摘要:

ABSTRACT:The Presuicidal Syndrome, first described in 1958, relates to that specific psychic state of mind that leads to suicidal acts. It is an alarm signal indicating a tendency to suicide. The Presuicidal Syndrome has three principal components: constriction; inhibited aggression turned toward the self; and suicidal fantasies. The clinical details of these components are explicated. It is proposed that the Presuicidal Syndrome provides a basis for better judgment of the danger of suicide, makes more focused suicide prevention possible, and is an aid in the disclosure of those factors in society that often lead to suicide.

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1976.tb00328.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

ABSTRACT:Psychotherapeutic interactions in crisis situations are analyzed in terms of the “sociodynamic” concepts of exchange, balance, and formal organization. It is argued that psychodynamic interpretations of crisis intervention therapy tend to be incomplete and nonsystematic and, thus, fail to produce adequate predictions, explanations, and control of psychotherapeutic outcomes. Small‐group principles and methods are applied to selected crisis cases to illustrate gains in prediction and control over psychiatric appro

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1976.tb00329.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

ABSTRACT:In the United States each year the equivalent of an average‐size medical school graduating class commits suicide, with the highest incidence occurring in the decade following the completion of training. Of these suicides, 20% to 30% are associated with drug abuse and 40% with alcoholism. Various problem areas are considered. Role strain, leading to excessive drug use in an attempt to increase work efficiency, is coupled with a denial of the physician's own dependency needs and gratification. The problem of identity occurs in relation to the exaggerated sense of duty and obligation the physician feels in attending to the demands of the patients and their families. Medicine as magical thinking is also discussed, revealing the physician's belief in his own immunity, which is strenuously tested when he actually sets up in practice. The community's high regard for the physician further complicates the situation. Too little has been done about working with emotional problems of medical students during their training and after they begin to practice. Unfortunately, physicians feel uncomfortable in turning to colleagues for help; rather, they tend to isolate themselves, resorting to alcohol and drugs. One should question the selection of medical students and their overall training, not only in terms of academic learning but also with more consideration for the stresses and strains of the future caree

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1976.tb00330.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1976.tb00331.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1976.tb00332.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY