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Counselling and Psychotherapy with Older People : A Psychodynamic Approach - Paul Terry

Counselling and Psychotherapy with Older People

A Psychodynamic Approach

Paperback Published: 1st July 2008
ISBN: 9780230506541
Number Of Pages: 171

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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.

'Terry relates stories of humanity, generosity and compassion that are wholly accessible to therapists whatever their therapeutic orientation...He acknowledges that age has enabled him to find his own voice - and it is both eloquent and profound.' - Vee Howard-Jones, Therapy Today

Acknowledgementsp. ix
Preface to the Second Editionp. x
Direct Face to Face Therapyp. 1
To Love Life and Mourn Its Endp. 3
Introductionp. 3
Two seminal psychoanalytic studies of mourningp. 4
Mourning in infancyp. 6
Adult mourningp. 9
Projective identification and mourningp. 10
Fear of deathp. 12
Summaryp. 16
Brief Interventionsp. 18
Introductionp. 18
Illness, disability and bereavementp. 18
An early referralp. 19
Mr Miller - whose upset was in his housep. 19
Further illustrations of bereavement reactions to illness and disabilityp. 23
Mr Sewell - who used humour to manage his griefp. 23
Mrs Hill - who could only hear her daughterp. 26
Summaryp. 29
Longer Individual Therapyp. 31
Introductionp. 31
Dependency late in lifep. 31
Mrs Taylor - who collapsed into helplessnessp. 31
Infantilisation and fears of dependencyp. 32
Settling inp. 35
Anger and sorrowp. 38
Closeness and lossp. 41
Long term effects of severe traumap. 45
Mr Krol - a survivor of a concentration campp. 45
Difficulties in beginning to talk about traumap. 46
Some comments about therapy and the trauma of sexual abusep. 52
Summaryp. 52
Therapy With an Older Man Who Had Lost His Speechp. 54
Introductionp. 54
Mr Mitchell - who had lost his speechp. 56
Achieving some holdingp. 56
Establishing a vocabularyp. 62
Mourning and letting gop. 66
Summaryp. 69
Older Couplesp. 71
Introductionp. 71
Some problems engaging older couples in therapyp. 73
Mrs Henderson - for whom retirement became a nightmarep. 73
Mr and Mrs Johnson - a couple betrayed and tormented by illnessp. 75
Longer therapy with an older couplep. 79
Mr and Mrs Day - a couple who kept killing off hopep. 79
Hope and disappointmentp. 81
Attacks and resentmentsp. 84
A breakthrough in the therapyp. 86
Summaryp. 91
Groups for Very Frail Older People and Their Carersp. 92
Introductionp. 92
The group meetingsp. 95
Reaching anger beneath passivityp. 95
The torment of illness and relentless lossp. 97
Closeness from a song of love and deathp. 102
Patient and staff reaction to the group meetingsp. 106
Summaryp. 106
Indirect Therapeutic Consultationsp. 111
Ageist Attitudes and Behavioursp. 113
Introductionp. 113
The projection of core fears of ageing: dependency, loneliness and deathp. 114
Dependencyp. 115
Lonelinessp. 118
Deathp. 120
Summaryp. 122
Individual Consultations with Carersp. 125
Introductionp. 125
Recovery and despair - Barbara and Mrs Dulcie Mayp. 127
A persecuting grief - Melody and Mrs Ruth Scottp. 130
Aggressive behaviour and abuse - Betty and Mr Arthur Greenp. 133
Pursuing suspicions of physical abusep. 136
Summaryp. 138
Support Groups for Care Staffp. 139
Introductionp. 139
The York Support Groupp. 141
Worries about change bringing staff too close to their patientsp. 141
Containment helping staff regain their roles and achievementsp. 144
Summaryp. 149
Teaching and Learning about Therapy with Older Peoplep. 150
Introductionp. 150
Disability and vulnerabilityp. 152
Discharging feelings through questionsp. 155
Guilt and vulnerabilityp. 156
Terror and dependencyp. 158
Summaryp. 162
Referencesp. 164
Indexp. 168
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780230506541
ISBN-10: 0230506542
Series: Basic Texts in Counselling and Psychotherapy
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 171
Published: 1st July 2008
Country of Publication: GB
Dimensions (cm): 22.0 x 14.0  x 1.1
Weight (kg): 0.23
Edition Number: 2
Edition Type: Revised