Advances in psychotherapy for mental illness in late life.
Advances in psychotherapy for mental illness in late life.
复制标题
晚年精神疾病心理治疗的进展。
DOI：
--
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
P. Areán
中科院分区：
文献类型：
--
作者：
P. Areán
2002年9月25日接收; 2002年10月3日修订，接受。来自加州大学旧金山弗朗西斯科精神病学系。地址：加州大学旧金山分校精神病学系，地址：401 Parnassus Avenue，San弗朗西斯科，CA 94143-0984;电子邮件：pata@lppi.ucsf.edu版权所有2003年美国老年精神病学协会当我第一次开始从事老年精神健康工作时，突出的临床传说（大约50年前由弗洛伊德开始）是老年人无法从心理治疗中受益，因为他们在精神和认知上太不灵活，无法学习新信息或重新处理过去的经验。事实上，当时最常见的治疗方法是回忆疗法，主要集中在帮助老年人回忆过去的事件，试图更好地理解和接受他们的生活。虽然回忆无疑是当今老年心理治疗的一个重要组成部分，但仅使用这种技术就意味着老年人除了接受自己的处境之外，没有什么可以做的。这也意味着老年人的精神疾病在很大程度上是由于无法接受自己的过去，而不是与衰老并发症有关的压力。在20世纪80年代初，Gallagher-Thompson和Thompson博士根据经验证明，一旦心理治疗被修改以适应认知过程中与年龄相关的变化，老年人可以从积极的、以问题为中心的治疗中受益，并体验更好的心理社会功能和改善的生活质量。如果不是加拉格尔-汤普森和汤普森的开创性工作，以及后来雷诺兹等人在人际治疗方面的工作，晚年精神疾病的心理和行为治疗仍然集中在症状的遏制上，而不是改善生活质量。幸运的是，其他心理治疗研究人员和老年心理学家已经率先开始进一步加强老年心理治疗的研究数据库。虽然目前发表的大多数研究主要集中在抑郁症的治疗上，但该领域现在正在扩大到解决心理治疗在治疗和管理其他精神疾病中的作用。我们还了解到，心理治疗是适应性强的，可以“灵活”地在专业精神卫生以外的环境中提供。这个特别的问题集中在老年心理治疗的各种心理健康问题的一些最新发展，从抑郁症的治疗到寄宿和护理设施中的精神病管理。虽然在这个问题上的文章是不是一个详尽的清单正在做的工作在外地，他们肯定是在老年心理治疗的进步代表。
Received September 25, 2002; revised, accepted October 3, 2002. From the Department of Psychiatry, University of California, San Francisco. Address correspondence to Dr. Arean, UCSF Department of Psychiatry, 401 Parnassus Avenue, San Francisco, CA 94143-0984; e-mail: pata@lppi.ucsf.edu Copyright 2003 American Association for Geriatric Psychiatry When I first started working in geriatric mental health, the prominent clinical lore (begun by Freud nearly 50 years ago) was that older people could not benefit from psychotherapy because they were too mentally and cognitively inflexible to learn new information or reprocess past experiences. In fact, the most common type of therapy at the time was reminiscence therapy, which focused predominantly on helping older people rehash past events in an attempt to better understand and accept their lives. Although reminiscence is certainly an important component of geropsychotherapy today, the use of this technique alone implied that there was not much older people could do about their situation other than accept it. It also implied that mental illness in late life was largely due to an inability to accept one’s past, rather than stress related to the complications of aging. In the early 1980s, Drs. Gallagher-Thompson and Thompson demonstrated empirically that once psychotherapy had been modified to accommodate age-related changes in cognitive processing, older adults could benefit from active, problemfocused treatment and experience better psychosocial functioning and improved quality of life. Were it not for the seminal work by Drs. Gallagher-Thompson and Thompson, and, later, the work by Reynolds et al. on interpersonal therapy, psychological and behavioral treatment of late-life mental illness would still be focused on containment of symptoms, rather than on improving quality of life. Fortunately, other psychotherapy researchers and geropsychologists have taken the lead and have begun to further enhance the research database on geropsychotherapy. Although the majority of studies currently published focus predominantly on the treatment of depressive disorders, the field is now expanding to address the role psychotherapy can play in the treatment and management of other mental illnesses. We are also learning that psychotherapy is adaptable and can “flex” to be delivered in settings other than those for specialtymental health. This special issue focuses on some of the latest developments in geropsychotherapy for a variety of mental health issues, from the treatment of depression to the management of psychosis in board-and-care facilities. Although the articles in this issue are not an exhaustive list of the work being done in the field, they are certainly representative of advances in geropsychotherapy.
登录
查看更多内容
影响因子：
--
作者：
Alexopoulos, GS;Meyers, BS;Hull, J
通讯作者：
Hull, J
晚年广泛性焦虑症的标准和增强认知行为疗法：两项试点研究。
DOI：
--
发表时间：
2003
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Mohlman,Jan;Gorenstein,EthanE;Kleber,Marc;deJesus,Marybeth;Gorman,JackM;Papp,LazloA
通讯作者：
Papp,LazloA
维持性人际心理治疗 (IPT) 对不同 IPT 焦点的老年人的价值。
DOI：
--
发表时间：
2003
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Miller,MarkD;Frank,Ellen;Cornes,Cleon;Houck,PatriciaR;Reynolds3rd,CharlesF
通讯作者：
Reynolds3rd,CharlesF
特殊人群抑郁症的治疗。
DOI：
--
发表时间：
1992
期刊：
The Journal of clinical psychiatry
影响因子：
--
作者：
Reynolds3rd,CF
通讯作者：
Reynolds3rd,CF
初级保健中晚年广泛性焦虑症的认知行为治疗：初步发现。
DOI：
--
发表时间：
2003
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Stanley,MelindaA;Hopko,DerekR;Diefenbach,GretchenJ;Bourland,StaceyL;Rodriguez,Hector;Wagener,Paula
通讯作者：
Wagener,Paula