Suicidality in bipolar disorders--psychoanalytic contribution.
This paper gives an overview of psychoanalytic contributions to the understanding of suicidal behavior in bipolar patients. Although little specific literature is available, many authors have contributed to the understanding of these patients' psychodynamics and suicidality in various papers. Different points of emphasis are described, among these are defensive strategies, narcissistic personality structure, and dealing with intense feelings such as object loss. Using detailed case descriptions, the inner world of bipolar patients as it relates to their suicidality, along with the appropriate psychoanalytically oriented approach to treatment, are highlighted.
Etzersdorfer
Elmar
E
Furtbach Hospital for Psychiatry and Psychotherapy, Stuttgart, Germany. etzersdorfer@fbkh.org
Schell
Gerhard
G
D001293:Attitude to Death; D001294:Attitude to Health; D001714:Bipolar Disorder / Q000523:psychology* / Q000628:therapy; D004532:Ego; D006801:Humans; D011572:Psychoanalysis / Q000379:methods; D012649:Self Concept; D013405:Suicide / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000706:statistics & numerical data