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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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