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This is the second book in the pioneering investigation of adult develop ment by Robert A. Nemiroff and Calvin A. Colarusso. The first, Adult Development: A New Dimension in Psychodynamic Theory and Practice, ar rived to critical acclaim in 1981. It presented a psychodynamic theory of development during the second half of life and a model of normal adult functioning. This book is the logical sequel, expanding and elaborating the original formulations and applying them to the clinical practice of psychotherapy and psychoanalysis. Nemiroff and Colarusso demonstrate that these are appropriate techniques for patients in the second half of life, regardless of age. They lay to rest many stereotypes and myths that have long interfered with the dynamic treatment of older patients, and they propose exciting new conceptualizations such as that of adult develop mental arrests. The genetic approach reaches beyond childhood and adolescence and takes on important new meaning by incorporating an adult developmental past that influences both psychopathology and transference. The relationship between theory and therapy is richly demonstrated in the clinical presentations, including ten detailed case histories of pa tients between the ages of 40 and BO. These and other clinical discussions provide ample evidence that a psychodynamic approach that is based on a sound adult developmental psychology can be extraordinarily effective. They also demonstrate both the similarities and differences in working with older versus younger patients. This work is a major contribution in a long-neglected dimension of clinical psychiatry. SHERWYN M.
Developmental theory is the essence of any psychodynamic psychother apy, and certainly of psychoanalysis. It is through an understanding of progressive life events, and the way these events relate to associated biological and social events, that we come to understand both psycho pathology and psychological strengths. For a long time we have needed a clinically oriented book that surveys normal development in both childhood and adulthood. This book should be particularly helpful to all mental health professionals whose daily work requires a constant awareness and appraisal of devel opmental issues. Dr. Colarusso has integrated and summarized a tremen dous amount of theoretical, empirical, and clinical material in a format that makes it come alive through clinical examples. This book should be of great interest to all students of human behav ior as well as to seasoned clinicians. SHERWYN M. WOODS, M. D. , PH. D. vii Preface Each year as I gave a lecture series on child and adult development to the adult and child psychiatric residents at the University of California at San Diego, someone inevitably would ask, "Is there a book that I could understand that has all of this information in it?" I would reply that I did not know of any single source, but I could refer the person to many articles and books on development.
'Psychoanalysis has, from its inception, been a discipline concerned with overcoming the ill effects of certain social taboos. Given this focus, it might be assumed that psychoanalysis and its practitioners are free of the constraints imposed by restrictive taboos. This book challenges this idea by examining a sampling of the taboos that are rife in the field. It is not intended to offer a complete summary of all of the forbidden ideas, clinical procedures, behaviors and institutional practices in psychoanalysis, but rather to raise consciousness about the fact that even within a field which encourages freedom of expression, many issues remain difficult to fully discuss both in the consulting room and in professional discourse. The book provides a refreshing, thoughtful, honest look at many of the taboos present in psychoanalysis, even at this moment of greatly improved communication between the various theoretical schools in the field. Reading it provides a sense of freedom for the reader, as speaking of forbidden thoughts always does.
Newly revised and updated! In this second edition, Brody and Semel contend that meaningful and successful therapy can be accomplished with an aging population, debunking the belief that the elderly can not pick up or put into practice newly acquired information. Rather, the way in which therapy with aging adults is approached may affect the way in which the therapist initially experiences and reacts to the client because of stereotypes about aging. This book encompasses three major areas of work with elderly clients aged 60 years and older: Living in nursing homes Living in assisted living housing, while participating in community-oriented activities for the aged Living independently and being seen in private practice It comprises a variety of approaches, ranging from eclectic small group formats for nursing home residents, group and individual counseling in assisted living settings, and home care for the elderly, to psychoanalytic therapy techniques in private practice. Illustrative case examples used throughout the book bring to life successful strategies and interventions. New areas of focus include: Treatment of stress and mental disorders Alzheimer's disease Caregiving issues at home Expanded information on Medicare coverage issues
The authors argue that there is little support for assuming that homosexuality has a biological basis. Recognizing the many pathways that lead to same-gender sexual orientation, the authors conclude that the cause is much less important than understanding the meaning of being homosexual.
Failure is a theme of great importance in most clinical conditions, and in everyday life, from birth until death. Its impact can be destabilizing, even disastrous. In spite of these facts, there has been no comprehensive psychoanalytic exploration of this topic. Understanding and Coping with Failure: Psychoanalytic Perspectives fills this gap by examining failure from many perspectives. It goes a long way toward increasing understanding of the numerous issues involved, and provides many valuable insights into ways of coping with these challenging experiences and several chapters discuss positive aspects of failure - what can be learned from what would otherwise simply be regrettable experiences. Brent Willock, Rebecca Coleman Curtis and Lori C. Bohm bring together a rich diversity of topics explored in thoughtful ways by an international group of authors from the United Kingdom, Canada, and the United States of America. Failed therapies (which have been examined in the literature) are but one element freshly explored in this comprehensive exploration of the topic. The book is divided into sections covering the following topics: Failing and Forgiving; Society-Wide Failure; Failure in the Family; Therapeutic Failure; Professional Failure in the Consulting Room and on the Career Path; Integrity versus Despair: Facing Failure in the Final Phase of the Life Cycle; Metaphoric Bridges and Creativity; The Long Shadow of Childhood Relational Trauma. Understanding and Coping with Failure will be eagerly welcomed by all those trying to increase their awareness, understanding, and capacity to work with the many ramifications of this important issue. Because of the uniqueness of this broad, detailed exploration of the complexities of the failure experience, it will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, counselors, and students in these disciplines. It will also appeal to a wider audience interested in the psychoanalytic perspective.
Older people are entering nursing homes later and sicker than ever before, thus presenting as more physically fragile and complex residents and requiring more advanced care and treatment. To this end, Hyer and Intrieri have gathered together a group of health care professionals who are genuinely dedicated to the care and research of long-term care (LTC) environments. This group seeks to push the envelope for improved use of professional time, effort, and input and in this remarkable book, share their ideas with you. By applying the Selective Optimization with Compensation (SOC) model to various care settings, the editors are able to examine current LTC practices and existing psychosocial issues confronting older LTC patients; either support or challenge them; and offer suggestions and strategies, such as Cognitive Behavior Therapy, for improving the LTC system and residents' physical, psychological, emotional, and social health. This book provides insight on the psychological issues facing long-term care residents for a plethora of health care professionals, including: Physicians and geriatricians who care for older adults in the LTC system Nurses and geriatric nurse specialists Social workers Activity coordinators Physical, occupational, and speech therapists within an LTC setting who are seeking ways to explain behavior and empower the residents they care for Psychologists and psychiatrists whose practice focuses on older adults
As an eminent authority in the field of development, Dr. Colarusso calls on his 30 years of clinical experience to provide us with a thorough understanding of the changing biological, psychological, and environmental conditions that we face throughout our lives. He arms us with knowledge that will help us maximize the pleasures and avoid the pitfalls that each new phase of life brings - particularly the anxieties and disappointments of midlife. Guiding us through a wealth of facts, Dr. Colarusso shows us the smoothest and most direct paths to adult fulfillment. He demonstrates that an enriched, rewarding life is one in which the triumvirate of human experience -love, work, and play - are balanced. By learning from the concepts of this burgeoning science and the detailed case histories - including one of a 70-year-old grandmother - we find that it is never impossible or too late to achieve happiness and fulfillment.
Broad in scope and with global appeal The Oxford Textbook of Old Age Psychiatry, second edition is the definitive resource on old age psychiatry. It comprehensively provides the latest knowledge on the science and practice of treating later life mental disorders, focusing on the health and social issues that arise around ageing, dementia, co-morbidity, dependency, and the end of life in progressively ageing societies across the world. Published in previous incarnations as the much loved Psychiatry in the Elderly, this core resource for all old age psychiatrists, trainees, and other clinical professionals treating older people's mental health, has been fully revised, updated, and significantly expanded. Twelve months inclusive access to the online version, including the full text (which can be browsed by the contents list, index, or searched), links from references to external sources (via PubMed, ISI, and CrossRef), and the ability to download all figures and illustrations into PowerPoint ensures that it remains the leading text on old age psychiatry in the field. Maintaining the classic combination of comprehensive coverage, clear writing style, and the provision of authoritative and up-to-date information from earlier editions, this highly respected volume covers the underpinning basic science, both the neurobiological and social varieties, clinical practice, and specific disorders, as well as providing information on psychiatric services for older people, and medico-legal and ethical issues that often present hard challenges for those treating older patients. Taking a global approach by highlighting both the common burdens and the differences in management from country to country and with a much expanded cast of contributors providing a truly international perspective, The Oxford Textbook of Old Age Psychiatry, second edition includes information on all the latest improvements and changes in the field. New chapters are included to reflect the development of old age care; covering palliative care, the ethics of caring, and living and dying with dementia. Existing chapters have also been revised and updated throughout and additional information is included on brain stimulation therapies, memory clinics and services, and capacity, which now includes all mental capacity and decision making. Providing extensive coverage and written by experts the field, the second edition of the Oxford Textbook of Old Age Psychiatry is an essential resource; no old age psychiatrist, trainee, or anyone working in the field of mental health care for older people should be without a copy on their bookshelf.
How can we work effectively with older people? What contribution can be made by the field of psychodynamics? It is now recognised that older adults can benefit from psychodynamic therapy and that psychodynamic concepts can help to illuminate the thorny issues of aging and the complications of later life. Talking Over the Years begins by examining how ideas of old age are represented by the key psychodynamic theorists of the twentieth century including Freud, Jung, Klein and Winnicott. Contributors go on to draw on their own experiences in a range of settings to demonstrate the value of psychodynamic concepts in clinical practice, covering subjects such as: brief and long-term work with individuals, couples and groups the expressive therapies: art, music, dance and movement ethical considerations training, supervision and support sexuality. Illustrated by a wealth of clinical material, Talking Over the Years increases psychodynamic awareness, helping practitioners become more sensitive to their patients' needs to the benefit of both the patient and the professional.