Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Indian J Psychiatry. 2014 Apr;56(2):194-6. doi: 10.4103/0019-5545.130508.
The tragedy of maternal filicide and extended suicides has occurred throughout history. Maternal filicide-suicide perpetrators most often suffer from depression, suicidality, or psychosis. Interventions in such cases are not commonly reported in the psychiatric settings, and the components of psychotherapeutic approach and its efficacy are also not known. Here we present a long-term therapy carried out with a 36-year-old married lady, with the complaints of low mood, suicidal ideation, severe guilt feelings, and depressive cognitions. There was positive family history of depression, past history of dysthymia, suicidal attempt, and severe marital discord. Therapy was carried out for a period of 9 months with follow-up for 4 years and addressed existential issues and grief with the components of existential therapy, grief therapy, narratives, religious beliefs, and interpersonal acceptance. The case highlights the need for blending of multiple approaches to meet the challenges such cases can pose.
母婴杀亲及延伸性自杀的悲剧在历史上时有发生。母婴杀亲-自杀的犯罪者通常患有抑郁症、自杀意念或精神病。在这种情况下，干预措施在精神科环境中并不常见，心理治疗方法的组成部分及其疗效也不为人知。在这里，我们介绍了对一位 36 岁已婚女士进行的长期治疗，她有情绪低落、自杀意念、严重内疚感和抑郁认知等症状。她有抑郁症的阳性家族史、过去的恶劣心境病史、自杀未遂和严重的婚姻不和。治疗进行了 9 个月，并进行了 4 年的随访，采用存在主义疗法、悲伤疗法、叙事疗法、宗教信仰和人际接纳等方法解决了存在问题和悲伤。该案例强调了需要融合多种方法来应对此类案例所带来的挑战。
