Working with patients who end their lives through suicide is one of the greatest challenges and fears a clinician might face. This paper explores the experience of working with such patients in the course of psychiatric care and Jungian analysis. Jungian theory is used to explore a conceptual understanding of the dilemmas faced. Such theory points to an intractable conflict between Self and ego giving rise to unbearable distress, partly through difficulties arising in achieving individuation. The paper proposes that our difficulties in dealing with a patient’s suicide might reflect a manifestation of relentless hope and, perhaps contentiously, these patients made a more considered decision in their final acts than prevailing clinical opinion suggests.

中文翻译：

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自我、自我和自杀

与通过自杀结束生命的患者一起工作是临床医生可能面临的最大挑战和恐惧之一。本文探讨了在精神科护理和荣格分析过程中与此类患者一起工作的经验。荣格理论用于探索对所面临困境的概念理解。这种理论指出了自我与自我之间的顽固冲突，导致难以忍受的痛苦，部分原因是在实现个性化过程中出现了困难。该论文提出，我们在处理患者自杀方面的困难可能反映了无情希望的表现，也许有争议的是，这些患者在最终行动中做出的决定比普遍的临床意见所暗示的更深思熟虑。