Research Interests:
Research Interests:
Research Interests:
Research Interests:
This chapter describes how the author would implement each of the empirically based principles of change identified in Chapter 2, as they specific related to the three cases of social anxiety presented in Chapter 8. The chapter begins... more
This chapter describes how the author would implement each of the empirically based principles of change identified in Chapter 2, as they specific related to the three cases of social anxiety presented in Chapter 8. The chapter begins with the author’s initial reaction to the list of principles, as well as to the task of describing their implementation in his day-to-day clinical work. Also included in the chapter are the author’s case formulation and treatment for each case, which serve as the general context for the author’s detailed explanation of why and how he would apply the principles in ways that are best attuned to the needs of particular clients. The chapter ends with the description of the author’s thoughts and experience about writing this chapter.
Research Interests: Psychology and Feeling
Research Interests: Psychology, Psychotherapy, Family, Injury Prevention, Suicide prevention, and 15 moreMedicine, Shame, Humans, Cognitive Therapy, Divorce, Male, Occupational Safety and Health, Depressive Disorder, Ego, Middle Aged, Human Factors and Ergonomics, Medical Emergency, Medical School, Poison Control, and Attempted Suicide
Change in treatment of narcissistic personality disorder (NPD) has been considered difficult to attain. Aspects of narcissistic pathology, including interpersonal enhancement, avoidance, aggressivity, and control, have contributed to... more
Change in treatment of narcissistic personality disorder (NPD) has been considered difficult to attain. Aspects of narcissistic pathology, including interpersonal enhancement, avoidance, aggressivity, and control, have contributed to challenges in forming a therapeutic alliance and pursuing treatment towards attainable goals for change and remission. This study, based on a qualitative review of therapists’ case reports of individual psychotherapy with eight patients diagnosed with NPD, is the first to identify and explore patterns, processes, and indicators of change in pathological narcissism. All patients showed significant improvement in personality and life functioning, including engagement in work or education and long-term close relationships, with remission of the NPD diagnosis. The process of change was gradual, with some noticeable changes occurring in specific life contexts. Additional factors indicating and contributing to change included patients’ motivation and commitment to psychotherapy, reflective ability, emotion regulation, sense of agency, and interpersonal and social engagement.
Research Interests:
Research Interests:
Research Interests:
Psychoanalytic theories and studies have influenced the explorations of suicide over the past hundred years. Freud’s first observations of self-objectification in melancholic depression were followed by contributions from object relation... more
Psychoanalytic theories and studies have influenced the explorations of suicide over the past hundred years. Freud’s first observations of self-objectification in melancholic depression were followed by contributions from object relation theorists and self-psychologists, highlighting foremost the role of narcissistic rage and structural vulnerability. Several of the central clinical concepts that unfolded have more recently been subject to empirical testing. This text provides an overview and discussion of the different psychoanalytic formulations applied to suicide. Empirical studies of several assumptions and constructs related to emotions, defences, and structural deficits and vulnerabilities verify their association to or explanation of chronic and acute suicidality. Further conceptualizations and research, especially on subtypes of suicide and individual experiences leading up to and dominating suicidal states, are called for.
Research Interests:
Research Interests:
This paper presents an integrative approach to suicidal behavior in terms of search activity concept. Search activity concept displays a broad and holistic approach to behavior, adaptation to environment, body resistance, brain amine... more
This paper presents an integrative approach to suicidal behavior in terms of search activity concept. Search activity concept displays a broad and holistic approach to behavior, adaptation to environment, body resistance, brain amine metabolism, and REM-sleep functions. Search activity is defined as activity that is oriented to change the situation (or at least the subject's attitude to it) in the absence of a precise prediction of the outcome of such activity, but taking into consideration outcomes at all previous stages of activity. According to the proposed hypothesis, renunciation of search (a state opposed to search activity) leads to a feeling of helplessness, problem-solution deficits, inefficient coping, dreams that represent renunciation of search, and a drop in the activity of amines. All these factors further exacerbate the state of renunciation of search and elevate suicidal risk. In addition, the remnants of search activity are misdirected to self-defeating behaviors that increase mental pain and contribute to renunciation of search. This hypothesis integrates findings from a number of fields of study of suicidal behavior, resolves some paradoxes, suggests new lines of research, and raises suggestions for assessment and treatment of suicidal behavior.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests: Psychology, Suicide, Medicine, Affect, Humans, and 7 moreFemale, Male, Arousal, Adult, Attempted Suicide, Life Change Events, and Catastrophization
Research Interests:
Research Interests:
Research Interests:
Research Interests:
This study verified variations in suicide rates throughout the days of the week among Israel Defense Force soldiers during 1974 - 2001. Results confirmed the findings of most previous studies. The first workday was associated with a 60%... more
This study verified variations in suicide rates throughout the days of the week among Israel Defense Force soldiers during 1974 - 2001. Results confirmed the findings of most previous studies. The first workday was associated with a 60% increase in suicide rate among young men. This increase was not observed among female reserve or professional soldiers. This finding might indicate a particular susceptibility of men to contextual and situational factors. The explanation of the increased suicide risk on the first workday stresses such processes as the broken-promise effect as well as difficulty in facing the demands of service and transitions from the weekend to the workweek.
Research Interests:
Research Interests: Psychology, Clinical Psychology, Psychotherapy, Medicine, Crisis Intervention, and 15 moreHumans, Behavior Therapy, Psychological Intervention, Mental Disorders, Psychotherapist, Patient Care Team, Randomized Controlled Trial, Clinical Psychiatry, Clinical Protocols, Attempted Suicide, Combined Modality Therapy, Randomized Controlled Trials as Topic, professional patient relations, Psychology and Cognitive Sciences, and Medical and Health Sciences
Research Interests:
Research Interests: Psychology, Personality, Cognition, Personality Disorders, Borderline Personality Disorder, and 15 moreBibliotherapy, Medicine, Anxiety, Humans, Female, Cognitive Therapy, Male, Regression Analysis, Deliberate Self Harm, Aged, Middle Aged, Suicidal Ideation, Adult, Reproducibility of Results, and ANXIETY
Research Interests: Psychology, Epidemiology, Mental Health, Personality Disorders, Borderline Personality Disorder, and 15 moreEvolution, Public Health, Medicine, Prospective studies, Humans, Hospitalization, Female, Male, Massachusetts, Prevalence, Longitudinal Studies, Adult, Cross Sectional Studies, Psychology and Cognitive Sciences, and Medical and Health Sciences
Research Interests: Psychology, Clinical Psychology, Bipolar Disorder, Borderline Personality Disorder, Treatment Outcome, and 12 morePhenomenology of the Body (Philosophy), Medicine, Comorbidity, Humans, Differential Diagnosis, Etiology, Clinical Sciences, Mood Disorders, Spectrum, Psychology and Cognitive Sciences, Medical and Health Sciences, and Antidepressive agents
Research Interests:
Treatment of patients with pathological narcissism presents several challenges and there is paucity of published case reports that document meaningful and durable change in patients suffering from this condition. Using descriptive and... more
Treatment of patients with pathological narcissism presents several challenges and there is paucity of published case reports that document meaningful and durable change in patients suffering from this condition. Using descriptive and atheoretical language, this paper presents a treatment of a young adult in his transition from young adulthood to middle adulthood while he was negotiating complex residues of his experiences of growing up along with developmental challenges related to work and love. Against the backdrop of these transitions, the patient was working through various aspects of functioning related to pathological narcissism. Initially, given academic pressures and past romantic disappointments, he was confronting issues related to perfectionism, self-criticism, and avoidance. While he was able to move past some of these dynamics and function academically, later challenges related to becoming an independent adult led to a retreat into an avoidant state of futility and pes...
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
This study verified variations in suicide rates throughout the days of the week among Israel Defense Force soldiers during 1974 - 2001. Results confirmed the findings of most previous studies. The first workday was associated with a 60%... more
This study verified variations in suicide rates throughout the days of the week among Israel Defense Force soldiers during 1974 - 2001. Results confirmed the findings of most previous studies. The first workday was associated with a 60% increase in suicide rate among young men. This increase was not observed among female reserve or professional soldiers. This finding might indicate a particular susceptibility of men to contextual and situational factors. The explanation of the increased suicide risk on the first workday stresses such processes as the broken-promise effect as well as difficulty in facing the demands of service and transitions from the weekend to the workweek.
Research Interests:
Research Interests:
Research Interests: Clinical Psychology, Cognitive Psychology, Bipolar Disorder, Personality Disorders, Borderline Personality Disorder, and 15 moreAdolescent, Medicine, Comorbidity, Prospective studies, Humans, Personality Disorder, American, Mental Disorder, Prevalence, Middle Aged, Longitudinal Studies, Adult, Chi Square Distribution, Psychiatric Status Rating Scales, and Medical and Health Sciences
Research Interests: Psychology, Epidemiology, Mental Health, Personality Disorders, Borderline Personality Disorder, and 15 moreEvolution, Public Health, Medicine, Prospective studies, Humans, Hospitalization, Female, Male, Massachusetts, Prevalence, Longitudinal Studies, Adult, Cross Sectional Studies, Psychology and Cognitive Sciences, and Medical and Health Sciences
Research Interests:
This chapter describes how the author would implement each of the empirically based principles of change identified in Chapter 2, as they specific related to the three cases of social anxiety presented in Chapter 8. The chapter begins... more
This chapter describes how the author would implement each of the empirically based principles of change identified in Chapter 2, as they specific related to the three cases of social anxiety presented in Chapter 8. The chapter begins with the author’s initial reaction to the list of principles, as well as to the task of describing their implementation in his day-to-day clinical work. Also included in the chapter are the author’s case formulation and treatment for each case, which serve as the general context for the author’s detailed explanation of why and how he would apply the principles in ways that are best attuned to the needs of particular clients. The chapter ends with the description of the author’s thoughts and experience about writing this chapter.
Research Interests:
Research Interests:
Research Interests:
Psychoanalytic theories and studies have influenced the explorations of suicide over the past hundred years. Freud’s first observations of self-objectification in melancholic depression were followed by contributions from object relation... more
Psychoanalytic theories and studies have influenced the explorations of suicide over the past hundred years. Freud’s first observations of self-objectification in melancholic depression were followed by contributions from object relation theorists and self-psychologists, highlighting foremost the role of narcissistic rage and structural vulnerability. Several of the central clinical concepts that unfolded have more recently been subject to empirical testing. This text provides an overview and discussion of the different psychoanalytic formulations applied to suicide. Empirical studies of several assumptions and constructs related to emotions, defences, and structural deficits and vulnerabilities verify their association to or explanation of chronic and acute suicidality. Further conceptualizations and research, especially on subtypes of suicide and individual experiences leading up to and dominating suicidal states, are called for.
Research Interests:
Research Interests:
The goal of this chapter is to generate new conceptual, clinical, and empirical perspectives about principles of change that are relevant to the treatment of depression. It provides an opportunity for the authors of the previous three... more
The goal of this chapter is to generate new conceptual, clinical, and empirical perspectives about principles of change that are relevant to the treatment of depression. It provides an opportunity for the authors of the previous three chapters to present their views about convergences and differences in the implementation of principles, the clinical helpfulness of these principles, the possible ways of combining them, as well as the principles that should be investigated in future research. The chapter also includes comments from the editors on each of these issues, as a way to engage conversations and/or future collaboration between researchers and clinicians.
This chapter describes how the author would implement each of the empirically based principles of change identified in Chapter 2, as they specific related to the three cases of social anxiety presented in Chapter 8. The chapter begins... more
This chapter describes how the author would implement each of the empirically based principles of change identified in Chapter 2, as they specific related to the three cases of social anxiety presented in Chapter 8. The chapter begins with the author’s initial reaction to the list of principles, as well as to the task of describing their implementation in his day-to-day clinical work. Also included in the chapter are the author’s case formulation and treatment for each case, which serve as the general context for the author’s detailed explanation of why and how he would apply the principles in ways that are best attuned to the needs of particular clients. The chapter ends with the description of the author’s thoughts and experience about writing this chapter.