Leszcz M
University of Toronto.
Int J Group Psychother. 1990 Oct;40(4):379-99. doi: 10.1080/00207284.1990.11490618.
Three current approaches to the group therapy of the cognitively intact, depressed elderly are reviewed. Examination of the strengths and limitations of these three models--self psychology, developmental considerations such as reminiscing and life review, and cognitive-behavioral therapies--points in the direction of the usefulness of an integrated model. The main objectives of an integrated approach include: stabilization of the individual's sense of self, establishment of interpersonal competence, and enhanced mastery over the affects of depression and demoralization. Clinical illustrations are provided to demonstrate the practical considerations in this model of group therapy.
本文回顾了当前针对认知功能正常的老年抑郁症患者进行团体治疗的三种方法。对这三种模式——自体心理学、诸如回忆和生活回顾等发展性考量以及认知行为疗法——的优势和局限性进行审视后，发现了整合模式的效用方向。整合方法的主要目标包括：稳定个体的自我感、建立人际能力以及增强对抑郁和士气低落情绪的掌控。文中提供了临床案例来说明这种团体治疗模式中的实际考量。
