The therapist's transitions in case of risk of suicide

Pasquale Brogna, Tiziana D'Andrea

Centro di Psicologia e Psicoterapia Costruttivista, Roma (Italy)

Abstract
We started from the presupposition that the therapist frequently undergoes severe and not easily manageable emotional transitions in the treatment of people at risk of suicide. Such transitions can result in therapeutic attitudes not useful to the development of a process of change, and in situa-tions of risk with possible severe repercussions for both the client and the therapist. Starting from the different modalities that the person at risk of suicide can present in therapy, we shall analyse the most frequent transitions that the therapist can experience. We shall try to specify the way they show themselves, how they are connected with the therapist's personal organisation and the role he/she chooses to play in therapy, and the effects they can have on the clients in such a difficult moment of their personal path. In the last part of the paper some aspects of the treatment will be discussed. The psychotherapy process has to start from an understanding of the client by means of professional constructs and therefore from a comprehensive and articulated theory of suicide.

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