Orbach I
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.
Am J Psychother. 1989 Jul;43(3):356-67. doi: 10.1176/appi.psychotherapy.1989.43.3.356.
This paper describes a particular family dynamics involved in suicidal behaviors of adolescents. Certain family situiations create a split between some family members and the suicidal adolescent to the point of total estrangement. The adolescent copes with this split by forming intrapsychic splits, including a suicidal self and nonsuicidal self, through dissociation. This process peaks in the suicidal behavior itself. The therapeutic principles implied by this model are presented.
本文描述了青少年自杀行为中涉及的一种特殊家庭动态。某些家庭情况导致一些家庭成员与有自杀倾向的青少年之间产生隔阂，直至完全疏远。青少年通过解离形成内心分裂，包括一个自杀性自我和一个非自杀性自我，以此应对这种隔阂。这一过程在自杀行为本身中达到顶峰。文中还阐述了该模型所蕴含的治疗原则。
