Alexander P
Suicide Life Threat Behav. 1977 Winter;7(4):203-10.
A case history of a patient who died during the course of psychotherapy is initially presented in the form of an essay. Three therapeutic points (one related to the therapist's awareness of his anger toward the patient) are focused on in regard to working with the dependent, suicidal patient: the importance of being in touch with one's own anger toward the suicidal patient; the need to vary one's attitude and approach toward the dependent patient as he travels through different emotional phases; the importance of promptly involving significant friends and relatives in close observation of and relating to the acutely suicidal person. The emotions and psychodynamic factors in the author and other psychotherapists in response to the death of a patient are then examined with particular emphasis on the therapist's allowing himself to mourn the personal loss.
本文首先以一篇文章的形式呈现了一位在心理治疗过程中死亡的患者的病史。针对依赖型自杀患者的治疗，着重探讨了三个治疗要点（其中一个与治疗师意识到自己对患者的愤怒有关）：认识到自己对自杀患者的愤怒的重要性；当依赖型患者经历不同情绪阶段时，需要改变对其的态度和治疗方法；及时让重要的朋友和亲属密切观察并接触急性自杀者的重要性。接着研究了作者及其他心理治疗师在患者死亡后的情绪和心理动力学因素，特别强调治疗师要允许自己为个人损失而哀悼。
