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Tip: To use Pocket to save bookmarks to PEP-Web articles…

PEP-Web Tip of the Day

Pocket (formerly “Read-it-later”) is an excellent third-party plugin to browsers for saving bookmarks to PEP-Web pages, and categorizing them with tags.

To save a bookmark to a PEP-Web Article:

  • Use the plugin to “Save to Pocket”
  • The article referential information is stored in Pocket, but not the content. Basically, it is a Bookmark only system.
  • You can add tags to categorize the bookmark to the article or book section.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

MacIsaac, D.S. (2007). Treatment of a Severely Depressed, Suicidal Patient: A Self Psychological Perspective. Int. J. Psychoanal. Self Psychol., 2(1):27-51.

(2007). International Journal of Psychoanalytic Self Psychology, 2(1):27-51

Treatment of a Severely Depressed, Suicidal Patient: A Self Psychological Perspective

David S. MacIsaac, Ph.D.

This article explores the challenge of treating severely depressed, suicidal patients, with a discussion of the self psychological approach in the treatment of a male patient in his early 20s who was suicidally depressed. With the focus on in-depth empathic immersion as essential to understanding depression, I demonstrate how the treatment unfolds by detailing the moment-to-moment empathic approach with the patient, the countertransference reactions that breached the empathic bond that was forming, and the management of the inevitable disruptions and repairs of the developing selfobject transference. My primary contribution is to demonstrate in my clinical work how my patient's feelings of worthlessness and self-loathing, which accounted for his depression, were sought after to maintain needed sensation states that can be considered addictive in nature. Furthermore, I argue that this need goes beyond the loss of a cohesive self as a consequence of the loss of the selfobject experience, as is commonly understood in self psychology.

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