Overcoming Suicidality, Addictive and Unsafe Behavior – Janina Fisher

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“CP,” a client with Dissociative Identity Disorder, is working on changing her relationship to chronic suicidal ideation and impulsivity. In this session, she is helped to re-frame the wish to die as an expression of a suicidal part of her personality trying to control flashbacks and overwhelming emotions. This helps her more clearly differentiate the wish to live despite the self-destructive impulses. She speaks frankly about the shame evoked by traditional approaches to suicidality and how it fuels the suicidal part to desperate measures. By understanding the suicidal ideation as a communication from the suicidal part, she reports a growing ability to keep herself safe, no matter how intense the suicidal impulses.

1. Describe the themes of fight and flight responses.
2. Discuss the Structural Dissociation Model.

• Introduction of client
• The Structural Dissociation Model
  • The Right and Left Brain
• Fight or Flight
• Attachment
• Fight
  • Addiction, Self-Harm and Suicide
• Flashbacks
• The Fight Part

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