Pascal Dey
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Item type:Publication, Linking Life- and Suicide-Related Goal Directed Processes: A Qualitative Study(American Mental Health Counselors Association, 2006-10-01); Young, Richard A.Previous analyses of the narratives of 40 persons hospitalized in a general hospital after suicide attempt found that they described their suicide attempts as goal-directed processes, sometimes planned in advance, sometimes executed spontaneously. They also described short-term actions, mid-term projects, and long-term careers reflecting goal-directed processes related to maintaining and developing their lives. In this qualitative study that reports on a re-analysis of these data, the research participants' narratives were examined for links between life-related and suicide-related goal-directed processes. The analysis followed a distinction between a goal-directed view of suicide processes and a dynamic systems view. The findings indicated that some links were goal-directed and consistent with the reasoning of life-maintaining projects. These "top-down" links between life-related and the suicide-related goal-directed processes reflected the goal-directed view of suicide processes. Other links indicated a substantially limited capacity for goal-directedness, reflecting the "bottom-up" dynamic systems view. Finally, it third group of links reflected a mix of "top-down" and "bottom-up" processes. Implications are offered for mental health counselors working with suicidal clients.Type:journal articleJournal:Journal of Mental Health CounselingVolume:28Issue:4 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Suicide Attempts as Social Goal-Directed Systems of Joint Careers, Projects, and ActionsIn the present study we examined to what extent persons who attempt suicide describe their attempt in terms of social, joint processes. Psychotherapists interviewed 40 patients hospitalized in a general hospital for a few days after an attempted suicide. The content of the interviews was analyzed for the level of systemic processes the patients referred to (that is, action, project, and career). The most common processes to which the patients referred were relationship careers and projects and conflicts and argumentative actions. Our analysis indicates that a social process can be found at all levels of the patient's organization of the suicide attempt, within a system of goal-directed action, project, and career.Type:journal articleJournal:Suicide and Life-Threatening BehaviorVolume:36Issue:6Scopus© Citations 14 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Therapist Sensitivity towards Emotional Life-Career Issues and the Working Alliance with Suicid AttemptersThis study investigated the usefulness of an action theoretical model of suicide in interviewing suicide attempters. Eighteen interviews were video-recorded and transcribed. The patients' narratives were reconstructed and life-career issues relevant for the patient's suicidality formulated. Skin conductance response was used to determine narrative content associated with actualized emotions. Scores of the patients' ratings of helping alliance experienced in the interview were positively associated with the therapists' sensitivity towards emotionally relevant life-career issues. Furthermore, relationship satisfaction was related to a narrative interviewing style. We conclude that working alliance in clinical interviews with suicide attempters can be improved when the interviewer uses apatient-oriented approach aimed at understanding the patient's suicidality in the context of personal life-career, or identity issues.Type:journal articleJournal:Archives of Suicide ResearchVolume:8Issue:3Scopus© Citations 37 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Discovering the Truth in Attempted Suicide(Association for the Advancement of Psychotherapy, 2002-10-12) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Self-confrontation interview with suicide attemptersPsychiatric and psychological assessment after parasuicide is characterized by a number of difficulties. The interview is a strategically complex task for the patients trying to accommodate the wishes of the psychiatrist/psychologist and their own goals. The psychiatrist/ psychologist on the other hand needs to gain information about the event and the patient's mental state, has to assess the risk of further suicidal behaviour, and has to motivate the patient for treatment. In our experience a routine video prompted recall or self-confrontation interview, can be a helpful means of talking with the patient about his or her feelings and cognitions during the interview. Furthermore, it allows clarification of the processes leading to parasuicide. The procedure of administering a self confrontation interview is described, the theoretical background for interpreting the results is outlined and some examples of patient interviews are presented. It is demonstrated that this method allows access to additional information on the patients' thinking and emotions during the interview and that it also provides more details of the suicidal process.Type:journal articleJournal:Counselling Psychology QuarterlyVolume:15Issue:1Scopus© Citations 23 - Some of the metrics are blocked by yourconsent settings
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Item type:Publication, Attempted Suicide Stories: Suicide Career, Suicide Project and Suicide Action(1999-10-12) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Goal Directed Organisation of Suicide(1999-10-12) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Narrative of the Suicidal Patient(1998-10-12); Valach, LadislavType:conference paper - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Monitoring of Threatening Experiences in Suicide Attempters: Verbal Reports, Behaviour and Electrodermal Activity(1998-09-12)