Self Psychology in Clinical Intervention with the Elderly

Author(s):  
John Goldmeier ◽  
Donald V. Fandetti

The self psychology of Heinz Kohut can be usefully integrated with current clinical interventions in social work. The authors discuss the major principles of self psychology, applying them to work with the elderly. Emphasis is on the striving for growth and affirmation in the elderly and on how more subtle treatment dimensions, such as empathy and transference, can be understood.

1986 ◽  
Vol 40 (3) ◽  
pp. 207-215 ◽  
Author(s):  
Robert L. Randall

Notes the presence of acts of reminiscing in older individuals and interprets this reality within a self-psychology perspective. Sees the functions of self narrative as (1) providing a continuity of the Self; (2) sustaining a meaning continuity of the Self; and (3) uplifting the Self via hope. Suggests implications for pastoral care in terms of story listening, story stimulating, and story enhancing.


1993 ◽  
Vol 47 (2) ◽  
pp. 109-115
Author(s):  
Curtis W. Hart

Addresses the dynamics of interim pastoral care to a congregation whose minister has died of AIDS. Utilizes the self-psychology of Heinz Kohut in interpreting the dynamics of this ministry, and highlights the creative role of judicatories in facilitating the pastoral functions of sustaining and healing involved in carrying out the pastoral care needed in such a crisis.


1997 ◽  
Vol 8 (S3) ◽  
pp. 253-258 ◽  
Author(s):  
Lawrence W. Lazarus ◽  
Bertram J. Cohler ◽  
Jary Lesser

Although the essence of one's identity—one's self-esteem—is eroded and devastated by Alzheimer's disease, little attention has been paid to the regression and dissolution of the self experienced by patients with this disease. Investigations into the psychology of the self by psychoanalyst Heinz Kohut and others have provided new ways of understanding a demented patient's attempts to maintain some semblance of self-esteem and identity in the wake of progressive cognitive decline.


1984 ◽  
Vol 12 (4) ◽  
pp. 283-287 ◽  
Author(s):  
Mary L. Gottesfeld
Keyword(s):  
The Self ◽  

1986 ◽  
Vol 20 (2) ◽  
pp. 219-224 ◽  
Author(s):  
Carolyn Quadrio

Self-psychology describes a psychoanalytic model developed by Heinz Kohut and based upon a systemic concept of the ‘self-object’, a system of self and object which differentiates progressively from an early symbiotic fusion at birth to healthy interdependence at around three years of age. These stages of differentiation were originally described by Margaret Mahler and interpreted by her within a Kleinian framework. Self-psychology differs in many key concepts from the Kleinian and other psychoanalytic models, and Kohut reinterpreted Mahler's work from this new perspective. The systemic or dyadic basis of Kohutian theory provides a bridge between psychoanalytic models and systems models of marital dynamics, an important meeting ground for interpsychic and intrapsychic viewpoints. Progressive differentiation within a dyadic system can be applied developmentally to the mother-infant, husband-wife, or therapist-patient dyad, as can the self-object transference concept.


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