Tähkä considers cases of suicides which came as a surprise to the therapist. He suggests that in these instances the narcissistic regression characterizing depression is so extreme that the patient's most important feelings are directed almost totally toward internal objects. As a result, the therapist does not receive those emotional signals that ordinarily induce countertransferences and provide the information from which alarm about the patient's condition would arise. Tähkä suggests, as a practical matter, that a therapist should be on the alert when he or she notices the absence of emotional concern toward a depressed patient. He also suggests that referring to such feelings in the therapist as "complementary reactions," rather than as countertransferences, would be more accurate and would facilitate clarity about their use in the treatment situation.