Counselling and Psychotherapy with Older People A Psychodynamic Approach

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ISBN: 9780230506541 | 0230506542
Cover: Paperback
Copyright: 6/15/2008

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This new edition of Terry's popular text, Working with the Elderly and their Carers , has been updated throughout to include the latest developments in the theory and practice of psychodynamic work with older people. Two new chapters look at difficulties in mourning in the later years and at the particular challenges which therapists in training may encounter in working with this age group. The new edition also includes new case studies and substantial new material on observation and counselling in dementia and on time-limited work with older people.

Acknowledgements	p. ix
Preface to the Second Edition	p. x
Direct Face to Face Therapy	p. 1
To Love Life and Mourn Its End	p. 3
Introduction	p. 3
Two seminal psychoanalytic studies of mourning	p. 4
Mourning in infancy	p. 6
Adult mourning	p. 9
Projective identification and mourning	p. 10
Fear of death	p. 12
Summary	p. 16
Brief Interventions	p. 18
Introduction	p. 18
Illness, disability and bereavement	p. 18
An early referral	p. 19
Mr Miller - whose upset was in his house	p. 19
Further illustrations of bereavement reactions to illness and disability	p. 23
Mr Sewell - who used humour to manage his grief	p. 23
Mrs Hill - who could only hear her daughter	p. 26
Summary	p. 29
Longer Individual Therapy	p. 31
Introduction	p. 31
Dependency late in life	p. 31
Mrs Taylor - who collapsed into helplessness	p. 31
Infantilisation and fears of dependency	p. 32
Settling in	p. 35
Anger and sorrow	p. 38
Closeness and loss	p. 41
Long term effects of severe trauma	p. 45
Mr Krol - a survivor of a concentration camp	p. 45
Difficulties in beginning to talk about trauma	p. 46
Some comments about therapy and the trauma of sexual abuse	p. 52
Summary	p. 52
Therapy With an Older Man Who Had Lost His Speech	p. 54
Introduction	p. 54
Mr Mitchell - who had lost his speech	p. 56
Achieving some holding	p. 56
Establishing a vocabulary	p. 62
Mourning and letting go	p. 66
Summary	p. 69
Older Couples	p. 71
Introduction	p. 71
Some problems engaging older couples in therapy	p. 73
Mrs Henderson - for whom retirement became a nightmare	p. 73
Mr and Mrs Johnson - a couple betrayed and tormented by illness	p. 75
Longer therapy with an older couple	p. 79
Mr and Mrs Day - a couple who kept killing off hope	p. 79
Hope and disappointment	p. 81
Attacks and resentments	p. 84
A breakthrough in the therapy	p. 86
Summary	p. 91
Groups for Very Frail Older People and Their Carers	p. 92
Introduction	p. 92
The group meetings	p. 95
Reaching anger beneath passivity	p. 95
The torment of illness and relentless loss	p. 97
Closeness from a song of love and death	p. 102
Patient and staff reaction to the group meetings	p. 106
Summary	p. 106
Indirect Therapeutic Consultations	p. 111
Ageist Attitudes and Behaviours	p. 113
Introduction	p. 113
The projection of core fears of ageing: dependency, loneliness and death	p. 114
Dependency	p. 115
Loneliness	p. 118
Death	p. 120
Summary	p. 122
Individual Consultations with Carers	p. 125
Introduction	p. 125
Recovery and despair - Barbara and Mrs Dulcie May	p. 127
A persecuting grief - Melody and Mrs Ruth Scott	p. 130
Aggressive behaviour and abuse - Betty and Mr Arthur Green	p. 133
Pursuing suspicions of physical abuse	p. 136
Summary	p. 138
Support Groups for Care Staff	p. 139
Introduction	p. 139
The York Support Group	p. 141
Worries about change bringing staff too close to their patients	p. 141
Containment helping staff regain their roles and achievements	p. 144
Summary	p. 149
Teaching and Learning about Therapy with Older People	p. 150
Introduction	p. 150
Disability and vulnerability	p. 152
Discharging feelings through questions	p. 155
Guilt and vulnerability	p. 156
Terror and dependency	p. 158
Summary	p. 162
References	p. 164
Index	p. 168
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Counselling and Psychotherapy with Older People A Psychodynamic Approach

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