Parasuicidality and Paradox

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Parasuicidality and Paradox

SKU# 9780826115461

Breaking Through the Medical Model

Author: Ross D. Ellenhorn MSW, PhD


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This book describes parasuicidality from a different perspective, yet still within the framework of DBT. These concepts will be helpful to clinicians, who often spend much of their time dealing with these troubling behaviorsÖ.This book is well worth the price and the reader will not be disappointed." Score: 94, 4 stars


Ross Ellenhorn brings a fresh, new look at what has been called parasuicidality. Rather seeing it solely as a medicalized symptom of mental disorder, he incisively shows how threats of suicide emerge from the social context and can be better understood and treated within a framework of social relationships. This well documented and clearly written book is must reading for anyone interested in better understanding and dealing with parasuicidality.

"This book deals with the issue of parasuicidality using a dialectical behavior therapy (DBT) approach, but posits that clinical interactions aid and abet that specific behavior. It presents both theoretical and pragmatic ideas of how to deal wi th patients who often pose the greatest challenge to clinicians. " Gary B Kaniuk, Psy.D. (Cermak Health Services)

--Peter Conrad, Harry Coplan Professor of Social Sciences, Brandeis University, and author of The Medicalization of Society: On the Transformation of Human Conditions into Medical Disorders

    In this unique and groundbreaking book, Dr. Ellenhorn offers a very different approach to assisting parasuicidal patients with their problems, an approach that avoids medicalized interactions while enhancing authentic encounters with patients. He makes extensive use of vignettes to demonstrate various types of scenarios between clinicians and patients. A number of other effective techniques are discussed, including:

  • Ways to enhance team treatment planning through a brainstorming process called "The Hourglass
  • Alternative methods of documenting treatment that serves to protect clinicians from concerns about liability
  • Helping patients focus on life goals and changing themselves through clinician-patient interactions

Product Details 

  • Publication Date September 26, 2007
  • Page Count 232
  • Product Form Hardback
  • ISBN 13 9780826115461
  • EISBN 9780826115492

Table of Contents 

    Foreword by Arthur Freeman
    Part I: A Theory Of Patient Careerism
  1. The Borderline Fallacies

  2. The Dialectics of Failure

  3. The Patient Career

  4. PART II: The Practice of the Game
  5. The Game: Treating the Problem of Treatment Seeking

  6. The Attitudinal Conditions for the Game

  7. Relationship

  8. Clinician's Authorship

  9. Motivation and Change

  10. Part III: Organizational Considerations
  11. Deinstitutionalizing Institutions

  12. Conclusion: Alienation, Dehumanization, Conformity, And Their Influence on Parasuicidal Behavior

  13. References