Anorexia, murder, and suicide : what can be learned from the stories of three remarkable patients
著者
書誌事項
Anorexia, murder, and suicide : what can be learned from the stories of three remarkable patients
Butterworth-Heinemann, 1997
- タイトル別名
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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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