However, the more negative feelings may be disavowed and deemed incompatible with our professional identifies, often to the detriment of ourselves and our patients Burying hate and dislike only makes it more destructive Our unconscious motivations to work with older adults sometimes lie in a desire to repair a relationship chronologically past, psychically present 5.
When these motivations are not well understood, and our unconscious fantasy differs wildly from the reality, we can become increasingly driven and burn out or become depressed as a consequence 6. In the podcast with Jo and Iain we suggested that to begin to think psychodynamically, with and about patients and ourselves we might ask:. Those who are interested in exploring these ideas further may decide to undertake personal analysis Institute of Psychoanalysis have a list of qualified therapists. As psychiatrists we often make use of personal supervision and Balint groups to think about unconscious communications.
Schwartz rounds and reflective practice also represent opportunities to think about our interactions with patients and families ask your liaison psychiatry team if to find out what happens locally.
Other resources include:. Attending to unconscious communications from ourselves, patients and families can help to anticipate problems, resolve conflict and create a better and more thoughtful environment for caring, and indeed a better experience for patients and staff. Home Blog From uncertainty to understanding. From uncertainty to understanding: Can psychodynamic theories improve our care of older adults? In the podcast with Jo and Iain we suggested that to begin to think psychodynamically, with and about patients and ourselves we might ask: How does it feel to be with this patient?
And what might this tell me about their experience? What is not being said? How are past patterns of behaviour or relating being repeated? How might thinking about these things help me to better care for them? Other resources include: The Institute of Psychoanalysis Freud Museum APP Association for Psychoanalytic Psychotherapy in the NHS Balint Society Attending to unconscious communications from ourselves, patients and families can help to anticipate problems, resolve conflict and create a better and more thoughtful environment for caring, and indeed a better experience for patients and staff.
References: Freud, S.
On Psycho-Analysis. Psychodynamic work and older adults.
Advances in Psychiatric Treatment , 8 2 , Talking over the years: A handbook of dynamic psychotherapy with older adults Vol. Hove and New York: Brunner-Routledge. Milton, J. A short introduction to psychoanalysis Vol. London: Sage. Noncompliant and self-destructive behaviors. Transference and countertransference issues. Psychotherapy with cognitively impaired adults. Grief, loss, and hope.
Psychodynamic Perspectives on Aging and Illness - eBook - inetorcal.tk
Expanding on what we know and candid about what we don't, Psychodynamic Perspectives on Aging and Illness offers mental health researchers and practitioners an insightful framework for improving the lives of older patients. Toon meer Toon minder. Recensie s From the reviews: In Psychodynamic Perspectives on Aging and Illness, Tamara McClintock Greenberg provides the medical and psychological community with an exceptionally incisive and truly groundbreaking tour de force. The book picks up where the biopsychosocial model of George L.
Engel, M. As such, this work remedies what many have considered to be the limitations of that theory. Greenberg has illuminated the factors implicated in health and illness with a clear and concise perspective culled from the best of contemporary psychoanalytic psychology in a manner not previously accomplished.
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This work will be valued by all who come into contact with illness, suffering, pain, aging and death. With clearly elucidated concepts, vivid clinical examples and the benefit of her own personal narrative, the book is both compelling and educative. For those who work in medical settings, especially in health psychology and consultation liaison psychiatry, this text presents the definitive study of the nature of the experience of caring for sick people in our society. It will be required reading for a long time to come. Jacobs, Ph. The book is geared towards professionals who work with the 'aging population,' After reading her book I thought you would find a session with Dr.
I will be sure to recommend your book to all the staff The Huffington Post, October, Taking a more modern approach to the application of psychodynamic theories to aging and illness, this book emphasizes the therapeutic relationship and current relational functioning. This is a great book for clinicians who want to use psychodynamic theory with the elderly.
Gary B. Kaniuk, Doody's Review Service, June, This is a straightforward read, offered to present-day medical practi- tioners and mental health professionals to help with the art of treating older people. It examines this burgeoning population with a wide lens, taking in every feature, especially its impact on all the professionals pro- viding therapy: psychiatrists, psychologists, internists, and neurologists, as well as nurses, caseworkers, and personal caregivers.
The author ad- dresses the technical and conceptual challenges, the major dynamics in these treatments, and the role of medical conditions Psychodynamic Perspectives on Aging and Illness will provide the essential optimism, confidence, and technical proficiency needed for clinicians coping with referrals from the aging population. Anna Burton, MD.
2.2 Psychodynamic Psychology
The book argues that understanding aging-related reactions and sub- sequent adaptation issues needs a reconceptualization, shifting from a more traditional intervention approach to an approach grounded in psychoanalytic thought. The target audience for this book is practitioners caring for an aging population, geriatric clinicians, and anyone wishing to better understand personal reactions to aging.
However, it is not necessary for the reader to have a background in psychoanalytic training to generally understand the ideas expressed in the chapters.
Furthermore, the book is a useful guide for most individuals, both professionals and laypersons, interested in the interplay of the mind-body connection into later life. The book has a good overall text structure, proceeding from psychodynamic foundation concepts to more advanced application issues. Overall, the book is very well written and logical in its progression of thought from chapter to chapter. Although each chapter is related to the preceding and proceeding chapters, the book is useful because each chapter can easily be read independently for reference purposes. In terms of writing style and ease of reading, the author achieves a good combination of technical and nontechnical writing usage for a wide audience interested in aging issues.
The references cited at the end of each chapter reflect a range of both historical background and current thought in the field.
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The book is very timely in terms of understanding better approaches to addressing the adjustment needs of a growing aging population. Even though the text is very well written, it might benefit from the incorporation of more illustrative figures, tables, and appendix materials to further reinforce the text information. The overall strength of Psychodynamic Perspectives on Aging and Illness is that it comes at a time when the quality of life of older adults is increasingly a concern, and it offers a compelling argument for an approach to reexamine this societal issue.