We can dominate and control everything from which we disidentify ourselves." (15) According to the psychosynthesis model, it is easier to change thoughts we identify as foreign to "the self" (ego-dystonic) than thoughts we identify as being part of "the self" (ego-syntonic).
Patients whose suicidal thoughts are ego-syntonic identify with the thoughts as representing themselves and take ownership of these thoughts.
Examples of patients' ego-syntonic vs ego-dystonic suicidal thoughts are listed in Table 2.
Table 2 Examples of ego-syntonic vs ego-dystonic suicidal thoughts Ego-syntonic Ego-dystonic 'I want to be dead.
First, I conduct a comprehensive mental status examination that includes an in-depth exploration of the patient's suicidal thoughts to determine if they are ego-syntonic or ego-dystonic.
G, a 42-year-old mother of 2, suffers from bipolar II disorder with recurrent episodes of depression associated with ego-syntonic suicidal thoughts.
At times, she experiences these thoughts as ego-syntonic; at other times, they areego-dystonic.
(2) Hoarding often is ego-syntonic, and many patients do not believe their behaviors are problematic.
Because hoarding behavior frequently is ego-syntonic, patients may be brought in by family members or friends.