Tamara McClintock Greenberg, PsyD, MS
PSYCHOLOGIST • AUTHOR • SPEAKER
SAN FRANCISCO, CALIFORNIA
Feel entitled to an absorbing life.
Tamara McClintock Greenberg, PsyD, MS
PSYCHOLOGIST
AUTHOR • SPEAKER
SAN FRANCISCO,
CALIFORNIA
Feel entitled to an absorbing life.
BOOK
Pyschodynamic Perspectives on Aging and Illness
Second Edition
December 2015, Springer
This timely update of the bedrock text reflects what we now know—and are still finding out—about the benefits of psychodynamic psychotherapy for older adults facing chronic conditions. Expanding on the original, the author balances the physical and experiential factors affecting patients’ physical illnesses and related emotional distress while situating core psychodynamic constructs in the context of illness and aging. Special attention is paid to technique, giving therapists practical guidance on dealing with transference and countertransference issues, working with patients in cognitive decline, and navigating complexities of age, class, and culture. The book also reviews the current evidence on how and why psychodynamic therapy helps medical patients with coping, adapting, and healing.
Included in the coverage:
- Technology, idealization, and unconscious dynamics in the culture of medicine.
- Narcissistic aspects of aging and illness.
- Grey areas: when illness may be particularly impacted by psychological variables.
- Cognitive changes and implications for the therapeutic encounter.
- The influence of psychological factors and relationships on medical illness.
- Hope and grief: the introduction of an emotional language.
The Second Edition of Psychodynamic Perspectives on Aging and Illness skillfully follows its predecessor as a powerful, plain-spoken mentor to therapists as well as medical clinicians working in hospitals, long-term care facilities, and outpatient practice.
“With this update, Dr. Greenberg incontrovertibly corrects this lapse. Her integration of current scientific research, alongside a user-friendly discussion of the theory and practice of psychodynamic psychotherapy, is an important contribution to the psychology of medicine. Several topics are elaborated; the constructs of hysteria and somatization, the biology of stress, the impact of attachment history on coping with sickness as well as the experiences of trauma and grief.
“As with the first edition, the idea that the patient’s experience of illness cannot be understood without including the subjectivity of the practitioner who provides care is considered and done so with more awareness of this complexity. Each chapter now contains a section on ‘Suggested Techniques’ that succinctly presents a guideline for applying the ideas set forth. Other notable aspects of the book are its reflections on the culture of medicine and the insights about the influences of contemporary Western life on the manifestation and adjustment to illness.
“This edition is, above all, essential for those practitioners dedicated to providing collaborative and interdisciplinary health-care which is both biologically and psychologically informed. As with the First Edition, it will continue to be required reading.”
“Combining her training and expertise in psychology and behavioral medicine, she facilely navigates the turbid waters of how medical illness and aging is informed by unconscious dynamics, childhood familial relations, somatisation, coping and recovery, and the convergence of mind and body. Healthcare practitioners of all types who work therapeutically with chronically ill and older adults will find this to be a perspicacious and indispensable approach to clinical praxis.”
“Challenging the field’s dogma that older patients are too set-in-their-ways to make personality changes, Dr Greenberg demonstrates in this book how wrong that notion was. We are all a work in-progress until the very end. This is a must-read practical book for therapists, nurses, families, physicians, family and estate lawyers, and health care navigators.”
“The author addresses the technical and conceptual challenges, the major dynamics in these treatments, and the role of medical conditions…Psychodynamic Perspectives on Aging and Illness will provide the essential optimism, confidence, and technical proficiency needed for clinicians coping with referrals from the aging population.”
“She believes that using a more modern psychodynamic approach has greater explanatory power and will enhance the treatment process. She talks about the “hypomanic culture of medicine,” a fast-paced, pressured culture where doctors have limited time to see each patient. The book also addresses how medical illness can be seen as adult-onset trauma and creates a narcissistic injury. Transference and countertransference are still very important concepts in this adaptation of psychodynamic theory. The book includes important information on self-destructive behaviors and cognitive changes that occur as a result of aging and/or illness.
“It ends with an understanding of therapeutic action, especially dealing with alexithymia or psychic detachment. This is a great book for clinicians who want to use psychodynamic therapy with the elderly. The author has formulated a more modern approach while keeping the basic concepts intact. The case vignettes are excellent. This book will given clinicians useful tools from a theoretical foundation that has great explanatory power.”