Psychodynamic psychotherapy

2013 ◽  
Author(s):  
Jane Garner
Keyword(s):  
Clinical Practice ◽  
Older People ◽  
Human Development ◽  
Psychodynamic Psychotherapy ◽  
Later Life ◽  
Physical Reality ◽  
Good Evidence ◽  
Psychodynamic Therapy ◽  
Younger Adults ◽  
Psychoanalytic Approach

Psychodynamic therapy is based on a psychoanalytic approach drawing on concepts of human development, relationships and experience. Psychoanalysis is both a technique of investigation and a theory of treatment, and it can help us understand aspects of clinical practice, for example the sometimes apparently irrational responses of patients, families or staff. This chapter explores how psychoanalysis has been relatively slow to encompass older people’s issues, but how it now contributes important insights about maturity and later life. Older people are less likely to be offered psychotherapy even though there is good evidence that they benefit from treatment as much as younger adults. In undertaking therapy with older people, there are particular issues to bear in mind, for example the physical reality of the patient and the setting, as well as the transference and counter transference issues that may arise around this stage of life.

scholarly journals When the “Golden Years” turn blue

2016 ◽  
Vol 41 (2) ◽  
pp. 295-307 ◽  
Author(s):  
Jennifer S. Green ◽  
Joshua C. Magee ◽  
Amanda R.W. Steiner ◽  
Bethany A. Teachman
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Healthy Aging ◽  
Later Life ◽  
Anxiety And Depression ◽  
Future Research ◽  
Younger Adults ◽  
Age Related ◽  
Pathological Anxiety ◽  
Age Related Changes

Current treatments for disorders of emotion, such as pathological anxiety, are often less effective in older adults than in younger adults and have poorly understood mechanisms, pointing to the need for psychopathology models that better account for age-related changes in normative emotional functioning and the expression of disordered emotion. This article describes ways in which the healthy aging and emotion literature can enhance understanding and treatment of symptoms of anxiety and depression in later life. We offer recommendations on how to integrate the theories and findings of healthy aging literature with psychopathology research and clinical practice and highlight opportunities for future research.

Visual Hallucinations in Older People: Appraisals but not Content or Phenomenology Influence Distress

2015 ◽  
Vol 44 (6) ◽  
pp. 705-710 ◽  
Author(s):  
Stephanie Lai ◽  
Vicki Bruce ◽  
Daniel Collerton
Keyword(s):  
Mental Health ◽  
Older People ◽  
Later Life ◽  
Structured Interview ◽  
Visual Hallucinations ◽  
Physical And Mental Health ◽  
Younger Adults ◽  
Significant Difference ◽  
High Distress

Background: A previous study (Gauntlett-Gilbert and Kuipers, 2005) has suggested that distress associated with complex visual hallucinations (CVHs) in younger adults with psychosis may more strongly relate to appraisals of meaning than to the content of the hallucination. However, visual hallucinations are most commonly seen in the disorders of later life, where this relationship has not been investigated. Aim: To establish if there is a relationship between appraisals of CVHs and distress in older, non-psychotic people with CVHs. Method: All variables were measured using a semi-structured interview and were compared between a high distress group (n = 16) and a low distress group (n = 19). Results: The high distress group rated their hallucinations as more malevolent and omnipotent, with greater negative implications for physical and mental health. There was no significant difference between groups on ratings of hallucination content (independently rated), frequency, awareness or control. Conclusion: Appraisals of CVHs are linked to distress.

Sexuality in later life

2013 ◽  
Author(s):  
Walter Pierre Bouman
Keyword(s):  
Sexual Abuse ◽  
Clinical Practice ◽  
Older People ◽  
Later Life ◽  
Physical Illness ◽  
Sexual Problems ◽  
Sexual History ◽  
Comprehensive Overview ◽  
Bisexual And Transgender ◽  
Research Studies

Sexuality in later life gives a comprehensive overview concerning all aspects of sexuality and ageing. It starts with discussing myths and attitudes to later-life sexuality, followed by a review of research studies in this area, sexual physiology and the effects of physical illness and medication on sexuality, taking a sexual history, the description of the main sexual problems in older people and addressing specific issues of the lesbian, gay, bisexual and transgender (LGBT) population. It further describes the issue of sexual abuse in older people and the topic of sexuality and dementia. The chapter concludes with a discussion of the management of a variety of sexual problems encountered in clinical practice.

Depressions in later life: heterogeneity and co-morbidities

2015 ◽  
Author(s):  
David Anderson
Keyword(s):  
Older People ◽  
Mental Disorder ◽  
Later Life ◽  
Younger Adults ◽  
Key Points

Key points• Depression in older people is among the most disabling of conditions.• Depression is the most common and treatable mental disorder in later life.• Depression in older people is undertreated in absolute terms and compared to younger adults.• Depression is a heterogeneous disorder: objectively defining sub-types will be essential to developing more specific treatments.

scholarly journals Therapists’ Experiences of Psychodynamic Therapy with and without Transference Interventions for Adolescents with Depression

2020 ◽  
Vol 17 (13) ◽  
pp. 4628
Author(s):  
Maria Jones ◽  
Marit Råbu ◽  
Jan Ivar Røssberg ◽  
Randi Ulberg
Keyword(s):  
Clinical Practice ◽  
Effective Treatment ◽  
Thematic Analysis ◽  
Psychodynamic Psychotherapy ◽  
Psychodynamic Therapy ◽  
Drop Out ◽  
New Knowledge ◽  
Adolescent Patients ◽  
Depth Interviews

Psychodynamic therapy is an effective treatment for depression. However, a large number of adolescent patients with depression do not respond and/or drop out of therapy and little is known about what therapists actually do in therapy with adolescents. Thus, more research is needed to explore the various actions that therapists do in therapy, so that therapists can tailor their therapy more specifically to each individual adolescent. The present study aimed to investigate how the experience of psychotherapists differs between two treatment modes for adolescents with depression: psychodynamic psychotherapy with and without transference interventions. In-depth interviews were conducted with six therapists. The data, which were analyzed using thematic analysis, generated three key themes: (1) The therapists experienced that transference interventions are often useful in therapies with adolescents with depression, (2) therapies without transference interventions can be challenging for therapists, but still helpful for patients, and (3) the experience contributed to the deepening recognition of therapists that they always need to adapt their techniques to the particular patient. The results enhance our knowledge of the significance of therapists’ actions in therapy with adolescents. The therapists highlighted issues that are important for identifying barriers to incorporating new knowledge into clinical practice.

Using crystallization to understand loneliness in later life: integrating social science and creative narratives in sensitive qualitative research

2021 ◽  
pp. 146879412110059
Author(s):  
Barbara Barbosa Neves ◽  
Josephine Wilson ◽  
Alexandra Sanders ◽  
Renata Kokanović
Keyword(s):  
Qualitative Research ◽  
Creative Writing ◽  
Social Science ◽  
Older People ◽  
Case Studies ◽  
Vulnerable Populations ◽  
Lived Experiences ◽  
Later Life ◽  
Care Homes ◽  
Social Phenomena

This article draws on crystallization, a qualitative framework developed by Laurel Richardson and Laura Ellingson, to show the potential of using sociological narratives and creative writing to better analyze and represent the lived experiences of loneliness among older people living in Australian care homes. Crystallization uses a multi-genre approach to study and present social phenomena. At its core is a concern for the ethics of representation, which is critical when engaging with vulnerable populations. We use two case studies from research on loneliness to illustrate an application of crystallization through different narrative types. To supplement our sociological narratives, we invited author Josephine Wilson to write creative narratives based on the case studies. Josephine was awarded the prestigious Miles Franklin Literary Award in 2017 for Extinctions, a novel exploring themes such as later life and loneliness. By contrasting the two approaches—sociological and creative narratives—we discuss the implications of crystallization for qualitative research.

Arteriovenous fistula cannulation in hemodialysis: A vascular access clinical practice guidelines narrative review

2021 ◽  
pp. 112972982110069
Author(s):  
Rui Pinto ◽  
Clemente Sousa ◽  
Anabela Salgueiro ◽  
Isabel Fernandes
Keyword(s):  
Clinical Practice ◽  
Arteriovenous Fistula ◽  
Vascular Access ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Good Evidence ◽  
Preparation Technique ◽  
Patient Centered ◽  
The Past ◽  
Centered Care

The cannulation of an arteriovenous fistula (AVF) by the hemodialysis (HD) nurse is challenging. Despite it being the focus of extensive research, it is still one of the majors causes of damage making it prone to failure. A considerable number of Clinical Practice Guidelines (CPGs) for the management of vascular access (VA) have been published worldwide over the past two decades. This review aimed to assess all information available in the selected CPG regarding AVF cannulation for HD providing a comprehensive analysis in order to interpret possible future cannulation approaches. A total of seven CPGs were described in a coding table separated in seven subthemes: Initiation of cannulation, preparation, technique, needle selection, surveillance, pain, and education. Our analysis outlines current CPGs for HD VA cannulation with lack of good evidence support for the majority of the recommendations, showing that, there is an urgent need for international collaboration and coordination to ensure relevant and high-quality evidence. Future CPGs must consider recommendations with better grading of evidence aiming patient-centered care and nurse decision models that can potentially represent better AVF cannulation outcomes.

Understanding diversity in later life and a new culture of aging: Sociology of aging in Japan

2021 ◽  
pp. 026858092110053
Author(s):  
Daisuke Watanabe
Keyword(s):  
Social Science ◽  
Older People ◽  
Social Isolation ◽  
Social Problems ◽  
Family Care ◽  
Later Life ◽  
Social Disparities ◽  
Mutual Aid ◽  
Care Problems ◽  
Sociological Studies

This essay introduces sociological studies on aging and related topics in Japan since 2000. It argues the three following points. First, the results of sociological studies on aging, and those from related social science disciplines, have moved away from a uniform understanding of aging to reveal greater diversity in the process. Second, it has become apparent that older people face various social problems, such as social isolation, social disparities, and family care problems. Studies have argued that it is essential to support mutual aid in the community. Finally, the reflexivity of high modernity attempts to push the problem of aging towards autonomy, but a new culture of aging assumes that dependence has the potential to overcome this reflexivity.

scholarly journals AGE DIFFERENCES IN POLITICAL ENGAGEMENT: ROLE OF SELF-RELEVANCE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S785-S785
Author(s):  
Tze Kiu Wong ◽  
Helene H Fung
Keyword(s):  
Older Adults ◽  
Collective Action ◽  
Older People ◽  
Age Differences ◽  
Political Behavior ◽  
Social Issues ◽  
Political Engagement ◽  
Political Discussion ◽  
Younger Adults

Abstract Previous studies usually found that older people are less politically engaged than younger adults, especially when considering political behavior other than voting. The current study extends the Selective Engagement hypothesis (Hess, 2014) to political engagement. 81 younger adults and 79 older adults rated 8 issues on self-relevance and their willingness to engage in political discussion, arguments and collective action on each issue. The predicted moderating effect of self-relevance was not found, but older people indeed are more willing to discuss (B = 0.07, p = 0.027) and argue with others on more self-relevant issues (B = 0.06, p = 0.031). Perceived cost of collective action was found to be a moderator, such that self-relevance was less important than other factors for high-cost actions (B = -0.016, p = 0.013). The current research sheds light on potential ways to increase older adults’ engagement in social issues.

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