Psychodynamic Perspectives on Aging and Illness

von: Tamara McClintock Greenberg

Springer-Verlag, 2009

ISBN: 9781441902863 , 155 Seiten

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Kopierschutz: Wasserzeichen

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Psychodynamic Perspectives on Aging and Illness


 

Preface

5

Contents

9

Chapter 1 When the Body Intrudes: Psychotherapy with Older and Medically Ill Adults

11

Psychoanalytic Theory and the Body

13

Applying Psychodynamic Concepts to Aging and Medically Ill Patients

16

Aging and the Medically Ill: An Increasing Population

24

Conclusion

26

References

27

Chapter 2 Technology, Idealization, and Unconscious Dynamics in the Culture of Medicine

29

The Hypomanic Culture of Medicine

31

Patient Expectations in Medicine

34

Technology and Idealization

36

Looking for Love (and a Cure): Medical Relationships

40

Conclusion

43

References

44

Chapter 3 The Trauma of Medical Illness

46

The Mental Health Clinician and Medical Patients

47

Medical Illness as Adult-Onset Trauma

54

Past Trauma in the Context of Aging and Illness

61

Conclusion

64

References

65

Chapter 4 Narcissistic Aspects of Aging and Illness

67

The Concept of NarcissismWithin Psychodynamic Theory

68

The “Midlife Crisis”

76

Conclusion

80

References

81

Chapter 5 Transference and Countertransference in Aging and Illness

83

Transference and Implications for Older and Medically Ill Patients

84

Countertransference Feelings inWorking with Medical Patients

94

Conclusion

100

References

100

Chapter 6 Self-Destructive Behaviors, Masochistic Dynamics, and Illness

102

Psychodynamic Ideas on Masochism

103

Masochism and the Body

105

Conclusion

112

References

113

Chapter 7 Cognitive Changes and Implications for the Therapeutic Encounter

114

Cognitive Impairment in the Elderly

115

Normal Physical Changes Related to Aging

116

Psychotherapy with Cognitively Impaired Adults

120

Conclusion

124

References

124

Chapter 8 WhatWe Know and WhatWe Don’t: The Influence of Psychological Factors on Medical Illness

127

Heart Disease

129

Osteoporosis

132

Cancer

132

Child Abuse

133

The Meaning of the Research on Psychological Factors and Medical Risk

134

Conclusion

136

References

137

Chapter 9 Hope and Grief: The Introduction of an Emotional Language

140

Alexithymia: Adaptive Aspects of Psychic Detachment

140

Alexithymia and Hysteria

143

Trauma, the Sense of Self, and Therapeutic Action

145

Hope and Grief: Advanced Understandings of Therapeutic Action

147

Epilogue) Resilience in the Elderly and Medically Ill

149

References

150

Index

152