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With the graying of society, therapists are seeing more and more older clients. In this book, editor Michael Duffy brings together leading experts to explain the unique problems of older adults and describe effective treatment techniques.
This Third Edition of the bestselling Psychotherapy with Older Adults continues to offer students and professionals a thorough overview of psychotherapy with older adults. Using the contextual, cohort-based, maturity, specific challenge (CCMSC) model, it draws upon findings from scientific gerontology and life-span developmental psychology to describe how psychotherapy needs to be adapted for work with older adults, as well as when it is similar to therapeutic work with younger adults. Sensitively linking both research and experience, author Bob G. Knight provides a practical account of the knowledge, technique, and skills necessary to work with older adults in a therapeutic relationship. This volume considers the essentials of gerontology as well as the nature of therapy in depth, focusing on special content areas and common themes. Psychotherapy with Older Adults includes a comprehensive discussion of assessment and options for intervention. Numerous case examples illustrate the dynamics of the therapeutic task and issues covered in therapy and stress the human element in working with older adults. A concluding chapter considers ethical questions and the future of psychotherapy with older adults. The author has updated the Third Edition to reflect new research findings and has written two entirely new chapters covering psychotherapy with persons with dementia and psychotherapy with caregivers of frail older adults. Since its initial publication in 1986, the book has been used as a course text and a professional reference around the world, including translations into French, Dutch, Chinese, and Japanese. It is a vital resource for practicing therapists and counselors who work with older adults and is also ideally suited as a text for advanced students in psychology, social work, gerontology, and nursing. Praise for Previous Editions: "Bob G. Knight′s largest contribution is his excellent discussion of therapy. The book is clearly written, with a good use of summaries and case examples to clarify the major points. By linking research findings to practice experience, Knight has provided a pragmatic introduction which should be helpful to psychiatrists, psychologists, social workers, and psychiatric nurses working with older adults." —JOURNAL OF APPLIED GERONTOLOGY "I recommend this book to anyone interested in working with the elderly, partly because of the content and partly because the author presents the case for doing psychotherapy with the elderly with realism and enthusiasm." —BEHAVIOR RESEARCH & THERAPY
'Talking Over the Years' illuminates the psychodynamic theories of the 20th century & turns its attentions to the thorny issues of ageing & the complications of later life. It provides detailed descriptions of psychoanalytic theory together with the use of psychodynamic concepts in clinical practice.
Basic strategies and tips for doing effective therapy with elderly clients. What is it like to be 106 years old? What are the mental health needs of someone this old, and for that matter, all elderly? Can we, as clinicians and caregivers, ever really understand old age and provide for their needs adequately? How can we prevent the physical problems they face from overwhelming the patience and care that we give? What are the most effective therapeutic tools that underlie all successful therapy work with older clients? Caring for the elderly is complex, challenging work. Often they are wrestling with a unique set of medical, psychiatric, and social challenges, all set against the backdrop of their approaching mortality. The therapist’s job is to successfully navigate these challenges without dwelling on the inevitability of physical decline, and to provide the most compassionate, valuable treatment possible. It is with this guiding principle in mind that Marc Agronin, a dedicated geriatric clinician with years of on-the-ground experience, offers a sensitively-written and eminently practical guide that addresses the therapeutic challenges, and uncovers the top strategies for compassionate and effective work with the elderly. Therapy with older clients, Agronin argues, requires a sensitivity to the tension between the body’s physical decline and its simultaneous capacity for mental growth and maturation. Therapists must learn to handle these seemingly opposing forces with varying client types and in different settings, and reconcile their own fears of aging, disability, and death. At times this therapeutic relationship can be difficult: medications are often not as effective as they are in younger clients, and the elderly often view change at such a late stage of life as pointless. However, Agronin encourages therapists to work with creativity and passion, persisting in their efforts by retooling their approaches, shoring up patience, and remembering that the very presence of a caring listener can bring a spectacular transformation to even the most debilitated individuals. An understanding of aging alone does not make an effective therapist, and Agronin offers key strategies—illustrated through real-life case examples—for dealing with countertransference, performing age-guided evaluation, working with caregivers, and handling end-of-life issues. He explains the impact of aging on the major psychiatric disorders, providing direction on how to cultivate empathy and understanding for a range of age-specific challenges. Agronin offers a compassionate, insightful narrative that explores the nuances of successful rapport-building and problem-solving that can enrich the lives of the elderly. In doing so, he gives readers a better understanding of what it means to grow old, and how cultivating a respectful, productive relationship—one that is inspired with curiosity and energized with creativity—can bring joy and affirmation to older clients.
An invaluable, step-by-step guide for understanding the basic problems and concerns of the growing population of adults over the age of 65. Based on years of clinical research and testing, this book provides a thorough review of critical information on older adults, the aging process, and mental health issues. Organized into a useful workbook format, the book is filled with brief lectures, quizzes, exercises, and sample forms. These training materials are designed to help counselors build the interpersonal skills needed to provide aid and comfort for senior citizens requiring psychological services.
The Handbook of Mental Health and Aging, Third Edition provides a foundational background for practitioners and researchers to understand mental health care in older adults as presented by leading experts in the field. Wherever possible, chapters integrate research into clinical practice. The book opens with conceptual factors, such as the epidemiology of mental health disorders in aging and cultural factors that impact mental health. The book transitions into neurobiological-based topics such as biomarkers, age-related structural changes in the brain, and current models of accelerated aging in mental health. Clinical topics include dementia, neuropsychology, psychotherapy, psychopharmacology, mood disorders, anxiety, schizophrenia, sleep disorders, and substance abuse. The book closes with current and future trends in geriatric mental health, including the brain functional connectome, repetitive transcranial magnetic stimulation (rTMS), technology-based interventions, and treatment innovations. Identifies factors influencing mental health in older adults Includes biological, sociological, and psychological factors Reviews epidemiology of different mental health disorders Supplies separate chapters on grief, schizophrenia, mood, anxiety, and sleep disorders Discusses biomarkers and genetics of mental health and aging Provides assessment and treatment approaches
Written by a diverse range of expert contributors, unified by a relational, ethics-based reading of person-centred theory and practice, this seminal text is the most in-depth and comprehensive guide to person-centred therapy. Divided into four parts, it examines the theoretical, philosophical and historical foundations of the person-centred approach; the fundamental principles of person-centred practice (as well as new developments in, and applications of, person-centred clinical work), explorations of how person-centred conceptualisations and practices can be applied to groups of clients who bring particular issues to therapy, such as bereavement or trauma, and professional issues for person-centred therapists such as ethics, supervision, and training. 10 years after it was last published, this third edition includes new content on the climate crisis, intersectionality and working with racism and anti-racism. It includes new dedicated chapters on the Non-directive Attitude, Relational Depth, Experiential Practices, Working with Trauma, Online PCA and Person-Centred approaches around the Globe. International and interdisciplinary in conception, this is a cutting-edge resource for students of psychotherapy and counselling on a range of programmes, as well as professional practitioners working in the field.
Although we speak of "the elderly" as if there were one body of people with common characteristics, older adults are more heterogeneous than any other popu lation. People over the age of 65 are also the fastest-growing segment of the population in the United States, currently numbering 25 million. The majority of older adults reside in their communities; a small fraction of them are cared for in institutions. Most may expect to experience some kind of physical impairment. Approximately a quarter of the population may expect to suffer amental health impairment. While traditional therapies have not been especially effective for older adults, behavior therapy has shown exceptional promise as a treatment modality. This book presents a comprehensive explication of the relatively new field of behavioral gerontology. It was written for the clinician interested in the interaction of medical, environmental, and psychological variables and their effects on treatment of elderly clients and for the researcher who will be looking to extend knowledge about interventions with this population. It will be useful for the graduate student in clinical psychology, as weIl as the experienced clinician, who will want to include the elderly in his or her therapeutic population.
The first authoritative reference on clinical psychology and aging, the Handbook of the Clinical Psychology of Ageing was universally regarded as a landmark publication when it was first published in 1996. Fully revised and updated, the Second Edition retains the breadth of coverage of the original, providing a complete and balanced picture of all areas of clinical research and practice with older people. Contributions from the UK, North America, Scandinavia and Australia provide a broad overview of the psychology of aging, psychological problems (including depression, anxiety, psychosis, and dementia), the current social service context, and assessment and intervention techniques.
Enhance the intervention strategies you use in therapy with older adults and their families. This significant new book provides practitioners with information, insight, reference sources, and other valuable tools that will contribute to more effective intervention with the elderly and their families. Outstanding scholars have contributed original material that addresses the major issues in treating the elderly from the practitioner’s point of view; the biological, psychological, social, and spiritual concerns of the aged are examined in order to formulate a systemic and comprehensive treatment plan. Destined to become a classic in a challenging new area of psychotherapy, the unique Aging and Family Therapy promises to guide and inform practitioners who will be called upon to provide assistance to the increasing number of older adults who will be in need of mental health services.