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P. 172). The research data on the efficacy of a no suicide decision as a prevention modality is presented later in this chapter. PROBLEM-SOLVING BRIEF THERAPY AND BEHAVIORAL THERAPY Problem-Solving Brief Therapy As a casework process, 1970s problem-solving therapy placed contracts at the center of the casework transaction. The aims of patient contracting here were to increase client self-determination by not treating the client as merely a recipient of social aid (Rapoport, 1970) and, through establishing mutually agreed-upon actions, to support the client to be an active participant rather than a passive recipient of treatment (Perlman, 1970, pp.
During the same decade, the United States witnessed the rise of the ‘Free Clinic’ movement (Smith, 1974). The movement fostered community crisis-focused clinics, staffed by professionals and para-professionals catering to at-risk, marginalized populations—significantly ex-servicepersons (Butcher & Maudal, 1976). In the late 1950s, Norman Farberow and Edwin Shneidman established the first community suicide crisis center in the United States (Goldney, 1998). indb 40 11/22/13 3:03 PM HISTORICAL REVIEW 41 These centers multiplied rapidly, and in 1974 (just one year after the publication of the American Journal of Psychiatry article), a review of twelve suicide prevention centers in the United States reported volunteers had engaged 20 percent of callers in a version of SPC (MacGee, 1974), with training and supervision routinely provided by psychiatrists and registered mental health nurses (Hirsch, 1981, p.
SPC has taken on an array of hybrid forms around the world. ” In this chapter the reasons for this situation will be explained. INITIAL ENGLISH REPORTS The idea of contracting for living (or similar) with suicidal patients is likely found nowhere in early-twentieth-century scholarship. One of the earliest reports on communicating clinically with suicidal patients date back to the 1950s. It was then that the founding fathers of modern-day suicidology, Edwin Shneidman, PhD, and Norman Farberow, MD, first discussed in some detail the process of ‘negotiating with suicidal patients’ (Shneidman & Farberow, 1957).