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Originally Posted by deliquesce
... devil-woman said that the therapist should call the px's bluff and ask them why they don't just kill themselves right that day. i hate her, i really do.
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Quote:
Originally Posted by deliquesce
...with your parallel universe argument, PC is being misrepresented. with the quotes we've taken from Linehan - most aren't misrepresentations, they are direct quotes and paraphrases of what we've read.
being deliberately provocative to a client who is suicidal and whom you've just met is callous and arrogant. this is one of the elements i have come across in linehan's approach which does not sit well with me.
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I'd love to read/hear/watch where Linehan said that and especially, in what context. So far it sounds completely at variance with what she says in her book (
Cognitive-Behavioral Treatment of Borderline Personality Disorder) about dealing with suicidal patients. Starting on p. 468, she spends about 25 pages on suicidal potential and behaviors with only one brief excursion into SI that I noticed. This comes as close as anything else I found to the subject of "calling the patient's bluff" but it's 180 degrees from the other statement(s) you're attributing to her:
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Suicidal patients often try to get their therapists to agree that suicide is a good solution, so that they can have "permission" to go ahead and kill themselves. It is essential not to give such permission. Thus, a DBT therapist should never instruct a patient to go ahead and do something, under a mistaken assumption that such statements may arouse in the patient sufficient anger and inhibit any suicidal behavior (i.e., the therapist should not use paradoxical instruction.) Nor should the patient be "baited" with statements implying that she will never carry out her threats. Such statements may force the patient to prove that she actually is serious. Rather, the therapist should validate the emotional pain that has led to suicidal behavior, while at the same time refusing to validate such behavior as an appropriate solution. (See Chapter 5 for further arguments against suicidal behaviors.)
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(Straight from the devil woman's mouth, as it were, pp. 484-485)
If anyone comes up with an interview where Linehan says otherwise, would you (pretty please!
) see if you can find a transcript? I use a dialup connection and I'm really not looking forward to downloading any hour or even half-hour videos.