Treating suicidal behavior: an effective, time-limited approach
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
New York ; London
Guilford Press
2001
|
| Series: | Treatment manuals for practitioners
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | xiv, 274 S. graph. Darst. |
| ISBN: | 1593851006 1572306149 |
Staff View
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| adam_text | Contents
I. ESTABLISHING A FOUNDATION FOR TREATMENT
1. What Do We Really Know about Treating Suicidality?: 3
A Critical Review of the Literature
The Available Literature: A Limited Database / 4
A Critical Review of Intervention Studies: Do Simple Procedural Changes
Make a Difference? / 6
Implications for Clinical Practice / 8
A Critical Review of Treatment Studies: An Emerging Trend
for Cognitive Behavioral Therapy / 8
Implications for Clinical Practice / 11
The Therapeutic Relationship in Treating Suicidality: Attachment, Hope,
and Survival / 12
Implications for Clinical Practice / 13
Unanswered Questions: The Challenge Awaits Us / 14
2. A Cognitive Behavioral Model of Suicidality 15
Existing Theoretical Models of Suicidal Behavior: A Brief Overview / 15
Static and Dynamic Variables Predicting Suicidality / 17
Application of Theory and Empirical Findings in Treatment:
The Problem of Limited Clinical Relevance / 18
Basic Assumptions of Cognitive Theory and Therapy:
Implications for Suicidality / 20
The Essential Requirements for a Cognitive Behavioral Model of Integrating
Empirical Findings and Ensuring Clinical Relevance / 23
The Suicidal Mode as a Cognitive Behavioral Model of Suicidality:
An Elaboration and Specific Application of Beck s Theory of Modes
and Psychopathology / 24
Defining the Suicidal Mode: Characteristics of the Various Systems / 27
xi
xii Contents
Completing the Suicidal Mode: Individual Case Conceptualization / 33
Implications of the Suicidal Mode for the Organization, Content,
and Process of Treatment / 40
Theoretical Flexibility of the Suicidal Mode for Psychotherapy Integration / 41
The Therapeutic Relationship in Cognitive Behavioral Therapy:
Three Fundamental Assumptions / 42
3. An Overview of the Treatment Process 44
Completing the Clinical Picture: Understanding Severity, Chronicity,
and Diagnostic Complexity / 45
Identifying Treatment Components / 46
An Overview of the Goals for Each Treatment Component / 49
An Overview of the Steps in Treatment Planning / 50
Understanding the Treatment Process: Treatment Components
and Corresponding Levels / 52
Defining the Component Levels / 53
Symptom Management Component / 55
Cycling through Components and Levels / 58
The Role of Medications / 60
Skill Building Component / 61
Personality Development Component / 62
Variation in Therapist Role / 63
A Clinical Example of Acute Suicidality: The Case of Mr. E / 64
Monitoring the Treatment Process / 66
Process Tasks and Markers / 66
Provocations and Resistance in the Therapeutic Relationship: How a Clear
Organizational Framework Helps / 70
Quantifying Change: How to Measure and Monitor Change in Treatment / 70
Treatment Withdrawal and Noncompliance / 71
Ensuring Treatment Fidelity / 72
Termination: When, Why, and How / 73
Interpersonal Process Groups and Booster Sessions / 73
The Role of the Treatment Team / 74
The Need for Long Term Care in a Time Limited World / 75
II. ASSESSMENT AND TREATMENT
4. Treatment Course and Session by Session Guidelines 79
The Beginning of Treatment: Sessions 1 4 / 81
Sessions 5 10: Symptom Management, Cognitive Restructuring, Reducing
and Eliminating Suicidal Behaviors / 94
Sessions 10 19: Emphasis on Skill Building / 96
Sessions 19 20: A Shift toward Personality Development
and Longer Term Treatment / 98
5. The Evaluation Process and the Initial Interviews 100
Risk Assessment Goals: The Importance of Establishing a Baseline
for Ongoing Monitoring / 104
Treatment Conceptualization and Consent: Setting the Stage / 105
Contents xiii
The Use and Role of Psychometric Testing / 117
Establishing the Therapeutic Relationship / 121
6. Assessing Suicide Risk 126
Distinguishing between Risk Assessment and Prediction: Defining the Nature
of Clinical Responsibilities / 127
The Importance of Precise Terminology: Saying What We Know and Knowing
What We Say / 128
Essential Components of a Clinical Risk Assessment Interview / 131
Tips on Eliciting Information on Intent and Self Control / 135
Risk Categories: Baseline, Acute, Chronic High Risk, and Chronic High Risk
with Acute Exacerbation / 136
Rating Severity: A Continuum of Suicidality / 138
Clinical Documentation and the Process of Risk:
The Concept of Risk Monitoring / 141
The Role of Chronicity and Time in Risk Assessment / 143
Clinical Decision Making, Management, and Treatment / 143
Ongoing Monitoring of Treatment Outcome and Evaluation / 145
The Persistence of Suicidal Thoughts: A Potentially Misleading Marker
of Treatment Outcome / 147
7. Crisis Intervention and Initial Symptom Management 148
Key Tasks of Crisis Intervention / 149
Ensuring the Patient s Safety / 153
Self Monitoring during Crises / 154
Teaching the Patient to Rate Discomfort: A Self Monitoring Task / 154
Completing the Suicidal Thought Record / 158
Depicting the Suicidal Cycle: The Suicidal Mode in Action / 159
Using Mood Graphs / 160
Improving Distress Tolerance and Reducing Impulsivity: The Importance
of Emphasizing That Bad Feelings Do Not Last Forever / 162
Targeting Source Hopelessness: A Different Kind of Problem Solving / 163
Symptom Matching: Improving Level of Functioning over the Short Term / 165
The Importance of Structure: Providing a Crisis Response Plan / 166
8. Reducing and Eliminating Suicide Related Behaviors 170
Identifying Behavioral Targets in Treatment: Understanding the Suicidal Mode
/ 170
Distinguishing between Suicidal Acts and Instrumental Behaviors / 173
Dealing with Mixed Messages / 175
Identifying the Suicidal Cycle / 176
The Process of Behavioral Change:
Reducing and Eliminating Suicidal Behavior / 178
Inhibiting the Suicidal Cycle during Crisis States: Late Cycle Intervention / 183
Substitute Behaviors and Purposeful Hypervigilance:
Early Cycle Intervention / 184
Shaping Behavior: A Process of Gradual Change / 186
Exposure Based Strategies: Role Playing, Cue Exposure,
and Behavioral Rehearsal / 187
Contingency Management and Treatment Success / 187
xiv Contents
Targeting Treatment Disruptions / 189
Provocation(s): The Currency of Interpersonal Relatedness in Suicidality / 191
Handling Provocation in Treatment / 194
The Evolution of Hope and the Elimination of Suicidal Behavior: A Few
Concluding Words / 197
9. Cognitive Restructuring: Changing the Suicidal Belief System 198
and Building a Philosophy for Living
Private Meaning and the Suicidal Belief System: The Role of Automatic
Thoughts and Intermediate and Core Beliefs / 198
A Straightforward Strategy for Cognitive Change / 203
Dealing with Poor Motivation and Treatment Noncompliance / 208
Building a Philosophy for Living: Change and Acceptance as New Rules / 209
Prevailing, Facilitating, and Compensatory Modes in Chronic Suicidality:
Developing Adaptive Modes and Acknowledging Personal Qualities
and Characteristics / 211
The Therapeutic Belief System: Therapy Specific Beliefs / 212
Outlining the Therapeutic Belief System / 218
The Therapeutic Belief System of the Therapist Treating Suicidality:
Monitoring Thoughts, Feelings, and Behaviors in Treatment / 222
Evaluating the Relationship: Patience, Determination, and Consistency / 224
10. Skill Building: Developing Adaptive Modes 226
and Ensuring Lasting Change
Conceptualizing Skill Deficits in Cognitive Behavioral Therapy for Suicidality
/226
Targeting Skill Deficits / 228
A Model for Problem Solving: Learning to Identify, Evaluate, and Pursue
Alternatives to Suicide / 234
Emotion Regulation Ability: The Art of Feeling Better When Suicidal / 237
Self Monitoring / 239
Distress Tolerance / 241
Interpersonal Skills: Learning to Be Assertive, Attentive, and Responsive / 242
Anger Management: Early Identification, Appropriate Expression,
and the Importance of Empathy, Acceptance, and Forgiveness / 243
Skill Building and Personality Change: One and the Same? / 247
Changing Interpersonal Process: Integrating Group Treatment / 247
References 251
Index 261
|
| adam_txt |
Contents
I. ESTABLISHING A FOUNDATION FOR TREATMENT
1. What Do We Really Know about Treating Suicidality?: 3
A Critical Review of the Literature
The Available Literature: A Limited Database / 4
A Critical Review of Intervention Studies: Do Simple Procedural Changes
Make a Difference? / 6
Implications for Clinical Practice / 8
A Critical Review of Treatment Studies: An Emerging Trend
for Cognitive Behavioral Therapy / 8
Implications for Clinical Practice / 11
The Therapeutic Relationship in Treating Suicidality: Attachment, Hope,
and Survival / 12
Implications for Clinical Practice / 13
Unanswered Questions: The Challenge Awaits Us / 14
2. A Cognitive Behavioral Model of Suicidality 15
Existing Theoretical Models of Suicidal Behavior: A Brief Overview / 15
Static and Dynamic Variables Predicting Suicidality / 17
Application of Theory and Empirical Findings in Treatment:
The Problem of Limited Clinical Relevance / 18
Basic Assumptions of Cognitive Theory and Therapy:
Implications for Suicidality / 20
The Essential Requirements for a Cognitive Behavioral Model of Integrating
Empirical Findings and Ensuring Clinical Relevance / 23
The Suicidal Mode as a Cognitive Behavioral Model of Suicidality:
An Elaboration and Specific Application of Beck's Theory of Modes
and Psychopathology / 24
Defining the Suicidal Mode: Characteristics of the Various Systems / 27
xi
xii Contents
Completing the Suicidal Mode: Individual Case Conceptualization / 33
Implications of the Suicidal Mode for the Organization, Content,
and Process of Treatment / 40
Theoretical Flexibility of the Suicidal Mode for Psychotherapy Integration / 41
The Therapeutic Relationship in Cognitive Behavioral Therapy:
Three Fundamental Assumptions / 42
3. An Overview of the Treatment Process 44
Completing the Clinical Picture: Understanding Severity, Chronicity,
and Diagnostic Complexity / 45
Identifying Treatment Components / 46
An Overview of the Goals for Each Treatment Component / 49
An Overview of the Steps in Treatment Planning / 50
Understanding the Treatment Process: Treatment Components
and Corresponding Levels / 52
Defining the Component Levels / 53
Symptom Management Component / 55
Cycling through Components and Levels / 58
The Role of Medications / 60
Skill Building Component / 61
Personality Development Component / 62
Variation in Therapist Role / 63
A Clinical Example of Acute Suicidality: The Case of Mr. E / 64
Monitoring the Treatment Process / 66
Process Tasks and Markers / 66
Provocations and Resistance in the Therapeutic Relationship: How a Clear
Organizational Framework Helps / 70
Quantifying Change: How to Measure and Monitor Change in Treatment / 70
Treatment Withdrawal and Noncompliance / 71
Ensuring Treatment Fidelity / 72
Termination: When, Why, and How / 73
Interpersonal Process Groups and Booster Sessions / 73
The Role of the Treatment Team / 74
The Need for Long Term Care in a Time Limited World / 75
II. ASSESSMENT AND TREATMENT
4. Treatment Course and Session by Session Guidelines 79
The Beginning of Treatment: Sessions 1 4 / 81
Sessions 5 10: Symptom Management, Cognitive Restructuring, Reducing
and Eliminating Suicidal Behaviors / 94
Sessions 10 19: Emphasis on Skill Building / 96
Sessions 19 20: A Shift toward Personality Development
and Longer Term Treatment / 98
5. The Evaluation Process and the Initial Interviews 100
Risk Assessment Goals: The Importance of Establishing a Baseline
for Ongoing Monitoring / 104
Treatment Conceptualization and Consent: Setting the Stage / 105
Contents xiii
The Use and Role of Psychometric Testing / 117
Establishing the Therapeutic Relationship / 121
6. Assessing Suicide Risk 126
Distinguishing between Risk Assessment and Prediction: Defining the Nature
of Clinical Responsibilities / 127
The Importance of Precise Terminology: Saying What We Know and Knowing
What We Say / 128
Essential Components of a Clinical Risk Assessment Interview / 131
Tips on Eliciting Information on Intent and Self Control / 135
Risk Categories: Baseline, Acute, Chronic High Risk, and Chronic High Risk
with Acute Exacerbation / 136
Rating Severity: A Continuum of Suicidality / 138
Clinical Documentation and the Process of Risk:
The Concept of Risk Monitoring / 141
The Role of Chronicity and Time in Risk Assessment / 143
Clinical Decision Making, Management, and Treatment / 143
Ongoing Monitoring of Treatment Outcome and Evaluation / 145
The Persistence of Suicidal Thoughts: A Potentially Misleading Marker
of Treatment Outcome / 147
7. Crisis Intervention and Initial Symptom Management 148
Key Tasks of Crisis Intervention / 149
Ensuring the Patient's Safety / 153
Self Monitoring during Crises / 154
Teaching the Patient to Rate Discomfort: A Self Monitoring Task / 154
Completing the Suicidal Thought Record / 158
Depicting the Suicidal Cycle: The Suicidal Mode in Action / 159
Using Mood Graphs / 160
Improving Distress Tolerance and Reducing Impulsivity: The Importance
of Emphasizing That Bad Feelings Do Not Last Forever / 162
Targeting Source Hopelessness: A Different Kind of Problem Solving / 163
Symptom Matching: Improving Level of Functioning over the Short Term / 165
The Importance of Structure: Providing a Crisis Response Plan / 166
8. Reducing and Eliminating Suicide Related Behaviors 170
Identifying Behavioral Targets in Treatment: Understanding the Suicidal Mode
/ 170
Distinguishing between Suicidal Acts and Instrumental Behaviors / 173
Dealing with Mixed Messages / 175
Identifying the Suicidal Cycle / 176
The Process of Behavioral Change:
Reducing and Eliminating Suicidal Behavior / 178
Inhibiting the Suicidal Cycle during Crisis States: Late Cycle Intervention / 183
Substitute Behaviors and Purposeful Hypervigilance:
Early Cycle Intervention / 184
Shaping Behavior: A Process of Gradual Change / 186
Exposure Based Strategies: Role Playing, Cue Exposure,
and Behavioral Rehearsal / 187
Contingency Management and Treatment Success / 187
xiv Contents
Targeting Treatment Disruptions / 189
Provocation(s): The Currency of Interpersonal Relatedness in Suicidality / 191
Handling Provocation in Treatment / 194
The Evolution of Hope and the Elimination of Suicidal Behavior: A Few
Concluding Words / 197
9. Cognitive Restructuring: Changing the Suicidal Belief System 198
and Building a Philosophy for Living
Private Meaning and the Suicidal Belief System: The Role of Automatic
Thoughts and Intermediate and Core Beliefs / 198
A Straightforward Strategy for Cognitive Change / 203
Dealing with Poor Motivation and Treatment Noncompliance / 208
Building a Philosophy for Living: Change and Acceptance as New Rules / 209
Prevailing, Facilitating, and Compensatory Modes in Chronic Suicidality:
Developing Adaptive Modes and Acknowledging Personal Qualities
and Characteristics / 211
The Therapeutic Belief System: Therapy Specific Beliefs / 212
Outlining the Therapeutic Belief System / 218
The Therapeutic Belief System of the Therapist Treating Suicidality:
Monitoring Thoughts, Feelings, and Behaviors in Treatment / 222
Evaluating the Relationship: Patience, Determination, and Consistency / 224
10. Skill Building: Developing Adaptive Modes 226
and Ensuring Lasting Change
Conceptualizing Skill Deficits in Cognitive Behavioral Therapy for Suicidality
/226
Targeting Skill Deficits / 228
A Model for Problem Solving: Learning to Identify, Evaluate, and Pursue
Alternatives to Suicide / 234
Emotion Regulation Ability: The Art of Feeling Better When Suicidal / 237
Self Monitoring / 239
Distress Tolerance / 241
Interpersonal Skills: Learning to Be Assertive, Attentive, and Responsive / 242
Anger Management: Early Identification, Appropriate Expression,
and the Importance of Empathy, Acceptance, and Forgiveness / 243
Skill Building and Personality Change: One and the Same? / 247
Changing Interpersonal Process: Integrating Group Treatment / 247
References 251
Index 261 |
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| id | DE-604.BV020847075 |
| illustrated | Illustrated |
| index_date | 2024-07-02T13:18:36Z |
| indexdate | 2024-07-09T20:26:31Z |
| institution | BVB |
| isbn | 1593851006 1572306149 |
| language | English |
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| record_format | marc |
| series2 | Treatment manuals for practitioners |
| spelling | Rudd, M. David Verfasser aut Treating suicidal behavior an effective, time-limited approach M. David Rudd ; Thomas Joiner ; M. Hasan Rajab Treatment manuals for practitioners New York ; London Guilford Press 2001 xiv, 274 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Behandeling gtt Comportement suicidaire - Traitement Comportement suicidaire rasuqam Intervention en situation de crise (Psychologie) rasuqam Prévention du suicide rasuqam Psychothérapie rasuqam Suicide - Prévention Zelfmoordpogingen gtt Cognitive Therapy Suicidal behavior Treatment Suicide Prevention Suicide prevention & control Suicide, Attempted Suizidverhütung (DE-588)4077352-8 gnd rswk-swf Suizidverhütung (DE-588)4077352-8 s DE-604 Joiner, Thomas Verfasser aut Rajab, M. Hasan Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014168838&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Rudd, M. David Joiner, Thomas Rajab, M. Hasan Treating suicidal behavior an effective, time-limited approach Behandeling gtt Comportement suicidaire - Traitement Comportement suicidaire rasuqam Intervention en situation de crise (Psychologie) rasuqam Prévention du suicide rasuqam Psychothérapie rasuqam Suicide - Prévention Zelfmoordpogingen gtt Cognitive Therapy Suicidal behavior Treatment Suicide Prevention Suicide prevention & control Suicide, Attempted Suizidverhütung (DE-588)4077352-8 gnd |
| subject_GND | (DE-588)4077352-8 |
| title | Treating suicidal behavior an effective, time-limited approach |
| title_alt | Treatment manuals for practitioners |
| title_auth | Treating suicidal behavior an effective, time-limited approach |
| title_exact_search | Treating suicidal behavior an effective, time-limited approach |
| title_exact_search_txtP | Treating suicidal behavior an effective, time-limited approach |
| title_full | Treating suicidal behavior an effective, time-limited approach M. David Rudd ; Thomas Joiner ; M. Hasan Rajab |
| title_fullStr | Treating suicidal behavior an effective, time-limited approach M. David Rudd ; Thomas Joiner ; M. Hasan Rajab |
| title_full_unstemmed | Treating suicidal behavior an effective, time-limited approach M. David Rudd ; Thomas Joiner ; M. Hasan Rajab |
| title_short | Treating suicidal behavior |
| title_sort | treating suicidal behavior an effective time limited approach |
| title_sub | an effective, time-limited approach |
| topic | Behandeling gtt Comportement suicidaire - Traitement Comportement suicidaire rasuqam Intervention en situation de crise (Psychologie) rasuqam Prévention du suicide rasuqam Psychothérapie rasuqam Suicide - Prévention Zelfmoordpogingen gtt Cognitive Therapy Suicidal behavior Treatment Suicide Prevention Suicide prevention & control Suicide, Attempted Suizidverhütung (DE-588)4077352-8 gnd |
| topic_facet | Behandeling Comportement suicidaire - Traitement Comportement suicidaire Intervention en situation de crise (Psychologie) Prévention du suicide Psychothérapie Suicide - Prévention Zelfmoordpogingen Cognitive Therapy Suicidal behavior Treatment Suicide Prevention Suicide prevention & control Suicide, Attempted Suizidverhütung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014168838&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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