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[Interpersonal aspects of suicidal psychodynamics]
1Psychiatrische Universitätsklinik Zürich.
Psychotherapie, Psychosomatik, Medizinische Psychologie
|February 21, 1998
Summary
Suicidal behavior in therapy is emotionally charged, often triggering negative therapist reactions. Self-monitoring and consultation are key to managing countertransference and preventing harm.
Area of Science:
- Psychology
- Psychiatry
- Therapeutic Relationships
Background:
- Suicidal behavior is intrinsically linked to interpersonal dynamics and emotional intensity.
- Therapeutic relationships are susceptible to patient transferences and projections, complicating emotional management.
Purpose of the Study:
- To explore the impact of suicidal behavior on the therapeutic relationship.
- To identify strategies for managing negative countertransference reactions in psychotherapy.
Main Methods:
- Analysis of the emotional and psychological dynamics within the therapeutic setting.
- Focus on therapist's internal processes and potential countertransference.
Main Results:
- Suicidal behavior can provoke significant anxiety and aggression in therapists, leading to negative countertransference.
- Loss of therapist control over the process can result in detrimental acting out.
Conclusions:
- Continuous therapist self-monitoring and conscious reflection are crucial.
- Seeking consultation with colleagues is vital for preventing uncontrolled countertransference and maintaining therapeutic integrity.