Blooming in December:: Psychodynamic Psychotherapy with Older Adults


AcknowledgmentsIs psychotherapy of older adults different from that of the young?Challenges to the individual clinician in treating older patientsPainful countertransference and assaults to grandiosityAltered gratification from resultsAgeism and unconscious normative processesWrong turns: psychoanalytic history and the treatment of older patientsTwentieth-century history and psychoanalytic rigidityThe inferior status of psychodynamic psychotherapyBlind spotsQualifications and limitationsReferencesGhosts in later lifeDevelopment in later lifeRelational conflicts revived and the return of ghostsWhy now?Growth in older age via psychotherapyClaireReferencesTrauma and trauma reduxLate-onset trauma in older adultsTrauma reduxHow psychotherapy can helpBolstering the core selfRecognizing past trauma as pastEliot: treating trauma and trauma redux in combinationReferencesDramatis personae, past and presentA painful but educative incidentTransference-countertransference patternsTrauma: the original cast of characters revivedPosition in the life cycleThe analyst’s emotional responses to the vicissitudes of old ageThe therapist’s homework: getting to know your personal equationReferencesThe narration of life stories and the selfThe functions of a life storyPsychodynamic psychotherapy and the self-narrativeWhat makes a good story go bad?Depression and the workings of memoryMoral injuryTo whom the story is told: relatedness to the listenerSocial narrativesReferencesExistential anxietiesThe transition to death as a felt experienceThe search for meaningLetting go, “relinquishing” omnipotence, and surrender with agencyJeanReferencesEndings