A view from Riggs: treatment resistance and patient authority-XI. An alliance based intervention for suicide.
Treatment resistance has emerged as a significant issue, with evidence of a high risk of suicide in this population. This article reviews the history of the concept of the therapeutic alliance, argues for its central importance in work with suicidal and self-destructive patients, and introduces ABIS, an Alliance-Based Intervention for Suicide that is carried out as part of psychodynamic psychotherapy. Principles of ABIS are delineated and explained.
Plakun
Eric M
EM
The Austen Riggs Center, Stockbridge, MA 01262, USA. eric.plakun@austenriggs.net
D000328:Adult; D000374:Aggression / Q000523:psychology; D001883:Borderline Personality Disorder / Q000523:psychology / Q000628:therapy; D003379:Countertransference; D003674:Defense Mechanisms; D003858:Dependency, Psychological; D006708:Homicide / Q000517:prevention & control / Q000523:psychology; D006801:Humans; D008297:Male; D009633:Nonverbal Communication; D010344:Patient Advocacy; D010817:Physician-Patient Relations; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology; D014473:Unconscious, Psychology; D000092864:Suicide Prevention