Becker Daniel
Ness Ziona Mental Health Center, Tel Aviv University, Sackler School Of Medicine, Israel.
Am J Psychother. 2006;60(1):87-99. doi: 10.1176/appi.psychotherapy.2006.60.1.87.
Middle age is a normative developmental stage. Although further research is still required, there is general agreement in the literature as to the principal changes, conflicts, and tasks that are characteristic of this stage in life, and in particular, as to the nature of the transition to the second half of life, or what is commonly known as "midlife crisis." The dynamic psychotherapeutic approach to the middle-aged patient does not differ in essence from that adopted toward adolescents or the elderly. The current paper suggests that introducing existential issues and the existentialist therapy approach into analytic-oriented therapy is especially appropriate to the psychotherapy of individuals in midlife. The central themes of middle-age psychology are presented, and the relevance of the existentialist therapy approach is discussed in this context, with reference to four fundamental elements of the "existential discourse": death, isolation, freedom, and meaning.
中年是一个正常的发展阶段。尽管仍需进一步研究，但文献中对于这个生命阶段的主要变化、冲突和任务已达成普遍共识，特别是关于向生命后半程过渡的性质，即通常所说的“中年危机”。对中年患者采用的动态心理治疗方法，本质上与针对青少年或老年人的方法并无不同。本文认为，将存在主义问题和存在主义治疗方法引入以分析为导向的治疗中，特别适用于中年个体的心理治疗。本文呈现了中年心理学的核心主题，并在此背景下，参照“存在主义话语”的四个基本要素：死亡、孤独、自由和意义，讨论了存在主义治疗方法的相关性。
