Psychotherapy with older adults. Bob G. Knight.

Previous ed.: 1996.

Previous ed. : 1996.

Formerly CIP. Uk

Includes bibliographic references and index.

1. Gerontology for Psychotherapists: The Contextual, Cohort-Based, Maturity, Specific-Challenge Model:- Case Study- Why did this happen?--Combating misconceptions about Older Adults--The Contextual, Cohort-Based, Maturity, Specific-Challenge Model--Maturity:- Microlevel Cognitive Changes with Aging--Learning and Memory--Intelligence--Personality and Emotional Development--Summary: Evidence of Increasing Maturity Through Adulthood--Cohort Differences--The Social Context of Older Adults--The Specificity of Challenges in Late Life--Chronic Illness and Disability--Grief--Caregiving--Specific Challenges Summary--Summary--2. Adaptations of Psychotherapy for Older Adults:- Adapting psychotherapy for work with Older Clients--Adaptations due to development and maturation--Slowing--Memory--Fluid versus crystalized intelligence--Expertise and Greater Cognitive complexity--Emotional changes in later life--Personality change and stability across adulthood and into old age--Cohort-based Adaptations--Adaptations based on the social context of older adults--Residential settings as examples of contexts--Active assistance for the Older Client--Summary: A framework for Optimism--3. Building Rapport with the Oldest Client:- The decision to seek therapy--Educating clients about therapy--Establishing rapport with the Older Client--Developmental influences--Cohort Influences--Age-Graded Social Roles--Illness- or Disability-Related Influences--Home visits and Rapport building--Professional competence and the Age difference issue--4. Transference and Countertransference with Older Clients:- Therapists\' responses to work with older clients--Transference: --The therapist as the client\'s child--The therapist as grandchild--The therapist as Parent--The therapist as spouse at an earlier age--Erotic transference--The therapist as authority figure or magical expert --Issues with the institutionalized Elderly--Countertransference--Parental countertransference--Grandparent countertransference--Therapists\' fears of aging, dependency, and death--Countertransference and placement decisions--Termination--Teaching transference and countertransference--5. Guidelines for Assessment in the Context of the Practice of Psychotherapy:- Base rates of presenting problems--Assessment: Deciding among domains of intervention--Deciding among psychological disorders--Choosing interventions--Values placed on choices based on assessments--6. Grief Work with Older Adults:- is depression during bereavement normal? Clinical grief work: The expression of emotion--Putting the loss in perspective--Designing a new life--Some observations on grief work as a process--Therapist-centered Issues in grief work--Is grief work a model for all therapy with the Elderly?--Summary--7. Chronic Illness in Later Life:- Emotional consequences of illness and disability--Understanding illness and its consequences--Between a rock and a hard place: How much independent behavior is healthy?--Accurate attribution of experienced symptoms--Techniques for working with Older Chronically Ill Clients--The role of relaxation training--Pleasant events approaches for Improving emotion after illness and disability--Cognitive restructuring-- Contingency analysis and psychological intervention in illness and treatment--Recognizing and naming emotions--Issues for the therapist working with chronically ill older adults--Knowledge about physical illness and medical treatment--Communicating with physicians--Understanding medical settings and the patient\'s point of view--The therapist\'s reaction to physical illness--Summary--8. Psychotherapy and the person with dementia:- Therapy during early-stage dementia--Psychological interventions during the middle stages of dementia--Talking therapy: Emotion-oriented interventions--Cognitive retraining in the person with dementia--Behavioral interventions--Psychology and End-stage Dementia Care--Summary--9. Psychotherapy with Family Caregivers of Frail Older Adults:- Stress and coping model--Family systems and caregiving--Cognitive behavioral interventions for caregivers--Relaxation training--Scheduling relaxing events--Cognitive reframing--Support groups for caregivers--Psychotherapy with caregivers--Family sessions and caregiving--Summary--10. Life Review in Psychotherapy With Older Adullts:-The Role of Life Review--Erikson and developmental stages--The life course perspective in Gerontology--Revisionist reflections on Dr. Borg\'s Life Cycle--Strategic issues for the Therapist Guiding a Life Review--When to review the client\'s life--A complete life history--The therapist as editor--The future: Life after Life review--Summary--11. Ethical Issues and Concluding Thoughts on Psychotherapy with Older Adults:- Ethical issues with Older Clients--Consent--Confidentiality--Beneficence versus autonomy-- Fidelity--Concluding thoughts on Psychotherapy with Older Adults--Toward an integrative therapy with Older Adults--Summary.

This third edition of a practical guide for experienced therapists and students in clinical training brings together current gerontological theory, research and clinical experience with the elderly.