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Miscarriages of psychoanalytic treatment with suicidal patients

Bibliographic Data

ID8972752
AuthorsGlen O Gabbard (Baylor College of Medicine, corresponding author)
Year2003
Volume84
Issue2
Pages249-261
Publication date2003-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe International Journal of Psychoanalysis (JOURNAL)
Journal identifiersISSN: 0020-7578 • E-ISSN: 1745-8315
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1516/002075703321632720
PMID12856351
OpenAlexW4229955100
LanguageEN
Citations received18
References cited13

The author describes a particularly perilous frontier on the psychoanalytic landscape--namely, the treatment of suicidal patients with serious personality disorders. Using a clinical example of egregious boundary violations by an analyst, he describes specific countertransference pitfalls that lead to mishandling the patients' expressions of suicidal despair. These include disidentification with the aggressor, failure of mentalization, collapse of the analytic play space, reactions to loss in the analyst's personal life, omnipotence, envy of the patient and masochistic surrender. The author emphasizes the unique vulnerabilities that accompany analytic treatment of such patients

Countertransference · Epistemology · Mentalization · Narcissism · Omnipotence · Psychiatry · Psychoanalysis · Psychoanalytic theory · Psychoanalytic Therapy · Psychotherapist · Surrender · Homicide, Infanticide, and Child Abuse · Medicine · Personality Disorders and Psychopathology · Philosophy · Psychology · Psychotherapy Techniques and Applications

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Unique citing works17
Citations per year0,78
Citation span2003 - 2023 (21)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 18

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