| Questions 15. According 
to Balletto, what is the most effective means of guiding male clients away from 
the ledge of self-annihilation?16. 
What did the statistical verification for the theory that certain individuals are more likely to have accidents than the average person ultimately show?
 17. 
What are examples of reflective thinking about clinical work with the Suicidal patient/client?
 18.
Following a death by suicide, family members may be eager to connect with treating professionals who worked with their loved one. What is a complex issue of communicating with a client’s surviving family?
 19. 
What 
were the the basic steps the world health organization proposed for the prevention 
of suicide?
 20. 
What are the the basic types of suicide?
 21. 
How does a suicidal threat differ from 
an ideation?
 22. 
How 
can you assess your client's capacity to endure psychological pain which is more 
likely to result in suicide?
 23. 
According 
to Shneidman, suicide is "pushed by" what?
 24. 
What does the following indicate regarding 
what a potentially suicidal client may be saying: inability to control suicidal 
impulses, who discloses a specific and imminent plan, or who cannot promise to 
avoid self-destructive behavior?
 25. 
How 
was the child's guilt related to his parents suicide readily visible illustrating 
feelings so intense the superego was distorted?
 26. 
In telephone emergencies, according 
to Hipple, at what are all of the counselor's energies aimed?
 27. 
In a disturbed symbiotic relationship, 
what does the development of uniqueness or individuality in a key member open?
 
 | Answers
 A. 
a penchant for constriction and dichotomous thinking, a tendency to throw in the 
towel, for earlier paradigms of escape and egression
 B. building the 
relationship and sense of rapport
 C. to address the child who was denied 
the freedom of expressing, of possessing, the full range of emotions
 D. 
Chance plays a small part in accidents
 E. "I need someone to protect me from myself"
 F. 
If nothing will be helpful in this person’s view except dying, how will that help?; What is the goal/function of the suicide wish; What would be alternative ways to get what is needed?; How can I help this person to get even a little bit more of what he/she wants other than by suicide?; and Looking at the pattern, what is one small concrete change that would make a difference? (e.g., a contact, a comfort, a new skill, a supervisory arrangement?).
 G. Suicidal ideation and intention 
(acute) are symptomatic of illness, despair, or disequilibrium. Threats are
 interpersonal 
acts meant, consciously or unconsciously, to manipulate someone.
 H. 
Suicidal fantasies and acts are efforts to escape or put a stop to the pain that 
flows through the mind.
 I. up the threat of separation and must therefore 
be opposed or "corrected."
 J. 1) gun possession control 2) 
detoxification of domestic gas 3) detoxification of car emission 4) control of 
toxic substance availability 5) and toning down reports in the
 press
 K. 
overt in open, even insistent statements of guilt and self-recrimination, 
or prominent in a wide variety of pathological forms including depression, masochistic 
character formations, guilt-laden obsessive ideation,character structures based 
on rebellion against an externalized superego, rampant self-destructiveness, and 
reaction-formated suffocating passivity, inhibition, undoing, and ultra-goodness
 L. 1) altruistic, the person acts as if he had no choice, inflicting 
death is honorable; 2) egoistic, when the individual has too few ties to his community; 
3) anomic, when the relationship between individual and society is suddenly disrupted 
or shattered
 M. Clinicians must achieve the right balance between responding honestly and empathetically, while at the same time being mindful of legal and ethical issues (including patient confidentiality), and simultaneously managing their own grief.
 
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