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The Literature on Psychotherapy and Psychoanalysis in the Second Half of Life

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The Race Against Time

Part of the book series: Critical Issues in Psychiatry ((CIPS))

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. 1.

    The aged’s stimulation of therapists’ fears regarding their own eventual old age (and, we would add, anxiety regarding death)

  2. 2.

    Therapists’ conflicts about their own parental relations

  3. 3.

    Felt impotence stemming from a belief in the ubiquity of untreatable organic states in the elderly

  4. 4.

    Desire to avoid “wasting” their skills on persons nearing death

  5. 5.

    Fears that an aged patient may die during treatment

  6. 6.

    Desire to avoid colleagues’ negative evaluation of efforts directed toward the aged

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© 1985 Springer Science+Business Media New York

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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

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  • 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

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