The Emotion Self Confidence Model Of Suicidal Ideation In Adolescents

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The Emotion Self-confidence Model of Suicidal Ideation in Adolescents

Author : Stephanie Tamsin Deeley
Publisher :
ISBN 13 :
Total Pages : 570 pages
Book Rating : 4.:/5 (858 download)

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Book Synopsis The Emotion Self-confidence Model of Suicidal Ideation in Adolescents by : Stephanie Tamsin Deeley

Download or read book The Emotion Self-confidence Model of Suicidal Ideation in Adolescents written by Stephanie Tamsin Deeley and published by . This book was released on 2011 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emotion self-confidence model of suicidal ideation (ESC-SI Model) was developed to explain the progression from negative emotionality into suicidal ideation. Structured within Lazarus and Folkman's (1984) Stress-Coping framework, and drawing on Baumeister's (1990, 1993) theory of suicide as "escape from self," the model proposes that the extent to which an individual believes he/she can cope with or change negative emotionality (emotion self-confidence appraisals) will influence the coping response of suicidal ideation. The key hypothesis was that, in the context of strong negative emotionality, low emotion self-confidence would be associated with ideas of suicide. Three studies were conducted in adolescent samples. Study 1 (N = 136) was by questionnaire. Here, emotion self-confidence contributed unique variance beyond that of negative emotionality in explaining suicidal ideation. Study 2 replicated the patterns of relationships when participants were followed up 3 years later. This longitudinal study showed negative emotionality to be somewhat variable, emotion self-confidence highly stable, and suicidal ideation highly variable, over time. Study 3 examined the model at a state level within specific negative emotional experiences. In a quasi-experimental design involving 33 participants, 21 experiences involving suicidal ideation were contrasted with 27 experiences without. As hypothesised, emotion self-confidence proved slightly lower and hopelessness higher in experiences with suicidal ideation. Moreover, qualitative analysis revealed that for most participants the primary motivation for contemplating suicide was a desire to escape. Though additional factors are needed to explain suicidal ideation fully, overall, these 3 studies supported the ESC-SI Model. Future research should replicate the results using alternative, improved, methodologies and extend the model to incorporate other relevant belief systems.

Developing and Evaluating a Model of Suicidal Ideation for Hong Kong Chinese Adolescents

Author : Chui-Fun Rachel Sun
Publisher :
ISBN 13 : 9781374726444
Total Pages : pages
Book Rating : 4.7/5 (264 download)

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Book Synopsis Developing and Evaluating a Model of Suicidal Ideation for Hong Kong Chinese Adolescents by : Chui-Fun Rachel Sun

Download or read book Developing and Evaluating a Model of Suicidal Ideation for Hong Kong Chinese Adolescents written by Chui-Fun Rachel Sun and published by . This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Developing and Evaluating a Model of Suicidal Ideation for Hong Kong Chinese Adolescents" by Chui-fun, Rachel, Sun, 孫翠芬, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: ABSTRACT of thesis entitled "Developing and Evaluating a Model of Suicidal Ideation for Hong Kong Chinese Adolescents" submitted by SUN Rachel Chui Fun for the degree of Doctor of Philosophy at the University of Hong Kong in March 2005 The aims of this research were to develop a model that delineated the simultaneous relationship of family, school, peers, self-esteem and depression to adolescent suicidal ideation, and to explore the support mechanisms of the family, school and peers for maintaining adolescent psychological health. Three studies were conducted to achieve these aims. Study One aimed to test a linear relationship among variables by using multiple regression and path analyses. Data was collected from questionnaires completed by 433 adolescents. It was found that the levels of family cohesion, family conflict, teacher support and peer support significantly predicted suicidal ideation, through the mediation of self-esteem and depression. Based on the preliminary findings of Study One, Study Two aimed to develop a model of suicidal ideation which included family cohesion, family conflict, teacher support, sense of school belonging, academic pressure, peer isupport and peer conflict as antecedent predictors; and self-esteem and depression as mediators, by using structural equation modeling. Data was collected from modified questionnaires completed by 1,358 adolescents. The respondents were randomly split into two groups. One group was used to test competing models, and the other was used to validate the best fitting model. The results showed that only family cohesion, sense of school belonging and peer support made a significant difference for prediction of self-esteem and depression, and that depression was the most significant mediator of suicidal ideation. Peer support and peer conflict were found to act differently as predictors of suicidal ideation between boys and girls, and between younger and older adolescents. Study Three involved interviews with fifteen adolescents with high levels of suicidal ideation. It aimed to collect empirical information to supplement the quantitative findings and to explore the family, school and peer systems as buffers for maintaining adolescent psychological health. The findings revealed that adolescents with severe suicidal ideation not only had to encounter several stressors, such as parent-child conflict, classmate victimization and rejection, but also perceived themselves as having low support from their family, school and peers, which contributed to feelings of worthlessness, helplessness, depression, and subsequent suicidal thoughts. However, the support received from at least one support system could sufficiently enable them to deal with adversity. A caring school community comprising supportive teachers and peers was highlighted as an effective buffer, particularly for adolescents who had a dysfunctional family. This study pointed to an intimate interpersonal relationship in family, school and peers was the key to unlocking these support iisystems. This research has contributed to the growing literature dedicated to understanding the complex problem of suicidal ideation at both the adolescent psychological subsystem and their family, school and peer subsystems. Both quantitative and qualitative findings support the significant contribution of school and peer fac

Academic Stress as a Predictor of Depression and Suicidal Ideation in Adolescents, Family Environment and Self-esteem

Author : Rai Sumnima
Publisher : Mab-India
ISBN 13 : 9787956258983
Total Pages : 0 pages
Book Rating : 4.2/5 (589 download)

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Book Synopsis Academic Stress as a Predictor of Depression and Suicidal Ideation in Adolescents, Family Environment and Self-esteem by : Rai Sumnima

Download or read book Academic Stress as a Predictor of Depression and Suicidal Ideation in Adolescents, Family Environment and Self-esteem written by Rai Sumnima and published by Mab-India. This book was released on 2022-09-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION Theoretical Background of the Study Adolescence marks a transitional period during which they experience emotional turmoil. The various stages can be divided into the early, middle, and late adolescence marked by significant changes in development as well as in behaviour. Adolescence is a period of extreme vulnerability to risk-taking behaviour due to the complex interaction of senses in context to immature and uncontrollable behavioural abilities typical in this developmental period. Apart from the hormonal changes that mark the beginning of puberty, various factors can affect the emotional status of an adolescent. During this stage, societal norms can cause high disapproval among adolescents and can give rise to risky health behaviours in them. Moreover, academic stress and peer pressure to excel can also affect their emotional well-being as peers play an important role in the emotional and social development of adolescents. Relationships also tend to shape the emotional status of adolescents. During puberty, family relationships undergo reorganization, as teens want independence. This tends to shift them to friendships and social interactions where they value the trust, support, and closeness experienced in romantic relationships. Therefore, the type of environment that family offers plays a crucial role in the emotional development of an adolescent. Therefore, emotional imbalances can make adolescents vulnerable to one of the most crippling disorders called depression. It is one of the major causes of morbidity among adolescents across the world prone to suicide ideation. Academic Stress, Family Environment and Self Esteem as Predictors of Depression and Suicide Ideation 2 Aristotle (1941) described the adolescent stage as being passionate and at the same time divulging in impulsions. Adolescence marks the development of selfcontrol and the capacity to make vital life decisions while transitioning from childhood to adulthood. Plato (1953) described adolescent boys as easily excitable and highly argumentative. Mohanty and Mohanty (1997) explained that adolescence in India is considered as a phase that is difficult to define based on a particular definition of age. Kundu and Basu (1998) have labelled this age of adolescence as being important as this is the period where there is psychological and physical development apart from continuous mental development. The age group for adolescence can be between 11 years to 18 years for females and 12 years to 18 years for males. However, there are other theorists like Mascarenhas (1999) who have classified the age of adolescence between 12 to 20 years and also adds that delayed adolescence can go up to the age of 21 years and in some cases 25 years. He further divides the period of adolescence into three stages: early adolescence falls in the age group of 10 to 12 years; middle adolescence ranges between 12 to 16 years, and late adolescence falls in the age group between 16 years to 19 years. Chandrasekhar (2000) explains adolescence as a period of anxiety and adjustment with the changes that occur at that age. Many factors like family problems and their actions may trigger them towards depression and resort to drugs as a means of escaping from depression and anxiety. Das (2000) in his article said that the term adolescence is derived from the Latin word "adolescere" which translates as "to grow". Das (2000) explains adolescence as a transition period where pubertal maturation can cause changes in the physical, cognitive, social, and intellectual development as well as in personality,

Counseling Adolescents Competently

Author : Lee A. Underwood
Publisher : SAGE Publications
ISBN 13 : 1483358844
Total Pages : 497 pages
Book Rating : 4.4/5 (833 download)

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Book Synopsis Counseling Adolescents Competently by : Lee A. Underwood

Download or read book Counseling Adolescents Competently written by Lee A. Underwood and published by SAGE Publications. This book was released on 2016-03-31 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: Counseling Adolescents Competently is a comprehensive text for students and professionals compiling foundational and emerging skills in the counseling field. Authors Lee A. Underwood, Ph.D. and Frances L.L. Dailey, Ph.D. review extensive interventions ranging from assessment to diagnosis as well as fresh perspectives on working with this often challenging group. Employing clinical case scenarios and profiles that demonstrate key issues, this book helps the counselor-in-training to understand the relevant theories and research around adolescents to better engage in culturally relevant interventions and treatment planning. Key Features Unlike most literature related to behavioral health services for adolescents, this text is crafted specifically for the profession of counseling, yet is applicable for all behavioral health providers. Case scenarios address critical issues impacting today’s adolescents including their characteristics, technology issues, diagnoses and typologies, special needs, and interventions involving treatment planning. Themes that are commonly faced by teens, including trauma, grief, loss, emotional issues, sexual development, and peers are covered. A diverse range of adolescents from both urban and non-urban settings are examined. This book addresses a broad audience that includes students in behavioral health training, counseling, and school programs; the practicing provider; and administrative/clinical supervisors and educators.

Preventing Adolescent Suicide

Author : Dave Capuzzi
Publisher : Taylor & Francis
ISBN 13 : 9780915202744
Total Pages : 516 pages
Book Rating : 4.2/5 (27 download)

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Book Synopsis Preventing Adolescent Suicide by : Dave Capuzzi

Download or read book Preventing Adolescent Suicide written by Dave Capuzzi and published by Taylor & Francis. This book was released on 1988 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: First Published in 1988. Routledge is an imprint of Taylor & Francis, an informa company.

By Their Own Young Hand

Author : Keith Hawton
Publisher : Jessica Kingsley Publishers
ISBN 13 : 1843102307
Total Pages : 266 pages
Book Rating : 4.8/5 (431 download)

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Book Synopsis By Their Own Young Hand by : Keith Hawton

Download or read book By Their Own Young Hand written by Keith Hawton and published by Jessica Kingsley Publishers. This book was released on 2006 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors identify the risk and protective factors for self-harm, exploring why some adolescents with suicidal thoughts go on to harm themselves while others do not, what motivates some young people to seek help, and whether distressed teenagers feel they receive the support they need.

Cognition and Suicide

Author : Thomas E. Ellis
Publisher : American Psychological Association (APA)
ISBN 13 :
Total Pages : 440 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Cognition and Suicide by : Thomas E. Ellis

Download or read book Cognition and Suicide written by Thomas E. Ellis and published by American Psychological Association (APA). This book was released on 2006 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although substantial resources have been expended on suicide research and prevention, suicide science remains in its infancy. This book brings together an impressive cast to bridge the gap between cognitive research and cognitive-behavioral practice relating to suicide.

The Interpersonal Theory of Suicide

Author : Thomas E. Joiner
Publisher : American Psychological Association (APA)
ISBN 13 :
Total Pages : 266 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis The Interpersonal Theory of Suicide by : Thomas E. Joiner

Download or read book The Interpersonal Theory of Suicide written by Thomas E. Joiner and published by American Psychological Association (APA). This book was released on 2009 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a theoretical framework for diagnosis and risk assessment of a patient's entry into the world of suicidality, and for the creation of preventive and public-health campaigns aimed at the disorder. The book also provides clinical guidelines for crisis intervention and therapeutic alliances in psychotherapy and suicide prevention.

The Self-Conscious Emotions

Author : Jessica L. Tracy
Publisher : Guilford Publications
ISBN 13 : 1462515185
Total Pages : 513 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis The Self-Conscious Emotions by : Jessica L. Tracy

Download or read book The Self-Conscious Emotions written by Jessica L. Tracy and published by Guilford Publications. This book was released on 2013-11-27 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: Timely and authoritative, this volume reviews the breadth of current knowledge on the self-conscious emotions and their role in psychological and social functioning. Leading investigators approach the subject from multiple levels of analysis, ranging from basic brain mechanisms to complex social processes. Chapters present compelling advances in research on the most fundamental self-conscious emotions: embarrassment, guilt, humiliation, pride, and shame. Addressed are neural and evolutionary mechanisms, developmental processes, cultural differences and similarities, and influences on a wide array of social behaviors and personality processes. A unique chapter on assessment describes and evaluates the full range of available measures.

SELF-ESTEEM & DEPRESSED MOOD

Author : Ming-Lam Ester Lee
Publisher : Open Dissertation Press
ISBN 13 : 9781374717299
Total Pages : 64 pages
Book Rating : 4.7/5 (172 download)

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Book Synopsis SELF-ESTEEM & DEPRESSED MOOD by : Ming-Lam Ester Lee

Download or read book SELF-ESTEEM & DEPRESSED MOOD written by Ming-Lam Ester Lee and published by Open Dissertation Press. This book was released on 2017-01-27 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Self-esteem and Depressed Mood: Accounting for Suicidal Ideation in a Community Sample of Hong Kong Adolescent" by Ming-lam, Ester, Lee, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: DOI: 10.5353/th_b2975877 Subjects: Depression in adolescence - China - Hong Kong Self-esteem in adolescence - China - Hong Kong

Social Connectedness, Self-esteem, Suicidal Ideation, and Suicide Attempts Among Latina/o Adolescents in the United States

Author : Carolina Velez-Grau
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (112 download)

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Book Synopsis Social Connectedness, Self-esteem, Suicidal Ideation, and Suicide Attempts Among Latina/o Adolescents in the United States by : Carolina Velez-Grau

Download or read book Social Connectedness, Self-esteem, Suicidal Ideation, and Suicide Attempts Among Latina/o Adolescents in the United States written by Carolina Velez-Grau and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Paper three (#3) focuses on only those adolescents who have reported histories of suicidal ideation in the previous year and examines prospectively the degree to which social connectedness and self-esteem are associated with the transition from suicidal ideation to attempt a year later. This dissertation is guided by the Interpersonal Theory of Suicide (IPTS) and the Sociocultural Model of Suicide. The IPTS provides the constructs to understand who is at risk for suicidal ideation and the Sociocultural Model of Suicide provides the cultural lenses through which these constructs are examined. Dr. Thomas Joiner, the developer of IPTS (personal communication, April 18,2019) confirmed that the variables selected in this study captured the IPTS constructs of social connectedness and self-esteem, the latter a dimension of burdensomeness.

Coping

Author : C. R. Snyder
Publisher : Clarendon Press
ISBN 13 : 0195119347
Total Pages : 367 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Coping by : C. R. Snyder

Download or read book Coping written by C. R. Snyder and published by Clarendon Press. This book was released on 1999 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is intended for psychologists, social workers, counsellors, clergy, and general readers with some background in psychology.

Adolescent Suicide and Self-Injury

Author : Laurel L. Williams
Publisher : Springer Nature
ISBN 13 : 3030428753
Total Pages : 143 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Adolescent Suicide and Self-Injury by : Laurel L. Williams

Download or read book Adolescent Suicide and Self-Injury written by Laurel L. Williams and published by Springer Nature. This book was released on 2020-07-22 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents a comprehensive and practical approach to the treatment of suicide and NSSI for adolescents utilizing a mentalizing framework. The beginning of the text provides up-to-date information on the theory of a mentalizing therapy in order to ground the readers in the neuroscientific underpinnings of a mentalizing approach. Next chapters provide information on the fundamental building blocks of a mentalizing therapy at the individual and family level. These chapters provide step-by-step approaches in order to provide examples of the techniques involved in mentalizing treatment that can be employed to address suicidality and NSSI. The next chapter builds on these concepts as the reader learns about mentalizing failures involved in common co-morbidities in adolescents who are experiencing suicidality and/or employing NSSI. The next several chapters cover practical issues related to working within this patient population including the key concept of social systems and connections for both providers and adolescents, the ability of mentalizing theory and therapy to integrate with other effective therapies, how to approach sessions after a suicide attempt, resiliency for patient, family and the provider, along with important self-care for a therapist if a patient commits suicide. The final chapter brings all of the aforementioned elements together in order for the reader to conceptualize employing a mentalizing approach to adolescents and their families when suicide and NSSI concerns are a predominate focus of care. Illustrations of specific therapeutic approaches and a list of resources and guidelines where available are also included. Adolescent Suicide and Self-Injury is an excellent resource for all clinicians working with youths at risk for suicide and/or self-injury, including psychiatrists, psychologists, pediatricians, family medicine physicians, emergency medicine specialists, social workers, and all others.

Elderly Chinese in Pacific Rim Countires

Author : Iris Chi
Publisher : Hong Kong University Press
ISBN 13 : 9789622095328
Total Pages : 284 pages
Book Rating : 4.0/5 (953 download)

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Book Synopsis Elderly Chinese in Pacific Rim Countires by : Iris Chi

Download or read book Elderly Chinese in Pacific Rim Countires written by Iris Chi and published by Hong Kong University Press. This book was released on 2001-04-01 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: With longer life expectancy, most countries are now experiencing rapid ageing among their populations. Ethnic Chinese populations are no exception to these demographic transformations. During the twentieth century, there has been a wide dispersion of Chinese people throughout the world, as well as dramatic socio-political changes within China. These unique factors have strained traditional filial norms and necessitated a re-examination of intergenerational relationships and the roles of elderly Chinese people. This book investigates the varied adaptations of social support systems and social integration among ageing Chinese populations within a diverse set of countries in the Pacific Rim region. The book is a collection of scholarly papers addressing such topics as community care, family support, one-child families and social isolation. Each paper illustrates the importance of social support networks and social integration to the quality of life for elderly Chinese persons living in dissimilar circumstances.

The Neurobiological Basis of Suicide

Author : Yogesh Dwivedi
Publisher : CRC Press
ISBN 13 : 143983881X
Total Pages : 485 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis The Neurobiological Basis of Suicide by : Yogesh Dwivedi

Download or read book The Neurobiological Basis of Suicide written by Yogesh Dwivedi and published by CRC Press. This book was released on 2012-06-25 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications.

Self-oriented Perfectionism and Emotional Competence are Related to Suicidal Ideation Among Adolescents

Author : Shaktiyanshi Raundeley
Publisher : Swastikam
ISBN 13 : 9781805240105
Total Pages : 0 pages
Book Rating : 4.2/5 (41 download)

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Book Synopsis Self-oriented Perfectionism and Emotional Competence are Related to Suicidal Ideation Among Adolescents by : Shaktiyanshi Raundeley

Download or read book Self-oriented Perfectionism and Emotional Competence are Related to Suicidal Ideation Among Adolescents written by Shaktiyanshi Raundeley and published by Swastikam. This book was released on 2023-01-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the present era psychological distress becomes a major problem for adolescence. It is important to emphasize that with the advancement of science and technology everyone wants to move forward and hit the height of their success, compete with others and lead a more luxurious life for which adolescents strive around the clock. As a result, they encountered high stress levels that may adversely affect their mental, physiological, cognitive, and behavioral state. Individuals want to grow or evolve and want to become better, set their future goals and face many challenges, such as academic, financial, interpersonal and parental pressure, etc. Therefore, there is a need to increase the level of self-efficacy, enhance work performance and develop positive attitudes for achieving the goal. If individuals fail to achieve their goals due to low self-efficacy, maladaptive perfectionism or depressive style of attribution, either curbed by family or society, they experience high levels of stress that contribute to psychological distress and play an important role in the development of various types of psychological disorders, such as anxiety, depression, mood disorders or various physical problems. In this context, the suicide rate is a critical indicator of the social and psychological condition. Consequently, suicide has always been a topic of considerable interest in different geographical areas of the world, because an analysis of the suicide rate of young adults worldwide may reveal something of their well-being. Suicide is such an enigma that it's unclear why so many teenagers and young adults choose to take their own lives. Thousand of books have tried to answer why people murder themselves. To sum up in three words: "to stop pain." As Shneidman (1998) had put it "the author of suicide is pain". Often, as in chronic or terminal illness, this pain is physical; more often, it is mental, triggered by a myriad of problems. In any case, suicide is not an accidental or pointless act, but an important, if extreme, solution. Suicide offers a permanent fix to a temporary problem. In the historical perspective, no human society or time in recorded history has undoubtedly existed in which the epidemic of 'suicidal act' was non-existent (Latha, Bhat & D'Souza, 1996).

The Wisdom in Feeling

Author : Lisa Feldman Barrett
Publisher : Guilford Press
ISBN 13 : 9781572307858
Total Pages : 482 pages
Book Rating : 4.3/5 (78 download)

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Book Synopsis The Wisdom in Feeling by : Lisa Feldman Barrett

Download or read book The Wisdom in Feeling written by Lisa Feldman Barrett and published by Guilford Press. This book was released on 2002-08-19 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fundamental concern of psychotherapy is change. While practitioners are constantly greeted with new strategies, techniques, programs, and interventions, this book argues that the full benefits of the therapeutic process cannot be realized without fundamental revision of the concept of change itself. Applying cybernetic thought to family therapy, Bradford P. Keeney demonstrates that conventional epistemology, in which casue and effect have a linear relationship, does not sufficiently accommodate the reciprocal nature of causation in experience. Written in an unconventional style that includes stories, case examples, and imagined dialogues between an epistemologist and a skeptical therapist, the volume presents a philosophically grounded, ecological framework for contemporary clinical practice.