Dissociation in suicidal depression: a Reformulated Object-Relations Theory (RORT) perspective

References

• Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96(2), 358–372. https://doi.org/10.1037/0033-295X.96.2.358
   Web of Science ®Google Scholar
• Abramson, L. Y., Seligman, M. E., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87(1), 49–74. https://doi.org/10.1037/0021-843X.87.1.49
   PubMed Web of Science ®Google Scholar
• Amati, D. & Shallice, T. (2007). On the emergence of modern humans. Cognition, 103(3), 358–385. https://doi.org/10.1016/J.COGNITION.2006.04.002
   PubMed Web of Science ®Google Scholar
• American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). American Psychiatric Association Publishing. https://doi.org/10.1176/appi.books.9780890425787
   Google Scholar
• Andover, M. S., Pepper, C. M., Ryabchenko, K. A., Orrico, E. G., & Gibb, B. E. (2005). Self-mutilation and symptoms of depression, anxiety, and borderline personality disorder. Suicide and Life-Threatening Behavior, 35(5), 581–591. https://doi.org/10.1521/suli.2005.35.5.581
   PubMed Web of Science ®Google Scholar
• Austin, J. T. & Vancouver, J. B. (1996). Goal constructs in psychology: Structure, process, and content. Psychological Bulletin, 120(3), 338–375. https://doi.org/10.1037/0033-2909.120.3.338
   Web of Science ®Google Scholar
• Bae, H., Kim, D., & Park, Y. C. (2015). Dissociation predicts treatment response in eye-movement desensitization and reprocessing for posttraumatic stress disorder. Journal of Trauma & Dissociation, 17(1), 112–130. https://doi.org/10.1080/15299732.2015.1037039
   PubMed Web of Science ®Google Scholar
• Barrett, L. F. (2006). Are emotions natural kinds? Perspectives on Psychological Science, 1(1), 28–58. https://doi.org/10.1111/j.1745-6916.2006.00003.x
   Web of Science ®Google Scholar
• Batterham, P. J., Ftanou, M., Pirkis, J., Brewer, J. L., Mackinnon, A. J., Beautrais, A., Kate Fairweather-Schmidt, A., & Christensen, H. (2015). A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological Assessment, 27(2), 501–512. https://doi.org/10.1037/PAS0000053
   PubMed Web of Science ®Google Scholar
• Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97(1), 90–113. https://doi.org/10.1037/0033-295X.97.1.90
   PubMed Web of Science ®Google Scholar
• Beck, A. (1967). Depression. Harper and Row. https://psycnet.apa.org/record/1967-35022-000
   Google Scholar
• Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of Cognitive Therapy (pp. 1–25). The Guilford Press.
   Google Scholar
• Bekrater-Bodmann, R., Chung, B. Y., Richter, I., Wicking, M., Foell, J., Mancke, F., Schmahl, C., & Flor, H. (2015). Deficits in pain perception in borderline personality disorder: Results from the thermal grill illusion. Pain, 156(10), 2084–2092. https://doi.org/10.1097/J.PAIN.0000000000000275
   PubMed Web of Science ®Google Scholar
• Bernstein, E. M. & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. The Journal of Nervous and Mental Disease, 174(12), 727–735. https://doi.org/10.1097/00005053-198612000-00004
   PubMed Web of Science ®Google Scholar
• Besser, A. & Priel, B. (2011). Dependency, self-criticism and negative affective responses following imaginary rejection and failure threats: Meaning-making processes as moderators or mediators. Psychiatry: Interpersonal & Biological Processes, 74(1), 31–40. https://doi.org/10.1521/psyc.2011.74.1.31
   PubMed Web of Science ®Google Scholar
• Blatt, S. (2004). Experiences of depression: Theoretical, clinical, and research perspectives. American Psychological Association (APA).
   Google Scholar
• Blatt, S. J. (1974). Levels of object representation in anaclitic and introjective depression. The Psychoanalytic Study of the Child, 29(1), 107–157. https://doi.org/10.1080/00797308.1974.11822616/ASSET//CMS/ASSET/8E9EE78B-6367-423E-8382-A7B38B975FBD/00797308.1974.11822616.FP.PNG
   PubMedGoogle Scholar
• Blatt, S. J. (1995). Representational structures in psychopathology. In D. Cicchetti & S. L. Toth (Eds.), Rochester symposium on developmental psychopathology: Vol. 6. Emotion, cognition, and representation (pp. 1–33). University of Rochester Press.
   Google Scholar
• Blatt, S. J. (1998). Contributions of Psychoanalysis to the understanding and treatment of depression. Journal of the American Psychoanalytic Association, 46(3), 723–752. https://doi.org/10.1177/00030651980460030301
   Web of Science ®Google Scholar
• Blatt, S. J. (2008). Polarities of experience: Relatedness and self-definition in personality development, psychopathology, and the therapeutic process. American Psychological Association. https://doi.org/10.1037/11749-000
   Google Scholar
• Blatt, S. J., Auerbach, J. S., & Levy, K. N. (1997). Mental representations in personality development, psychopathology, and the therapeutic process. Review of General Psychology, 1(4), 351–374. https://doi.org/10.1037/1089-2680.1.4.351
   Google Scholar
• Block, J. (2002). Personality as an affect-processing system: Toward an integrative theory. Lawrence Erlbaum Associates Publishers.
   Google Scholar
• Bollas, C. (1979). The transformational object. The International Journal of Psycho-Analysis, 60(1), 97–107. http://www.ncbi.nlm.nih.gov/pubmed/457346
   PubMed Web of Science ®Google Scholar
• Bornstein, R. F. (2001). The impending death of psychoanalysis. Psychoanalytic Psychology, 18(1), 3–20. https://doi.org/10.1037/0736-9735.18.1.2
   Web of Science ®Google Scholar
• Brand, B. L., Classen, C. C., McNary, S. W., & Zaveri, P. (2009). A review of dissociative disorders treatment studies. The Journal of Nervous and Mental Disease, 197(9), 646–654. https://doi.org/10.1097/NMD.0B013E3181B3AFAA
   PubMed Web of Science ®Google Scholar
• Brand, B. L. & Stadnik, R. (2013). What contributes to predicting change in the treatment of dissociation: Initial levels of dissociation, PTSD, or overall distress? Journal of Trauma & Dissociation: The Official Journal of the International Society for the Study of Dissociation (ISSD), 14(3), 328–341. https://doi.org/10.1080/15299732.2012.736929
   PubMed Web of Science ®Google Scholar
• Bredemeier, K. & Miller, I. W. (2015). Executive function and suicidality: A systematic qualitative review. Clinical Psychology Review, 40, 170. https://doi.org/10.1016/J.CPR.2015.06.005
   PubMed Web of Science ®Google Scholar
• Briggs, K. & Mellinger, S. (2015). Guardian of the Golden Gate : Protecting the line between hope and despair. Ascend Books.
   Google Scholar
• Brown, G. W., George, W., & Harris, T. O. (2012). Social origins of depression : A study of psychiatric disorder in women. Routledge. https://www.routledge.com/Social-Origins-of-Depression-A-study-of-psychiatric-disorder-in-women/Brown-Harris/p/book/9780415510929
   Google Scholar
• Calati, R., Bensassi, I., & Courtet, P. (2017). The link between dissociation and both suicide attempts and non-suicidal self-injury: Meta-analyses. Psychiatry Research, 251, 103–114. https://doi.org/10.1016/J.PSYCHRES.2017.01.035
   PubMed Web of Science ®Google Scholar
• Cardeña, E. (1994). The domain of dissociation. In S. J. Lynn & J. W. Rhue (Eds.), Dissociation: Clinical and Theoretical Perspectives (pp. 15–31). The Guilford Press.
   Google Scholar
• Caulfield, N. M., Karnick, A. T., & Capron, D. W. (2022). Exploring dissociation as a facilitator of suicide risk: A translational investigation using virtual reality. Journal of Affective Disorders, 297, 517–524. https://doi.org/10.1016/J.JAD.2021.10.097
   PubMed Web of Science ®Google Scholar
• Celani, D. P. (1999). Applying Fairbairn’s object relations theory to the dynamics of the battered woman. American Journal of Psychotherapy, 53(1), 60–73. https://doi.org/10.1176/APPI.PSYCHOTHERAPY.1999.53.1.60
   PubMed Web of Science ®Google Scholar
• Centers for Disease Control and Prevention. (2022). Risk and protective factors suicide. https://www.cdc.gov/suicide/factors/index.html
   Google Scholar
• Comparelli, A., Corigliano, V., Montalbani, B., Nardella, A., De Carolis, A., Stampatore, L., Bargagna, P., Forcina, F., Lamis, D., & Pompili, M. (2022). Building a neurocognitive profile of suicidal risk in severe mental disorders. BMC Psychiatry, 22(1), 1–8. https://doi.org/10.1186/s12888-022-04240-3
   PubMed Web of Science ®Google Scholar
• Coyne, J. C. (1976a). Depression and the response of others. Journal of Abnormal Psychology, 85(2), 186–193. https://doi.org/10.1037/0021-843X.85.2.186
   PubMed Web of Science ®Google Scholar
• Coyne, J. C. (1976b). Toward an interactional description of depression. Psychiatry, 39(1), 28–40. https://doi.org/10.1080/00332747.1976.11023874
   PubMed Web of Science ®Google Scholar
• Dalenberg, C. J., Brand, B. L., Gleaves, D. H., Dorahy, M. J., Loewenstein, R. J., Cardeña, E., Frewen, P. A., Carlson, E. B., & Spiegel, D. (2012). Evaluation of the evidence for the trauma and fantasy models of dissociation. Psychological Bulletin, 138(3), 550–588. https://doi.org/10.1037/a0027447
   PubMed Web of Science ®Google Scholar
• Dalenberg, C. & Carlson, E. (2010). New versions of the dissociative experiences scale: The DES-R (revised) and the DES-B (brief). Annual Meeting of the International Society for Traumatic Stress Studies. Montreal, Quebec.
   Google Scholar
• Depue, R. A. & Monroe, S. M. (1986). Conceptualization and measurement of human disorder in life stress research: The problem of chronic disturbance. Psychological Bulletin, 99(1), 36–51. https://doi.org/10.1037/0033-2909.99.1.36
   PubMed Web of Science ®Google Scholar
• Duffy, M. E., Buchman-Schmitt, J. M., McNulty, J. K., & Joiner, T. E. (2022). Eyes fixed on heaven’s gate: An empirical examination of blink rate and suicide. https://doi.org/10.1080/13811118.2022.2083536
   Google Scholar
• Dunkley, D. M., Zuroff, D. C., & Blankstein, K. R. (2003). Self-critical perfectionism and daily affect: Dispositional and situational influences on stress and coping. Journal of Personality and Social Psychology, 84(1), 234–252. https://doi.org/10.1037/0022-3514.84.1.234
   PubMed Web of Science ®Google Scholar
• Eagle, M. N. (2011). Psychoanalysis and the enlightenment vision: An overview. Journal of the American Psychoanalytic Association, 59(6), 1099–1118. https://doi.org/10.1177/0003065111428611
   PubMed Web of Science ®Google Scholar
• Erdelyi, M. H. (2006). The unified theory of repression. Behavioral and Brain Sciences, 29(5), 499–511. https://doi.org/10.1017/S0140525X06009113
   PubMed Web of Science ®Google Scholar
• Fairbairn, W. R. D. (1944). Endopsychic structure considered in terms of object-relationships. International Journal of Psychoanalysis, 25, 70–93.
   Web of Science ®Google Scholar
• Fakhry, H. (2015). Dissociative phenomena in attempted suicide. Egyptian Journal of Psychiatry, 36(1), 45. https://doi.org/10.4103/1110-1105.153779
   Google Scholar
• Ferenczi, S. (1988). Confusion of tongues between adults and the child. Contemporary Psychoanalysis, 24(2), 196–206. https://doi.org/10.1080/00107530.1988.10746234
   Web of Science ®Google Scholar
• Fernández-Sevillano, J., Alberich, S., Zorrilla, I., González-Ortega, I., López, M. P., Pérez, V., Vieta, E., González-Pinto, A., & Saíz, P. (2021). Cognition in recent suicide attempts: Altered executive function. Frontiers in Psychiatry, 12, 12. https://doi.org/10.3389/FPSYT.2021.701140
   Web of Science ®Google Scholar
• Fonagy, P. (1995). Psychoanalytic and empirical approaches to developmental psychopathology: An object-relations perspective (T. Shapiro & R. N. Emde, eds.; pp. 245–260). International Universities Press, Inc.
   Google Scholar
• Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2(3), 300–319. https://doi.org/10.1037/1089-2680.2.3.300
   PubMedGoogle Scholar
• Gilbert, D. T. & Wilson, T. D. (2007). Prospection: Experiencing the future. Science, 317(5843), 1351–1354. https://doi.org/10.1126/science.1144161
   PubMed Web of Science ®Google Scholar
• Greenberg, J. R. & Mitchell, S. A. (1983). Object relations in psychoanalytic theory. Harvard University Press.
   Google Scholar
• Green, J. D., Sedikides, C., Pinter, B., & Van Tongeren, D. R. (2009). Two sides to self-protection: Self-improvement strivings and feedback from close relationships eliminate mnemic neglect. Self and Identity, 8(2–3), 233–250. https://doi.org/10.1080/15298860802505145
   Web of Science ®Google Scholar
• Gutierrez, P. M., Joiner, T., Hanson, J., Stanley, I. H., Silva, C., & Rogers, M. L. (2019). Psychometric properties of four commonly used suicide risk assessment measures: Applicability to military treatment settings. Military Behavioral Health, 7(2), 177–184. https://doi.org/10.1080/21635781.2018.1562390
   Google Scholar
• Hammen, C. (1991). Generation of stress in the course of unipolar depression. Journal of Abnormal Psychology, 100(4), 555–561. https://doi.org/10.1037/0021-843X.100.4.555
   PubMed Web of Science ®Google Scholar
• Holmes, E. A., Brown, R. J., Mansell, W., Fearon, R. P., Hunter, E. C. M., Frasquilho, F., & Oakley, D. A. (2005). Are there two qualitatively distinct forms of dissociation? A review and some clinical implications. Clinical Psychology Review, 25(1), 1–23. https://doi.org/10.1016/J.CPR.2004.08.006
   PubMed Web of Science ®Google Scholar
• Horney, K. (1936). Culture and neurosis. American Sociological Review, 1(2), 221. https://doi.org/10.2307/2084481
   Google Scholar
• Horowitz, M. J. (1998). Cognitive psychodynamics: From conflict to character. The American Journal of Psychiatry, 155(Issue 2). https://doi.org/10.1176/AJP.156.2.331
   PubMedGoogle Scholar
• Jamison, K. R. (1996). An unquiet mind: A memoir of moods and madness. VIntage.
   Google Scholar
• Jobes, D. A. & Joiner, T. E. (2019). Reflections on suicidal ideation. The Crisis, 40(4), 227–230. https://doi.org/10.1027/0227-5910/a000615
   PubMedGoogle Scholar
• Joiner, T. E. (1994). Contagious depression: Existence, specificity to depressed symptoms, and the role of reassurance seeking. Journal of Personality and Social Psychology, 67(2), 287–296. https://doi.org/10.1037/0022-3514.67.2.287
   PubMed Web of Science ®Google Scholar
• Joiner, T. E. (2000). Depression’s vicious scree: Self-propagating and erosive processes in depression chronicity. Clinical Psychology: Science & Practice, 7(2), 203–218. https://doi.org/10.1093/CLIPSY.7.2.203
   Web of Science ®Google Scholar
• Joiner, T. E. (2005). Why people die by suicide. Harvard University Press.
   Google Scholar
• Joiner, T. E., Hom, M. A., Rogers, M. L., Chu, C., Stanley, I. H., Wynn, G. H., & Gutierrez, P. M. (2016). Staring down death: Is abnormally slow blink rate a clinically useful indicator of acute suicide risk? Crisis: The Journal of Crisis Intervention and Suicide Prevention, 37(3), 212–217. https://doi.org/10.1027/0227-5910/a000367
   Web of Science ®Google Scholar
• Kelly, G. A. (1955). The psychology of personal constructs: Vol. 1. A theory of personality. Vol. 2. Clinical diagnosis and psychotherapy. Norton.
   Google Scholar
• Kemberg, O. F., Yeomans, F. E., Clarkin, J. F., & Levy, K. N. (2008). Transference focused psychotherapy: Overview and update. The International Journal of Psycho-Analysis, 89(3), 601–620. https://doi.org/10.1111/J.1745-8315.2008.00046.X
   PubMed Web of Science ®Google Scholar
• Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. Yale University Press, Ed.
   Google Scholar
• Kira, I. A., Shuwiekh, H., & Laddis, A. (2022). The linear and non-linear association between trauma, dissociation, complex PTSD, and executive function deficits: A longitudinal structural equation modeling study. Journal of Loss & Trauma, 28(3), 217–234. https://doi.org/10.1080/15325024.2022.2101734
   Web of Science ®Google Scholar
• Klein, M. (1928). Early stages of the Oedipus conflict. International Journal of Psychoanalysis, 9, 167–180.
   Google Scholar
• Klein, M. (1935). A contribution to the psychogenesis of manic-depressive states. International Journal of Psychoanalysis, 15, 145–174.
   Google Scholar
• Klein, M. (1940). Mourning and its relation to manic-depressive states. International Journal of Psychoanalysis, 21, 125–153.
   Web of Science ®Google Scholar
• Klein, M. (1945). The Oedipus complex in the light of early anxieties. International Journal of Psychoanalysis, 26, 11–33.
   PubMed Web of Science ®Google Scholar
• Kleindienst, N., Limberger, M. F., Ebner-Priemer, U. W., Keibel-Mauchnik, J., Dyer, A., Berger, M., Schmahl, C., & Bohus, M. (2011). Dissociation predicts poor response to dialectial behavioral therapy in female patients with borderline personality disorder. Journal of Personality Disorders, 25(4), 432–447. https://doi.org/10.1521/pedi.2011.25.4.432
   PubMed Web of Science ®Google Scholar
• Klein, M., Kupfer, D. J., & Shea, M. T. (1993). Personality and depression: A current view. Guilford press.
   Google Scholar
• Lazarus, G. & Rafaeli, E. (2023). Modes: Cohesive personality states and their interrelationships as organizing concepts in psychopathology. Journal of Psychopathology and Clinical Science, 132(3), 238–248. https://doi.org/10.1037/abn0000699
   PubMedGoogle Scholar
• Levinger, S., Somer, E., & Holden, R. R. (2015). The importance of mental pain and physical dissociation in youth suicidality. Journal of Trauma and Dissociation, 16(3), 322–339. https://doi.org/10.1080/15299732.2014.989644
   PubMed Web of Science ®Google Scholar
• Lieberman, A., Robison, M., Wonderlich, S. A., Crosby, R. D., Mitchell, J. E., Crow, S. J., Peterson, C. B., Le Grange, D., Bardone-Cone, A. M., Kolden, G., & Joiner, T. E. (2023). Self-hate, dissociation, and suicidal behavior in bulimia nervosa. Journal of Affective Disorders, 335, 44–48. https://doi.org/10.1016/J.JAD.2023.05.015
   PubMed Web of Science ®Google Scholar
• Ludäscher, P., Bohus, M., Lieb, K., Philipsen, A., Jochims, A., & Schmahl, C. (2007). Elevated pain thresholds correlate with dissociation and aversive arousal in patients with borderline personality disorder. Psychiatry Research, 149(1–3), 291–296. https://doi.org/10.1016/J.PSYCHRES.2005.04.009
   PubMed Web of Science ®Google Scholar
• Lynn, S. J., Lilienfeld, S. O., Merckelbach, H., Giesbrecht, T., McNally, R. J., Loftus, E. F., Bruck, M., Garry, M., & Malaktaris, A. (2014). The trauma model of dissociation: Inconvenient truths and stubborn fictions. Comment on Dalenberg et al. (2012). Psychological Bulletin, 140(3), 896–910. https://doi.org/10.1037/a0035570
   PubMed Web of Science ®Google Scholar
• Lynn, S. J., Maxwell, R., Merckelbach, H., Lilienfeld, S. O., Kloet, D. V. H. D., & Miskovic, V. (2019). Dissociation and its disorders: Competing models, future directions, and a way forward. Clinical Psychology Review, 73, 101755. https://doi.org/10.1016/j.cpr.2019.101755
   PubMed Web of Science ®Google Scholar
• Lyssenko, L., Schmahl, C., Bockhacker, L., Vonderlin, R., Bohus, M., & Kleindienst, N. (2018). Dissociation in psychiatric disorders: A meta-analysis of studies using the dissociative experiences scale. The American Journal of Psychiatry, 175(1), 37–46. https://doi.org/10.1176/APPI.AJP.2017.17010025
   PubMed Web of Science ®Google Scholar
• McDaniel, M. A. & Einstein, G. O. (2007). Prospective memory: An overview and synthesis of an emerging field. Prospective Memory: An Overview and Synthesis of an Emerging Field, 1–264. https://doi.org/10.4135/9781452225913
   Google Scholar
• McKinnon, M. C., Boyd, J. E., Frewen, P. A., Lanius, U. F., Jetly, R., Richardson, J. D., & Lanius, R. A. (2016). A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions. Neuropsychologia, 90, 210–234. https://doi.org/10.1016/J.NEUROPSYCHOLOGIA.2016.07.017
   PubMed Web of Science ®Google Scholar
• Mergler, M., Driessen, M., Lüdecke, C., Ohlmeier, M., Chodzinski, C., Weirich, S., Schläfke, D., Wedekind, D., Havemann-Reinecke, U., Renner, W., & Schäfer, I. (2017). Relationships between a dissociative subtype of PTSD and clinical characteristics in patients with substance use disorders. Journal of Psychoactive Drugs, 49(3), 225–232. https://doi.org/10.1080/02791072.2017.1296209
   PubMed Web of Science ®Google Scholar
• Mischel, W. & Shoda, Y. (1995). A cognitive-affective system theory of personality: Reconceptualizing situations, dispositions, dynamics, and invariance in personality structure. Psychological Review, 102(2), 246–268. https://doi.org/10.1037/0033-295X.102.2.246
   PubMed Web of Science ®Google Scholar
• Mitra, P. & Jain, A. (2023). Dissociative identity disorder. Current Psychosis and Therapeutics Reports, 4(3), 112–116. https://doi.org/10.1007/BF02629332
   Google Scholar
• Mongrain, M. (1998). Parental representations and support-seeking behaviors related to dependency and self-criticism. Journal of Personality, 66(2), 151–173. https://doi.org/10.1111/1467-6494.00007
   PubMed Web of Science ®Google Scholar
• Ogden, T. H. (1992). The matrix of the mind: Object relations and the psychoanalytic dialogue. The Matrix of the Mind: Object Relations and the Psychoanalytic Dialogue, 1–270. https://doi.org/10.4324/9780429482403/MATRIX-MIND-THOMAS-OGDEN
   Google Scholar
• Orbach, I. (1994). Dissociation, physical pain, and suicide: A hypothesis. Suicide and Life-Threatening Behavior, 24(1), 68–79. https://doi.org/10.1111/J.1943-278X.1994.TB00664.X
   PubMed Web of Science ®Google Scholar
• Pachkowski, M. C., Rogers, M. L., Saffer, B. Y., Caulfield, N. M., & Klonsky, E. D. (2021). Clarifying the relationship of dissociative experiences to suicide ideation and attempts: A multimethod examination in two samples. Behavior Therapy, 52(5), 1067–1079. https://doi.org/10.1016/J.BETH.2021.03.006
   PubMed Web of Science ®Google Scholar
• Rabasco, A. & Andover, M. S. (2020). The interaction of dissociation, pain tolerance, and suicidal ideation in predicting suicide attempts. Psychiatry Research, 284, 112661. https://doi.org/10.1016/J.PSYCHRES.2019.112661
   PubMed Web of Science ®Google Scholar
• Rogers, M. L., Hom, M. A., Stanley, I. H., & Joiner, T. E. (2019). Brief measures of physical and psychological distance to suicide methods as correlates and predictors of suicide risk: A multi-study prospective investigation. Behaviour Research and Therapy, 120, 103330. https://doi.org/10.1016/J.BRAT.2018.11.001
   PubMed Web of Science ®Google Scholar
• Rossi, R., Longo, L., Fiore, D., Carcione, A., Niolu, C., Siracusano, A., Di, L. G., & Di, L. G. (2019). Dissociation in stress-related disorders and self-harm: A review of the literature and a systematic review of mediation models. Journal of Psychopathology, 25, 162–171.
   Web of Science ®Google Scholar
• Rubin, M., Hien, D., Das, D., & Melara, R. (2017). Inhibitory control under threat: The role of spontaneous eye blinks in post-traumatic stress disorder. Brain Sciences, 7(12), 16. https://doi.org/10.3390/brainsci7020016
   PubMedGoogle Scholar
• Rufer, M., Held, D., Cremer, J., Fricke, S., Moritz, S., Peter, H., & Hand, I. (2005). Dissociation as a predictor of cognitive behavior therapy outcome in patients with obsessive-compulsive disorder. Psychotherapy and Psychosomatics, 75(1), 40–46. https://doi.org/10.1159/000089225
   Web of Science ®Google Scholar
• Sandler, J. (1976). Countertransference and role responsiveness. International Review of Psycho-Analysis, 3(1), 43–47.
   Google Scholar
• Scalabrini, A., Cavicchioli, M., Fossati, A., & Maffei, C. (2017). The extent of dissociation in borderline personality disorder: A meta-analytic review. Journal of Trauma & Dissociation: The Official Journal of the International Society for the Study of Dissociation (ISSD), 18(4), 522–543. https://doi.org/10.1080/15299732.2016.1240738
   PubMed Web of Science ®Google Scholar
• Sedikides, C. & Green, J. D. (2009). Memory as a self-protective mechanism. Social and Personality Psychology Compass, 3(6), 1055–1068. https://doi.org/10.1111/j.1751-9004.2009.00220.x
   Google Scholar
• Seligman, M. E. P., Railton, P., Baumeister, R. F., & Sripada, C. (2013). Navigating into the future or driven by the past. Perspectives on Psychological Science, 8(2), 119–141. https://doi.org/10.1177/1745691612474317
   Web of Science ®Google Scholar
• Shahar, G. (2004). Transference-countertransference: Where the (political) action is. Journal of Psychotherapy Integration, 14(4), 371–396. https://doi.org/10.1037/1053-0479.14.4.371
   Google Scholar
• Shahar, G. (2006a). Clinical action: Introduction to the special section on the action perspective in clinical psychology. Journal of Clinical Psychology, 62(9), 1053–1064. https://doi.org/10.1002/JCLP.20290
   PubMed Web of Science ®Google Scholar
• Shahar, G. (2006b). Repression, suppression, and oppression (in depression). Behavioral and Brain Sciences, 29(5), 533–534. https://doi.org/10.1017/S0140525X06459112
   Web of Science ®Google Scholar
• Shahar, G. (2010). Poetics, pragmatics, schematics, and the psychoanalysis-research dialogue (rift). Psychoanalytic Psychotherapy, 24(4), 315–328. https://doi.org/10.1080/02668734.2010.513544
   Google Scholar
• Shahar, G. (2011). Projectuality versus eventuality: Sullivan, the (ambivalent) intentionalist. Journal of Psychotherapy Integration, 21(2), 211–220. https://doi.org/10.1037/A0022909
   Google Scholar
• Shahar, G. (2015a). Object Relations Theory. In R. Cautin & S. Lillinfeld (Eds.), The Encyclopedia of Clinical Psychology. New York: Wiley. https://doi.org/10.1002/9781118625392.wbecp189
   Google Scholar
• Shahar, G. (2015b). Erosion: The psychopathology of self-criticism. New York: Oxford University Press. https://doi.org/10.1093/MED:PSYCH/9780199929368.001.0001
   Google Scholar
• Shahar, G. (2016). Criticism in the self, brain, relationships, and social structure: Implications for psychodynamic psychiatry. Psychodynamic Psychiatry, 44(3), 395–421. https://doi.org/10.1521/pdps.2016.44.3.395
   PubMedGoogle Scholar
• Shahar, G. (2018). The (suicidal-) depressive position: A scientifically informed reformulation. Psychodynamic Psychiatry, 46(2), 265–293. https://doi.org/10.1521/pdps.2018.46.2.265
   PubMedGoogle Scholar
• Shahar, G. (2021a). Integrative psychotherapy with physicians in the trenches: Convergence of cognitive, existential, and psychodynamic processes. Journal of Humanistic Psychology, 002216782110655. https://doi.org/10.1177/00221678211065580
   Web of Science ®Google Scholar
• Shahar, G. (2021b). Reformulated object relations theory: A bridge between clinical psychoanalysis, psychotherapy integration, and the understanding and treatment of suicidal depression. Frontiers in Psychology, 12, 12. https://doi.org/10.3389/fpsyg.2021.721746
   Web of Science ®Google Scholar
• Shahar, G. (2023). Complex depression: The role of personality dynamics and social ecology. American Psychological Association Press.
   Google Scholar
• Shahar, G., Blatt, S. J., Zuroff, D. C., Kuperminc, G. P., & Leadbeater, B. J. (2004). Reciprocal relations between depressive symptoms and self-criticism (but not dependency) among early adolescent girls (but not boys). Cognitive Therapy and Research, 28(1), 85–103. https://doi.org/10.1023/B:COTR.0000016932.82038.d0
   Web of Science ®Google Scholar
• Shahar, G., Cross, L. W., & Henrich, C. C. (2004). Representations in action. The Psychoanalytic Study of the Child, 59(1), 261–293. https://doi.org/10.1080/00797308.2004.11800741
   PubMed Web of Science ®Google Scholar
• Shahar, G. & Davidson, L. (2009). Participation-engagement: A philosophically based heuristic for prioritizing clinical interventions in the treatment of comorbid, complex, and chronic psychiatric conditions. Psychiatry: Interpersonal & Biological Processes, 72(2), 154–176. https://doi.org/10.1521/psyc.2009.72.2.154
   PubMed Web of Science ®Google Scholar
• Shahar, G. & Henrich, C. C. (2019). Role of adolescent exposure to rockets in the links between personality vulnerability and psychopathology. Development and Psychopathology, 31(4), 1367–1380. https://doi.org/10.1017/S0954579418000792
   PubMed Web of Science ®Google Scholar
• Shahar, G., Henrich, C. C., Blatt, S. J., Ryan, R., & Little, T. D. (2003). Interpersonal relatedness, self-definition, and their motivational orientation during adolescence: A theorical and empirical integration. Developmental Psychology, 39(3), 470–483. https://doi.org/10.1037/0012-1649.39.3.470
   PubMed Web of Science ®Google Scholar
• Shahar, G. & Schiller, M. (2016). Treating the depressive self: A psychodynamic-integrative approach. In M. N. K. Kyrios, S. Bhar, G. Doron, M. Mikulincer, & R. Roulding (Eds.), The self in understanding and treating psychological disorders (pp. 29–39). Cambridge University Press.
   Google Scholar
• Shahnaz, A. & Klonsky, E. D. (2021). Clarifying the association of eating disorder features to suicide ideation and attempts. Journal of Clinical Psychology, 77(12), 2965–2977. https://doi.org/10.1002/jclp.23266
   PubMed Web of Science ®Google Scholar
• Smith, A. R., Zuromski, K. L., & Dodd, D. R. (2018). Eating disorders and suicidality: What we know, what we don’t know, and suggestions for future research. Current Opinion in Psychology, 22, 63–67. https://doi.org/10.1016/j.copsyc.2017.08.023
   PubMed Web of Science ®Google Scholar
• Soffer-Dudek, N. (2014). Dissociation and dissociative mechanisms in panic disorder, obsessive–compulsive disorder, and depression: A review and heuristic framework. Psychology of Consciousness: Theory, Research, & Practice, 1(3), 243–270. https://doi.org/10.1037/cns0000023
   Google Scholar
• Steel, E. (2006). The Bridge. https://watchdocumentaries.com/the-bridge/
   Google Scholar
• Stolorow, R. D., Brandshaft, B., & Atwood, G. E. (1987). Psychoanalytic treatment: An intersubjective approach. Analytic.
   Google Scholar
• Strenger, C. (1998). East of Eden: Clinical and theoretical aspects of the sense of excommunication. Journal of Humanistic Psychology, 38(4), 41–64. https://doi.org/10.1177/00221678980384004
   Web of Science ®Google Scholar
• Sullivan, H. S. (1953). The interpersonal theory of psychiatry. Norton.
   Google Scholar
• Summers, F. (2003). The future as instrinsic to the psyche and Psychoanalytic Therapy. Contemporary Psychoanalysis, 39(1), 135–153. https://doi.org/10.1080/00107530.2003.10747206
   Web of Science ®Google Scholar
• Thieberger, J. (1991). The concept of reparation in Melanie Klein’s writing. Melanie Klein & Object Relations, 9(1), 32–46.
   Google Scholar
• van Heugten van der Kloet, D. & Lynn, S. J. (2020). Dreams and dissociation—Commonalities as a basis for future research and clinical innovations. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00745
   PubMed Web of Science ®Google Scholar
• van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697
   PubMed Web of Science ®Google Scholar
• Wachtel, P. L. (1994). Cyclical psychodynamics and the contextual self : The inner world, the intimate world, and the world of culture and society. https://www.routledge.com/Cyclical-Psychodynamics-and-the-Contextual-Self-The-Inner-World-the-Intimate/Wachtel/p/book/9780415713955
   Google Scholar
• Wedig, M. M., Silverman, M. H., Frankenburg, F. R., Reich, D. B., Fitzmaurice, G., & Zanarini, M. C. (2012). Predictors of suicide attempts in patients with borderline personality disorder over 16 years of prospective follow-up. Psychological Medicine, 42(11), 2395–2404. https://doi.org/10.1017/S0033291712000517
   PubMed Web of Science ®Google Scholar
• Werner, A. M., Tibubos, A. N., Rohrmann, S., & Reiss, N. (2019). The clinical trait self-criticism and its relation to psychopathology: A systematic review – update. Journal of Affective Disorders, 246, 530–547. https://doi.org/10.1016/j.jad.2018.12.069
   PubMed Web of Science ®Google Scholar
• Westen, D. (1991). Social cognition and object relations. Psychological Bulletin, 109(3), 429–455. https://doi.org/10.1037/0033-2909.109.3.429
   Web of Science ®Google Scholar
• Westen, D. (1998). The scientific legacy of Sigmund Freud: Toward a psychodynamically informed psychological science. Psychological Bulletin, 124(3), 333–371. https://doi.org/10.1037/0033-2909.124.3.333
   Web of Science ®Google Scholar
• Whelton, W. J. & Greenberg, L. S. (2005). Emotion in self-criticism. Personality and Individual Differences, 38(7), 1583–1595. https://doi.org/10.1016/J.PAID.2004.09.024
   Web of Science ®Google Scholar
• Winnicott, D. W. (1958). The capacity to be alone. International Journal of Psychoanalysis, 39(5), 416–420.
   PubMed Web of Science ®Google Scholar
• World health organization. (2021). Suicide. https://www.who.int/news-room/fact-sheets/detail/suicide
   Google Scholar
• Zoroglu, S. S., Tuzun, U., Sar, V., Tutkun, H., Savaş, H. A., Ozturk, M., Alyanak, B., & Kora, M. E. (2003). Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect and dissociation. Psychiatry and Clinical Neurosciences, 57(1), 119–126. https://doi.org/10.1046/J.1440-1819.2003.01088.X
   PubMed Web of Science ®Google Scholar