Psychodynamic Perspectives on Aging and Illness

ISBN-13: 9781441969729 / Angielski / Miękka / 2010 / 150 str.

Tamara Greenberg

Opis

Despite over one hundred years of clinical research within the field of psychoanalysis, little has been said in relation to the body, medical illness, and aging. In fact, there is often the idea that "real" medical problems are somehow beyond the scope of psychoanalytic treatment. Given that the population is living longer, there is a need for publications that address both the impact of aging as well as illness, as persons who live longer lives are more prone to develop medical problems.
Psychodynamic Perspectives on Aging and Illness focuses on aging and illness from a contemporary psychodynamic perspective. The text explores the unaddressed areas of psychodynamic theory and technique in addressing bodily issues in those who are both older and experiencing the associated effects of aging, including medical illness. Topics include normative and non-normative narcissism in response to the reduction in bodily functioning, the impact of paranoid states on the illness and aging process, and the conceptualization of illness as an adult on-set trauma in medical patients. The Author also provides suggestions for how clinicians can work with an increasing aging population, who will ultimately experience more medical illness in their patients than previous generations of therapists and psychoanalysts.
This book will enhance the psychological literature by providing an increased knowledge of physiology and illness as well as a framework in which patients, who are beset with a particular genetic configuration leaving them vulnerable to illness, are not blamed for their illnesses. Although analytic clinicians may not be able to "cure" medical illness, this book will help clinicians to better understand the sense of being out-of-control that is felt by their medical patients and their therapists on a regular basis. This insight will hopefully lead clinicians and their patients to a heightened sense of empowerment rather than disembodiment in the face of illness.

Recenzje

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.D. left off in the middle of the 20^th century and expands that view with a new depth. As such, this work remedies what many have considered to be the limitations of that theory. Dr. 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. 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."
-Marilyn S. Jacobs, Ph.D., ABPP, Assistant Clinical Professor of Psychiatry, David Geffen School of Medicine at UCLA Medical Center, Los Angeles

"Dr. Tamra McClintock Greenberg, in her new book, Psychodynamic Perpectives on Aging and Illness ... presents keen insights for understanding your parents feelings and behaviors. 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. Greenberg ... interesting. ... I will be sure to recommend your book to all the staff ... ." (The Huffington Post, October, 2009)

"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. ... both experienced clinicians and patients may find this book helpful. ... graduate students in clinical/counseling psychology and social work also would find it helpful. ... This is a great book for clinicians who want to use psychodynamic theory with the elderly." (Gary B. Kaniuk, Doody's Review Service, June, 2010)

"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., The Psychoanalytic Quarterly, 2011)

"The purpose of Psychodynamic Perspectives on Aging and Illness is to highlight the need to better understand and apply psychodynamic theory and associated psychodynamic approaches to the treatment and care of older adults. 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. 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. In conclusion, the book is highly relevant and important to many areas of practice (and research). Only through this important examination of how we can better understand the "internal world" of aging can we hope to effectively create more positive quality-of-life outcomes for a growing segment of our population." (Lisa Hollis-Sawyer, Ph.D., Gerontology Program Coordinator Department of Psychology Northeastern Illinois University Chicago, IL)

"Greenberg does a superb job of covering a large territory, while conveying empathy for her patients, and an understanding of the tremendous energy required for living with a compromised body. She delivers on her promise to bring together the two lenses of the medical and analytic fields in later life...One understandable result of this breadth is that in places, it leaves one wishing for more depth, and those of us working with seniors can continue to investigate, within our professional communities, the considerations that Greenburg puts forth. Her book may not assume readers (aside from those already "in the know") of the enjoyable aspects of elder psychotherapy, but perhaps that's to be expected. Treating aging and ailing people - who may not live long enough to experience the full benefit of long-term therapy and who stir up all kinds of existential anxities in their therapists - might be a hard sell, but it can be as absorbing and life-changing as any other kind of work." (Willow Banks, M.A., fort da (2014), 20 (2), 107-113)

Spis treści

When the Body Intrudes: Psychotherapy with Older and Medically Ill Adults.- Psychoanalytic theory and the body.- Applying psychodynamic concepts to aging and medically ill patients.- Aging and the medically ill: An increasing population.-Technology, Idealization, and Unconscious Dynamics in the Culture of Medicine.- The hypomanic culture of medicine.- Patient expectations in medicine.- Technology and idealization.- Looking for love (and a cure): Medical relationships.-The Trauma of Medical Illness.- The mental health clinician and medical patients.- Medical illness as adult onset trauma.- Past trauma in the context of aging and illness.-Narcissistic Aspects of Aging and Illness.- The concept of narcissism within psychodynamic theory.- The "mid-life crisis".-Transference and Countertransference in Aging and Illness.- Transference and implications for older and medically ill patients.- Countertransference feelings in working with medical patients.-Self-destructive Behaviors, Masochistic Dynamics, and Illness.- Psychodynamic ideas on masochism.- Masochism and the body.- Cognitive Changes and Implications for the Therapeutic Encounter.- Cognitive impairment in the elderly.- Normal physical changes related to aging.- Psychotherapy with cognitively impaired adults.-What We Know and What We Don’t: The Influence of Psychological Factors on Medical Illness.- Heart disease.- Osteoporosis.- Cancer.- Child Abuse.- The meaning of the research on psychological factors and medical risk.-Hope and Grief: The Introduction of an Emotional Language.- Alexithymia: Adaptive aspects of psychic detachment.- Alexithymia and hysteria.- Trauma, the sense of self and therapeutic action.- (Epilogue) Resilience in the elderly and medically ill.

Blurb

"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. Dr. 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. 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."
-Marilyn S. Jacobs, Ph.D., ABPP, David Geffen School of Medicine at UCLA Medical Center, Los Angeles, CA

More than ever, the aging process is recognized as carrying a special set of emotional challenges–especially when acute or chronic medical conditions are involved. In this light, Psychodynamic Perspectives on Aging and Illness presents a fresh, contemporary application of psychodynamic theory, addressing the complex issues surrounding declining health. Informed by the spectrum of psychodynamic thought from self, relational, and classical theories, this forward looking volume offers more modern interpretations of theory, and techniques for working with a growing, complicated, but surprisingly resilient population. It illuminates how to enhance the therapeutic relationship in key areas such as addressing body- and self-image issues, approach sensitive topics, and understand the disconnect that can occur between medical patients and the often impersonal, technology-driven health care system. At the same time, the author cogently argues for pluralism in a therapeutic approach that is frequently threatened by forces both within and outside the field. Among the topics covered:

• Medical illness as trauma.
• Idealization and the culture of medicine.
• Normative and pathological narcissism in the ill and/or aging patient.
• Noncompliant and self-destructive behaviors.
• Transference and countertransference issues.
• Psychotherapy with cognitively impaired adults.
• Grief, loss, and hope.

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.