This address is a radical inquiry into voluntary death ("death control"). Is suicide legal? Should involuntary suicide prevention be legal? Should physician-assisted suicide be legal? Personal careers, professional identities, multi-billion dollar industries, legal doctrines, judicial procedures and the liberty of every American hangs on our answers and on our justifications for them.
This workshop will start with a brief overview of Dialectical Behavior Therapy and other efficacious treatments for suicidal behaviors and BiPolar Disorder. We will then present a series of videos of DBT applied to BPD patients with intermittent commentary and discussion of the DBT procedures as they are used in the sessions.
An expanded understanding of the suicidal urge, and reasoning, belongs to the capability of any therapist, since suicide is always a human potential. The therapist needs to come to terms with his/her own suicidal urges, fears and fantasies, and ideas of death as well. Objective reports – diagnosis, demographics, age groups, psychological situation, social history, personal styles, etc. may or may not help the practitioner in encountering the client’s risk of suicide.
In this video presentation, Dr. Meichenbaum works with a young woman who is depressed and who has attempted suicide seven times. She has undergone multiple traumas in her life, including rape, suicide by her mother, substance abuse. The case illustrates ways to conduct risk assessment and how to use a constructive narrative treatment approach to identify and bolster the client’s strengths and resilience.
There is no area of research that brings a complex array of ethical issues into sharp focus more than conducting treatment trials when the focus is on decreasing suicidal behavior and preventing suicide. Historically, suicidal individuals have been excluded from treatment studies because their inclusion was thought to be unethical, unsafe or too difficult to manage clinically. This presentation will discuss where the field of suicide intervention research started, the successes and failures we have encountered thus far, as well as the critical issues that still need to be addressed in order to move the field forward.
Will relate work with: 1. A woman severely abused and traumatized in a family headed by an "evangelical minister father." 2. A severely depressed, suicidal college teacher, from an abusive family, with what appears to be social phobia, inability to maintain personal relationships, etc. 3. Woman diagnosed as schizophrenic at the age of 9 and her struggle for survival at age 18. On outpatient medications of 800 mg of Thorazine daily. Videos and other AV materials will illustrate these cases. Group members will be invited to share their "impossible cases" and strategies for change and resolution will be developed.
Utilization of Dr. Erickson's approaches can be daunting. They are both meticulously planned and rehearsed, as with his Induction for Resistant Patients, and spontaneous and intuitive, responding at the moment to his patient. Dr. Greenleaf will present 7 of his own brief cases, each of which required spontaneous, intuitive response to patient needs. They are called: 2 Promises: Postcards, Death Grip; 2 Threats: Bust, “I Like That Wall”; 2 Doorways to Reality: “You Wonned”, “I’d Like to Have That Desk” and "3 Counter Tenors"
Miriam Polster (2000) demonstrates supervision with Wendy, a clinical social worker who conducts therapy in the home. Polster’s supervision focuses on finding Wendy’s unique gifts and how these can be integrated into therapy. Next, Steve is working with a woman who has a history of bulimia and has threatened suicide. Polster follows this demonstration by explaining her work.