Psychotherapy with Older Adults

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Author: Bob G. Knight
Published: February 2004
Publisher: SAGE Publications
ISBN: 0761923721
Hardcover Book
Number of Pages: 304

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Psychotherapy with Older Adults

"The author has updated the Third Edition to reflect new research findings and has written two entirely new chapters covering psychotherapy with persons with dementia and psychotherapy with caregivers of frail older adults." Since its initial publication in 1986, the book has been used as a course text and a professional reference around the world, including translations into French, Dutch, Chinese, and Japanese. It is a vital resource for practicing therapists and counselors who work with older adults and is also ideally suited as a text for advanced students in psychology, social work, gerontology, and nursing. Incorporating some new scientific findings and revising his model in some respects, Knight (U. of Southern California) presents a new edition of his text on the psychotherapeutic treatment of older adults. His model focuses on issues of chronic illness and frequent grieving in a social context and stresses a process of increasing maturity throughout adulthood. It also relies on the recognition of "cohort differences," meaning stable and lasting differences in abilities, beliefs, attitudes, and personality dimensions distinguishing birth-year-defined groups. The author provides an overview of scientific gerontology for therapeutic interventions with the elderly. He uses sound research findings and proceeds to give concrete clinical examples in connecting theory and practice. The author defines the need for therapists to view the elderly as unique and complex. Therefore, although they are at a similar place in the life span, their issues in therapy are even more varied than younger people, since they bring so much more expertise about life in general. A wide audience can learn from this book. Even though professionals in the field may not be exposed to anything totally new, the author presents innovative ideas about old topics. He also writes clearly enough to be understood by students and those with little experience working with the elderly. The author successfully dismantles the myth that therapeutic work with the elderly is primarily a way to help them deal with all their losses. Although he emphasizes that therapists need to be comfortable with aging and death, he also reminds them that many elderly persons come to therapy to find new meaning in their present life and get help in dealing with family, lovers, and numerous other problems. The author presents an excellent overview of working in therapy with the elderly. He reminds therapists that they need to be comfortable with loss, death, and disability as well as be open to learning new things from their clients. Because the book covers such a large topical area, there is some superficiality and oversimplification, particularly in the chapter on assessment and on the topic of transference and countertransference. Despite these shortcomings, the book is meaty, and I recommend itfor professionals in the field of gerontology as well as newcomers with little prior knowledge. A second edition of the thorough examination of therapeutic work with older adults and the age specific issues involved. Knight (gerontology and psychology, U. of Southern California) discusses the psychotherapeutic adaptations needed to build rapport and assess an older client, transference and countertransference, grief work, and life review psychotherapy. The revised edition includes a new concluding chapter that considers ethical questions and the future of psychotherapy with older adults. Paper edition (unseen), $18.95.

Table of Contents
Acknowledgments
Preface
1 Gerontology for Psychotherapists: The Contextual, Cohort-Based, Maturity, Specific-Challenge Model 1
2 Adaptations of Psychotherapy for Older Adults 25
3 Building Rapport With the Older Client 48
4 Transference and Countertransference With Older Clients 67
5 Guidelines for Assessment in the Context of the Practice of Psychotherapy 96
6 Grief Work With Older Adults 139
7 Chronic Illness in Later Life 160
8 Psychotherapy and the Person With Dementia 187
9 Psychotherapy With Family Caregivers of Frail Older Adults 204
10 Life Review in Psychotherapy With Older Adults 223
11 Ethical Issues and Concluding Thoughts on Psychotherapy With Older Adults 243
References 259
Index 277

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