Abstract
Clinicians describing psychotherapeutic work with older patients almost invariably reflect the sense of resistance they experienced at the outset, citing a variety of obstacles to starting the work, barriers to performing the psychotherapeutic tasks, and societal and cultural stereotypes that inhibited them in their interactions with older patients. Butler and Lewis (1977) discuss the mental health profession’s nihilism and negativism regarding the older patient. They consider them manifestations of “professional ageism” and therapist countertransference and list the following six issues:
-
1.
The aged’s stimulation of therapists’ fears regarding their own eventual old age (and, we would add, anxiety regarding death)
-
2.
Therapists’ conflicts about their own parental relations
-
3.
Felt impotence stemming from a belief in the ubiquity of untreatable organic states in the elderly
-
4.
Desire to avoid “wasting” their skills on persons nearing death
-
5.
Fears that an aged patient may die during treatment
-
6.
Desire to avoid colleagues’ negative evaluation of efforts directed toward the aged
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Abraham, K. The applicability of psycho-analytic treatment to patients at an advanced age. In Selected papers of psychoanalysis. London: Hogarth Press, 1949.
Alexander, F. G., & French, T. M. Psychoanalytic therapy: Principles and applications. New York: Ronald Press, 1946.
Barns, E. K., Sach, A. A., & Shore, H. Guidelines to treatment approaches, modalities and methods for use with the aged. Gerontologist, 1973, 13(4), 313–327.
Berezin, M. A., & Cath, S. H. (Eds.). Geriatric psychiatry: Grief, loss and emotional disorders in the aging process. New York: International Universities Press, 1965.
Berezin, M. A. Psychodynamic considerations of aging and the aged. American Journal of Psychiatry, 1972, 128, 1485–1491.
Bibring, E. Psychoanalysis and the dynamic psychotherapies. journal of the American Psychoanalytic Association, 1954, 2, 745–770.
Busse, E. W., & Pfeiffer, E. Introduction. In E. W. Busse & E. Pfeiffer (Eds), Behavior and adaptation in late life. Boston: Little, Brown, 1969.
Butler, R. N. The life review: An interpretation of reminiscence in the aged. Psychiatry, 1963, 26, 65–75.
Butler R. N., & Lewis, M. I. Aging and mental health: Positive psychosocial approaches. St. Louis: Mosby, 1977.
Cohen, N. A. On loneliness and the aging process. International Journal of Psycho-Analysis, 1982, 63, 149–155.
Fenichel, O. The psychoanalytic theory of neurosis. New York: Norton, 1945.
Fozard, J. L., & Thomas, J. C., Jr. Psychology of aging. Basic factors and some psychiatric applications. In J. G. Howells (Ed.), Modern perspectives in the psychiatry of old age. New York: Brunner/Mazel, 1975.
Freud, S. On psychotherapy. In Collected papers (Vol. 1). London: Hogarth Press, 1924. (Originally published, 1905.)
Freud, S. Sexuality in the aetiology of the neuroses. In Collected papers (Vol 1). London: Hogarth Press, 1942. (Originally published, 1906.)
Goldfarb, A. L. One aspect of the psychodynamics of the therapeutic situation with aged patients. Psychoanalytic Review, 1955, 42, 180–187.
Goldfarb, A. L. Psychiatry in geriatrics, medical clinics of North America. Philadelphia: W. B. Saunders Co., 1967.
Goldfarb, A. L., & Sheps, J. Psychotherapy of the aged. Psychosomatic Medicine, 1954, 15 (3).
Grotjahn, M. Analytic psychotherapy with the elderly. Psychoanalytic Review, 1955, 42, 419–427.
Guntrip, H. My experience of analysis with Fairbairn and Winnicott. International Review of Psychoanalysis, 1975, 2, 145–156.
Hollender, M. H. Individualizing the aged. Social Casework, 1952, 33, 337–342.
Jacques, E. Death and the mid-life crisis. International Journal of Psychoanalysis, 1965, 46, 502–514.
Jelliffee, S. E. The old age factor in psycho-analytic therapy. Medical Journal Records, 1925, 121, 7–12.
Jones, E. The life and work of Sigmund Freud (Vol. 1). New York: Basic Books, 1953.
Jones, E. The life and work of Sigmund Freud (Vol. 2). New York: Basic Books, 1955.
Jones, E. The life and work of Sigmund Freud (Vol. 3). New York: Basic Books, 1957.
Kahana, R. Psychoanalysis in later life. Discussion. Journal of Geriatric Psychiatry, 1978, 11, 37–49.
Kaufman, M. R. Psychoanalysis in late-life depressions. Psychoanalytic Quarterly, 1937, 6, 308–335.
Kahana, R. J. Psychotherapy with the elderly. In T. B. Karasu & L. Bellak (Eds.), Specialized techniques in individual psychotherapy. New York: Brunner/Mazel, 1980.
Kernberg, O. Internal world and external reality. New York: Jason Aronson, 1980.
King, P. H. The life cycle as indicated by the nature of the transference in the psychoanalysis of the middle-aged and elderly. International Journal of Psychoanalysis, 1980, 61, 153–160.
Lewis, C. N. The adaptive value of reminiscence in old age. Journal of Geriatric Psychiatry, 1973, 5, 117–121.
Lewis, M., & Butler, R. N. Life review therapy. Geriatrics, 1974, 29, 165–173.
Myerson, P. G. Psychoanalysis in later life. Discussion. Journal of Geriatric Psychiatry, 1978, 11(37), 57–66.
Pollock, G. H. Aging or aged: development or pathology. In S. I. Greenspan & G. H. Pollock (Eds.), The course of life: Psychoanalytic contributions toward understanding personality development (Vol. 3). Washington, D.C.: U.S. Government Printing Office, 1981. (a)
Pollock, G. H. Reminiscence and insight. Psychoanalytic Study of the Child, 1981, 36, 278–287. (b)
Rechtschaffen, A. Psychotherapy with geriatric patients: A review of the literature. Journal of Gerontology, 1959, 14, 73–84.
Rosenfeld, H. A. Notes on the psychopathology and psychoanalytic treatment of some borderline patients. International Journal of Psychoanalysis, 1978, 59, 215–221.
Rubin, R. Learning to overcome reluctance for psychotherapy with the elderly. Journal of Geriatric Psychiatry, 1977, 10, 215–227.
Sandier, A. Psychoanalysis in later life: Problems in the psychoanalysis of an aging narcissistic patient. Journal of Geriatric Psychiatry, 1978, 11(37), 5–36.
Segal, H. Fear of death: Notes on the analysis of an old man. International journal of Psychoanalysis, 1958, 34, 178–181.
Schur, M. Freud: Living and dying. New York: International Universities Press, 1972.
Weisman, A. Psychoanalysis in later life. Discussion. Journal of Geriatric Psychiatry, 1978, 11(37), 51–55.
Wheelwright, J. B. Some comments on the aging process. Psychiatry, 1959, 22, 407–411.
Wayne, G. J. Modified psychoanalytic therapy in senescence. Psychoanalytic Review, 1953, 40, 99–116.
Rights and permissions
Copyright information
© 1985 Springer Science+Business Media New York
About this chapter
Cite this chapter
Nemiroff, R.A., Colarusso, C.A. (1985). The Literature on Psychotherapy and Psychoanalysis in the Second Half of Life. In: The Race Against Time. Critical Issues in Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3481-9_3
Download citation
DOI: https://doi.org/10.1007/978-1-4899-3481-9_3
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-3483-3
Online ISBN: 978-1-4899-3481-9
eBook Packages: Springer Book Archive