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Self-destructiveness in adolescence: psychotherapeutic issues

J D Noshpitz1

  • 1George Washington University, Washington, D.C. 20008-3308.

American Journal of Psychotherapy
|January 1, 1994
PubMed
Summary

Psychotherapy for self-destructive adolescents focuses on identifying and confronting a dominant negative ideal. Therapists help patients recognize, oppose, and understand the origins of this self-component to facilitate healing.

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Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Self-destructive behaviors in adolescents are a significant clinical concern.
  • Understanding the underlying psychological mechanisms is crucial for effective treatment.

Observation:

  • Adolescent self-destructive behavior is often driven by a dominant negative ideal.
  • Patients may repress this negative ideal through denial, evasion, or emotional dysregulation.

Findings:

  • Psychotherapy must assess the extent to which a negative ideal governs behavior.
  • Therapeutic interventions should aim to bring this negative ideal into conscious awareness.
  • Patients need to be sensitized to how this ideal manifests in daily actions.

Implications:

  • Confronting and consciously opposing the negative ideal is a key therapeutic task.
  • Exploring the origins of the negative ideal aids in personality integration.
  • Effective treatment requires addressing patient defenses that maintain repression of this self-component.

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