Copyright © 2011 by the American Psychological Association. All rights reserved. Except as
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Library of Congress Cataloging-in-Publication Data
Building a therapeutic alliance with the suicidal patient / edited by Konrad Michel and
David A. Jobes. — 1st ed.
p. ; cm.
Includes bibliographical references.
ISBN-13: 978-1-4338-0907-1
ISBN-10: 1-4338-0907-9
1. Suicidal behavior—Treatment. 2. Therapeutic alliance. 3. Mental health personnel and
patient. I. Michel, Konrad. II. Jobes, David A. III. American Psychological Association.
[DNLM: 1. Suicide—prevention & control. 2. Crisis Intervention. 3. Professional-Patient
Relations. WM 165 B932 2011]
RC569.B85 2011
616.85'8445—dc22
2010018422
British Library Cataloguing-in-Publication Data
A CIP record is available from the British Library.
Printed in the United States of America
First Edition
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CONTENTS
Contributors................................................................................................ ix
Foreword...................................................................................................... xi
Marsha M. Linehan
Introduction................................................................................................. 3
Konrad Michel
I. The Therapeutic Alliance: Basic Considerations .............................. 11
Chapter 1. General Aspects of Therapeutic Alliance ..................... 13
Konrad Michel
Chapter 2. Empathy and the Historical Context,
or How We Learned to Listen to Patients...................... 29
John T. Maltsberger
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II. The Therapeutic Alliance and the Suicidal Patient ......................... 49
Chapter 3. The Therapist and the Suicidal Patient......................... 51
David A. Jobes and Elizabeth Ballard
Chapter 4. The Narrative Interview With the Suicidal Patient...... 63
Konrad Michel and Ladislav Valach
Chapter 5. Mentalizing Suicidal States............................................ 81
Jon G. Allen
Chapter 6. Psychodynamic Therapy and the Therapeutic Alliance:
Validation, Empathy, and Genuine Relatedness........... 93
Mark A. Schechter and Mark J. Goldblatt
III. Patient-Oriented Concepts of Suicidality ..................................... 109
Chapter 7. Taking an Inside View: Stories of Pain........................ 111
Israel Orbach
Chapter 8. Understanding Suicide as an Action........................... 129
Ladislav Valach, Richard A. Young, and Konrad Michel
Chapter 9. Attachment Theory and the Suicidal Patient............. 149
Jeremy Holmes
Chapter 10. A Cognitive Theory of Suicide: Building Hope
in Treatment and Strengthening
the Therapeutic Relationship...................................... 169
M. David Rudd and Gregory K. Brown
Chapter 11. Neurobiology and Patient-Oriented Models
of Suicide—A Contradiction?..................................... 183
Konrad Michel
IV. The Therapeutic Alliance in Specific Therapies
for Suicidal Patients ....................................................................... 203
Chapter 12. Suicidal Patients, the Therapeutic Alliance,
and the Collaborative Assessment
and Management of Suicidality................................... 205
David A. Jobes
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Chapter 13. Psychotherapy With Suicidal People:
Some Common Implications for Response.................. 231
Antoon A. Leenaars
Chapter 14. The Therapeutic Relationship in Dialectical
Behavior Therapy for Suicidal Individuals.................. 255
Shireen L. Rizvi
Chapter 15. Cognitive Therapy for Suicidal Patients...................... 273
Gregory K. Brown, Amy Wenzel, and M. David Rudd
Chapter 16. Vicissitudes of the Therapeutic Alliance With
Suicidal Patients: A Psychoanalytic Perspective......... 293
Igor Weinberg, Elsa Ronningstam,
Mark J. Goldblatt, and John T. Maltsberger
Chapter 17. Clinical Reality: The Case of Ms. AV......................... 317
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 ........................................................ 341
Chapter 18. The Therapeutic Alliance
With Hospitalized Patients.......................................... 343
Timothy W. Lineberry
Chapter 19. Pharmacotherapy and Therapeutic Alliance
in the Treatment of Suicidality.................................... 353
J. Michael Bostwick
VI. Conclusion....................................................................................... 377
Chapter 20. Summary, Next Steps, and Conclusion....................... 379
David A. Jobes
Index........................................................................................................ 395
About the Editors .................................................................................... 413
CONTENTS vii
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CONTRIBUTORS
Jon G. Allen, PhD,Menninger Department of Psychiatry and Behavioral
Sciences, Baylor College of Medicine; The Menninger Clinic, Houston,
TX
Elizabeth Ballard, MA,Department of Psychology, The Catholic University
of America, Washington, DC
J. Michael Bostwick, MD,Department of Psychiatry and Psychology, Mayo
Clinic College of Medicine, Rochester, MN
Gregory K. Brown, PhD,Department of Psychiatry, University of Pennsyl-
vania, Philadelphia
Mark J. Goldblatt, MD, Harvard University, Cambridge, MA; Clinical
Associate, McLean Hospital, Belmont, MA; Center for Psychoanalytic
Studies, Massachusetts General Hospital, Boston
Jeremy Holmes, MD,University of Exeter, Exeter, Devon, United Kingdom
David A. Jobes, PhD,Department of Psychology, The Catholic University
of America, Washington, DC
Antoon A. Leenaars, PhD,Norwegian Institute of Public Health, Division
of Mental Health, Department of Suicide Research and Prevention,
Oslo, Norway
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