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Biomedical subjects

E S Shneidman

Publications and source records attributed to E S Shneidman.

At least 19 recordsLinked to original sources

Clues to suicide, reconsidered.

This brief paper focuses on a rather recondite aspect of the suicidal scenario: dissembling (feigning, pretending, withholding). Most individuals who commit suicide exhibit prodromal indicia in the month before. These verbal and behavioral clues are found in about 90% of psychological autopsies of suicidal deaths. As for the other 10% who mask or hide their lethal intentions, we do well to assume that even some hidden clues might be deciphered by the skillful clinician or the alert friend or colleague.

Defense Mechanisms

Aphorisms of suicide and some implications for psychotherapy.

An aphorism is a pithy short statement stating a general truth. This article presents twenty aphorisms about suicide. One example: "There are many pointless deaths, but never a needless suicide." What is implied is that every suicide is an effort to redress certain unfulfilled, thwarted or frustrated psychological needs. (These include the needs for affiliation, avoidance of pain, succorance--among some twenty psychological needs that have been identified.) The psychotherapeutic implication of this particular aphorism is fairly obvious: Reduce the sense of frustration or effect some satisfaction of the frustrated needs of the suicidal individual and the elevated level of perturbation will be mollified sufficiently so as to drop below the lethal threshold of suicidal action. For the twenty aphorisms about suicide, some implications for response and the management of suicidal persons are suggested in order to prevent suicide. In addition a few general suggestions are offered for the management of suicidal persons.

Aphorisms and Proverbs as Topic

On abolishing "death": an etymological note.

The distinction is made between two uses of the word "death," specifically, your death (the death of the other) and my death (the death of the self). It makes (logical, epistemological and phenomenological) sense for me to speak of your death, but not for me to speak of my death-inasmuch as, by reasonable definition, I cannot possibly ever experience my death. Dying is experienceable-although one can never be certain. The word death is a perfectly good word for the demise of the other; the word omega is suggested to allude to that non-event (the cessation of the self) now routinely spoken of as "my death,"

Death

A possible classification of suicidal acts based on Murray's need system.

Recently, Baechler (in his book Suicides) stated that the central question for suicidological investigation was: "What kind of people seek what solutions to what problems by means of suicide?" It can be argued that the principal problems of human beings relate to the frustration of their satisfaction of a variety of psychological needs. Thus, a full accounting of human needs might furnish a psychologically meaningful basis for a better understanding of suicidal events. Happily, such an explication already exists (in Henry Murray's Explorations in Personality). A classification of suicidal acts based on Murray's need system is proposed. A brief example is given.

Frustration

Some psychological reflections on the death of Malcolm Melville.

Malcolm Melville died on September 12, 1867, at age 18 from--to quote his death certificate--a "pistol shot wound in (his) right temporal region." Contemporary designations of the mode of his death changed within hours from suicide, to accident, to death while of unsound mind. Historically, the mode of his death has remained equivocal. In order to approach this enigma a "psychological autopsy" of an equivocal death case as identical to Malcolm Melville's as was possible was conducted as though it were a genuine current "open" case at the Los Angeles Suicide Prevention Center in 1973. That procedure resulted in a near-unanimous judgment by the center staff that the most accurate certification of the death as described was "probable suicide," which would then be certified as "suicide." In this paper the assertion is made that Herman Melville himself had been a psychologically "battered child" and, in a way typical for battered children, psychologically battered his own children when it came his turn to be a parent. The further assertion is made that, for Malcolm, his father was suicidogenic; and established this penchant in Malcolm (through his neglect, active rejection, fearsomeness, and his fixed attention to his own writing--Redburn, White Jacket, and Moby Dick) within the first 2 years of Malcolm's life. For Malcolm, the psychological basis of his suicidal state was isolated desperation--a ubiquitous characteristic of most suicides. Malcolm had a deep unconscious feeling of not being wanted by his father; that it would be better if he were out of the way, dead. On the morning of his death, the choice for Malcolm was between the memory of his mother's kiss a few hours before and the terror of (and the need to protect himself against) his father's rage to come.

Adolescent