Psychiatry

The Suicidal Adolescent by Moses Laufer

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By Moses Laufer

As our wisdom of the swap and turmoil of formative years grows, so the variety of concerns on which psychotherapeutic innovations can shed gentle raises: this monograph makes a speciality of some of the most pressing. It offers not just sensible insights into facing suicidal or probably suicidal adolescents--with an emphasis on prevention of the matter as early as possible--but additionally a version of ways during which kids may possibly locate themselves changing into suicidal. Suicide makes an attempt are infrequent in youth; they're normally prompted after puberty through the adolescent's response to alterations in his newly sexually mature physique. it's the physique that's perceived advert the enemy, and infrequently the dying of the physique turns out the single recourse. The adolescent who truly makes an attempt to kill himself not doubts his activities or his ideas on his psychological creations. on the time of his selection to kill himself, he's taken over by means of his desire for peace greater than through the actual fact of his personal death.

The monograph comprises papers in this subject written through participants of the workers of the Brent Adolescent Centre/Centre for study into Adolescent Breakdown including the complaints of a convention on "The Suicidal Adolescent" held in October 1993. It incorporates a wealth of case fabric illuminating many points of a harrowing challenge. as the booklet comes at once out of the Centre's paintings as a walk-in centre, the emphasis is on being alert to possibility indications and on tools of arresting their reasons. it's going to, as a result, be of curiosity not just to clinicians and therapists but additionally to staff in schooling, medication, probation, kin paintings or social welfare--indeed, to someone who works with teens.

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Secondly. to her adulthood meant marriage, and this she was afraid of because she saw it as a repetition of her relationship with her mother. where she would have to give in to another person's demands. and she was afraid that it would make her feel constantly angry. as it did with her mother. These feelings added to Jane's depression in making her feel abnormal, and even possibly homosexual-that is. different from normal women. She could not allow herself to experience any sexual pleasure from her body for fear that it would make her feel even more abnormal.

An ambulance soon took her to the local hospital, where she remained acutely ill for some days. She was then transferred to a larger general hospital to spend a stormy and worrying four months before being flnally discharged home. Whilst an in-patient, she was somewhat loath to loin in the ward activities. a s she felt herself slightly superior to the others. But gradually she settled down, and when her condi- 36 MYERWOHL tion improved. she was allowed to go out for walks and spend weekends at home.

A t that time, having no friends with whom to go out. Maklng a decision that implies a positive action-such a s killing herself-felt a relief to her from this constant reproach of herself for not doing anything about her lack of friends. This pattern was constantly repeated during her treatment. Whenever she felt she was not progressing in her work or was getting depressed again because she had no boyfriend. her feeling of being weak and worthless would increase to an intolerable degree, until she would drive herself to do something very extreme about It.

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