Abstract
The number of elderly individuals expressing the wish to end their lives in the absence of overt mental illness is increasing and is expected to grow further as life expectancy increases. Taking an individual’s statements at face value and consideration of only their current circumstances is likely to miss out unconscious meanings governing the wish to die. This chapter discusses psychodynamic factors at play among elderly individuals expressing suicidal thoughts. Prominent psychodynamic theories of suicide are first reviewed. Existing theories are then applied to a clinical case to provide a format for exploring psychodynamic factors that could influence suicidal thoughts among elderly individuals.
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References
Nasreddine ZS, Phillips NA, Bédirian V, et al. The Montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695–9. doi:10.1111/j.1532-5415.2005.53221.x.
Menninger KA. Psychoanalytic aspects of suicide. Int J Psychoanal. 1933;14:376–90.
Freud S. Mourning and Melancholia. Standard Edition 14. London: Hogarth; 1917.
Hendrick I. Suicide as wish fulfillment. Psychiatry Q. 1940;14:30–42.
Winnicott D. The maturational process and the facilitating environment. New York: International Universities Press; 1965.
Kohut H. The restoration of the self. New York: International Universities Press; 1977.
Huprich SK. Psychodynamic conceptualization and treatment of suicidal patients. J Contemp Psychoanal. 2004;34(1):23–39.
Maltsberger JT, Buie DH. The devices of suicide: revenge, riddance, and rebirth. Int Rev Psychoanal. 1980;7:61–72.
Muskin PR. The request to die: role for a psychodynamic perspective on physician-assisted suicide. JAMA. 1998;279:323–8.
Schneidman ES. Suicide as psychache. J Nerv Ment Dis. 1993;181:147–9.
Baechler J. A strategic theory. Suicide Life Threat Behav. 1980;10:70–99.
Baumeister RF. Suicide as escape from self. Psychol Rev. 1990;97(1):90–113.
Erikson E. Childhood and society. New York: Norton; 1950.
Richman J. A rational approach to rational suicide. Suicide Life Threat Behav. 1992;22(1):130–40.
Maltsberger JT. Confusion of the body, the self, and others in suicidal states. In: Leenaars A, Berman AL, Cantor P, Litman RE, Maris RW, editors. Suicidology: Essays in honor of Edward Schneidman. Northvale: Aronson; 1993. p. 148–72.
Van der Velde CD. Body image of one’s self and of others: developmental and clinical significance. Am J Psychiatry. 1985;142:527–37.
Orbach I. Suicide and the suicidal body. Suicide Life Threat Behav. 2003;33(1):1–8.
King A, Apter A. Psychoanalytic perspectives on adolescent suicide. Psychoanal Study Child. 1996;51:491–511.
Lindner R. Suicidality in the elderly. Dtsch Med Wochenschr. 2012;137(40):2002–4.
Hendin H. Psychodynamics of suicide, with particular reference to the young. Am J Psychiatry. 1991;148:1150–8.
Hendin H, Haas AP. Suicide and guilt as manifestations of PTSD in Vietnam combat veterans. Am J Psychiatry. 1991;148:586–91.
Hendin H. The psychodynamics of suicide. J Nerv Ment Dis. 1963;136:236–44.
Maltsberger JT. Suicide risk: the formulation of clinical judgment. New York: New York University Press; 1981.
Lifton R. Suicide: the quest for a future. In: Jacobs D, Brown H, editors. Suicide: understanding and responding. Madison: International Universities Press; 1989.
Siegel K. Psychosocial aspects of rational suicide. Am J Psychother. 1986;40(3):405–18.
Gabbard GO. Miscarriages of psychoanalytic treatment with suicidal patients. Int J Psychoanal. 2003;84:249–61.
Maltsberger JT, Ronningstam E, Weinberg I, Schecter M, Goldblatt MJ. Suicide fantasy as a life-sustaining recourse. J Am Acad Psychoanal Dyn Psychiatry. 2010;38(4):611–24.
Koukopolous A, Koukopolous A. Agitated depression as a mixed state and the problem of melancholia. Psychiatr Clin N Am. 1999;22:547–64.
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Balasubramaniam, M. (2017). A Psychodynamic Perspective on Suicidal Desire in the Elderly. In: McCue, R., Balasubramaniam, M. (eds) Rational Suicide in the Elderly. Springer, Cham. https://doi.org/10.1007/978-3-319-32672-6_11
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DOI: https://doi.org/10.1007/978-3-319-32672-6_11
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