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Counselling and Psychotherapy with Older People

Counselling and Psychotherapy with Older People

Paul Terry

(2008)

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Book Details

Abstract

Building on the success of Working with the Elderly and their Carers, this new edition pursues an in depth understanding of therapy with older people. A wide range of clinical material and 3 new chapters draw on developments in psychodynamic theory and the author's experience to offer valuable insights for trainees and experienced practitioners.
PAUL TERRY is a lecturer in Counselling at Birkbeck College, University of London. He has taught psychodynamic counselling for many years at the same time whilst practising as a Consultant Clinical Psychologist and a Specialty Lead for Older People in the NHS.
Building on the success of Working with the Elderly and their Carers, this new edition pursues an in depth understanding of therapy with older people. A wide range of clinical material and 3 new chapters draw on developments in psychodynamic theory and the author's experience to offer valuable insights for trainees and experienced practitioners.

'Terry relates stories of humanity, generosity and compassion that are wholly accessible to therapists whatever their therapeutic orientation…He acknowledges that age has enabled him to find his own voice – and it is both eloquent and profound.' – Vee Howard-Jones, Therapy Today


Table of Contents

Section Title Page Action Price
Cover Cover
Contents vi
Acknowledgements ix
Preface to the Second Edition x
Part I: Direct Face to Face Therapy 1
1 To Love Life and Mourn Its End 3
Introduction 3
Two seminal psychoanalytic studies of mourning 4
Mourning in infancy 6
Adult mourning 9
Projective identification and mourning 10
Fear of death 12
Summary 16
2 Brief Interventions 18
Introduction 18
Illness, disability and bereavement 18
Further illustrations of bereavement reactions to illness and disability 23
Summary 29
3 Longer Individual Therapy 31
Introduction 31
Dependency late in life 31
Long term effects of severe trauma 45
Some comments about therapy and the trauma of sexual abuse 52
Summary 52
4 Therapy With an Older Man Who Had Lost His Speech 54
Introduction 54
Mr Mitchell – who had lost his speech 56
Summary 69
5 Older Couples 71
Introduction 71
Some problems engaging older couples in therapy 73
Longer therapy with an older couple 79
Summary 91
6 Groups for Very Frail Older People and Their Carers 92
Introduction 92
The group meetings 95
Patient and staff reaction to the group meetings 106
Summary 106
Part II: Indirect Therapeutic Consultations 111
7 Ageist Attitudes and Behaviours 113
Introduction 113
The projection of core fears of ageing: dependency, loneliness and death 114
Summary 122
8 Individual Consultations with Carers 125
Introduction 125
Recovery and despair – Barbara and Mrs Dulcie May 127
A persecuting grief – Melody and Mrs Ruth Scott 130
Aggressive behaviour and abuse – Betty and Mr Arthur Green 133
Pursuing suspicions of physical abuse 136
Summary 138
9 Support Groups for Care Staff 139
Introduction 139
The York Support Group 141
Summary 149
10 Teaching and Learning about Therapy with Older People 150
Introduction 150
Disability and vulnerability 152
Discharging feelings through questions 155
Guilt and vulnerability 156
Terror and dependency 158
Summary 162
References 164
Index 168
A 168
B 168
C 168
D 168
E 169
G 169
H 169
I 169
J 169
K 169
L 169
M 169
N 170
O 170
P 170
Q 170
R 170
S 170
T 171
U 171
W 171
Y 171
Z 171