การรักษาทางจิตวิทยา
The emergence of psychiatry of old age as a speciality has been paralleled
by a rapid growth in the application of psychological treatments for the
elderly. This chapter offers guidance to adapting treatments to meet the
particular needs of older people. While it is necessary to sound a note
of caution in case the gains sought are too great, on the whole the problem
is overcoming resistance, not least among older people themselves, to
the idea that psychological treatments are relevant and effective.
Practical applications
In some cases a psychological treatment may be the treatment of choice
and the only treatment required. More often older people, especially those
with serious psychological disorders, have a number of current problems.
Psychological treatment then involves working in an orchestrated way
with several other professionals, whose skills are also required. This is not
always quite as good for the therapist’s kudos as playing the solo part, but
is generally better at meeting the patient’s needs.
Psychological treatments may require adaptations for older clients (Box
17.1). Most of these are self-explanatory and allow for the effects of normal
ageing and physical change. It is worth emphasising the importance of
experience. The patient usually has more than the therapist! Rather than
teaching granny (or grandad) to suck eggs, it may be possible to help
them rediscover a skill, and learn something yourself in the process.
การรักษาทางจิตวิทยา The emergence of psychiatry of old age as a speciality has been paralleledby a rapid growth in the application of psychological treatments for theelderly. This chapter offers guidance to adapting treatments to meet theparticular needs of older people. While it is necessary to sound a noteof caution in case the gains sought are too great, on the whole the problemis overcoming resistance, not least among older people themselves, tothe idea that psychological treatments are relevant and effective.Practical applicationsIn some cases a psychological treatment may be the treatment of choiceand the only treatment required. More often older people, especially thosewith serious psychological disorders, have a number of current problems.Psychological treatment then involves working in an orchestrated waywith several other professionals, whose skills are also required. This is notalways quite as good for the therapist’s kudos as playing the solo part, butis generally better at meeting the patient’s needs.Psychological treatments may require adaptations for older clients (Box17.1). Most of these are self-explanatory and allow for the effects of normalageing and physical change. It is worth emphasising the importance ofexperience. The patient usually has more than the therapist! Rather thanteaching granny (or grandad) to suck eggs, it may be possible to helpthem rediscover a skill, and learn something yourself in the process.
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