Psychotherapie der Suizidalität

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• 作者：PD Dr. R. Lindner ; Prof. Dr. B. Schneider
• 刊名：Der Nervenarzt
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：87
• 期：5
• 页码：488-495
• 全文大小：334 KB
• 刊物主题：Medicine/Public Health, general; Neurology; Neurosurgery; Psychiatry; Psychotherapy;
• 出版者：Springer Berlin Heidelberg
• ISSN：1433-0407
• 卷排序：87

文摘

Psychotherapy is an important therapeutic option in the treatment of suicidality. Irrespective of the different treatment settings the psychotherapeutic attitudes, strategies and techniques are presented as they were developed on the basis of cognitive behavioral therapy and psychoanalysis. Starting from the common basic attitude of an active, approachable and for the patient recognizable therapist, the cognitive behavioral attitude is defined by the concept of a “team” involving patient and therapist, which fights against suicidality. The problems that led to suicidal ideation have to be exactly defined and specific behavioral strategies should aim at a modification of the behavioral repertoire and of cognitive strategies. A psychodynamic strategy starting from the analysis of the therapist’s inner reaction, the countertransference comes from a primary involvement of both patient and therapist, which the therapist has to recognize and interpret to the patient in a “digestible” way. The experience of an approachable therapist who unexpectedly behaves differently than usual or feared, enables the patient to come to insights and new relational patterns which make suicidal destruction unnecessary. Finally, empirical evidence for the effectiveness of cognitive behavioral and psychodynamic treatment of suicidality is presented.KeywordsSuicidal ideationCognitive behavioral therapyPsychoanalysisPsychotherapyTherapeutic attitude