0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
Letter to the Editor   |    
Drs. Gutheil and Schetky Reply
THOMAS G. GUTHEIL, M.D.; DIANE SCHETKY, M.D.
Am J Psychiatry 1999;156:1843-a-1843.
text A A A

To the Editor: We greatly appreciate—and find ourselves largely in agreement with—the dynamic insights of our French colleagues, Dr. Chabrol et al. We, too, have observed the splitting phenomenon, wherein suicide is an attempt to destroy the bad parts of the self rather than simply to die.

We were attempting to counsel therapists to avoid power struggles (e.g., by acknowledging realistic limits on the ability to prevent suicide) more than to convey an attitude of helplessness that, as the letter notes, may promote another of the patient’s attempts to control the therapist (or other persons or fate itself) through a projective identification mechanism. We did imply that the patient’s feeling of helplessness may lead him or her to resort to this defense.

Finally, we are grateful for the letter writers’ obviously close and thoughtful reading of our article.

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
Textbook of Psychotherapeutic Treatments > Chapter 21.  >
Textbook of Psychotherapeutic Treatments > Chapter 2.  >
Textbook of Psychotherapeutic Treatments > Chapter 2.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 23.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 23.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles
Towards understanding some complex borderline behaviours. J Psychiatr Ment Health Nurs 1999;6(6):425-32.