A Person-centred Approach
Antoon A. Leenaars
John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester,
West Sussex PO19 8SQ, England
ISBN 0-470-86341-2 (hbk)
ISBN 0-470-86342-0 (pbk)
CONTENTS
About the Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . xvii
Part I Understanding
Chapter 1 Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Chapter 2 Suicide: A Multidimensional Malaise . . . . . . . 39
Chapter 3 Unconscious Processes . . . . . . . . . . . . . . . . . 66
Chapter 4 Cognition, Communication, and Suicide Notes . 83
Part II Suicide Risk Assessment
Chapter 5 Clinical Evaluation of Suicide Risk . . . . . . . . . 93
Chapter 6 Thematic Guide for Suicide Prediction (TGSP) 106
Chapter 7 TGSP: Practice on Suicide Notes, Psychotherapy Protocols, and Poems 112
Chapter 8 Sylvia Plath: A Protocol Analysis of Her Last Poems . . . . . . 126
Chapter 9 Rick: A Suicide in a Young Adult . . . . . . . . . 136
Chapter 10 Scott: Suicide or Homicide? . . . . . . . . . . . . . 151
Part III Applications and Psychotherapy
Chapter 11 Applications for Crisis Intervention with
Highly Lethal Suicidal People . . . . . . . . . . . 197
Chapter 12 Applications for Psychotherapy with Suicidal People . . . . 208
Chapter 13 Justin: A Suicide Attempt in a Four-Year-Old Boy . . . . . . . . 230
Chapter 14 Jeff: A Youth’s Suicide . . . . . . . . . . . . . . . . 258
Chapter 15 Jennifer: A Teenager’s Suicide Attempt . . . . . 276
Chapter 16 Susan: A Young Adult’s Isolation . . . . . . . . . 291
Chapter 17 Peter: An Adult’s Suicidal Pain . . . . . . . . . . 318
Chapter 18 Joe: An Older Adult’s Suicidal Pain . . . . . . . . 346
Chapter 19 Adjuncts to Psychotherapy: Medication,Hospitalization, and Environmental Control . . 359
Part IV Implications
Chapter 20 This Is What I Have Learned . . . . . . . . . . . . 379
Chapter 21 Ethical and Legal Issues . . . . . . . . . . . . . . . 394
Chapter 22 Munch, Dostoevsky, van Gogh, and a Little Bit of Melville . . . . 418
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 426
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 447
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