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.
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.
New application of psychodynamic approaches to medical conditions
Appropriate for a variety of geriatric practitioners
Helps therapists understand the developmental consequences of illness
Simultaneous examination of illness and aging
Discusses normative and non-normative populations