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Blooming in December:: Psychodynamic Psychotherapy with Older Adults
Acknowledgments
Is psychotherapy of older adults different from that of the young?
Challenges to the individual clinician in treating older patients
Painful countertransference and assaults to grandiosity
Altered gratification from results
Ageism and unconscious normative processes
Wrong turns: psychoanalytic history and the treatment of older patients
Twentieth-century history and psychoanalytic rigidity
The inferior status of psychodynamic psychotherapy
Blind spots
Qualifications and limitations
References
Ghosts in later life
Development in later life
Relational conflicts revived and the return of ghosts
Why now?
Growth in older age via psychotherapy
Claire
References
Trauma and trauma redux
Late-onset trauma in older adults
Trauma redux
How psychotherapy can help
Bolstering the core self
Recognizing past trauma as past
Eliot: treating trauma and trauma redux in combination
References
Dramatis personae, past and present
A painful but educative incident
Transference-countertransference patterns
Trauma: the original cast of characters revived
Position in the life cycle
The analyst’s emotional responses to the vicissitudes of old age
The therapist’s homework: getting to know your personal equation
References
The narration of life stories and the self
The functions of a life story
Psychodynamic psychotherapy and the self-narrative
What makes a good story go bad?
Depression and the workings of memory
Moral injury
To whom the story is told: relatedness to the listener
Social narratives
References
Existential anxieties
The transition to death as a felt experience
The search for meaning
Letting go, “relinquishing” omnipotence, and surrender with agency
Jean
References
Endings
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