Anorexia, murder, and suicide : what can be learned from the stories of three remarkable patients

書誌事項

Anorexia, murder, and suicide : what can be learned from the stories of three remarkable patients

David H. Malan

Butterworth-Heinemann, 1997

タイトル別名

Anorexia, murder & suicide

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注記

Includes bibliographical (p. [183]-186) references and index

内容説明・目次

内容説明

Anorexia nervosa, sexual murder and suicide are among the most difficult and alarming conditions that any therapist is likely to encounter. This book presents exceptional insight and profound understanding into these three major areas of clinical concern. It draws upon the stories of three patients in psychotherapy or psychoanalysis, who recovered from their severe disturbances, and who have been followed up for over twenty years since the end of their original treatment. The implications for the management of these patients are discussed in detail and some surprising findings are presented. Included is a comprehensive review of the literature on anorexia and sexual murder, and a discussion with many clinical examples of the author's extensive experience of the handling of suicidal patients.

目次

Introduction: Common themes PART 1 ANOREXIA - The sun worshipper and the healing of self-destructiveness Initial assessment Overview of Anya's individual psychotherapy Letters written during therapy The rest of therapy, termination Follow-up Anya's background and the origin of her problems Psychiatric aspects of anorexia nervosa A Mystery: the power of the anorexic state The development of views on the psychopathology of anorexia Views on the influence of upbringing - 'Developmental' issues How well does Anya fit into the description of anorexia nervosa in the literature? The psychiatric treatment of anorexia nervosa Psychotherapy of the individual Family patterns in anorexia nervosa Involving the family in treatment The prognosis in anorexia nervosa with and without treatment Pathological mechanisms in Anya and comparison with the literature Compliance, autonomy, control Guilt and obsessional phenomena Self-destructiveness and its origins The identification of 'deep' changes Deep changes in Anya Anya's symptoms Anya's relation to men and some residual problems Overview of the origin of Anya's problems The process of therapy Conclusion PART II A BLUEPRINT FOR MURDER: Hugh - initial assessment Therapy 1 Therapy II - Increased disturbance and the cord of life Preliminary discussion of the evidence provided by Hugh's therapy Final follow-up Dynamic material from the follow-up The effects of therapy Overview of the literature on sexual murder Characteristics found in sexual murderers but most irrelevant to Hugh Characteristics of sexual murderers that are relevant to Hugh Hugh's story: Conclusion PART III SUICIDE Management of the suicidal patient in psychotherapy Patients who do commit suicide Motives and mechanisms in suicide The failed student - a study in the convergence of traumatic events Epilogue To other psychotherapists References.

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