Maltsberger John T, Ronningstam Elsa, Weinberg Igor, Schechter Mark, Goldblatt Mark J
Harvard Medical School and McLean Hospital, Belmont, MA, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2010 Winter;38(4):611-23. doi: 10.1521/jaap.2010.38.4.611.
The suicide literature tends to lump all suicidal ideation together, thereby implying that it is all functionally equivalent. However obvious the claim that suicidal ideation is usually a prelude to suicidal action, some suicidal daydreaming tends to inhibit suicidal action. How are we to distinguish between those daydreams that augur an impending attempt from those that help patients calm down?
自杀相关文献往往将所有自杀念头归为一类,从而暗示它们在功能上都是等同的。然而,尽管自杀念头通常是自杀行为的前奏这一说法很明显,但有些自杀性的白日梦往往会抑制自杀行为。我们该如何区分那些预示着即将实施自杀行为的白日梦和那些帮助患者平静下来的白日梦呢?