| Edition |
Second edition. |
| Description |
1 online resource (xv, 209 pages) |
| Bibliography |
Includes bibliographical references and index. |
| Note |
Print version record. |
| Summary |
This timely update of the bedrock text reflects what we now knoẃℓℓand are still finding out́ℓℓabout the benefits of psychodynamic psychotherapy for older adults facing chronic conditions. Expanding on the original, the author balances the physical and experiential factors affecting patientśℓℓ physical illnesses and related emotional distress while situating core psychodynamic constructs in the context of illness and aging. Special attention is paid to technique, giving therapists practical guidance on dealing with transference and countertransference issues, working with patients in cognitive decline, and navigating complexities of age, class, and culture. The book also reviews the current evidence on how and why psychodynamic therapy helps medical patients with coping, adapting, and healing. Included in the coverage: Technology, idealization, and unconscious dynamics in the culture of medicine. Narcissistic aspects of aging and illness. Grey areas: when illness may be particularly impacted by psychological variables. Cognitive changes and implications for the therapeutic encounter. The influence of psychological factors and relationships on medical illness. Hope and grief: the introduction of an emotional language. The Second Edition of Psychodynamic Perspectives on Aging and Illness skillfully follows its predecessor as a powerful, plain-spoken mentor to therapists working in hospitals, long-term care facilities, and outpatient practice. |
| Contents |
Chapter 1: When the Body Intrudes: Psychotherapy with Older and Medically Ill Adults; Why Psychodynamic Approaches? Evidence on Efficacy; Traditional Ideas About Aging and Illness; Applying Psychodynamic Concepts to Aging and Medically Ill Patients; The Boom in Aging and Medical Illness; Conclusion; References; Chapter 2: Technology, Idealization, and Unconscious Dynamics in the Culture of Medicine; The Hypomanic Culture of Medicine; Patient Expectations in Medicine; Technology and Idealization |
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Looking for Love (and a Cure): Medical Relationships Suggested Techniques: How to Talk with Patients about Manic Defenses; Conclusion; References; Chapter 3: The Trauma of Medical Illness; Do We Have to Talk about It? The Mental Health Clinician and Medical Patients; Fear and Confusion in Illness; Shame and the Trauma of Illness; Denial and the Need to Escape; Past Trauma in the Context of Aging and Illness; Suggested Techniques: Creating Safety in the Context of Avoidance; Conclusion; References; Chapter 4: Narcissistic Aspects of Aging and Illness |
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Everyone's a Little Narcissistic: When a Normal Defense Becomes Excessive A Body (and Mind) without a Home: Late Life Consequences of Early Loss; Letting Go of a Perfect World: The Silhouette of Mourning in Narcissistic Patients; The "Midlife Crisis"; Suggested Techniques: Providing a Place to Think; Conclusion; References; Chapter 5: Gray Areas: When Illness May Be Particularly Impacted by Psychological Variables; How Do We Define "Psychosomatic" and Does It Matter?; How Stress Lands in the Body: The HPA-Axis; Back to Hysteria? No and Yes |
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Suggested Techniques: Clarifying Affective Confusion Conclusion; References; Chapter 6: Transference and Countertransference Considerations; Transference and Implications for Older and Medically Ill Patients; Countertransference Feelings as a Reaction to Vulnerability; Countertransference: When Older Is Easier (for Therapists); Countertransference: Social Contextual Issues; Suggested Techniques: Modern-Day Transference Interventions; Conclusion; References; Chapter 7: Self-Destructive Behaviors and Illness; Psychodynamic Ideas on Masochism |
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Achieving Control No Matter What: The Demand to Be Fixed Unhealthy Behaviors and the Desire to Ignore the Truth; How Anger Leads to Attempts at Mastery; Failed Attempts at Denial and Homeostasis; Suggested Techniques: The Careful Balance of Addressing Aggression; Conclusion; References; Chapter 8: Cognitive Changes and Implications for the Therapeutic Encounter; Cognitive Impairment in the Elderly; Normal Physical Changes Related to Aging; How to Detect Delirium; Psychotherapy with Cognitively Impaired Adults; Suggested Techniques: Discussing Impairments; Conclusion; References ; Chapter 9: What We Know and What We Don't: The Influence of Psychological Factors and Relationships on Medical Illness; Child Abuse and Maltreatment; Depression; Anxiety; Anger and Hostility; Social Support: Partners and Families; The "Stress Response" and Job Strain; The Meaning of the Research on Psychological Factors and Medical Risk; Suggested Techniques: How Research Matters (or Not) When Talking with Patients; Conclusion; References ; Chapter 10: Hope and Grief: The Introduction of an Emotional Language; Posttraumatic Growth; Alexithymia: Adaptive Aspects of Psychic Detachment; Alexithymia, Hysteria, and Dissociation; Trauma, the Sense of Self, and Illness; Hope and Grief: Therapeutic Action; (Epilogue) Resilience in the Elderly and Medically Ill; References. |
| Subject |
Geriatrics -- Psychological aspects.
|
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Aging -- Psychological aspects.
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Psychodynamic psychotherapy.
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MEDICAL -- Geriatrics.
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MEDICAL -- Nursing -- Gerontology.
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MEDICAL / Gynecology & Obstetrics
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Aging -- Psychological aspects.
(OCoLC)fst00800327
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Geriatrics -- Psychological aspects.
(OCoLC)fst00941270
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Psychodynamic psychotherapy. (OCoLC)fst01081312
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Aging -- psychology.
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Geriatric Psychiatry -- methods.
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Psychotherapy, Psychodynamic -- methods.
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Aged.
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| Genre/Form |
Electronic books.
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Electronic books.
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| Other Form: |
Print version: Greenberg, Tamara McClintock. Psychodynamic perspectives on aging and illness 9783319242873 |
| ISBN |
9783319242873 |
|
9783319242897 electronic bk. |
|
331924289X electronic bk. |
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3319242873 |
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