By Robert A. Nemiroff M.D., Calvin A. Colarusso M.D. (auth.)
This is the second one ebook within the pioneering research of grownup increase ment by way of Robert A. Nemiroff and Calvin A. Colarusso. the 1st, grownup improvement: a brand new measurement in Psychodynamic thought and perform, ar rived to severe acclaim in 1981. It awarded a psychodynamic conception of improvement through the moment 1/2 existence and a version of standard grownup functioning. This ebook is the logical sequel, increasing and elaborating the unique formulations and utilising them to the scientific perform of psychotherapy and psychoanalysis. Nemiroff and Colarusso exhibit that those are applicable concepts for sufferers within the moment half existence, despite age. They lay to leisure many stereotypes and myths that experience lengthy interfered with the dynamic therapy of older sufferers, and so they suggest fascinating new conceptualizations similar to that of grownup strengthen psychological arrests. The genetic procedure reaches past youth and early life and takes on vital new which means via incorporating an grownup developmental prior that impacts either psychopathology and transference. the connection among conception and remedy is richly tested within the scientific shows, together with ten targeted case histories of pa tients among the a while of forty and BO. those and different scientific discussions offer abundant facts psychodynamic method that's in keeping with a legitimate grownup developmental psychology may be terribly potent. additionally they display either the similarities and variations in operating with older as opposed to more youthful sufferers. This paintings is a massive contribution in a long-neglected size of medical psychiatry. SHERWYN M.
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Publish 12 months be aware: First released December 1st 1996
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Extra info for The Race Against Time: Psychotherapy and Psychoanalysis in the Second Half of Life
Example text
169) Utilization of Dependency Feelings In contrast to working with the intact and integrated older patients, in Kahana's "aging group" special techniques have been evolved to work with severely impaired older patients. Foremost in this endeavor has been the work of Goldfarb, who has applied psychoanalytic thinking in a particularly creative way for the very old, specifically the brain damaged, residents of a home for the aged, patients who suffer from major somatic changes, intellectual impairment, and socioeconomic and personallosses.
Goldfarb and Sheps (1954) base their psychotherapy technique on the following data: 1. In their cases, they observed fear and rage arising in a context of increasing helplessness due to loss of physical, social, and economic resources. 2. The helplessness of these aged sick caused them, invariably, to press parental powers onto the therapist. They identified the therapist with a son or a daughter, marriage partner, relative, or friend upon whom they had leaned in the past. 3. The behavior the patients demonstrated in response to feeling helpless seemed to be motivated by their desire to obtain some pleasure through mastery by dominating or controlling others.
The style of one's cognition dictates whether that experience occurs consciously or unconsciously. By definition, hysterical character defenses push ego-dystonic thoughts out of consciousness. For some, midlife provides a new freedom, another chance. Aspirations once postponed can now be pursued. Often, however, rationalizations for inactivity that have protected the ego from loss of self-esteem are dissolved by reality, and midlife development itself results in new stress that up- A REVIEW OF ADULT DEVELOPMENT 23 sets established defenses and elicits more neurotic defensive operations.
