ASSIP pic header   Becoming an Ally of The Patient

THE TOWER OF BABEL SYNDROME

In the usual clinical encounters between a health professional and a suicidal patient the clinician interviews the patient in the search for clinical risk factors, particularly for signs of a psychiatric disorder, such as depression, substance abuse, severe personality disorder or schizophrenia. The patient however, is caught in an internal struggle with an unbearable self, unbearable mental pain, extreme hopelessness, and self-hate. The suicidal patient does not feel that suicide plans need medical treatment.
 
Thus, the patients’ concepts of suicide and the concepts of professional helpers, do not match, i.e., patients and doctors speak different languages. The Tower of Babel Syndrome.
 
Suicide is not a symptom of psychiatric disorder, but an action. Most health professionals have not learned how to understand peoples’ actions. Even in a severe depression, it is not the disorder itself, which initiates the suicidal act, but the individual, the “owner” of the depression.
 
 

THE KEY ISSUE: A PERSON-CENTERED THERAPEUTIC APPROACH

In the usual clinical encounters between a health professional and a suicidal patient the clinician interviews the patient in the search for clinical risk factors, particularly for signs of a psychiatric disorder, such as depression, substance abuse, severe personality disorder or schizophrenia. The patient however, is caught in an internal struggle with an unbearable self, unbearable mental pain, extreme hopelessness, and self-hate. The suicidal patient does not feel that suicide plans need medical treatment.
 
Thus, the patients’ concepts of suicide and the concepts of professional helpers, do not match, i.e., patients and doctors speak different languages. The Tower of Babel Syndrome.
 
Suicide is not a symptom of psychiatric disorder, but an action. Most health professionals have not learned how to understand peoples’ actions. Even in a severe depression, it is not the disorder itself, which initiates the suicidal act, but the individual, the “owner” of the depression.
 
 

AESCHI CONFERENCES

In the year 2000 an international group of dedicated clinicians and researchers convened in a Swiss mountain village to discuss models of patient-centered therapies for suicidal individuals (Aeschi Working Group). The so-called Aeschi Conferences developed into regular biennial meetings focused on therapist-patient interaction and treatment engagement. “Discovering the truth in attempted suicide”.
 
A multi-author volume published in 2011 summarized the content of 10 years Aeschi Conferences. “Building a Therapeutic Alliance with the Suicidal Patient.”
“The Aeschi Working Group: Guidelines for Clinicians” (PDF)
 
Buch Michel-Jobes
“This book, written by clinicians for clinicians, fills that void by helping the reader to understand the complex process of joining with the suicidal individual in the collaborative pursuit of healing. This book deserves a place among the key books in the library of every clinician working with patients at risk for suicide.”
(Thomas E. Ellis, PsyD, ABPP, Professor, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Director of Psychology, The Menninger Clinic)
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