"This is an important book that no suicidologist should be without.
In it, the author, Edwin S. Shneidman, brings together work he
undertook and completed between 1971 and 1993. This work includes
an empirical study, some single case studies, some theoretical
think pieces, and some suggestions for psychotherapy. In this
volume, Suicide as Psychache: A Clinical Approach to
Self-Destructive Behavior, Shneidman introduces the concept of
psychache, adding to the existing vocabulary on suicide to which he
has contributed so generously. Shneidman defines psychache as the
hurt, anguish, soreness, aching, psychological pain in the mind.
Suicide occurs, he says, when the person experiencing the psychache
deems the pain unbearable, suicide having to do with differences in
individual thresholds for enduring psychological pain. Other
concepts that bear Shneidman's imprint include suicidology,
psychological autopsy, postvention, subintentional death, and
postself. In the language of Suicide as Psychache, the growing
numbers of people committing suicide in the United States give
testimony to the growing prevalence of psychache in the U. S.
population. Like all of Shneidman's work, this book goes well
beyond its primary intent in that it is much more than a book about
suicide. It is a theoretical book about the psychology of human
behavior as reflected in suicide and about creative ways of
investigating and responding to suicide phenomena. The book is
divided into four parts: Foundations, Analyses, Response, and
Follow-Up. This review, being a review, cannot possibly do justice
to Shneidman's Suicide as Psychache: A Clinical Approach to
Self-Destructive Behavior. It contains so many rich insights
coupled with interesting literary references that help to enlarge
readers' understanding and knowledge that persons are advised to
read the book for themselves. By bringing together his earlier work
and building on it, Shneidman allows readers to witness the
evolution in his thinking about life and human behavior a
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