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Related Experiment Videos

The suicidal character.

D A Schwartz

    The Psychiatric Quarterly
    |January 1, 1979
    PubMed
    Summary

    Suicidality can become ego-syntonic when used to gain interpersonal nurturance, reinforcing harmful patterns. Effective treatment requires specific management changes to promote long-term survival.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Behavioral Science

    Background:

    • Suicidal behavior is typically viewed as symptomatic, not ego-syntonic.
    • Behaviors adopted for adaptation can become ingrained and ego-syntonic over time.

    Purpose of the Study:

    • To explore the phenomenon of ego-syntonic suicidality.
    • To examine how interpersonal dynamics and treatment responses can reinforce suicidal behaviors.
    • To identify necessary treatment modifications for long-term patient survival.

    Main Methods:

    • Conceptual analysis of suicidal behavior.
    • Review of clinical observations regarding patient adaptation and interpersonal interactions.
    • Theoretical framework for understanding treatment reinforcement cycles.

    Main Results:

    • Some individuals develop ego-syntonic suicidality as a means to obtain interpersonal nurturance.
    • Standard crisis interventions can inadvertently reinforce these maladaptive suicidal styles.
    • This reinforcement leads to increased long-term suicide risk as a consequence of short-term relational gains.

    Conclusions:

    • Ego-syntonic suicidality presents a unique therapeutic challenge.
    • Treatment approaches must be specifically altered to address the function of suicidality in securing nurturance.
    • Modifying treatment is crucial for helping these patients achieve long-term survival and recovery.

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