Muutke küpsiste eelistusi

Resolving Therapeutic Dilemmas with Suicidal Clients: A Clinical Handbook [Kõva köide]

(State University of New York Upstate, United States), (State University of New York Upstate, United States)
  • Formaat: Hardback, 210 pages, kõrgus x laius: 229x152 mm
  • Ilmumisaeg: 05-Jun-2026
  • Kirjastus: Guilford Press
  • ISBN-10: 146256268X
  • ISBN-13: 9781462562688
Teised raamatud teemal:
  • Kõva köide
  • Hind: 79,94 €
  • See raamat ei ole veel ilmunud. Raamatu kohalejõudmiseks kulub orienteeruvalt 3-4 nädalat peale raamatu väljaandmist.
  • Kogus:
  • Lisa ostukorvi
  • Tasuta tarne
  • Tellimisaeg 2-4 nädalat
  • Lisa soovinimekirja
  • Formaat: Hardback, 210 pages, kõrgus x laius: 229x152 mm
  • Ilmumisaeg: 05-Jun-2026
  • Kirjastus: Guilford Press
  • ISBN-10: 146256268X
  • ISBN-13: 9781462562688
Teised raamatud teemal:
Engaging suicidal clients in treatment and recovery is intense and challenging. Robert J. Gregory and Rebecca J. Shields share principles and techniques grounded in research and extensive front-line experience in this concise, pragmatic guide. The book is uniquely structured around specific dilemmas or sticking points that frequently arise in the treatment of suicidal clients. It provides a roadmap for responding skillfully when a client says, for example, "I just want to die, Nothing is going to help, or If you discharge me, Ill kill myself. Rich clinical vignettes and transcripts illuminate the underlying dynamics of each dilemma and demonstrate effective ways to move through it, regardless of treatment modality.

Arvustused

"Organized around real-world therapeutic dilemmas, this book is a valuable reference and guide for clinicians and graduate students across disciplines who seek to deepen their understanding of client-centered, recovery-focused care for those navigating suicide risk. Readers will benefit from the actionable tools and compelling clinical vignettes, and from the emphasis on therapist self-awareness, alliance repair, and fostering authentic engagement--critical competencies for effective suicide treatment. Blending clinical wisdom with empirical rigor, this book will inspire and facilitate discussions around complex and nuanced decision making, risk assessment, alliance management, and client ownership of recovery."--Jennifer J. Muehlenkamp, PhD, Department of Psychology, University of WisconsinEau Claire

"This 'must-read' book addresses the practical problems, countertransferences, and pressures that busy clinicians struggle with when working with suicidal patients. It provides solutions and--perhaps more important--hope and optimism. The book is organized around 18 scenarios that are familiar to all experienced clinicians, and suggests pragmatic techniques for helping patients move from simply managing their painful symptoms to recovery."--Richard F. Summers, MD, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania

"This unique book succeeds in offering an accessible, evidence-based framework for understanding and intervening with clients with suicidal ideation. Regardless of one's theoretical orientation, the tools and principles provided in this book are practical, adaptable, and deeply human. Clinicians are equipped with clear strategies to engage suicidal clients meaningfully and effectively. This book is essential reading for all professionals--from trainees to seasoned clinicians--seeking to expand their therapeutic toolkits and offer hope to clients in their darkest moments."--Patrick Luyten, PhD, Faculty of Psychology and Educational Sciences, University of Leuven, Belgium; Research Department of Clinical, Educational and Health Psychology, University College London, United Kingdom

"This book is a unique, important, and remarkably impactful contribution to the area of clinical practice that is arguably the most anxiety provoking for providers. Clinicians are often at a loss for how best to respond when a client experiencing a suicidal crisis voices unshakable hopelessness, despair, or rage. Gregory and Shields offer specific, expert guidance founded in an empirically informed model, vast experience, and clinical wisdom. The book helps clinicians develop and refine critical skills for facing the most challenging clinical scenarios. Not only will this book calm clinicians' anxiety, it also will improve the quality of care and help save lives."--M. David Rudd, PhD, ABPP, Distinguished University Professor of Psychology and President Emeritus, The University of Memphis-

I. Introduction and Overview
1. Suicide: From Chronic Illness to a Recovery Perspective
2. Introduction to Dynamic Deconstructive Psychotherapy
II. Dilemmas
- Dilemma
1. Im just here because of my parents, spouse, etc. (for
clients who are unmotivated to start treatment)
- Dilemma
2. I just need to be put on the right medication for my ADHD,
bipolar, etc. (for clients who are seeking a quick fix instead of
psychotherapy)
- Dilemma
3. I dont want to recover; I just want to die. (for clients who
are expressing suicidal intent in session)
- Dilemma
4. I dont have anything to talk about. (for clients who are not
actively participating in the treatment)
- Dilemma
5. You are not qualified to be my therapist. (for clients who
have narcissistic or paranoid personality traits)
- Dilemma
6. Nothing can help me; I need more help! (for clients who are
hopeless and desperate)
- Dilemma
7. You dont really care about me; its just your job! (for
clients who have antisocial or dependent personality traits)
- Dilemma
8. Cannabis is the only thing that helps me. (for clients who
are using substances)
- Dilemma
9. I want to work toward recovery, but I have a secret stash just
in case. (for clients who are holding onto suicide as a backup option)
- Dilemma
10. I was too depressed to attend my appointment or do the things
you wanted me to. (for clients who are ambivalent about treatment or
recovery)
- Dilemma
11. Im coming every week but nothings working. (for clients
who feel hopeless that they can get better well into treatment)
- Dilemma
12. Im not sure I can keep myself safe, but going to the
hospital will just make things worse. (for clients who feel unsafe but
refuse to go to the hospital)
- Dilemma
13. Your client is in the emergency department after taking an
overdose. (for clients who recently attempted suicide)
- Dilemma
14. Why are you so rigid when people may need extra help? (for
clients who violate your boundaries)
- Dilemma
15. How can you understand me when you havent gone through what
I have? (for clients who want a therapist with a similar race, ethnicity,
gender, values, or background)
- Dilemma
16. I thought I was getting better, but now I realize that Im no
better than when we started treatment. (for clients who were progressing in
treatment but are now regressing)
- Dilemma
17. If you discharge me, Im going to kill myself. (for clients
who are disengaged from treatment but are threatening suicide if you
discharge them)
- Dilemma
18. I am pregnant! (for clients or therapists who become
pregnant during the course of treatment)
III. Conclusion
Final Reflections
References
Index
Robert J. Gregory, MD, is SUNY Distinguished Service Professor in the Department of Psychiatry at the State University of New York Upstate Medical University. He is Founding Director of the Psychiatry High Risk Program (PHRP), a recovery-based outpatient treatment program for suicidal youth and adults, and developer of the PHRP's core treatment modality, Dynamic Deconstructive Psychotherapy. The PHRP has been designated as a best practice in suicide prevention and received a Psychiatric Services Achievement Award (Silver) from the American Psychiatric Association. Dr. Gregory has authored more than 70 articles and book chapters and does trainings nationally and internationally.

Rebecca J. Shields, DO, is a board-certified Child and Adolescent Psychiatrist and Assistant Professor in the Department of Psychiatry at the State University of New York Upstate Medical University. She serves as Co-Director of the Psychiatry High Risk Program (PHRP), where she oversees the adolescent program and provides training and clinical care in the PHRP's core treatment modality, Dynamic Deconstructive Psychotherapy. Dr. Shields has authored articles on recovery-based suicide prevention and the use of Dynamic Deconstructive Psychotherapy with adolescents.